A nurse manager overhears a conversation in which staff nurses complain about the evaluation process. One nurse says, "It really is just a waste of time. I get the same raise no matter what I'm rated
" Which is the best way for the manager to address this concern? 1. Lobby administration to implement raises based on merit.
2. Call the nurse aside and state agreement with the complaint.
3. Report the episode to the chief nursing officer.
4. Emphasize the practice development aspects of evaluation.
4
Rationale 1: The process of implementing merit raises is long and would probably not be feasible until the next budget cycle; lobbying for merit raises would not address this concern immediately.
Rationale 2: Calling the nurse aside and agreeing with the complaint does not address the concern, but rather validates the concern.
Rationale 3: The nurse manager may wish to report the episode in order to support the need for a merit system, but that action also does not address the immediate concern.
Rationale 4: All of these options are possible strategies for dealing with this complaint, but the best one is to emphasize the practice development aspects of evaluation.
Global Rationale:
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A nurse assesses a patient who reluctantly participates in activities, answers questions with minimal responses, and rarely makes eye contact. What information should be included when documenting the assessment? Select all that apply
a. Uncooperative patient b. Patient's subjective responses c. Only data obtained from the patient's verbal responses d. Description of the patient's behavior during the interview e. Analysis of why the patient is unresponsive during the interview