After working for several months on a geriatric subacute medicine ...

[kamilo84]

After working for several months on a geriatric subacute medicine unit, a nurse has come to the conclusion that substandard care has become accepted as the norm by the majority of nurses as well as their immediate supervisors.
 
  The nurse's attempts to discuss and address
  some significant and persistent lapses in care have been rebuffed by nurses and supervisors
  alike. What should the nurse do next?
 
  A) Enlist the support of current and previous patients
  B) Resign from the unit
  C) Contact media outlets
  D) Further discuss the benefits of practice improvements with the nurses

Question 2

A nurse is working a shift with a colleague who has a nursing student participating in the care of the colleague's patients.
 
  The nurse notices that the colleague has spent much of the
  morning on the computer at the nurse's station and is allowing the student to perform every
  aspect of the patients' care. How should the nurse best respond to this colleague?
  A) Speak directly to the colleague about these observations.
  B) Ask the nursing student if she feels like the colleague's patients are receiving good care.
  C) Report the colleague to the supervisor of the unit.
  D) Create a written report recording the facts of the morning.

[carlsona147]

Answer to Question 1

Ans: B
A final alternative to a workplace problem may be to resign. It is normally
inappropriate to involve patients. Further discussions with the nurses are unlikely to be
beneficial, given the systemic nature of problems on this unit. Contacting the media is rare and
appropriate response.

Answer to Question 2

Ans: D
Lapses in the quality of care are best addressed by speaking directly and privately to
the person involved. The individual's response to this discussion would determine whether
involvement by supervisors is necessary. It would be inappropriate to involve the nursing
student in this matter, given the power differential that exists between the nurse and the student.

[kamilo84]

TY

[carlsona147]

Happy to Help