Coaching and discipline have failed and the nurse manager is ...

[chandani]

Coaching and discipline have failed and the nurse manager is faced with no alternative but to terminate an employee. Which aspect of this situation requires the most careful planning?
 
  1. When the termination will occur
  2. How to keep the human resources department informed
  3. Accurately documenting all stages of the situation
  4. Whether the termination will adversely affect unit staffing

Question 2

Which statement indicates understanding of how a nurse could improve decision making skills?
 
  1. We should gather a group together to make important unit decisions to ensure fairness.
  2. I should practice making decisions by developing potential solutions and then choosing one.
  3. We can make a decision and then ask for input from others to make sure it was the right choice.
  4. I know I will never be able to improve decision making skill because I am not a strong person.

[katara]

Answer to Question 1

3
Rationale 1: When the termination will occur is important but is not the most important aspect.
Rationale 2: Notifying the human resources department and keeping them up to date is very important but is not the most important aspect.
Rationale 3: Before termination there must be sufficient and accurate documentation to support the termination. This not only protects the employee from wrongful termination, but also protects the manager and the institution.
Rationale 4: Hopefully, terminating a poor employee will not adversely affect unit staffing, but this is not the most important consideration.
Global Rationale:

Answer to Question 2

2
Explanation: 1. Practice making decisions will increase the nurses experience, comfort, and overall skill.
Including a we is not an appropriate method to improve personal decision -making skills.
These skills can be learned regardless of the type of person one is.