A nurse manager wishes to use a model of job performance to help match employees and tasks to achieve the greatest effectiveness. What should the manager do first?
1. Evaluate each employee's educational and experiential background.
2. Establish, in writing, the expectations of each task.
3. Consider how much variation from standard is acceptable.
4. Review unit statistics for incidents, errors, and accidents.
2
Rationale 1: This evaluation is not the first step of this process.
Rationale 2: In order to know which employee can do the task, a description of how the task looks when it is done correctly must be established.
Rationale 3: Variation from standard cannot be assessed until the acceptable standard is established.
Rationale 4: Using a job performance model focuses on specific individuals, not unit wide statistics.
Global Rationale:
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A client is experiencing muscle atrophy following 2 weeks in traction after a motor vehicle accident. Which of the following factors has most likely contributed to the atrophy of the client's muscle cells?
A) High levels of insulin and IGF-1 in the client's blood during immobilization B) Denervation of the affected muscles during the time of traction C) A reduction of skeletal muscle use secondary to the traction treatment D) Reduced oxygen consumption and cellular function that ensures muscle cell survival
Arterial blood gases (ABGs) determine various factors related to blood. From which of the following sites can blood gas samples be obtained?
A) A puncture at the radial artery C) The pleural surfaces B) The trachea and bronchi D) A catheter in the arm vein
An examination of sentinel events data reported by The Joint Commission in 2011, 2012, and 2013 reveals which of the following are the leading root causes involving all types of events?
A. Leadership, delay in treatment, human factors B. Communication, human factors, unintended retention of a foreign body C. Leadership, human factors, post-operative infections D. Human factors, leadership, and communication
Threats to health from communicable diseases, the environment, chronic illness, and the aging process have changed over time. The newer threats to health in the United States that community health nurses are currently faced with include:
1. Diphtheria, cholera, and typhoid fever 2. HIV, AIDS, and bioterrorism 3. Avian flu, tuberculosis, and radiation 4. Polluted water and air