You need to terminate staff member Z, who has had a long-standing history of conflict with you and other employees. You consult with Human Resources, and together, you develop a plan, which includes:

Planning an opportunity for Z to return and be recognized at a staff farewell.

Meeting with Z, a Human Resources representative, and you to deliver the termination notice and all other related documents.

Calling Z at home to inform Z about the termination and to expect the formal paperwork in the mail at a later date.

Calling Z into a meeting in your office on the unit, where assistance is available, should Z become upset or agitated.

Answer and Explanation

The Correct Answer is B

Choice A reason: Planning a farewell event is considerate but may not be appropriate in the context of termination due to conflict, as it could lead to further tension.

Choice B reason: This is the most professional and respectful approach, allowing for a private discussion and the opportunity to address any questions or concerns directly.

Choice C reason: Informing an employee of termination over the phone can feel impersonal and may not provide the necessary support during such a sensitive conversation.

Choice D reason: While it is important to offer support, calling an employee to the office without prior notice can be distressing and may not be the most considerate approach.

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Correct Answer is D

Explanation

Choice A reason: Cultural sensitivity is important, but it is not the sole indicator of patient satisfaction.

Choice B reason: Cost-effectiveness is a factor in healthcare management but does not directly reflect patient satisfaction.

Choice C reason: The economic value of service is more related to the financial aspect of healthcare rather than patient satisfaction.

Choice D reason: Patient outcomes and their perceptions of care are direct measures of patient satisfaction, as they reflect the quality and effectiveness of the nursing care received.

A. Accreditation standards B. State regulations C. Availability of agency staff D. Patient acuity

Correct Answer is D

Explanation

Choice A reason: Accreditation standards are typically external factors set by accrediting bodies that healthcare organizations must meet to ensure quality and safety. These standards influence staffing indirectly by setting the benchmarks for care that staff must achieve, but they are not considered internal factors.

Choice B reason: State regulations are external factors imposed by government bodies. They can dictate staffing ratios, qualifications, and other requirements that healthcare organizations must follow. Like accreditation standards, they influence staffing but are not internal to the organization.

Choice C reason: The availability of agency staff is an external resource that healthcare organizations can utilize to fill staffing gaps. While their use affects the internal staffing levels, the pool of agency staff and the decision to use them are external to the organization's internal workforce management.

Choice D reason: Patient acuity refers to the level of care and attention required by patients based on the severity of their conditions. It is an internal factor because it directly impacts the number and type of staff needed on a given day or shift within the healthcare organization. Higher acuity patients will require more intensive care and more specialized staff, thus impacting staffing decisions and allocations internally.

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You need to terminate staff member Z, who has had a long-standing history of conflict with you and other employees. You consult with Human Resources, and together, you develop a plan, which includes:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse manager on a unit wants to evaluate patient satisfaction. The nurse manager understands that ultimately, positive relationships with consumers of care are evaluated by the:

Correct Answer is D

Explanation

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

Correct Answer is D

Explanation

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