A nurse manager has asked other nurses to contribute to the performance appraisal of a newly licensed nurse.

Exhibits

For each assessment finding, click to specify if the finding is consistent with the need for further nurse development related to Time Management, Delegation, or Professional Behavior. Each finding may support more than 1 assessment finding.

Frequent trips to supply room when doing bedside care such as wound care.

Notes on clients written on multiple small pieces of paper.

Does not take breaks.

Coming early and staying late to chart.

Frequent personal phone calls during shift.

Covering other nurses' clients for breaks.

Missed prescriptions in the EHR.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A,C"},"D":{"answers":"A"},"E":{"answers":"C"},"F":{"answers":"B"},"G":{"answers":"A,C"}}

Time Management: Concerns related to how the nurse manages their time, including the efficiency of their work and how they handle their responsibilities (e.g., frequent trips to the supply room, notes written on small pieces of paper, coming early and staying late to chart).

Delegation: Issues related to the nurse's ability to delegate tasks effectively (e.g., covering other nurses' clients for breaks, which could suggest issues with delegation).

Professional Behavior: Concerns related to the nurse's conduct and adherence to professional standards (e.g., frequent personal phone calls during shifts, not taking breaks, missed prescriptions, covering other nurses' clients without taking breaks).

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Correct Answer is B

Explanation

Rationale:

A. Acute pancreatitis may require specialized medical management that might be beyond the RN’s experience from a different unit.

B. A client one-day postoperative following a total abdominal hysterectomy is appropriate for an RN with general surgical experience, as it involves standard postoperative care.

C. A client who had a stroke may require more specialized neuro care and assessment than the RN might be familiar with.

D. Terminal end-stage renal disease requires specialized care and experience in managing complex chronic conditions.

A. Ask other staff nurses about the level of care the specific staff nurse provides. B. Address the concern with the specific staff nurse. C. Recommend the specific staff nurse be transferred to another unit. D. Notify the human resources department about the request.

Correct Answer is B

Explanation

Rationale:

A. Asking other staff nurses does not address the immediate concern of the client and could lead to gossip or unnecessary complications.

B. Addressing the concern with the specific staff nurse directly is appropriate to understand any issues and to see if there is a valid reason for the client’s request.

C. Recommending transfer without understanding the issue could be premature and might not address the root of the problem.

D. Notifying human resources is a step that may be needed later but should not be the first action; the manager should first address the issue with the staff nurse.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?

Correct Answer is B

Explanation

A nurse manager received a client request not to have a specific staff nurse care for her while at the acute care facility. Which of the following is the appropriate action by the nurse manager?

Correct Answer is B

Explanation

A nurse is obtaining informed consent from a client who is preoperative. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is caring for four clients who are postoperative from surgery 24 hr ago. At 1200 the nurse assesses the clients. Which of the following clients is the nurse's priority?

A client who is terminally ill tells a nurse on the medical-surgical unit that she feels hopeless. Which of the following statements by the nurse is appropriate?

A nurse is triaging clients following a mass casualty event. Which of the following clients should the nurse assess first?

A nurse manager is providing an inservice program about delegation to assistive personnel (AP) with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching?

A nurse on a pediatric unit is caring for a child and his family. His parents define family as a husband, wife, and child. This definition is which type of family form?

The charge nurse is planning to delegate client care tasks. Exhibits For each task identify the team member to which the nurse should delegate the task. Each task may be appropriate for more than 1 team member.