A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident. Which of the following is best for documentation of per-sonnel problems?
a. Use of the performance appraisal on an annual basis
b. Notes made immediately after an incident that include a description of the incident, actions taken, plans, and follow-up
c. A tally sheet of medication errors and other specific problems that will be used at annual review
d. Copies of reports, placed in his or her file, of all unusual occurrences involving the employee
B
In documenting staff problems, it is important to specifically indicate what rules were broken or violated, consequences if behavior is not altered, employee's explanation of the incidents, and the plan of action to achieve and to reach new goals.
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Immediately following an epidural block, a woman's blood pressure suddenly falls to 90/50 . Your first action would be to
A) raise her head off the bed. B) ask her to inhale deeply at least five times. C) administer oxygen by facemask. D) turn her on her left side or raise her legs.
Use of art and music is particularly useful with clients who:
a. are diagnosed with mania or depression b. have difficulty communicating verbally c. show special artistic talents before diagnosis d. are extremely anxious or hypersensitive
A client is suffering from stress related to the depressed lumber industry in his county. This may be called
a. Manic-depression b. Psychosis c. Anticipatory grieving d. Farm stress
An air-suspension bed is contraindicated for the client with:
A. Burns B. Traction C. Osteoporosis D. Respiratory insufficiency