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?

Evaluate how well employees were able to perform duties outside of their job description.

Conduct the performance appraisal in a public setting to ease tension.

Provide the staff member the opportunity to disagree with the evaluation.

Initiate a random time to conduct the performance appraisal to ensure authentic responses by the staff member.

Answer and Explanation

The Correct Answer is C

A. Evaluate how well employees were able to perform duties outside of their job description: Performance appraisals should focus on the duties and responsibilities outlined in the employee’s job description.
B. Conduct the performance appraisal in a public setting to ease tension: Conducting appraisals in a public setting can lead to discomfort and should instead be done privately to respect confidentiality and ensure a constructive conversation.
C. Provide the staff member the opportunity to disagree with the evaluation: Allowing the staff member to provide their perspective or disagreement is an important part of a fair and balanced performance appraisal process.
D. Initiate a random time to conduct the performance appraisal to ensure authentic responses by the staff member: Performance appraisals should be scheduled and communicated in advance to allow for preparation and a constructive dialogue, not conducted randomly.

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Correct Answer is B

Explanation

A. Deter mistakes by emphasizing the consequences of committing a medication error: While emphasizing consequences can be important, it does not address the root causes or systemic issues that may be contributing to the errors.
B. Include the bedside nurses in the decision-making process involving their practice: Engaging bedside nurses in decision-making helps address issues directly affecting their work environment and practice, fostering a culture of safety and collaboration that can reduce errors.
C. Encourage nurses who commit medication errors to file incident reports, placing them in the patient's chart: While reporting errors is important for documentation, placing them in the patient's chart may not be the best practice for addressing systemic issues or improving procedures.
D. Relinquish responsibility by asking a separate department to oversee quality improvement: Quality improvement should be a collaborative effort, not delegated entirely to another department, to ensure that changes are relevant and effective.

A. The patient has a right to choose not to consent. B. Consent must not be coerced. C. Consent for life-saving surgery is always mandatory. D. The patient must sign the consent because the doctor wants him to sign. E. Minors can consent to procedures in the absence of parents or guardians.

Correct Answer is ["A","B"]

Explanation

A. The patient has a right to choose not to consent: Patients have the right to refuse consent if they do not understand the procedure or do not agree to it, reflecting the principle of autonomy in medical decision-making.
B. Consent must not be coerced: Consent must be given voluntarily and with full understanding; coercion undermines the validity of the consent.
C. Consent for life-saving surgery is always mandatory: While consent is crucial, there are exceptional cases where procedures may be performed without explicit consent if a patient is incapacitated and the surgery is urgent.
D. The patient must sign the consent because the doctor wants him to sign: The patient's understanding and voluntary consent are more important than the doctor's request; the process cannot be rushed or forced.
E. Minors can consent to procedures in the absence of parents or guardians: Generally, minors cannot consent to medical procedures without parental or guardian consent, with some exceptions based on state laws and the nature of the procedure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A manager notes that the incidence of medication errors has increased since the implementation of staffing changes. What strategy should the manager consider to reduce errors?

Correct Answer is B

Explanation

One of your staff nurses asks for your advice because a patient refuses to sign a consent for surgery. The patient says that he won't sign because he doesn't understand the nature of the surgery. You advise that: (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

To help staff nurses prepare for evidence-based practice, which strategy is NOT appropriate for the nurse manager to recommend?

A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?

A strategic goal for nursing in the facility developed by the chief nursing officer is to implement an evidence-based practice program. What is an appropriate strategy that can be used by a nurse manager who is beginning to implement an evidence-based practice program on the unit?

To help nurse managers better manage their time, the chief nursing officer suggests that they:

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?

During an annual performance evaluation, a manager provides truthful feedback about the nurse's performance. What ethical principle does this represent?

A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?

The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia. After developing a spirit of inquiry and identifying a problem, what is the next step to effectively gather evidence for guiding practice (i.e., evidence-based inquiry)?