In a performance evaluation, Nurse Manager Francis mentions that Raymond struggles with mentoring students on the unit. Raymond counters that it is not his job. When responding to Raymond, Francis must take into account:

Whether mentoring is included in the position description.

Raymond’s level of confidence.

The potential biases of the students that Raymond has mentored.

Whether mentoring can be accurately observed and measured.

Answer and Explanation

The Correct Answer is A

Choice A Reason

Determining whether mentoring is included in the position description is crucial. Job descriptions outline the responsibilities and expectations for a role, providing clarity on what is required from the employee. If mentoring is explicitly stated as a duty, Raymond needs to understand that it is part of his professional responsibilities. This can help address any misconceptions and ensure that Raymond is aware of all aspects of his role. Additionally, it provides a basis for evaluating his performance in this area.

Choice B Reason

Raymond’s level of confidence is important but secondary to understanding the job requirements. Confidence can affect performance, and if Raymond lacks confidence in mentoring, it may impact his effectiveness. However, addressing confidence issues should come after clarifying whether mentoring is a required part of his job. If it is, then steps can be taken to build his confidence through training, support, and feedback.

Choice C Reason

The potential biases of the students that Raymond has mentored are not directly relevant to the evaluation of his performance. While it is important to consider feedback from students, focusing on their biases does not address the core issue of whether mentoring is part of Raymond’s job responsibilities. Instead, feedback should be used constructively to help Raymond improve his mentoring skills if it is indeed part of his role.

Choice D Reason

Whether mentoring can be accurately observed and measured is a valid consideration for performance evaluations. Effective mentoring involves observable behaviors and outcomes, such as the development of students’ skills and confidence. However, this consideration is secondary to establishing whether mentoring is a required duty. Once that is confirmed, appropriate metrics and observation methods can be implemented to assess Raymond’s performance in mentoring.

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Correct Answer is A

Explanation

Choice A Reason

This scenario exemplifies compromising because both parties make concessions to reach a mutually beneficial agreement. Dameeka wants to work the evening shift permanently, and Jose, the head nurse, agrees to this request on the condition that Dameeka assists in mentoring the evening staff on the new clinical information system. This arrangement allows both parties to achieve their goals while making necessary adjustments to accommodate each other’s needs.

Choice B Reason

This scenario demonstrates collaboration rather than compromising. Tim, the head nurse, involves the staff in the decision-making process by asking for their ideas on how to meet the technology goals and address their needs. Collaboration involves working together to find a solution that satisfies all parties, whereas compromising involves making concessions.

Choice C Reason

This scenario does not exemplify compromising. Rita, the head nurse, avoids conflict by coming to work after Tom leaves the unit. This approach does not involve any negotiation or mutual agreement but rather avoidance of the issue altogether.

Choice D Reason

This scenario illustrates avoidance and disengagement rather than compromising. Alicia, the head nurse on the cardiac step-down unit, begins to miss management meetings because Franklin dominates the meetings and decisions. There is no attempt to negotiate or reach a mutual agreement in this situation.

A. “I will begin once the client’s insurance company approves discharge coverage.” B. “I will begin 48 hours before the client’s discharge.” C. “I will begin upon the client’s admission to the facility.” D. “I will begin once the client’s discharge order is written.”

Correct Answer is C

Explanation

Choice A Reason:

“I will begin once the client’s insurance company approves discharge coverage.” This statement indicates a misunderstanding of the discharge planning process. Discharge planning should not be contingent upon insurance approval. While insurance coverage is an important aspect of discharge planning, it should not dictate when the planning process begins. Effective discharge planning starts early to ensure a smooth transition and continuity of care for the patient.

Choice B Reason:

“I will begin 48 hours before the client’s discharge.” Starting discharge planning 48 hours before discharge is too late. Discharge planning is a comprehensive process that involves assessing the patient’s needs, coordinating with various healthcare providers, and arranging for post-discharge care. Beginning the process only 48 hours before discharge does not allow sufficient time to address all necessary aspects of the patient’s care and can lead to rushed and incomplete planning.

Choice C Reason:

“I will begin upon the client’s admission to the facility.” This statement demonstrates a correct understanding of when to initiate discharge planning. Starting discharge planning at the time of admission ensures that the patient’s needs are identified early, and appropriate arrangements can be made for their care after discharge. This proactive approach helps in preventing delays and complications, ensuring a seamless transition from hospital to home or another care setting.

Choice D Reason:

“I will begin once the client’s discharge order is written.” Waiting until the discharge order is written to start planning is too late. By this time, there may not be enough time to arrange for necessary services, equipment, or follow-up care. Effective discharge planning requires early initiation to ensure that all aspects of the patient’s post-discharge needs are addressed in a timely manner.

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In a performance evaluation, Nurse Manager Francis mentions that Raymond struggles with mentoring students on the unit. Raymond counters that it is not his job. When responding to Raymond, Francis must take into account:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following scenarios best exemplifies compromising?

Correct Answer is A

Explanation

A new graduate nurse is devising a discharge plan. Which of the following statements made by the nurse demonstrates the nurse’s comprehension of when to initiate discharge planning?

Correct Answer is C

Explanation

A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?

A patient, while smoking in the bathroom, disposed of a cigarette into a wastepaper basket, causing it to start smoldering. What should be the nurse’s top priority in this situation?

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In a performance evaluation, Nurse Manager Francis mentions that Raymond struggles with mentoring students on the unit. Raymond counters that it is not his job. When responding to Raymond, Francis must take into account:

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