A Registered Nurse (RN) who has been employed in the ambulatory care unit for six weeks is consistently 10-20 minutes late for work. The nurse's lateness has caused unrest among other staff members. The nurse is due to receive a 3-month probation evaluation in one month. How should the manager appropriately deal with this situation?

Tell the nurse that she will be fired if her behavior does not change.

Confront the nurse to discuss the lateness and initiate problem-solving measures.

Tell the other staff members to cover for the nurse until she arrives.

Address the lateness with the nurse at the 3-month probation evaluation.

Answer and Explanation

The Correct Answer is B

Choice A reason: Telling the nurse she will be fired if her behavior does not change is a final warning and may not be the best initial approach. It can create a hostile work environment and does not facilitate a solution to the underlying issue.

Choice B reason: Confronting the nurse to discuss the issue and initiate problem-solving measures is a proactive approach. It allows the manager to understand the reasons behind the lateness and work with the nurse to find a solution, which could include time management strategies.

Choice C reason: Telling other staff members to cover for the late nurse does not address the problem and may lead to further unrest and resentment among the team.

Choice D reason: Waiting to address the issue at the 3-month probation evaluation delays dealing with the problem and allows the disruptive behavior to continue, potentially affecting patient care and team dynamics.

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Correct Answer is B

Explanation

Choice A reason: Communication is the act of conveying information and ideas from one individual or group to another. It is an essential part of collaboration and teamwork but does not specifically describe the emotional involvement in a project or event.

Choice B reason: Commitment refers to the state of being dedicated to a cause or activity. An emotionally committed individual is likely to show passion and dedication, which aligns with the description provided in the question.

Choice C reason: Willingness to cooperate indicates a readiness to work together with others, which is important in a collaborative environment. However, it does not inherently include the emotional aspect of passion and dedication.

Choice D reason: Contentment is a state of satisfaction and happiness. While it may result from successful involvement in a project or event, it does not specifically denote the emotional investment or active dedication described.

A. Conduct a chart review that reflects the care issue. B. Ask other staff to document concerns to use for discharging. C. Ask questions of the employee that can reflect the employee's knowledge base. D. Determine if the employee issue is a will or skill issue.

Correct Answer is D

Explanation

Choice A reason: Conducting a chart review can provide insights into the care issue, but it does not directly address the employee's performance or reasons for failing to meet standards.

Choice B reason: Asking other staff to document concerns may be part of a broader investigation into the issue, but it should not be used solely for the purpose of discharging an employee without a fair assessment and opportunity for improvement.

Choice C reason: Asking questions of the employee can help understand their perspective and knowledge base, but it is not a comprehensive approach to dealing with performance issues.

Choice D reason: Determining if the issue is related to the employee's will or skill is essential. If it is a skill issue, the leader can provide additional training or resources. If it is a will issue, then further action, such as motivational interviewing or disciplinary measures, may be necessary. This approach ensures a fair and constructive response to the problem.

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Naxlex Comprehensive Predictor Exams

The state of being emotionally impelled, demonstrated by a passion and dedication to a project or event, describes:

Correct Answer is B

Explanation

How can a leader deal fairly with employees who fail to meet established standards of care?

Correct Answer is D

Explanation

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