A nurse manager suspects that a staff nurse on the night shift has a substance use disorder. Which of the following actions should the nurse manager take?

Rationale: A. This option is incorrect as the first step because discussing the situation with the facility administrator may be necessary eventually, but initial action should involve objective documentation of observed behaviors rather than immediate reporting or action. B. This option is correct because the nurse manager should first document thoroughly any unusual or concerning behaviors, incidents, or patterns. Objective documentation provides a factual basis for addressing the suspected substance use disorder and ensures the nurse manager can follow facility policies and legal requirements accurately. C. This option is incorrect because imposing a suspension without investigation or objective evidence is premature, may violate facility policy, and could have legal consequences. Correct procedure requires documentation and adherence to established protocols for suspected impairment. D. This option is incorrect because counseling the nurse before gathering documented evidence may not be appropriate. The nurse manager must follow facility policy, which typically starts with documentation and reporting to ensure safety and legal compliance, rather than immediately providing informal counseling.