A nurse manager is developing a plan to discipline an employee who has been neglecting to perform assigned duties. Identify the sequence of steps the manager should follow when using the progressive discipline process if the employee's behavior continues. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
Discontinue the employee's working relationship with the facility.
Set up a meeting to provide a verbal warning about the employee's performance.
Give the employee a brief paid or unpaid suspension from employment.
Issue a written reprimand with a timeline for correction of behavior.
The Correct Answer is B,D,C,A
Progressive discipline begins with a verbal warning to make the employee aware of performance concerns. If the behavior persists, the next step is a written reprimand outlining expectations and deadlines for improvement. Continued issues lead to a suspension, which serves as a final warning. If no improvement occurs, termination of employment is the final step.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Insert a tongue blade in the client's mouth: Forcing any object into a client’s mouth during a seizure is dangerous and can cause oral trauma or airway obstruction. It is not recommended and can worsen the situation.
B. Restrain the client's arms and legs: Restraining a client during a seizure can lead to musculoskeletal injuries. Instead, the nurse should allow spontaneous movement and focus on protecting the client from harm.
C. Place the client on her side: Turning the client to the side helps maintain a patent airway and allows saliva or vomit to drain, reducing the risk of aspiration. It is a priority action during seizure management.
D. Raise the client's bed to the high position: Raising the bed increases the risk of injury from falls or uncoordinated movements during or after the seizure. The bed should be in a low position with padded side rails if necessary.
Correct Answer is A
Explanation
A. Place locks at the top of doors: Installing locks high on doors helps prevent wandering, a common safety risk in clients with dementia. These locks are harder for the client to notice or reach, reducing the likelihood of unsupervised exits.
B. Provide clothing that has zippers instead of buttons: While zippers may seem easier, they can actually pose challenges for clients with cognitive or motor impairments. Velcro closures are typically safer and more manageable for both clients and caregivers.
C. Discourage group activities: Group activities can provide valuable social interaction, cognitive stimulation, and emotional support. Discouraging them may increase isolation and contribute to a decline in function or mood.
D. Keep the client's bedroom dark at night: A completely dark room can increase disorientation and agitation in clients with dementia. A soft nightlight is preferable to reduce confusion and promote safety during nighttime waking or wandering.
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