A nurse manager is planning to conduct a follow-up performance appraisal with a nurse who has had reports of unsafe practice due to not completing client care tasks. Which of the following actions should the nurse manager take?

Schedule the meeting to occur in the nursing station.

Arrange seating to sit across from the nurse.

Tell the nurse they need to improve their client care delivery.

Ask the nurse how things have been going since the last meeting.

Answer and Explanation

The Correct Answer is D

A. Schedule the meeting to occur in the nursing station: Conducting the meeting in the nursing station may not provide the privacy and confidentiality needed for a sensitive discussion about performance issues. A private setting is essential to encourage open communication and a constructive dialogue.

B. Arrange seating to sit across from the nurse: Sitting across from the nurse can create a confrontational atmosphere. It is more effective to arrange seating in a way that fosters collaboration and openness, such as sitting beside the nurse, which can help reduce tension during the conversation.

C. Tell the nurse they need to improve their client care delivery: Directly stating that the nurse needs to improve without first exploring their perspective may be perceived as accusatory and could lead to defensiveness. A more supportive approach is necessary to promote constructive feedback and development.

D. Ask the nurse how things have been going since the last meeting: This action is the most appropriate as it opens the conversation in a non-confrontational manner, allowing the nurse to express their thoughts and experiences. It fosters a supportive environment and encourages the nurse to reflect on their performance and any challenges they may be facing, leading to a more productive appraisal.

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Correct Answer is D

Explanation

A. Report of back pain associated with twisting at the waist. Back pain is a common musculoskeletal issue among agricultural workers due to repetitive movements and heavy lifting. While it requires intervention, it is not immediately life-threatening and does not take priority over acute symptoms that may indicate poisoning or a severe reaction.

B. Absence of a dental health provider. Lack of dental care can contribute to long-term health complications, but it does not pose an immediate risk requiring urgent intervention. Addressing acute medical conditions takes precedence over routine preventive care.

C. Lives in a home with 25 other agricultural workers. Overcrowded living conditions can increase the risk of communicable diseases and poor hygiene-related health issues. However, it is a social determinant of health rather than an urgent clinical concern that requires immediate action.

D. Report of muscle twitching and skin rash. Muscle twitching and skin rash can indicate pesticide poisoning, a common occupational hazard for agricultural workers. Pesticide exposure can lead to serious neurological and systemic effects, making this the priority for immediate assessment and intervention.

A. Check the newborn's identification bracelet with the chart. B. Obtain permission from the newborn's guardian. C. Respectfully deny the grandparent's request. D. Review the newborn's footprint record.

Correct Answer is C

Explanation

A. Check the newborn's identification bracelet with the chart: While checking the identification bracelet is important for ensuring the correct identification of the newborn, the request from the grandparent should not be fulfilled without proper identification. It is crucial to prioritize safety and adherence to protocols regarding the newborn's discharge.

B. Obtain permission from the newborn's guardian: Obtaining permission from the newborn's guardian is a necessary step, but the lack of identification from the grandparent still prevents the nurse from allowing the grandparent to take the newborn. The guardian's consent cannot override the identification protocols.

C. Respectfully deny the grandparent's request: Denying the request is the appropriate action in this situation. The nurse must ensure that the newborn is not released to anyone who does not have proper identification, as this is critical for the safety and security of the infant.

D. Review the newborn's footprint record: While reviewing the footprint record can help verify the newborn's identity, it does not address the immediate issue of the grandparent not having an identification bracelet. The nurse's priority should be ensuring that the newborn is only released to authorized individuals with proper identification.

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A nurse manager is planning to conduct a follow-up performance appraisal with a nurse who has had reports of unsafe practice due to not completing client care tasks. Which of the following actions should the nurse manager take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working in a mobile health clinic is assessing a client who is an agricultural worker. Which of the following findings should the nurse identify as the priority?

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Explanation

A nurse is caring for a newborn in the nursery following a circumcision. The newborn's grandparent, who does not have an identification bracelet, requests to take the newborn to their guardian's room. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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