Which action by the nurse manager is a demonstration of ...

[Caiter2013]

Which action by the nurse manager is a demonstration of satisficing?
 
  1. The nurse manager works with the staffing schedule until all requested days off are honored.
  2. The nurse manager reposts a job opening because no applicants were a good fit for the current unit staff.
  3. The nurse manager agrees with a proposed budget that does not provide badly needed new client beds.
  4. The nurse manager insists on firing a nurse who is chronically late to work.

Question 2

A night shift nurse is assuming a day shift nurse's assignment, which includes two clients whose pain is being controlled with oral hydrocodone (Lortab). At shift assessment, both clients complain of pain.
 
  During shift report, the day shift nurse reports that both clients had just received two hydrocodone (Loratab) tablets for pain. What action should the night shift nurse take? 1. Repeat the medication.
  2. Inform the manager of the situation.
  3. Call the physician to obtain an order for IV narcotics.
  4. Tell the clients that pain medication will be given at the next ordered time.

[vickyvicksss]

Answer to Question 1

3
Rationale 1: Satisficing would not involve extra effort to honor requested days off.
Rationale 2: If the nurse manager was satisficing, someone would be hired, even if the fit was not good.
Rationale 3: This is an example of satisficing. An example of not satisficing would be the nurse manager not agreeing with the budget until funding for the beds was provided.
Rationale 4: A nurse manager who is satisficing would provide continued counseling, work with the nurse, make excuses, and retain the nurse on staff.
Global Rationale:

Answer to Question 2

2
Rationale 1: Repeating the medication without further assessment is dangerous.
Rationale 2: While there is no clear indication that the day shift nurse is diverting drugs, the manager must be made aware of the situation so it can be investigated. The nurse and manager must determine if the clients actually received the medication and, if so, what time they were administered.
Rationale 3: Calling the physician with a request for IV narcotics would be dangerous.
Rationale 4: The issue in this situation is whether the clients actually received the medication. Telling the clients that they must wait until the next scheduled time for pain medication is not appropriate pain management.
Global Rationale:

[Caiter2013]

Gracias!

[LVPMS]

TYSM