Question 1

Performance appraisals provide the employee with which of the following?

Accepted Answer

Performance appraisals today are tools for setting goals.The other options are not part of the purpose of performance appraisals today.

Question 2

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

Accepted Answer

The nurse manager is responsible for providing a safe learning and practice environment to encourage retention.The other strategies would not make for a good learning environment during orientation and could adversely affect retention.

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?

Accepted Answer

ECG interpretation is a unit-specific orientation.The other options are incorrect because they are hospital orientation.

Question 4

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

Accepted Answer

Career development strategies have been shown to reduce the loss of nurses from the bedside.The other factors are not part of the strategies.

Question 5

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

Accepted Answer

Options B, C, and E are correct because TJC mandates that ongoing education should occur around this specific activity.Options A and D are not included in the mandate.

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?

Accepted Answer

The nurse manager must have documentation of both good and bad performance to illustrate the necessary points of the evaluation.Although the other actions may be helpful, actual examples of specific performance provide better feedback.

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?

Accepted Answer

Providing positive feedback at the beginning of the interview sets a positive tone.The other factors are discussed after the initial feedback is accomplished.

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.)

Accepted Answer

Options B, D, and E are correct because most preceptors will teach these skills to new nurses.Orientation to the unit can be done by anyone.Teaching medication actions should not need to be done.

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?

Accepted Answer

BLS skill is required to work in the hospital setting.The other options would be included in unit-specific orientation.

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?

Accepted Answer

Bringing a list of accomplishments from last year's appraisal may support a good appraisal this year.The other options are not beneficial to the process.

Question 11

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

Accepted Answer

Nurse managers provide feedback evaluations at certain intervals.The other options are not the role of the nurse manager.

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?

Accepted Answer

Annual mandatory skill evaluations include fire safety.The other skills are not included in annual mandatory skill evaluations.

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?

Accepted Answer

Establishing goals and tools for measuring those goals provides a productive approach to the problems.The other tools are not the best means for attaining the goals.

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.)

Accepted Answer

Options A, B, and C are correct because hospital orientation includes all new employees regardless of classification so the orientation will be about the policies and expectations of the hospital.The other options are unit-specific orientation.

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?

Accepted Answer

The process of clinical decision making is lengthy and confidence in clinical judgment should not be expected before 6 to 12 months.4 to 6 months is the time frame for learning practice norms.12 to 18 months is the time frame for consolidation of relationships.18 to 24 months is the time frame for seeking challenges.

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.)

Accepted Answer

Options C, D, and E are correct because an experienced preceptor will teach everything she can to help make the new nurse as competent as possible.Options A and B are seen with inexperienced preceptors.

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?

Accepted Answer

ACLS demonstration is necessary for anyone working in an ICU.The other skills are evaluated in all mandatory skills evaluations and are not specific to the ICU setting.

Question 18

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

Accepted Answer

Training and education are the best methods for ensuring competency.The other options do not address competency.

Question 19

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

Accepted Answer

Nurse managers are responsible for providing the best learning environment for new staff.The other options are not the nurse manager's role.

Quiz 14: Providing Competent Staff