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 D

Explanation

Choice A reason: Asking Nurse A to explain her position is important for understanding her concerns. However, it does not immediately address the issue of equitable patient care, which is the priority.

Choice B reason: While flexibility can be important, allowing personal preferences to dictate patient assignments can lead to a slippery slope of discriminatory practices. Patient care should not be compromised by personal biases.

Choice C reason: Insisting on switching back to the original assignments without addressing the underlying issue may not resolve the conflict or lead to better patient care in the long term.

Choice D reason: This is the most appropriate first action as it addresses the core principle of nursing care — providing compassionate care to all patients. It sets a standard for professional behavior and ensures that personal feelings do not interfere with patient care.

A. Dedication to a mission B. Special work that is understood and supported by all C. Absence of disagreement or conflict D. Willingness to work together respectfully

Correct Answer is C

Explanation

Choice A reason: Dedication to a mission is typically beneficial for team performance as it aligns team members towards a common goal. When team members are committed to the mission, they are more likely to work collaboratively and put in the effort required to achieve the team's objectives.

Choice B reason: Having special work that is understood and supported by all is crucial for a team's success. It ensures that all members are on the same page and that their efforts are coordinated, which can lead to increased efficiency and better outcomes.

Choice C reason: While it may seem counterintuitive, the absence of disagreement or conflict can actually hinder team performance. Healthy debate and differing viewpoints can lead to better decision-making and innovation. Without conflict, teams may fall prey to groupthink, where the desire for harmony leads to poor decision-making and a lack of creative solutions.

Choice D reason: A willingness to work together respectfully is essential for a positive team environment and effective collaboration. Respectful interactions foster trust and open communication, which are foundational for high-performing teams.

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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

You are the charge nurse. Two hours into the shift, you discover that two nurses (Nurse A and Nurse B) have switched patients because Nurse A does not like to take care of patients with prostate cancer. Which action should you take first?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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