The nurse manager has identified physical-assessment skills ...

[gbarreiro]

The nurse manager has identified physical-assessment skills lacking in a new registered nurse. Using goal-setting theory, which directive would be most effective in enhancing the nurse's assessment skills?
 
  1. Plan to study one body system each week, and demonstrate your assessment skills to me each week.
  2. Get someone to help you with your health-assessment skills by the end of the month.
  3. Read a health-assessment book and practice your skills, or else you might lose your job.
  4. You need to work on your health-assessment skills before your next employee evaluation.

Question 2

When positive motivation is used in the nursing profession, which statement is most descriptive of the benefits received?
 
  1. Increased knowledge, skill, and respect
   2. Team mentality, improved professionalism, and lifelong learning
   3. Decreased turnover, fewer problems, lower-acuity clients
   4. Increased number in management, improved morale, fewer vacancies

[ladyjames123]

Answer to Question 1

Answer: 1

Rationale: The manager needs to set systematic and measurable goals with the employee to facilitate this change in behavior. The manager will follow up with the employee each week. Ordering the nurse to get someone to help or to read a book, or implying a threat, is not helpful. Instructing the nurse to develop the skills before the next evaluation implies a threat. Without providing a process and time frame to accomplish these goals, the new registered nurse will not be motivated. The new registered nurse needs a mentor or colleague who can oversee the skill acquisition to help motivate the nurse.

Answer to Question 2

Answer: 2

Rationale: Focusing on the profession as a whole, the benefits received are improved team mentality, professionalism, and a belief in lifelong learning, as these are indicative of a pervasive attitude of optimism, respect, trust, and intentionality for the whole profession. While motivation can lead to increased knowledge, skill, and respect, this option focuses on the individual nurse, not nursing as a profession. Positive motivation does not necessarily mean decreased turnover, fewer problems, or lower-acuity clients. Finally, positive motivation in nursing does not mean more will go into management, although it should improve morale and decrease turnover.