Which of the following situations would be considered an example of insubordination?
A)A staff nurse informs the unit supervisor that she can't complete an assigned care task because it is outside her scope of practice.
B)A staff nurse informs the unit supervisor that he cannot complete an assigned care task because it requires a piece of equipment that is not currently available.
C)A staff nurse informs the unit supervisor that she won't complete an assigned care task because it's beneath her level and more appropriate for unlicensed assistive personnel.
D)A staff nurse informs the unit supervisor that he cannot complete an assigned care task because another nurse has already performed the task.

Question

Quizplus · Accepted Answer

A)Professional nurses should refuse work assignments only when they are not qualified or not prepared to perform the assignment-as would be the case when a task is outside the nurse's scope of practice or a needed piece of equipment is unavailable. Refusal to perform a task would also be appropriate if completing the task would result in duplication of services. In all such cases, the nurse should discuss the situation immediately with the supervisor. Otherwise, the nurse should be ready to complete all assigned tasks, because refusal to do so may be regarded as insubordination and grounds for dismissal. Here, the nurse who refuses a task simply because she feels it is "beneath her level" would be engaging in insubordinate behavior.
B)Professional nurses should refuse work assignments only when they are not qualified or not prepared to perform the assignment-as would be the case when a task is outside the nurse's scope of practice or a needed piece of equipment is unavailable. Refusal to perform a task would also be appropriate if completing the task would result in duplication of services. In all such cases, the nurse should discuss the situation immediately with the supervisor. Otherwise, the nurse should be ready to complete all assigned tasks, because refusal to do so may be regarded as insubordination and grounds for dismissal. Here, the nurse who refuses a task simply because she feels it is "beneath her level" would be engaging in insubordinate behavior.
C)Professional nurses should refuse work assignments only when they are not qualified or not prepared to perform the assignment-as would be the case when a task is outside the nurse's scope of practice or a needed piece of equipment is unavailable. Refusal to perform a task would also be appropriate if completing the task would result in duplication of services. In all such cases, the nurse should discuss the situation immediately with the supervisor. Otherwise, the nurse should be ready to complete all assigned tasks, because refusal to do so may be regarded as insubordination and grounds for dismissal. Here, the nurse who refuses a task simply because she feels it is "beneath her level" would be engaging in insubordinate behavior.
D)Professional nurses should refuse work assignments only when they are not qualified or not prepared to perform the assignment-as would be the case when a task is outside the nurse's scope of practice or a needed piece of equipment is unavailable. Refusal to perform a task would also be appropriate if completing the task would result in duplication of services. In all such cases, the nurse should discuss the situation immediately with the supervisor. Otherwise, the nurse should be ready to complete all assigned tasks, because refusal to do so may be regarded as insubordination and grounds for dismissal. Here, the nurse who refuses a task simply because she feels it is "beneath her level" would be engaging in insubordinate behavior.

Which of the Following Situations Would Be Considered an Example