A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?
The nurse verbalizes their understanding of the plan.
The nurse performs all tasks as specified.
The nurse attends a critical thinking class.
The nurse shares their performance plan with another nurse.
The Correct Answer is B
Choice A Reason:
"The nurse verbalizes their understanding of the plan," is important, verbalizing understanding does not necessarily guarantee successful implementation of the plan. Action is required to demonstrate competence and improvement.
Choice B Reason:
The nurse performs all tasks as specified is correct. The effectiveness of a performance improvement plan is best determined by observing whether the nurse successfully implements the specified tasks and achieves the desired improvements in their performance. Therefore, option B, "The nurse performs all tasks as specified," is the most appropriate outcome to indicate the effectiveness of the plan.
Choice C Reason:
"The nurse attends a critical thinking class," may be a component of the performance improvement plan, but attending a class alone does not necessarily indicate whether the nurse's performance has improved.
Choice D Reason:
"The nurse shares their performance plan with another nurse," is not a direct measure of the effectiveness of the plan. Sharing the plan with another nurse may demonstrate openness and willingness to seek support, but it does not necessarily indicate whether the nurse has successfully improved their performance as a result of the plan.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Whether the facility ethics committee reaches a consensus on the case is incorrect. While an ethics committee may provide guidance and recommendations, its decision alone typically does not determine whether a surgery will be performed. Ethics committees are advisory bodies and their decisions may not necessarily override the wishes of the patient or their legal representative.
Choice B Reason:
Whether the client's refusal is based on religious belief is incorrect. Religious beliefs may influence a patient's decision-making process, but they do not automatically determine whether a surgery will be performed. Healthcare decisions are generally based on medical factors, patient autonomy, and legal considerations rather than solely on religious beliefs.
Choice C Reason:
Whether the client understands the risk of refusing the procedure is incorrect. Patient autonomy and informed consent are essential principles in medical ethics. Understanding the risks and benefits of a medical procedure is important for informed decision-making. However, even if the client understands the risks of refusing the procedure, they still have the right to refuse treatment based on their personal preferences and values.
Choice D Reason:
Whether the partner is the client's durable power of attorney for health care is correct. A durable power of attorney for healthcare, also known as a healthcare proxy or surrogate decision-maker, is legally authorized to make medical decisions on behalf of the patient if the patient is unable to do so themselves. If the partner is designated as the client's durable power of attorney for healthcare, they have the legal authority to make decisions regarding the surgery, even if the client refuses. This is because the surrogate decision-maker is tasked with acting in the best interests of the patient when the patient cannot make decisions for themselves.
Correct Answer is A
Explanation
Choice A Reason:
Verifying the spelling of the medication with the provider is correct. When receiving a telephone prescription, it's essential to verify the accuracy of the information provided, including the spelling of the medication. This helps prevent errors in transcription and dispensing. Verifying the spelling of the medication with the provider ensures that the nurse correctly identifies the medication being prescribed.
Choice B Reason:
Transcribing prescriptions received via a voicemail recording, may not be the safest method for obtaining prescriptions, as it may introduce transcription errors. Direct communication with the provider is preferred whenever possible.
Choice C Reason:
Requesting that the provider call prescriptions in to the pharmacy, may be appropriate in some cases, but it does not address the nurse's role in accurately receiving and documenting telephone prescriptions.
Choice D Reason:
Using standard abbreviations when obtaining a telephone prescription, is not recommended. Abbreviations can lead to misinterpretation and errors, so it's important to use clear and unambiguous language when documenting prescriptions.
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