A nurse manager has discussed behavioral and unprofessional ...

[sheilaspns]

A nurse manager has discussed behavioral and unprofessional behaviors with a nurse.
 
  During the performance appraisal the manager addressed these issues and the two nurses have developed a specific plan to address the performance areas that can be strengthened. What should the manager's next course of action be? 1. Take notes of the nurse's behavior during the appraisal.
  2. Inquire as to the nurse's perception of the appraisal.
  3. Schedule a follow-up session to determine if the nurse has made progress in the areas specified.
  4. Schedule the next annual appraisal.

Question 2

Which statements by a hospital executive reflect power-coercive strategies to implement change? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. We must follow the federal guidelines in the way we bill for our services.
  2. If we don't reduce our nosocomial infection rate, Medicare won't reimburse us.
  3. Administration has to make this change or our accreditation status will be at risk.
  4. This change is the only logical action we can take.
  5. All our sister institutions in the association have already made this change.

[ebe]

Answer to Question 1

3
Rationale 1: The manager should have been taking notes all through the discussion. Notes taken now have a smaller impact.
Rationale 2: The manager should have been checking the nurse's perception of the progress of the meeting throughout the meeting.
Rationale 3: At this point of the interview, the manager should schedule a follow-up session to determine if the nurse has made progress.
Rationale 4: The next annual appraisal will be scheduled closer to the time it will be held.
Global Rationale:

Answer to Question 2

1,2,3
Rationale 1: Power-coercive strategies are based on the application of power by a legitimate authorityin this case, the federal government.
Rationale 2: Power-coercive strategies are based on the application of power by a legitimate authorityin this case, Medicare.
Rationale 3: Power-coercive strategies are based on the application of power by a legitimate authorityin this case, the accrediting body.
Rationale 4: The empirical-rational model of change focuses on logical actions.
Rationale 5: Normative-reeducative strategies rest on the assumption that people act in accordance with social norms and values.
Global Rationale: