The ICU unit has a client in which the family has been verbally abusive and has threatened staff. The manager notes an increase in absenteeism with the staff over the past 2 days. The manager believes this is attributed to a:

1. Staffing dilemma caused by the scheduler.
2. Change in the staffing matrix.
3. Decline in staff morale due to a hostile environment.
4. Miscommunication between management and nursing administration.


3
Explanation: 1. A problem with staffing and/or matrix must be addressed with management in which the
issues must be resolved to ensure appropriate client care, which does not relate to the client?s
family. A hostile work environment may cause a decline in morale in which nurses may not
work due to fear of workplace violence. Miscommunication between management and
administration may have a negative effect on morale.

Nursing

You might also like to view...

An older patient is not breathing well and has cold, mottled skin. The patient has a living will and requests comfort measures only. What should the nurse do to care for this patient?

1. Ask the family what they want to be done for the patient. 2. Contact the physician for orders to control the patient's breathing. 3. Provide personal hygiene and skin care as outlined in the care plan. 4. Withhold pain medication, hygiene, and nutrition until the patient dies.

Nursing

What would the nurse consider evaluation criteria for psychotherapeutic progress in the client with an eating disorder?

A) The client demonstrates a stable self-image. B) The client demonstrates stable coping skills. C) The client embraces a realistic self-image. D) The client demonstrates an improved sense of dependence.

Nursing

You have been discussing a client's perception and thoughts regarding her recently diagnosed pancreatic cancer. After a lengthy discussion, your client becomes silent. You should:

1. excuse yourself, as the conversation is obviously over. 2. ask her what else she would like to discuss. 3. sit silently for several minutes before doing anything. 4. change the subject and discuss something of a lighter nature.

Nursing

A patient with stage 2 Alzheimer disease becomes very agitated in the evenings. What would be an appropriate nursing intervention for the nurse to use for this patient?

1. playing soft music in the patient's room 2. use of anti-anxiety medications or tranquilizers 3. moving the patient to an area of activity to provide distraction 4. recommending the patient be moved to a more secure environment

Nursing