A charge nurse is evaluating a newly licensed nurse at the end of orientation. Which of the

following behaviors indicates the nurse is using effective time management skills?

The nurse will develop a list of non-essential tasks that can wait until more urgent tasks are

complete and demonstrate effective time management.

A nurse is receiving change-of-shift report at the start of the shift. Which of the following

clients should the nurse assess first?

A client who had abdominal surgery 6 hr ago and has a heart rate of 120/min for the last 2 hr

When using the airway, breathing, circulation (ABC) approach to client care, the nurse

determines the priority finding is an elevated heart rate following surgery; therefore, the nurse

should assess this client first.

A nursing unit is undergoing changes to accommodate new bariatric services that will be

available on the unit. Some staff members have verbalized displeasure with the changes.

Which of the following should the charge nurse do? (Select all that apply.)

Role model a positive approach to the changes is correct. It is important for the charge nurse

to role model positive behaviors and demonstrate support of the change.

Redirect the conversation when negative comments about the changes are made is

incorrect. The charge nurse should give staff members who oppose the change the opportunity

to verbalize their objections and thereby discuss possible solutions.

Encourage staff members who support the changes to discuss the issue with resistant staff

is correct. Peers can serve as change agents and encourage others to embrace the changes.

Suggest that resistant staff members transfer to a different unit is incorrect. This approach

avoids conflict rather than attempting to resolve it.

Reprimand staff members who are resistant to the changes is incorrect. Resistance to

change is a normal part of the change process. The charge nurse should use positive strategies to

aid in acceptance of the proposed change.

A nurse is caring for a client who is 3 days postoperative following open heart surgery and

is to transfer to the medical-surgical unit. Which of the following should the nurse plan to

include in the verbal report?

The client's level of consciousness