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 D

Explanation

A. Follower: A follower role implies taking direction from others rather than initiating supportive actions independently.
B. Manager: A manager focuses on administrative and organizational tasks, while the described action is more aligned with providing emotional and spiritual support.
C. Laissez-faire: This leadership style involves minimal intervention, whereas the nurse is actively engaging with the family to offer support and resources.
D. Leader: By recognizing the family's needs and proactively offering support, the nurse demonstrates leadership in providing holistic, patient-centered care.

A. Encouraging the patient to attend group therapy. B. Monitoring for thoughts of self-harm. C. Preventing fluid and electrolyte imbalance. D. Fostering feelings of self-respect.

Correct Answer is C

Explanation

A. Encouraging the patient to attend group therapy: While group therapy is important for long-term recovery and psychological support, it is not the immediate priority in acute care.
B. Monitoring for thoughts of self-harm: This is a critical aspect of care, but maintaining physical health through stabilizing fluid and electrolyte balance takes precedence due to the immediate life-threatening risks associated with anorexia nervosa.
C. Preventing fluid and electrolyte imbalance: Addressing fluid and electrolyte imbalances is the highest priority as these imbalances can lead to severe complications, including cardiac arrest, which is a primary concern in clients with anorexia nervosa.
D. Fostering feelings of self-respect: This goal is essential for long-term recovery, but it is secondary to immediate physical health concerns that could pose life-threatening risks.

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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?

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Naxlex Comprehensive Predictor Exams

A family is keeping vigil at a critically ill patient's bedside. The nurse speaks with the family members and asks if they would benefit from a chaplain visit or resources to aid with grief and coping. What role is the nurse assuming through this action?

Correct Answer is D

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Correct Answer is C

Explanation

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