The nurse manager has determined that changes are necessary in ...

[audragclark]

The nurse manager has determined that changes are necessary in the way holiday shifts are assigned.
 
  When assessing the political climate surrounding this potential change, the nurse manager would ask which questions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Who is in control of the way holiday shifts are being assigned?
  2. What communication technology is available to distribute information about the change in holiday shift assignments?
  3. Who will lose when holiday shift assignments are changed?
  4. Will changing holiday shift assignments affect the budget?
  5. Who is benefiting the most from the way holiday shifts are currently assigned?

Question 2

A nurse manager believes that a staff nurse is rude to clients. In the past year, other nurses and staff from other departments have reported that the nurse has treated them rudely.
 
  The manager reviews the staff nurse's employee file and finds last year's appraisal as exceptional. What is the manager's best course of action during this year's evaluation? 1. Tell the nurse that complaints about rudeness have been received and that additional complaints will result in termination.
  2. Notify nursing administration of the issues and complaints.
  3. Tell the nurse that other staff nurses have complained about rudeness and have been instructed to keep a log of incidents.
  4. Include documentation of these issues in the evaluation that is discussed with the nurse and provide a plan of action.

[jaymee143]

Answer to Question 1

1,3,5
Rationale 1: It is important to identify who is in control of the way things are being done currently.
Rationale 2: Communication technology may be helpful in completing the change but is not assessed as part of the political climate surrounding the change.
Rationale 3: Early knowledge of who will lose in the change is essential to preparation.
Rationale 4: Costs and benefits of the change should be assessed but are not a part of the political climate.
Rationale 5: Political climate involves power, benefits, and losses.
Global Rationale:

Answer to Question 2

4
Rationale 1: Unless the nurse has done something outrageous or illegal, there is not enough information to warrant termination.
Rationale 2: The manager may elect to notify administration, but this is not the best answer to this question.
Rationale 3: Other staff nurses should not be involved in keeping a log regarding this nurse's behaviors.
Rationale 4: Documenting the issues, a one-on-one conference with the nurse, and providing a specific plan of action with a specific time frame is the best course of action.
Global Rationale: