A manager has noticed the following behaviors with a day shift nurse. The nurse?s handwriting has become shaky and illegible, and he has mood swings and increased tardiness. The manager?s first action should be to:

1. Meet with the nurse in private and discuss the above behaviors.
2. Meet with other staff to determine if this nurse has issues at home.
3. Meet with HR (human resources) to determine the best method to terminate the employee.
4. Collect information regarding behaviors, absenteeism, and/or tardiness.


4
Explanation: 1. The manager will meet with the nurse but should have information to support the
investigation of substance abuse. Obtaining information from other staff is unprofessional and
violates confidentiality. The manager should meet with HR to determine a course of action but
should have documentation to support suspected abuse prior to HR?s involvement. The
manager should obtain information and documentation to determine if there is a problem.

Nursing

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