The LPN/LVN notices that the nursing assistants are taking longer breaks than agency policy permits and wishes to change this behavior as quickly as possible. The LPN/LVN's initial actions should be to
a. verbally confront the employees with their behavior.
b. write reprimands to be placed in each employee's file.
c. ask for in-service classes on time management.
d. determine the reason staff members are taking longer breaks.
ANS: D
Before attempting to solve any problem, the LPN/LVN must clearly identify the real problem. In this case, longer breaks may be the staff's reaction to a more fundamental workplace problem. Verbal confrontation should not be the initial action. Written reprimands should not be the initial action. In-service classes on time management would be not an inappropriate initial action.
You might also like to view...
A nurse assesses a client who has had two episodes of bacterial cystitis in the last 6 months. Which questions should the nurse ask? (Select all that apply.)
a. "How much water do you drink every day?" b. "Do you take estrogen replacement therapy?" c. "Does anyone in your family have a history of cystitis?" d. "Are you on steroids or other immune-suppressing drugs?" e. "Do you drink grapefruit juice or orange juice daily?"
A relatively healthy elderly client tells the nurse that he has been sleepy during the day and has fallen twice. Which of the following should the nurse suspect is occurring with this client?
a. The events could be medication related and should be investigated. b. The client is having a stroke. c. The client has sleep apnea. d. The client is aging and should move to an assisted living facility.
Which nursing action will reduce uterine activity in a client presenting with preterm labor?
a. Give 0.25 mg of terbutaline sulfate (Brethine) SC. b. Place client in lateral position. c. Push p.o. fluids. d. Start an IV of Ringer's lactate.
The nurse instructs the partner of a client who is on bed rest to provide a complete bed bath. Which does the nurse include in client teaching?
1. Prevent dryness with bath oil and baby powder. 2. Clean the anus vigorously and dry with a towel. 3. Wash the perineal area with warm running water. 4. Daily complete bed baths can cause skin damage.