You need to terminate staff member Z, who has had a long-standing history of conflict with you and other employees. You consult with Human Resources, and together, you develop a plan, which includes:

Planning an opportunity for Z to return and be recognized at a staff farewell.

Meeting with Z, a Human Resources representative, and you to deliver the termination notice and all other related documents.

Calling Z at home to inform Z about the termination and to expect the formal paperwork in the mail at a later date.

Calling Z into a meeting in your office on the unit, where assistance is available, should Z become upset or agitated.

Answer and Explanation

The Correct Answer is B

Choice A reason: Planning a farewell event is considerate but may not be appropriate in the context of termination due to conflict, as it could lead to further tension.

Choice B reason: This is the most professional and respectful approach, allowing for a private discussion and the opportunity to address any questions or concerns directly.

Choice C reason: Informing an employee of termination over the phone can feel impersonal and may not provide the necessary support during such a sensitive conversation.

Choice D reason: While it is important to offer support, calling an employee to the office without prior notice can be distressing and may not be the most considerate approach.

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Correct Answer is A

Explanation

Choice A reason: Quality Management (QM) emphasizes systemic improvements and avoids assigning blame to individuals. It focuses on identifying and correcting processes that can lead to errors.

Choice B reason: A thorough commitment to quality improvement for the benefit of the organization is a fundamental principle of QM. It involves continuous efforts to enhance patient care and safety.

Choice C reason: QM relies on focusing on outcomes and making data-driven decisions. This ensures that changes lead to measurable improvements in patient care.

Choice D reason: QM operates most effectively within a flat, democratic organizational structure, which fosters open communication and collaboration among healthcare team members.

A. Conduct a chart review that reflects the care issue. B. Ask other staff to document concerns to use for discharging. C. Ask questions of the employee that can reflect the employee's knowledge base. D. Determine if the employee issue is a will or skill issue.

Correct Answer is D

Explanation

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.

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You need to terminate staff member Z, who has had a long-standing history of conflict with you and other employees. You consult with Human Resources, and together, you develop a plan, which includes:

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

How can a leader deal fairly with employees who fail to meet established standards of care?

Correct Answer is D

Explanation

Resistance is most likely to occur when change:

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