An ICU nurse manager noticed a competent nurse has become forgetful and has made medication errors in the past few months. This type of behavior is unusual for this nurse. What action should the manager take?

1. Issue a written warning to the nurse.
2. Meet individually with the nurse to discuss the behavior.
3. Ask other staff members if they have noticed the behavior.
4. Report the nurse to the human resources department.


2
Rationale 1: It is premature to issue a written warning.
Rationale 2: Meeting with the nurse will provide information. The nurse may be experiencing unusual stress at home, may be unaware of his or her behavior, or may have a medical condition. The first step should be to address and assess the situation.
Rationale 3: It is not appropriate for the manager to involve other staff members.
Rationale 4: It is premature to report the nurse to the human resources department.
Global Rationale:

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