An employee is showing deficiencies in the technical skills ...

[HudsonKB16]

An employee is showing deficiencies in the technical skills involved in everyday nursing care. Which of the following is the first step in terminating this employee?
 
  A) Oral reprimand
  B) Written reprimand
  C) Plan of assistance
  D) Performance review

Question 2

A nurse is caring for an elderly client who is a substance abuser. What information should the nurse provide the client's family when educating them on substance abuse in their loved one?
 
  A) Older clients often admit being a substance abuser.
  B) Alcoholism can be easily detected in the client.
  C) Client may have a low self-esteem and be a loner.
  D) Substance abuse by the client cannot be controlled or cured.

[Ptupou85]

Answer to Question 1

A
Feedback:
If an employee is showing deficiencies, the first step in due process is an oral reprimand. If the deficiency continues, a written reprimand is given to the employee. Due process procedures ensure fair labor practices and prevent frivolous or punitive actions against employees by employers. If, after an oral and written reprimand, serious deficiencies are still noted, the evaluator/supervisor writes a plan of assistance for the employee.

Answer to Question 2

C
Feedback:
The client may have a low self-esteem and be a loner. Older adults believe that substance abuse is a problem in young people. Thus, they tend to deny that they are substance abusers. Among older adults, loneliness is a major contributor. Alcoholism is difficult to detect in elderly clients. The nurse should inform the family that the situation usually gets out of control if the client stays alone or is a loner.