A nurse manager gives a staff nurse an exceptional appraisal. The other nurses learn of the appraisal and are upset because this nurse has had numerous complaints from peers regarding laziness
The manager informs a colleague the nurse obtained an exceptional appraisal because the nurse "will always work for me when I need extra help to come in." This is an example of which problem in evaluating? 1. Recency error
2. Leniency error
3. Ambiguity error
4. Halo error
2
Rationale 1: Recency error indicates the manager is evaluating the nurse based on recent events.
Rationale 2: Leniency error indicates the manager is allowing tolerance, which may not provide an accurate account of the nurse's performance. In this case, the manager is lenient with the nurse who is always eager to work extra if needed.
Rationale 3: Ambiguity is related to the rating scale itself not being specific enough.
Rationale 4: Halo error occurs when the manager evaluates an employee based on overall impression and is not specific to different functions of the nurse's performance.
Global Rationale:
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An elderly patient is scheduled to take six medications each morning. What should the nurse know to do when administering these medications?
a. Allow extra time to administer all of the medications. b. Allow the patient to take only the medications she can swallow. c. Crush all of the medications before giving them. d. Leave the medication at the bedside so the patient can take them slowly.
A nurse is caring for a dying patient. The family asks the nurse why there is a rattling in their loved one's chest. Which response is most appropriate?
A) The client picked up a virus and has respiratory symptoms. B) The client has been lying in bed and secretions pool in the lung bases. C) There is an accumulation of fluid in the pulmonary circulation and secretions throughout the respiratory tract. D) Thick sputum accumulates as the client dehydrates from having little oral intake.
Upon entering an order for two units of packed red blood cells into a computerized physician order entry system, a dialog box is displayed stating that the patient is designated as "Bloodless," meaning that the patient will refuse all blood products
This is an example of: a. clinical decision support. b. evidence-based medicine. c. Heisenberg Principle. d. minimal data set.
Which statement regarding characteristics of clinical pathways shows the nurses understanding?
a. "Clinical pathways focus on patient out-comes.". b. "Clinical pathways use a timeline with sequenced interventions.". c. "Clinical pathways collaborate efforts by health care professionals.". d. "Clinical pathways involve nurse-centered orientation.".