QUESTION
The nursing supervisor is assessing the organization by spending time on each unit. The nurse manager seems overwhelmed and stressed trying to address many client complaints. The charge nurse is trying to help everyone at once.
What might this supervisor conclude based on this assessment? Select all that apply.
1. The unit culture fosters distrust and poor communication among staff.
2. The unit has had several call-ins, or is short-staffed.
3. Delegation is seen as too time-consuming to undertake.
4. The nurse manager is inexperienced, and needs time to adjust.
5. Nurses on the unit are in need of additional training and skills.
ANSWER:
Answer: 1; 3; 5
Rationale:
• The unit culture fosters distrust and poor communication among staff. The unit clearly is having problems getting client responsibilities completed in a timely manner, resulting in stress and complaints. This could indicate a distrusting unit culture.
• The unit has had several call-ins, or is short-staffed. There is no indication the unit is short-staffed or has experienced call-ins.
• Delegation is seen as too time-consuming to undertake. The nurses on the unit might need additional training to understand delegation and its advantages.
• The nurse manager is inexperienced, and needs time to adjust. There is no indication the nurse manager is inexperienced.
• Nurses on the unit are in need of additional training and skills. The supervisor’s assessment might indicate additional training and skills are needed, in delegation and unit skill requirements.
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