A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?

The nurse verbalizes their understanding of the plan.

The nurse performs all tasks as specified.

The nurse attends a critical thinking class.

The nurse shares their performance plan with another nurse.

Answer and Explanation

The Correct Answer is B

Choice A Reason:
"The nurse verbalizes their understanding of the plan," is important, verbalizing understanding does not necessarily guarantee successful implementation of the plan. Action is required to demonstrate competence and improvement.
Choice B Reason:
The nurse performs all tasks as specified is correct. The effectiveness of a performance improvement plan is best determined by observing whether the nurse successfully implements the specified tasks and achieves the desired improvements in their performance. Therefore, option B, "The nurse performs all tasks as specified," is the most appropriate outcome to indicate the effectiveness of the plan.
Choice C Reason:
"The nurse attends a critical thinking class," may be a component of the performance improvement plan, but attending a class alone does not necessarily indicate whether the nurse's performance has improved.
Choice D Reason:
"The nurse shares their performance plan with another nurse," is not a direct measure of the effectiveness of the plan. Sharing the plan with another nurse may demonstrate openness and willingness to seek support, but it does not necessarily indicate whether the nurse has successfully improved their performance as a result of the plan.

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Correct Answer is C

Explanation

Choice A Reason:
Listing names of witnesses to the fall in the nurses' notes is incorrect. While it's important to document witnesses to the fall, listing their names in the nurses' notes is not the primary action related to incident reporting. Witness information is typically included in the incident report itself.
Choice B Reason:
Sending the incident report to the ethics committee is incorrect. Incident reports are typically submitted to the appropriate department within the healthcare facility responsible for managing incidents and ensuring appropriate follow-up. Sending the incident report to the ethics committee may not be necessary unless there are specific ethical concerns related to the incident.
Choice C Reason:
Includes the client's account of the fall in the incident report is correct. When a client falls, it's essential to document the incident accurately and thoroughly. Including the client's account of the fall in the incident report demonstrates an understanding of the procedure because it provides valuable information about the circumstances surrounding the fall from the client's perspective.
Choice D Reason:
Documenting in the client's record that an incident report was filed is incorrect. Documenting in the client's record that an incident report was filed is a necessary step, but it doesn't provide detailed information about the incident itself. The incident report itself should contain comprehensive details about the fall, including the client's account, witnesses, actions taken, and any resulting injuries.

A. A client who is receiving heparin and has an aPTT of 34 seconds (30 to 40 seconds). B. A client who has type 1 diabetes mellitus and uses an insulin pump. C. A client who has orthostatic hypotension and is receiving IV fluids, D. A client who is at risk for pressure injuries and has an albumin level of 4.2 g/dL (3.5 to 5 g/dL). E. None F. None

Correct Answer is B

Explanation

A. The client’s aPTT is within the therapeutic range for heparin, so immediate interdisciplinary discussion is not required.

B. Clients using insulin pumps require coordination between the nurse, endocrinologist, and diabetes educator to ensure safe insulin administration and blood glucose management, making an interdisciplinary conference appropriate.

C. Orthostatic hypotension being managed with IV fluids can typically be addressed within routine nursing care without needing an interdisciplinary meeting.

D. The client’s albumin level is within normal limits, and risk for pressure injuries can be managed with standard nursing interventions without requiring a conference.

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A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is supervising the actions taken by a staff nurse following a client fall. The charge nurse should identify that which of the following actions by the staff nurse indicates an understanding of the procedure?

Correct Answer is C

Explanation

A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

Correct Answer is B

Explanation

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A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice?

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