During appraisal interviews, the nurse manager defends the choice of rating by emphasizing the negative aspects of the nurse's performance. What is the likely outcome of this strategy?

1. The nurse will clearly see the impact of attitude on performance.
2. The nurse will identify ways that performance can be improved.
3. The nurse will pay less attention to maintaining what is done well.
4. The nurse will ignore the negative statements and focus only on the positive.


3
Rationale 1: The nurse will not see the relationship between attitude and performance just because negative statements were made.
Rationale 2: The nurse is less likely to identify ways that performance can be improved if making only negative statements.
Rationale 3: Focusing only on the negative aspects of a nurse's performance can result in the nurse discounting the importance of the things the nurse does well. If this is the case, the nurse may pay less attention to those areas in the future and may not do them as well.
Rationale 4: The nurse is unlikely to simply ignore the negative statements and will probably not focus on ways to improve as well as if positive statements had also been made.
Global Rationale:

Nursing

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A nurse cares for a female client who has a family history of cystic fibrosis. The client asks, "Will my children have cystic fibrosis?" How should the nurse respond?

a. "Since many of your family members are carriers, your children will also be carriers of the gene." b. "Cystic fibrosis is an autosomal recessive disorder. If you are a carrier, your children will have the disorder." c. "Since you have a family history of cystic fibrosis, I would encourage you and your partner to be tested." d. "Cystic fibrosis is caused by a protein that controls the movement of chloride. Adjusting your diet will decrease the spread of this disorder."

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The nurse is caring for a patient with a urinary tract infection. Which test will indicate which antibiotics will be effective to treat the infection?

a. Complete blood count (CBC) b. Culture and sensitivity (C&S) c. Renal scan and angiography d. Radioreceptor assay for HCG

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Hot foods must be served at

A. 105°F or above B. 140°F or above C. 160°F or above D. 90°F or above

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The most common cause of toxic myopathy is:

a. infection. b. a tumor. c. alcoholism. d. osteoporosis.

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