You work in an intermediate care unit that has experienced high nursing turnover. The nurse manager is often considered to be an autocratic leader by staff members and her leadership style is contributing to turnover
You have asked to be involved in developing new guidelines to prevent pressure ulcers in your patient population. The nurse manager tells you that you do not yet have enough experience to be on the prevention task force. This situation and setting is an example of: a. a barrier to handoff communication.
b. a work environment that is unhealthy.
c. ineffective decision making.
d. nursing practice that is not evidence-based.
B
These are examples of an unhealthy work environment. A healthy work environment values communication, collaboration, and effective decision making. It also has authentic leadership. It is not an example of handoff communication, which is communication that occurs to transition patient care from one staff member to another. Neither does it relate to ineffective decision making. As a nurse, you can still implement evidence-based practice, but your influence in the unit is limited by the unhealthy work environment.
You might also like to view...
A nurse assesses a client who is dying. Which manifestation of a dying client should the nurse assess to determine whether the client is near death?
a. Level of consciousness b. Respiratory rate c. Bowel sounds d. Pain level on a 0-to-10 scale
The nurse is caring for a client with emphysema. When the nurse enters the client's room, the spouse asks for the oxygen to be increased, because the client is having trouble breathing. The nurse's best intervention is to:
1. Call the physician for an order to increase the oxygen delivered. 2. Increase the oxygen and monitor oxygen saturation. 3. Explain that increased oxygen will decrease respirations and make him more SOB. 4. Tell the spouse that increasing oxygen is not possible.
An experienced nurse sees a new nurse using a procedure to change a dressing that is different from the one the experienced nurse is familiar with. What could be responsible for this new procedure?
1. The new nurse is performing the procedure wrong. 2. The experienced nurse has always performed the procedure wrong. 3. There are many ways to perform procedures. 4. The knowledge base is increasing because of new research, necessitating regular revisions in procedures.
A client has all of the following features. For which feature should the nurse suggest she see her physician?
A. The breast on the dominant side is larger than the breast on the nondominant side. B. Superficial veins are more prominent in both breasts during the premenstrual pe-riod. C. Lymph nodes on the dominant side are palpable. D. Small elevations are present on each areola.