A newly promoted nurse manager is overwhelmed by the amount of ...

[crobinson2013]

A newly promoted nurse manager is overwhelmed by the amount of paperwork that must be submitted to the director. The nursing unit is very busy and is short staffed, so the manager also takes a client assignment.
 
  This additional work makes the paperwork load even more daunting. Which statement is the most important lesson for this manager to learn? 1. A manager's first priority is client care.
  2. A manager's first priority is the nursing staff.
  3. The job requires the nurse to adjust, respond to change, and remain flexible.
  4. The paperwork is not important.

Question 2

A director performs an annual appraisal on the ICU manager. The appraisal reflects several issues with regard to the managers attitude. At the end of the interview the manager informs the director that she disagrees with the appraisal.
 
  The director instructs the manager to sign the appraisal and ends the interview. The manager reports this situation to the human resources director because: 1. The interview was conducted in an unprofessional manner.
  2. The appraisal was discriminatory.
  3. The appraisal was not a fair evaluation.
  4. The director appraised the managers attitude, which is unprofessional.

[marict]

Answer to Question 1

3
Rationale 1: The manager's first priority is providing for quality client care, but the manager does not have to personally provide that care.
Rationale 2: The manager does make the nursing staff a priority, but this is not the best answer to this question.
Rationale 3: Every day change is occurring and in health care the pace is fast. To find satisfaction in a career it requires the ability to adjust and respond to change. The most important attribute anyone can bring to this effort is to remain flexible.
Rationale 4: Paperwork, whether it is documentation of client care or management documents, is always important.
Global Rationale:

Answer to Question 2

2
Explanation: 1. The appraisal is discriminatory because the manager is allowed to respond to the issues in
writing, and the director did not allow that to occur. If there are attitude issues the director
should address them in the appraisal. There is not enough information to determine whether
the interview was managed in an unprofessional manner or was an unfair evaluation.