A nurse manager has had issues with a marginal employee. Staff members have complained several times to the manager regarding this employee's competence. Which action by the manager would be appropriate?
1. Discuss the issues at a staff meeting and elicit methods to improve morale.
2. Use progressive discipline to manage the employee.
3. Monitor the staff's performance to determine the lack of civility.
4. Terminate the employee.
2
Rationale 1: Discussing the issue of morale and monitoring staff regarding civility will not address the issues regarding the marginal employee.
Rationale 2: Using progressive discipline to manage the employee allows for communication regarding poor performance and allows the employee the opportunity to improve their performance.
Rationale 3: Discussing the issue of morale and monitoring staff regarding civility will not address the issues regarding the marginal employee.
Rationale 4: Terminating the employee does not provide the employee with an opportunity to improve their performance.
Global Rationale:
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Nonverbal communication is considered:
a. conscious. c. written documents b. unconscious. d. wireless e-mail.
In regard to research and evidence-based practice, the National League of Nursing (NLN) expects nurses at the master's level to do which of the following? (Select all that apply.)
a. Design research studies b. Publish research finding c. Formulate research questions d. Evaluate the effect of evidence-based solutions on nursing problems e. Implement research studies
A patient experiencing depression over the loss of a loved one shares that, "I'm not a reli-gious person but I need something to help me cope with this."
The nurse shows an understanding to the need for an outlet for the expression of emo-tions when (select all that apply): a. Asking, "Does dancing make you feel good?" b. Encouraging the patient to talk about the feelings c. Offering to arrange for a consult with the music therapist d. Asking, "Can you think of ways to express your emotions in a healthy way?" e. Suggesting the patient draw a picture of what it feels like to experience such a loss
The patient has hypertension and asks the nurse how this can lead to heart failure. What is the best response by the nurse?
1. "Hypertension causes resistance in your blood vessels, or afterload; your heart works harder, and weakens." 2. "Hypertension limits the ability of your heart to stretch before emptying, or afterload; your heart works harder, and weakens." 3. "Hypertension causes resistance in your aorta, or afterload; your heart works harder and weakens." 4. "Hypertension limits the amount of blood entering your left ventricle, or afterload; your heart works harder, and weakens."