Nokea
A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?
- A. Evaluate how well employees were able to perform duties outside of their job description.
- B. Conduct the performance appraisal in a public setting to ease tension.
- C. Provide the staff member the opportunity to disagree with the evaluation.
- D. Initiate a random time to conduct the performance appraisal to ensure authentic responses by the staff member.
Correct Answer: C
Rationale: The correct answer is C because providing the staff member the opportunity to disagree with the evaluation is essential in fostering open communication and mutual understanding. This allows for a constructive dialogue, addressing any discrepancies or misunderstandings in a fair and respectful manner. It also promotes transparency and fairness in the appraisal process.
Choice A is incorrect because evaluating duties outside of the job description may not be relevant to the staff member's performance appraisal.
Choice B is incorrect as conducting the performance appraisal in a public setting can create unnecessary tension and discomfort, hindering open and honest communication.
Choice D is incorrect as initiating a random time for the performance appraisal may not allow the staff member to adequately prepare or provide thoughtful responses, potentially leading to an inaccurate evaluation.
You may also like to solve these questions
After several months of heavy patient loads in the Emergency Department and inability to secure sufficient and experienced staff, the department is especially taxed by a train accident that brings in many seriously injured individuals. You observe that Rama ignores the requests of several of the injured, even when time is available to care for them and is rude to two older adult patients. You are concerned that Rama is evidencing which state?
- A. depersonalization
- B. role ambiguity
- C. depression
- D. hardiness
Correct Answer: A
Rationale: The correct answer is A: depersonalization. Depersonalization is a common symptom of burnout, characterized by a lack of empathy and treating patients as objects rather than individuals. In this scenario, Rama's behavior of ignoring patient requests and being rude to older adult patients indicates a disconnect and lack of personalization in patient care. This behavior can be a coping mechanism for dealing with high stress and heavy patient loads.
Choice B: role ambiguity, is incorrect as there is no indication of confusion or uncertainty about Rama's role in this scenario. Choice C: depression, is incorrect as the behavior described is more indicative of depersonalization rather than depression. Choice D: hardiness, is incorrect as hardiness refers to resilience and adaptability in stressful situations, which is not demonstrated by Rama's behavior in this scenario.
A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take for implementation of this change?
- A. Involve affected staff in the decision-making process.
- B. Focus the assessment on the unit and do not consider the hospital as a whole.
- C. Create a mandatory policy to force workers to participate in problem-solving solutions.
- D. Select a management approach that does not change.
Correct Answer: A
Rationale: Correct Answer: A
Rationale: In complex systems like a medical unit, involving affected staff in decision-making is crucial as they have valuable insights and frontline experience. This participatory approach fosters ownership, engagement, and innovation. It allows for diverse perspectives to be considered, leading to more effective and sustainable solutions tailored to the specific needs of older adult patients. By involving staff, the nurse manager can leverage collective intelligence and build a culture of collaboration and continuous improvement.
Incorrect Choices Summary:
B: Focusing only on the unit overlooks the interconnectedness of systems within the hospital, potentially missing out on valuable resources and expertise.
C: Implementing a mandatory policy can create resistance, decrease morale, and inhibit creativity, leading to suboptimal outcomes.
D: Maintaining the status quo in a dynamic environment like healthcare is not conducive to adaptation and improvement, hindering the ability to meet the evolving needs of older adult patients.
As a nurse manager, you have to be effective in managing a culturally diverse staff. Which of the following nurse manager attributes would assist you in addressing the cultural needs of your staff?
- A. Assuming the thoughts and behaviors of individuals based on their race or ethnicity.
- B. Encouraging the potential in all staff.
- C. Being conscious of the dynamics when culture interacts.
- D. Conducting a cultural self-assessment.
- E. Fostering unity by imposing American values upon all staff members.
Correct Answer: B,C,D
Rationale: Correct Answer: B, C, D
Rationale:
B: Encouraging the potential in all staff is crucial for addressing cultural needs. It promotes inclusivity and values diversity.
C: Being conscious of the dynamics when culture interacts helps in understanding and respecting different cultural perspectives and practices.
D: Conducting a cultural self-assessment is essential to identify biases and gain awareness of one's own cultural background.
Summary:
A: Assuming thoughts and behaviors based on race/ethnicity is stereotyping and can lead to discrimination.
E: Imposing American values may alienate staff with different cultural backgrounds and hinder effective communication and collaboration.
To help staff nurses prepare for evidence-based practice, which strategy is NOT appropriate for the nurse manager to recommend?
- A. Establishing a journal club.
- B. Encouraging staff to join a professional association.
- C. Instituting mandatory writing assignments discussing a chosen best-practice article.
- D. Creating an incentive program for staff to pursue a specialty certification.
Correct Answer: C
Rationale: The correct answer is C: Instituting mandatory writing assignments discussing a chosen best-practice article. This is not an appropriate strategy for the nurse manager to recommend because mandating writing assignments may create resistance and decrease staff engagement. Instead, fostering a voluntary learning environment through options like journal clubs (A), professional association memberships (B), and incentive programs (D) can motivate staff to engage in evidence-based practice without imposing mandatory tasks. Encouraging autonomy and interest-driven learning is more effective than enforcing obligations.
A floor manager discovers widespread dissatisfaction and a high turnover rate amongst LPN and certified nursing assistants (CNA). Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?
- A. Allow LPNs and CNAs to perform tasks beyond their scope of practice.
- B. Establish a rewards program to recognize achievements of the staff.
- C. Hire additional staff so individual workloads are lessened.
- D. Improve the working conditions of the unit by investing in ergonomic chairs.
Correct Answer: B
Rationale: The correct answer is B: Establish a rewards program to recognize achievements of the staff. This strategy can motivate the LPNs and CNAs by providing positive reinforcement for their hard work and dedication. Recognizing their achievements can boost morale, increase job satisfaction, and encourage them to continue performing well. This approach acknowledges their efforts and creates a sense of appreciation, leading to a more positive work environment.
Choice A is incorrect as allowing LPNs and CNAs to perform tasks beyond their scope of practice can lead to legal and safety issues. Choice C of hiring additional staff may help with workload but may not directly address job satisfaction. Choice D of investing in ergonomic chairs can improve physical comfort but may not address the underlying issues causing dissatisfaction.