Which situation requires an adaptive decision? 1. The nurse ...

[cagreen833]

Which situation requires an adaptive decision?
 
  1. The nurse manager discovers that two clients require the use of a new piece of equipment and that the one the hospital has is the only one in the state.
  2. The nurse has made a medication error on an experimental medication.
  3. The nursing student makes an error when changing a client dressing.
  4. The nurse manager scheduled too many nurses for the client census on the night shift, and all of the nurses scheduled have already been asked to take a low-census unpaid day off this month.

Question 2

A night shift charge nurse frequently points out nurses' faults in front of coworkers. The manager of the unit has submitted a written warning to the charge nurse. What term should the manager use to label this behavior?
 
  1. Lateral violence
  2. Unprofessionalism
  3. Lack of civility
  4. Bullying

[alexanderhamilton]

Answer to Question 1

1
Rationale 1: Adaptive decisions must be made when the situation is unusual and there is no clear-cut policy for decision making.
Rationale 2: Making a medication error is not an unusual situation, and a policy exists for handling this issue.
Rationale 3: A policy exists for handling procedure errors.
Rationale 4: A policy exists for handling staffing errors.
Global Rationale:

Answer to Question 2

3
Rationale 1: Lateral violence is harassment between employees of equal rank.
Rationale 2: The behavior is unprofessional, but that is a very broad term and does not identify the issue in this particular case.
Rationale 3: Lack of civility is defined as disrespectful or rude behavior.
Rationale 4: Bullying is a broad term used to describe many behaviors. It is not specific to this situation.
Global Rationale:

[cagreen833]

Excellent

[cpetit11]

TYSM