Free BCEN Certified Emergency Nurse (CEN) Practice Question

The correct answer is to report the situation to the nurse manager or supervisor. This is the best initial response because it follows the proper chain of command and ensures that the situation is addressed promptly and professionally. While confronting the nurse directly may seem proactive, it could lead to denial or escalation of the situation. Ignoring the behavior is not an option, as it could compromise patient safety. Immediately reporting to the state board of nursing bypasses internal processes that should be followed first. The charge nurse should report to their immediate superior, allowing for a thorough investigation and appropriate intervention, which may include drug testing, counseling, or referral to an employee assistance program. This approach also aligns with hospital policies and protects both the impaired nurse and the patients.