A nurse manager knows that the initial step in addressing an employee with a disciplinary issue usually involves:

A verbal warning.

Suspension with pay.

A reminder of employment standards.

Answer and Explanation

The Correct Answer is A

Choice A Reason:

A verbal warning is typically the first step in addressing an employee with a disciplinary issue. This approach allows the manager to inform the employee about the specific behavior or performance issue and discuss the necessary improvements. It is a less formal method that aims to correct the behavior without escalating the situation. Verbal warnings are often documented to ensure there is a record of the conversation and the expectations set during the meeting.

Choice B Reason:

Suspension with pay is a more severe disciplinary action and is usually not the initial step in addressing an employee issue. This measure is often reserved for more serious infractions or when an investigation is required. It serves as a temporary measure to remove the employee from the workplace while the issue is being resolved. Starting with a suspension can be seen as too harsh and may not provide the employee with an opportunity to correct their behavior before more severe actions are taken.

Choice C Reason:

A reminder of employment standards can be part of the disciplinary process, but it is not typically the initial step. Reminding employees of the standards and expectations is important, but it is usually done in conjunction with other disciplinary actions, such as a verbal or written warning. This reminder helps reinforce the company’s policies and the importance of adhering to them, but it alone may not be sufficient to address the specific issue at hand.

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Correct Answer is ["B","E"]

Explanation

Choice A Reason:

“The patient must consent because the procedure is necessary for survival.” This statement is incorrect because it implies that the necessity of the procedure overrides the patient’s autonomy. Informed consent is a fundamental ethical and legal requirement in healthcare. Patients have the right to make their own decisions about their treatment, even if refusing treatment may result in harm or death. Forcing consent undermines patient autonomy and can lead to legal and ethical issues.

Choice B Reason:

“Consent should not be forced.” This statement is correct and aligns with the principles of patient autonomy and informed consent. Forcing a patient to consent to a procedure violates their rights and can lead to ethical and legal complications. Healthcare providers must respect the patient’s decision, provide all necessary information, and support them in making an informed choice.

Choice C Reason:

“If the surgery is life-saving, we can proceed regardless of what the patient says.” This statement is incorrect. Even in life-saving situations, patients have the right to refuse treatment. There are very few exceptions to this rule, such as when a patient is deemed legally incompetent to make decisions. In such cases, a legal guardian or power of attorney may be involved. However, competent patients retain the right to refuse any medical intervention.

Choice D Reason:

“Sometimes patients refuse because they are anxious. Give them a sedative, then ask again.” This statement is inappropriate and unethical. Administering a sedative to obtain consent can be seen as coercive and does not respect the patient’s autonomy. It is important to address the patient’s concerns and anxiety through communication and support, rather than using medication to influence their decision.

Choice E Reason:

“The patient has every right to refuse.” This statement is correct and reflects the ethical principle of respect for patient autonomy. Patients have the right to make their own healthcare decisions, including the right to refuse treatment. Healthcare providers should ensure that patients are fully informed about their options and the potential consequences of their decisions, but ultimately, the decision rests with the patient.

A. Follower B. Leader C. Manager D. Regulator

Correct Answer is B

Explanation

Choice A Reason:

Follower implies that the nurse manager is taking direction from others rather than leading the situation. In this context, the nurse manager is actively addressing an issue, proposing solutions, and seeking input from the staff, which are leadership behaviors. Therefore, the role of a follower does not accurately describe the nurse manager’s actions in this scenario.

Choice B Reason:

Leader is the most appropriate role for the nurse manager in this situation. By calling a staff meeting, proposing a solution, and asking for input, the nurse manager is demonstrating leadership qualities. Effective leaders engage their team in problem-solving, encourage collaboration, and guide the team towards a resolution. This approach helps in addressing the issue effectively while fostering a supportive and inclusive work environment.

Choice C Reason:

Manager refers to the administrative and organizational responsibilities of the nurse manager. While the nurse manager is indeed managing the situation, the emphasis in this scenario is on leadership. The actions described—proposing a solution and seeking staff input—highlight the nurse manager’s role as a leader rather than just a manager. Leadership involves inspiring and motivating the team, which is crucial in handling complex situations like this.

Choice D Reason:

Regulator implies a role focused on enforcing rules and policies. While maintaining standards and policies is part of a nurse manager’s responsibilities, the scenario described involves more than just regulation. The nurse manager is actively engaging with the staff to find a solution, which is a leadership activity. Therefore, the role of a regulator does not fully capture the nurse manager’s actions in this context.

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A nurse manager knows that the initial step in addressing an employee with a disciplinary issue usually involves:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","E"]

Explanation

The manager calls a staff meeting to discuss a situation in which an anxious family member of a gravely ill patient is taking up an excessive amount of the staff’s time. The manager proposes a solution and asks for the staff’s input. What is the role of the nurse manager in this situation?

Correct Answer is B

Explanation

Which of the following scenarios best exemplifies compromising?

A nurse manager orders a mandatory in-service to train staff nurses on how to use a new, AI-enhanced technology. The nurse manager must emphasize to the staff that AI should never replace:

A nurse manager is conducting an in-service session for a group of staff members on the topic of incivility. Which of the following scenarios should the nurse incorporate as an instance of lateral violence?

As the nurse manager, you are developing a patient education program aimed at offering guidance and supervision for patients with hypertension. To assist in your planning, you extract and present patient information from:

A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client’s provider, and completes an incident report, which of the following actions should the nurse take?

A nurse is educating a newly licensed nurse on cost-saving methods in client care. Which statement from the newly licensed nurse demonstrates comprehension of the teaching?

A nurse is delivering a presentation on client confidentiality to a group of newly licensed nurses. Which of the following actions demonstrates a breach in patient confidentiality?