An ICU nurse manager has been struggling to correct client care issues on the unit and has asked the unit director for assistance. The director says, "Training and discipline on your unit is your responsibility. I have other things to do
" Now, the manager is faced with disciplining a nurse regarding another client care issue. What is the most significant reason this manager is hesitant to administer this discipline? 1. The nurse may quit.
2. The nursing staff is a cohesive group and might retaliate.
3. The manager is not comfortable with confrontation.
4. The manager does not feel supported by the director.
4
Rationale 1: The fact that this nurse might quit is an issue with which managers deal every day.
Rationale 2: The fact that the nurses are a cohesive group is an issue with which managers deal every day.
Rationale 3: It may be that the manager is not comfortable with confrontation, but another option suggests a more significant problem.
Rationale 4: The job of managing others is difficult without the full support of superiors.
Global Rationale:
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