An experienced ICU manager is orienting a medicalsurgical nurse ...

[HudsonKB16]

An experienced ICU manager is orienting a medicalsurgical nurse manager to the organization. Throughout the day, the ICU manager has a notepad and pen in her pocket, and makes notes.
 
  The new manager inquires why the ICU manager is taking so many notes. Why is the experienced manager taking notes?
 
   1. Saves time in the long term.
   2. Is just the management style.
   3. To most effectively address issues
   4. Can be used in shift report.

Question 2

A newly hired certified nurse's aide (CNA) has been 15 minutes late returning from mealtime 4 days this week. The nurse manager coaches the employee and finds that the CNA thought meal breaks were 45 minutes.
 
  What is the most appropriate response from the nurse manager?
 
   1. Document the tardy behavior in the CNA's record.
   2. Have the charge nurse time future meal breaks.
   3. Provide a warning, and follow up in 2 weeks.
   4. Show the break times in the employee handbook.

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Answer to Question 1

Answer: 3
Rationale: Taking notes allows quick recall and reminds the manager to address issues in a timely manner so they are not forgotten and addressed quickly. If not addressed quickly, staff can become lax, and the behavior or issue could become status quo. Taking notes involves more than just saving time or the personal management style. The manager would not provide information at shift report unless it was urgent or related to client care.

Answer to Question 2

Answer: 4
Rationale: This represents a barrier to getting the work completed. Thus the nurse manager would use the management assessment tool to determine the existence of the misunderstanding. Showing the CNA the handbook should alleviate any future misunderstandings. The other choices might be helpful and/or necessary if the behavior continues after the aide is aware of the guidelines for lunch breaks.