During an annual performance evaluation, a manager provides truthful feedback about the nurse's performance. What ethical principle does this represent?

autonomy

nonmaleficence

justice

fidelity

Answer and Explanation

The Correct Answer is D

A. Autonomy: Autonomy refers to respecting individuals' right to make their own decisions, which is not the primary focus in providing feedback.
B. Nonmaleficence: Nonmaleficence involves avoiding harm, which is indirectly related to providing truthful feedback, but not the main ethical principle here.
C. Justice: Justice involves fairness and equality, which can be related to evaluations but is not specifically about providing truthful feedback.
D. Fidelity: Fidelity refers to being truthful and maintaining trustworthiness. Providing honest feedback is a key aspect of fidelity, ensuring transparency and trust in the manager-nurse relationship.

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Correct Answer is C

Explanation

A. Restrain patients at risk for falls: Restraining patients can lead to physical and psychological harm and is not an evidence-based intervention for fall prevention.
B. Recognize that errors are solely the result of the actions of individual people: This approach ignores systemic issues and does not address the root causes of falls, making it an ineffective strategy.
C. Provide an in-service that informs nurses of the current, best practices of fall prevention: Educating staff on best practices for fall prevention is an evidence-based intervention that can help reduce the number of falls.
D. Punish the staff who are caring for the patients who fall: Punishment creates a blame culture, which can reduce staff morale and does not effectively address the factors contributing to falls.

A. Allow LPNs and CNAs to perform tasks beyond their scope of practice. B. Establish a rewards program to recognize achievements of the staff. C. Hire additional staff so individual workloads are lessened. D. Improve the working conditions of the unit by investing in ergonomic chairs.

Correct Answer is B

Explanation

A. Allow LPNs and CNAs to perform tasks beyond their scope of practice: This approach can lead to legal and ethical issues, compromising patient safety and putting staff at risk for disciplinary action.
B. Establish a rewards program to recognize achievements of the staff: Implementing a rewards program acknowledges and values the hard work of the staff, boosting morale and job satisfaction, which can lead to decreased turnover rates.
C. Hire additional staff so individual workloads are lessened: While this can reduce stress and burnout, it might not directly address the need for recognition and motivation, which are crucial for job satisfaction.
D. Improve the working conditions of the unit by investing in ergonomic chairs: Enhancing physical work conditions is beneficial, but it does not address the core issues of motivation and recognition that significantly impact job satisfaction.

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During an annual performance evaluation, a manager provides truthful feedback about the nurse's performance. What ethical principle does this represent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls. What interventions might assist to reduce the number of falls on the unit?

Correct Answer is C

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A floor manager discovers widespread dissatisfaction and a high turnover rate amongst LPN and certified nursing assistants (CNA). Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?

Correct Answer is B

Explanation

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