100% Correct, Expert Verified
Answers with A+ Grade Assurance
The most important approach that a nurse manager can take with an
emotionally troubled employee is to:
A. Act as a therapist for the employee.
B. Adjust the standard of care to assist the employee.
C. Assist the employee in obtaining professional help.
D. Adjust the employee's work schedule to decrease stress. ANSW ✔✔ c
The nurse manager knows that the most serious effect that absenteeism has
on the nursing unit is that:
A. Using replacement personnel with new ideas may be beneficial.
B. Salary costs are lower because personnel are fewer, and outcome is
favorable.
C. Absence on the part of the rest of the staff is decreased.
D. Unacceptable patient care may result. ANSW ✔✔ D
In keeping with guidelines of the organization, the nurse manager documents
staff problems. Documentation of disciplinary problems should:
A. Include a plan to correct them and to prevent future occurrences.
B. State a detailed history of past problems that are related to the current one.
C. Be written at the convenience of the manager.
D. Not be discussed until the formal performance evaluation. ANSW ✔✔ A
Before terminating an employee, a nurse manager must:
A. Be an expert in all legal aspects of termination and discipline practices.
,B. Follow the organization's specific policies for addressing disciplinary
problems and termination.
C. Function as a counselor for problem employees.
Do everything to assist and protect the employee by adjusting standards and
policies ANSW ✔✔ B
A nurse manager understands that the typical first step in handling an
employee with a disciplinary problem is a:
A. Verbal reprimand.
B. Written reprimand.
C. Reminder of employment standards.
D. Day off without pay. ANSW ✔✔ c
The chief nursing officer understands that clinical incompetence is best
prevented by a(n):
A. Flexible protocol for evaluating competency skills.
B. Standardized clinical skills checklist.
C. Administration of personality tests and competency assessments at point of
hire.
D. Formalized competency program with established standards for practice.
ANSW ✔✔ D
A nurse manager understands that the second step in handling an employee
with a disciplinary problem is to document the incident. Which of the following
is best for documentation of personnel problems?
A. Use of the performance appraisal on an annual basis
B. Notes made immediately after an incident that include a description of the
incident, actions taken, plans, and follow-up
,C. A tally sheet of medication errors and other specific problems that will be
used at annual review
D. Copies of reports, placed in his or her file, of all unusual occurrences
involving the employee ANSW ✔✔ B
The nurse manager places a staff member on probation because of reports of
chemical dependency. The nurse manager should be aware that which of the
following statements is true regarding chemical dependency?
A. The chemically dependent employee usually hides any changes in behavior.
B. When confronted with the issue, the affected employee is usually relieved
to have someone to talk to about the problem.
C. The chemically impaired nurse affects the entire healthcare organization.
D. Hospital policy, state laws, and nurse practice acts address procedures for
the chemically dependent employee in the most general terms. ANSW ✔✔ c
The chief nursing officer reviews the policy about "progressive discipline
process." The progressive discipline process includes which of the following?
The manager:
A. Is a counselor and friend to the employee.
B. Should reprimand and suspend the employee as a last resort.
C. Should rehire the employee after a reasonable length of time.
d)Should terminate the employee if the problem persists ANSW ✔✔ d
A nurse manager must be familiar with the agency's policies regarding
termination. Termination procedures include which of the following?
A. Following specific procedures from other organizations
B. Having an attorney present at the termination meeting
C. Having adequate written documentation to support the action
D. Having a friend present during the termination meeting ANSW ✔✔ c
, Nathan has been on the cardiac unit for 6 months and has found it difficult to
adjust to the expectations of his team. Which of the following behaviors would
most likely signal that Nathan is intending to resign from his position on the
unit?
A. Increased absenteeism over the past month
B. Increased attempts to discuss his concerns with his colleagues
C. Testing of workplace guidelines
D. Frequent defensiveness ANSW ✔✔ a
All of the following are grounds for immediate dismissal except:
A. Failing to pursue further medical help for a patient; patient dies.
B. Selling narcotics obtained from the unit supply of narcotics.
C. Restraining a patient in bed for 7 hours, unsupervised, as punishment for
hitting a staff member.
D. Grabbing the unit manager and threatening further physical harm after a
poor performance appraisal. ANSW ✔✔ a
The unit manager on 4E is concerned about the performance of Jean, a staff
nurse. She is not involved directly with Jean, so she has not been able to
determine whether the problem is one of motivation, ability, or both. If Jean
lacks ability, which of the following strategies might the head nurse use?
A. Dismiss or transfer Jean.
B. Document all problem areas and then discuss them with Jean.
C. Develop appropriate solutions and make recommendations to Human
Resources.
D. Smooth over the problems if they are minor in nature. ANSW ✔✔ B