Question 1

Which option would reflect best practice when a nurse manager is preparing to do a performance appraisal for an annual review of a staff nurse?&#10;A)Provide anecdotal notes immediately prior to meeting with the staff nurse so that the recollections are easy to retrieve.&#10;B)Arrange to meet with the staff nurse in the middle of his or her scheduled shift.&#10;C)Limit feedback provided so as to expedite the task,as most evaluations tend to make individuals uncomfortable.&#10;D)Discuss plans for professional growth.&#10;

Accepted Answer

The best practice when preparing for a performance appraisal is to discuss plans for professional growth with the staff nurse. This will help the nurse to understand their strengths and weaknesses and how they can work towards professional development. Providing anecdotal notes immediately prior to the meeting may not be the most effective way to remember all relevant details, and meeting in the middle of a scheduled shift may interfere with patient care. Limiting feedback may lead to incomplete evaluations and staff discomfort.

Question 2

A nursing instructor is preparing to use 360-degree feedback to help a group of nursing students gain feedback from their recent clinical experience on a medical-surgical unit.How does 360-degree feedback differ from a traditional peer review process?

A)The peer review process is constructive,whereas 360-degree feedback is destructive
B)The 360-degree feedback is used primarily for managers,whereas peer review is aimed at staff or student-level nurses
C)The 360-degree feedback is usually presented anonymously based on a collection of input,whereas the peer review process represents a more structured approach.
D)Traditional peer review is based on a collected summary from participants,whereas 360-degree feedback is based on individual feedback.

Accepted Answer

360-degree feedback is typically presented anonymously and involves input from multiple sources, including supervisors, peers, and subordinates. The peer review process is usually more structured and may involve only feedback from immediate colleagues or supervisors. Additionally, 360-degree feedback can be used for anyone, not just managers. Option A is incorrect because both processes can be constructive or destructive depending on how they are conducted. Option B is incorrect because both processes can be used at all levels of nursing, not just for managers or staff. Option D is incorrect because traditional peer review can also be based on individual feedback.

Question 3

A panel of nurses,both staff and management,has been asked to participate on an interview committee for a nursing position that has become available on a medical-surgical unit.Which option would take priority in helping to focus the committee on the task at hand?

A)Determining the amount of time that will be assigned for each applicant
B)Developing an understanding of the job description
C)Determining how many years each applicant has been in the nursing profession
D)Understanding the experience of each applicant

Accepted Answer

Developing an understanding of the job description is the best option because it will help the committee focus on the specific requirements for the nursing position and identify the skills and qualifications needed for the role. This will allow the committee to evaluate the applicants more effectively and ensure that the best candidate is selected for the job. Options A, C, and D are less critical for the initial stages of the interview process.

Question 4

Which statements if observed by nursing faculty during a mock interview by nursing students would require the nursing faculty member to intervene? Select all that apply.&#10;A)&#34;Where do you practice your religious beliefs?&#34;&#10;B)&#34;Do you have any medical diseases that you haven't disclosed?&#34;&#10;C)&#34;Are you planning to have more children?&#34;&#10;D)&#34;Can you work on weekends?&#34;&#10;E)&#34;Can you tell me how old you are?&#34;&#10;

Accepted Answer

Questions A, B, C, and E are inappropriate because they involve personal information that is not relevant to the job's requirements and could be considered discriminatory. Asking about religious practices, undisclosed medical conditions, family planning intentions, and age are all inappropriate in a job interview context. Question D is appropriate as it relates to job scheduling and availability.

Question 5

A nurse manager is going to develop a corrective action plan for a nursing staff member.What is the primary focus of a corrective action plan?&#10;A)To initiate the termination process for an employee&#10;B)To identify destructive behavior and actions&#10;C)To identify the underlying reason&#10;D)To provide constructive feedback&#10;

Accepted Answer

The primary focus of a corrective action plan is to identify the underlying reason for the negative behavior or performance issue. Once the underlying reason is identified, the plan can then focus on providing constructive feedback and implementing steps to improve the employee's performance. The goal is not necessarily to initiate the termination process unless all other steps have been exhausted and the behavior or performance issue cannot be resolved. Identifying destructive behavior and actions is a part of the process but should not be the primary focus without understanding the underlying reason for the behavior.

Question 6

Emerging trends in labor statistics data have reported that nurses are continuing to work as they age.What would nurse managers and leaders suspect based on this information?&#10;A)The majority of older nurses will never retire.&#10;B)There is no need to modify the work environment for older nurses.&#10;C)Utilize flexibility in scheduling.&#10;D)Older nurses will be less effective as mentors.&#10;

Accepted Answer

Based on the information provided, nurse managers and leaders should suspect that flexibility in scheduling will be necessary to accommodate older nurses who continue to work. It is not safe to assume that the majority of older nurses will never retire or that there is no need to modify the work environment for older nurses. There is also no evidence to suggest that older nurses will be less effective as mentors.

Question 7

A nurse has submitted a self-appraisal to the nurse manager.Upon reviewing the self-appraisal,the nurse manager decides to have a further conversation with the nurse employee if the manager observes which of the following?

A)Accomplishments for the past year
B)No mention of identified weaknesses
C)Feedback from colleagues
D)Revision of goals based on personal assessment

Accepted Answer

If the nurse employee does not mention their identified weaknesses in their self-appraisal, the nurse manager may want to have a further conversation to understand the nurse employee's self-awareness and ability to identify areas for growth and improvement. Accomplishments for the past year, feedback from colleagues, and revision of goals based on personal assessment are all important aspects to review in a self-appraisal but may not necessarily require further conversation.

Question 8

A medical-surgical unit has added three new RNs to their night shift.Based on Benner's novice to expert model and observations from the National Council of State Board of Nursing (NCSBN),what would the nurse manager expect to see from these new graduate nurses as they begin their orientation on the nursing unit?

A)Competent care based on observations correlated with didactic information.
B)Proficiency in all demonstrated clinical skills
C)Performance at a novice and/or advanced beginner level
D)Formulation of actions without regard to assessment findings

Accepted Answer

According to Benner's novice to expert model and the NCSBN, new graduate nurses would be expected to perform at a novice and/or advanced beginner level during their orientation on the nursing unit. They would require guidance and supervision, and their clinical skills may not be proficient yet. Over time and with experience, they would progress to higher levels of expertise. It is not expected that they would demonstrate competent care or formulation of actions without regard to assessment findings at this stage.

Question 9

A nurse who has been working at a health-care facility for 5 years on a medical-surgical unit is thinking of applying for a transfer to another unit.Which statement would indicate that the transfer application is based on an issue that did not support a healthy work environment?

A)Desire for advancement
B)Increase in compensation
C)Limited mentoring opportunities
D)Recognition by management

Accepted Answer

Limited mentoring opportunities indicate a lack of support for professional development, which is essential for a healthy work environment.

Question 10

The nurse manager has established and implemented a corrective action plan for a staff nurse.The nurse manager has now contacted human resources with regard to this employee to start termination.Which type of violation has occurred based on this information?

A)First
B)Second
C)Third
D)Fourth

Accepted Answer

The answer of The nurse manager has established and implemented...

Deck 10: Creating and Managing a Sustainable Workforce