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

Conduct a chart review that reflects the care issue.

Ask other staff to document concerns to use for discharging.

Ask questions of the employee that can reflect the employee's knowledge base.

Determine if the employee issue is a will or skill issue.

Answer and Explanation

The Correct Answer is D

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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Correct Answer is C

Explanation

Choice A reason: Hiring nurses who are not part of the union during a strike may be a strategic decision during labor disputes and does not necessarily constitute a situation warranting whistleblowing.

Choice B reason: Disregarding due process when disciplining a nurse can lead to unfair treatment and legal issues, making it a valid concern for whistleblowing to ensure justice and adherence to policies.

Choice C reason: Delaying responses to provide safe care compromises patient safety and could be a systemic issue that requires whistleblowing to bring attention to and rectify the situation.

Choice D reason: Refusing to bargain in good faith with the elected bargaining agent can disrupt labor relations and may be a serious concern, but it typically involves legal and union intervention before whistleblowing is considered.

A. Formalized competency program with established standards for practice. B. Standardized clinical skills checklist. C. Administration of personality tests and competency assessments at the point of hire. D. Flexible protocol for evaluating competency skills.

Correct Answer is A

Explanation

Choice A reason: A formalized competency program with established standards for practice ensures that all nurses meet a certain level of proficiency and adhere to the same high standards, which is essential for preventing clinical incompetence.

Choice B reason: While a standardized clinical skills checklist can be a useful tool for assessing specific skills, it does not encompass the comprehensive approach of a formalized competency program.

Choice C reason: Personality tests and competency assessments at the point of hire can help in selecting competent staff, but they are not sufficient on their own to prevent clinical incompetence throughout an employee's tenure.

Choice D reason: A flexible protocol for evaluating competency skills may allow for individualized assessment, but without established standards, it may not effectively prevent clinical incompetence.

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

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Naxlex Comprehensive Predictor Exams

The ED staff members are concerned that working long hours without rest puts patient safety at risk. One staff member decides that she will risk her job and become a whistleblower. Whistleblowing is an appropriate recourse when management:

Correct Answer is C

Explanation

The chief nursing officer understands that clinical incompetence is best prevented by:

Correct Answer is A

Explanation

A nurse manager is aware that which of the following is an internal factor that impacts staffing?

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A clinic nurse developed objectives for a diabetic education program. The characteristics of well-written objectives include that they should be what? (Select all that apply)

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

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