A nurse who was previously known to be a role model has become distant and cool toward patients. The manager suspects the nurse is experiencing moral distress. Which action by the nurse's manager would be best in this situation?
a. Ask the nurse about perceived barriers to caregiving.
b. Remind the nurse that patient relations are important.
c. Ask whether the nurse needs to take a vacation or time off.
d. Tell the nurse that others have noticed a behavior change.
A
Moral distress is caused when a person knows the right thing to do but is unable to do it. The manager should ask the nurse about any barriers encountered that have prevented effective caregiving.
Patient relations are important but not as important as a nurse who is engaged and meeting the individualized needs of the patients. Telling the nurse anything, rather that inquiring about the difficulty, does not allow for exploration of the problem.
The nurse may indeed be fatigued and in need of time off, but this option is so narrow that it does not allow exploring the real problem.
Telling the nurse that others have noticed a behavior change should certainly be part of a discussion with the nurse, but this should be used as a lead-in to finding out the nature of the problem. This option does not go far enough.
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