The third phase of the performance appraisal process is using the evaluation results. The nurse and nurse manager can set goals for improvement
Which of the following evaluation tools should be designed during the third stage of the perfor-mance appraisal process?
a. Provide coaching
b. Reassign to a less stressful unit
c. Determine nurse's values
d. Establish goals with outcome measures
ANS: D
Establishing goals and tools for measuring those goals provides a productive approach to the problems. The other tools are not the best means for attaining the goals.
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A patient who has sustained a hemorrhagic stroke is placed on a protocol of 60 mg of calcium channel blocker (nimodipine) every 4 hours. The patient's pulse is 82 beats/min before the ad-ministration of the prescribed dose
Which action should the nurse implement? a. Give the full dose as prescribed without further assessment. b. Omit the dose, recording the pulse rate as the rationale. c. Delay the dose until the pulse is below 60 beats/min. d. Give half of the prescribed dose (30 mg).
The unit policy is that the nurse with the least seniority is required to float to understaffed units. Is this the best policy?
1. Yes, the most senior people should be required to manage their home unit. 2. No, this policy is against most corporate philosophy. 3. No, generally the most capable and efficient person should be floated. 4. Yes, having choice in these matters is a benefit of longevity in the facility.
Which of the following is the priority nursing intervention for a stable infant who has supraventricular tachycardia?
1. Application of ice to the face 2. Administration of intravenous adenosine (Adenocard) 3. Administration of intravenous amiodarone (Cordarone) 4. Preparation for cardioversion
Which of the following agents is thought to cause G2 arrest?
A. Etoposide B. Taxol C. Cisplatin D. Vincristine E. Methotrexate