When supervising a new graduate LPN who is responsible for colostomy care but mentions having limited experience and performs the task slowly, what should be your most appropriate action as the supervisor?
Provide the LPN with reassurance that they may be overly self-critical and motivate them to independently carry out the task.
Ensure patient safety by refraining from allowing the LPN to perform colostomy care until they feel confident.
Take on the task personally while having the LPN observe.
Watch the LPN and after they finish the task, offer constructive feedback.
The Correct Answer is D
Choice A Reason:
Providing the LPN with reassurance that they may be overly self-critical and motivating them to independently carry out the task is supportive but not sufficient. While encouragement is important, it does not address the need for supervision and guidance in performing the task correctly. The LPN needs practical feedback to improve their skills and ensure patient safety.
Choice B Reason:
Ensuring patient safety by refraining from allowing the LPN to perform colostomy care until they feel confident might seem like a safe approach, but it can hinder the LPN’s learning and development. It is important to provide opportunities for practice under supervision to build their confidence and competence. Completely refraining from allowing them to perform the task does not facilitate learning.
Choice C Reason:
Taking on the task personally while having the LPN observe can be helpful initially, but it should not be the primary approach. Observation alone does not provide the hands-on experience necessary for skill development. The LPN needs to practice the task under supervision to gain confidence and proficiency.
Choice D Reason:
Watching the LPN and after they finish the task, offering constructive feedback is the most appropriate action. This approach ensures patient safety while providing the LPN with the opportunity to practice and improve their skills. Constructive feedback helps the LPN understand what they did well and what areas need improvement, fostering their professional growth and competence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Providing the staff member the opportunity to disagree with the evaluation is a crucial aspect of a fair and transparent performance appraisal process. This approach allows for open communication and ensures that the staff member feels heard and respected. It also provides an opportunity for the nurse to address any misunderstandings or discrepancies in the evaluation. This practice can lead to a more constructive and positive appraisal experience, fostering a culture of trust and collaboration.
Choice B Reason:
Conducting the performance appraisal in a public setting to ease tension is inappropriate. Performance appraisals should be conducted in a private and confidential setting to ensure that the staff member feels comfortable discussing their performance openly. A public setting can lead to embarrassment and discomfort, which can hinder honest communication and negatively impact the appraisal process.
Choice C Reason:
Evaluating how well employees were able to perform duties outside of their job description is not a standard practice in performance appraisals. The focus should be on assessing the staff member’s performance based on their defined roles and responsibilities. While flexibility and willingness to take on additional tasks can be noted, the primary evaluation should be based on the core duties of the job.
Choice D Reason:
Initiating a random time to conduct the performance appraisal to ensure authentic responses by the staff member is not recommended. Performance appraisals should be scheduled in advance to allow both the evaluator and the staff member to prepare adequately. This preparation ensures a thorough and thoughtful evaluation process. Random appraisals can lead to anxiety and may not provide an accurate reflection of the staff member’s performance.
Correct Answer is B
Explanation
Choice A Reason:
A workload rating is a method used to assess the amount of work required in a particular setting. While it is an important tool for understanding staffing needs and workload distribution, it does not describe a prototype evaluation system. A prototype evaluation system typically involves testing new methods or technologies to improve processes, such as scheduling or patient care.
Choice B Reason:
An experimental computer-based scheduling system that organizes staffing based on programmed rules and algorithms fits the description of a prototype evaluation system. This type of system is designed to test new approaches to scheduling and staffing, using advanced algorithms to optimize resource allocation. By experimenting with different rules and algorithms, the system aims to improve efficiency and effectiveness in staffing decisions.
Choice C Reason:
A formula-driven approach that calculates nursing productivity is a method used to measure the efficiency and output of nursing staff. While this approach is valuable for evaluating performance and productivity, it does not align with the concept of a prototype evaluation system. Prototype evaluation systems are more focused on testing new technologies or methods rather than solely calculating productivity.
Choice D Reason:
A patient classification system that gives each patient a score is used to categorize patients based on their care needs. This system helps in determining the appropriate level of care and resources required for each patient. However, it does not describe a prototype evaluation system. Prototype evaluation systems are typically experimental and involve testing new processes or technologies.
Choice E Reason:
A system that sorts patients into general groups to estimate their care requirements is a patient classification system. While this system is useful for planning and resource allocation, it does not fit the description of a prototype evaluation system. Prototype evaluation systems are experimental and focus on testing new approaches to improve existing processes.
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