How can a leader deal fairly with employees who fail to meet established standards of care?
Conduct a chart review that reflects the care issue.
Ask other staff to document concerns to use for discharging.
Ask questions of the employee that can reflect the employee's knowledge base.
Determine if the employee issue is a will or skill issue.
The Correct Answer is D
Choice A reason: Conducting a chart review can provide insights into the care issue, but it does not directly address the employee's performance or reasons for failing to meet standards.
Choice B reason: Asking other staff to document concerns may be part of a broader investigation into the issue, but it should not be used solely for the purpose of discharging an employee without a fair assessment and opportunity for improvement.
Choice C reason: Asking questions of the employee can help understand their perspective and knowledge base, but it is not a comprehensive approach to dealing with performance issues.
Choice D reason: Determining if the issue is related to the employee's will or skill is essential. If it is a skill issue, the leader can provide additional training or resources. If it is a will issue, then further action, such as motivational interviewing or disciplinary measures, may be necessary. This approach ensures a fair and constructive response to the problem.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Asking what happened to initiate the disagreement is a direct approach to understanding the root cause of the conflict. It allows the nurse manager to gather facts and assess the situation before making any judgments.
Choice B reason: Understanding the impact on the client's perception of care is important, but it is secondary to resolving the conflict between the staff members. The immediate concern is to address the cause of the disagreement.
Choice C reason: Asking why one thinks the other is wrong may escalate the conflict by focusing on blame rather than resolution. It is more constructive to understand the events that led to the disagreement.
Choice D reason: Knowing how long the nursing assistants have been working together could provide context to their working relationship, but it does not address the immediate issue of the disagreement.
Correct Answer is B
Explanation
Choice A reason: Telling the nurse she will be fired if her behavior does not change is a final warning and may not be the best initial approach. It can create a hostile work environment and does not facilitate a solution to the underlying issue.
Choice B reason: Confronting the nurse to discuss the issue and initiate problem-solving measures is a proactive approach. It allows the manager to understand the reasons behind the lateness and work with the nurse to find a solution, which could include time management strategies.
Choice C reason: Telling other staff members to cover for the late nurse does not address the problem and may lead to further unrest and resentment among the team.
Choice D reason: Waiting to address the issue at the 3-month probation evaluation delays dealing with the problem and allows the disruptive behavior to continue, potentially affecting patient care and team dynamics.
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