Author Question: Which statement indicates understanding of how a nurse could improve personal decision-making ... (Read 88 times)

gbarreiro · **on:** Jul 8, 2018

Which statement indicates understanding of how a nurse could improve personal decision-making skills?

1. We should gather a group together to make important unit decisions to ensure fairness.
2. I should practice making decisions by developing potential solutions and then choosing one.
3. We can make a decision and then ask for input from others to make sure it was the right choice.
4. I know I will never be able to improve my decision-making skills because I am not a strong person.

Question 2

Which assignment would be in the best interest of a nurse reentering practice following treatment for abuse of mood-altering drugs?

1. Place the nurse on a different unit and allow the administration of all drugs.
2. Reassign the nurse for a period of time to a unit where no mood-altering drugs are given.
3. Retain the nurse on the original unit and allow the administration of mood-altering drugs.
4. Return the nurse to the original unit at a less stressful time, such as night shift.

okolip · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

2
Rationale 1: Depending on a group is not likely to help the nurse improve personal decision-making skills.
Rationale 2: Practicing making decisions will increase the nurse's experience, comfort, and overall skill.
Rationale 3: Including a we in this process is not as likely to improve the nurse's personal decision-making skills as making an individual decision. Asking for input to make certain the choice was correct indicates lack of certainty.
Rationale 4: Decision-making skills can be learned regardless of one's perceived personal strength.
Global Rationale:

Answer to Question 2

2
Rationale 1: In many cases state law or administrative policy will restrict a recovering nurse in the early post-treatment period from handling controlled substances.
Rationale 2: Removal of the temptation is a positive step for the recovering nurse. The best action would be to temporarily have the nurse reassigned to a unit where there are no mood-altering drugs.
Rationale 3: If the nurse must be assigned to the original unit, he or she should not administer mood-altering drugs. However, this plan does require informing the other nurses of the situation, which can also be problematic.
Rationale 4: Recovering nurses should be discouraged from working evening or night shifts.
Global Rationale: