Deck 14: Providing Competent Staff

Question 1

Performance appraisals provide the employee with which of the following?

A)Performance standards
B)Goals
C)Salary increases
D)Continuing education

Answer 1

Goals

Question 2

What retention strategies should the nurse manager use when working with a new orientee?

A)Provide a safe practice environment
B)Encourage more time shadowing preceptor
C)Encourage early independence
D)Provide multiple preceptors for diverse learning

Answer 2

Provide a safe practice environment

Question 3

Orientation of new employees is a two-stage process.The first stage includes orientation to the hospital and its policies and expectations.What would the new nurse expect to accomplish at the time of the unit orientation?

A)Computer training
B)Transcription of orders
C)ECG interpretation
D)BLS training

Answer 3

ECG interpretation

Question 4

Which of the following best explains the use of career development strategies in health care institutions?

A)Encourages nurses to move into management
B)Reduces attrition
C)Reduces dissatisfaction
D)Reduces sick time

Question 5

The Joint Commission ( TJC ) has set standards for employee ongoing education in which situations? (Select all that apply.)

A)Must occur after the end of orientation
B)Must occur whenever responsibilities change
C)To increase knowledge of work-related issues
D)All staff must participate whenever an event occurs
E)When and how to report adverse events

Question 6

In the first phase of the performance appraisal process, the nurse manager prepares for the interview with the nurse.What should the nurse manager plan in preparation for the performance appraisal?

A)Anecdotal notes from other staff
B)Complaints from patients and families
C)Documentation of examples of performance
D)Documentation of medication errors

Question 7

The second phase of the performance appraisal interview is the participation.It is important for the nurse manager to do which of the following first during this phase?

A)Provide feedback on employee's accomplishments and successes
B)Discuss areas of concern
C)Establish goals
D)Identify areas for improvement

Question 8

During unit orientation, a preceptor is used to provide learning and role modeling.What should the nurse expect from a preceptor during orientation? (Select all that apply.)

A)Orient to unit.
B)Teach organizational skills.
C)Teach medication actions.
D)Teach unfamiliar skills.
E)Teach prioritization skills.

Question 9

Orientation of new employees is a two-stage process.The first stage includes orientation to the hospital and its policies and expectations.What would the new nurse expect to accomplish at the time of the hospital orientation?

A)ECG interpretation
B)Critical care course
C)Medication test
D)BLS training

Question 10

In the first phase of the performance appraisal process, the nurse prepares for the interview with the nurse manager.Which of the following should the nurse do to prepare for the performance appraisal interview?

A)Make a list of patients who have remarked on your abilities as a nurse.
B)Identify accomplishments of last year's goals.
C)Bring documentation of charting.
D)Provide anecdotal notes of other staff evaluations of you.

Question 11

What is the nurse manager's primary role in a new nurse's orientation program?

A)Provides feedback
B)Acts as a role model
C)Orients to unit
D)Encourages shift changes

Question 12

Accrediting agencies require that staff demonstrate competency in their jobs.Annual competency of mandatory skills is evaluated.Which of the following skills should be demonstrated annually in the health care field as required by accrediting agencies?

A)Management of violent patients
B)Fire safety
C)Transport of patients
D)Transcription of orders

Question 13

The third phase of the performance appraisal process is using the evaluation results.The nurse and nurse manager can set goals for improvement.Which of the following evaluation tools should be designed during the third stage of the performance appraisal process?

A)Provide coaching
B)Reassign to a less stressful unit
C)Determine nurse's values
D)Establish goals with outcome measures

Question 14

Which of the following topics would the new nurse expect to review in the hospital's new employee orientation program? (Select all that apply.)

A)HIPAA
B)Safety standards
C)Infection control
D)ACLS
E)Order transcription

Question 15

A new graduate requires a lengthy time commitment to orientation from the nurse manager.The socialization of the new nurse may take as long as 2 years.Which of the following would be expected as a time frame for developing confidence?

A)6 to 12 months
B)4 to 6 months
C)12 to 18 months
D)18 to 24 months

Question 16

During unit orientation, a preceptor is used to provide learning and role modeling.Which of the following would one expect to observe in a seasoned nurse preceptor? (Select all that apply.)

A)Teach unfamiliar procedures
B)Teach their way of charting
C)Teach delegation skills
D)Act as a role model
E)Tailor orientation to new nurses' specific needs

Question 17

Accrediting agencies require that staff demonstrate competency in their jobs.Annual competency of mandatory skills is evaluated.Which of the following skills should be demonstrated annually in the ICU setting as mandated by accrediting agencies?

A)ACLS
B)Fire safety
C)HIPAA
D)Infection prevention

Question 18

In what ways can hospitals meet The Joint Commission goals of adequate competent staffing?

A)Using contract nurses
B)Training and educating staff
C)Promoting "best nurses"
D)Salary inequities

Question 19

In addition to evaluative feedback, the nurse manager is also involved in orientation in which areas?

A)Encourages precepting with several nurses
B)Provides for optimal learning experiences
C)Orients to delegation of UAPs
D)Orients to nurse manager role