A nurse manager is providing feedback to a new nurse about her job performance. Which of the following statements by the nurse manager is an example of the coaching technique?

"Consider asking for assistance when catheterizing a female client."

"Try to do things differently next time because this is a skill you are required to perform."

"After observing your interaction with clients and family members, I think you are doing fine."

"Your time-management skills need to improve in order to get off on time."

Answer and Explanation

The Correct Answer is A

Rationale:

A. "Consider asking for assistance when catheterizing a female client." This is an example of coaching because it offers constructive, specific, and actionable feedback. It encourages the new nurse to reflect on her practice and promotes professional development by suggesting a supportive strategy to improve her skill.

B. "Try to do things differently next time because this is a skill you are required to perform." This statement is directive and lacks specific guidance or supportive tone. It does not encourage self-reflection or provide a clear way to improve the skill, making it less effective.

C. "After observing your interaction with clients and family members, I think you are doing fine." While this is positive feedback, it is vague and lacks detail. Coaching involves specific observations and suggestions to reinforce strengths or address weaknesses.

D. "Your time-management skills need to improve in order to get off on time." This comment identifies a problem but fails to offer guidance or support for improvement. Coaching should involve constructive feedback with a collaborative approach, which this statement lacks.

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Correct Answer is C

Explanation

Rationale:

A. Cuts an opening in the skin barrier 0.32 cm (0.125 in) larger than the stoma: This is appropriate technique. Leaving a small gap allows the barrier to fit snugly without constricting the stoma, while preventing skin irritation or breakdown from contact with stoma output.

B. Applies a piece of gauze over the stoma after removing the old appliance: This is a good practice. Covering the stoma temporarily helps absorb any stool during the cleaning and preparation process, maintaining cleanliness and preventing soiling.

C. Cleanses the client's skin around the stoma with deodorant soap: Deodorant or antibacterial soaps can contain harsh chemicals and fragrances that irritate the skin or interfere with barrier adhesion. The skin should be cleaned with warm water or a mild, fragrance-free soap.

D. Uses toilet tissue to remove stool from the client's skin around the stoma: Using toilet tissue to wipe away stool is acceptable for initial cleaning. It can help remove bulk waste before using a washcloth or gauze for a more thorough cleansing.

A. "Preceptorship offers an opportunity for socialization along with teaching." B. "A preceptor program often raises the operating costs of a facility." C. "A preceptor will set goals for a newly licensed nurse." D. "Preceptorship will last for aperiod of 12 months."

Correct Answer is A

Explanation

Rationale:

A. "Preceptorship offers an opportunity for socialization along with teaching." Preceptorship programs support both clinical skill development and professional socialization. New nurses benefit from guidance, role modeling, and integration into the workplace culture.

B. "A preceptor program often raises the operating costs of a facility." While there may be initial investments in training, preceptorship improves retention and competence, often reducing turnover and long-term costs. Cost increase is not a defining characteristic.

C. "A preceptor will set goals for a newly licensed nurse." Goal-setting in preceptorship is ideally collaborative. The preceptor supports the new nurse in identifying and reaching objectives, not unilaterally assigning them.

D. "Preceptorship will last for a period of 12 months." Preceptorship length varies based on facility policy, specialty, and individual needs, but it typically lasts weeks to a few months not a fixed 12-month duration.

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A nurse manager is providing feedback to a new nurse about her job performance. Which of the following statements by the nurse manager is an example of the coaching technique?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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