The unit manager on 4E is concerned about the performance of ...

[folubunmi]

The unit manager on 4E is concerned about the performance of Jean, a staff nurse. She is not involved directly with Jean, so she has not been able to determine whether the problem is one of motivation, ability, or both.
 
  If Jean lacks ability, which of the following strategies might the head nurse use?
 
  a. Dismiss or transfer Jean.
  b. Document all problem areas and then discuss them with Jean.
  c. Develop appropriate solutions and make recommendations to Human Resources.
  d. Smooth over the problems if they are minor in nature.

Question 2

A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident. Which of the following is best for documentation of personnel problems?
 
  a. Use of the performance appraisal on an annual basis
  b. Notes made immediately after an incident that include a description of the incident, actions taken, plans, and follow-up
  c. A tally sheet of medication errors and other specific problems that will be used at annual review
  d. Copies of reports, placed in his or her file, of all unusual occurrences involving the employee

[amit]

Answer to Question 1

ANS: B
For the employee to change and grow, specific corrective measures need to be taken. Consultation with the employee is necessary, and documentation is key to determining the issues.

Answer to Question 2

ANS: B
In documenting staff problems, it is important to specifically indicate what rules were broken or violated, consequences if behavior is not altered, employee's explanation of the incidents, and the plan of action to achieve and to reach new goals.