How can a nurse improve decision-making skills? Select all that ...

[RODY.ELKHALIL]

How can a nurse improve decision-making skills? Select all that apply.
 
  1. Work with a group on a continual basis.
  2. Gain experience in the clinical area.
  3. Work on improving self-confidence.
  4. Maintain a positive attitude.
  5. Keep an open mind about options.
  6. Maintain an atmosphere of trust.

Question 2

A terminated employee files a grievance against the nurse manager. Which situations would benefit the employee's claim? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  Standard Text: Select all that apply. 1. The nurse manager wrote notes on the expectations discussed during disciplinary sessions.
  2. The terminated employee's last evaluation discusses problems with performance, but no coaching is described.
  3. When problems with the employee arose, the manager's average time of intervention was less than 1 day.
  4. There are notes in the employee's record from human resources indicating the nurse manager had discussed issues with the HR director.
  5. In one note, the manager describes the employee as petulant, immature, and uncaring.

[kmb352]

Answer to Question 1

2, 3, 4, 5
Explanation: 1. With time in a particular area, it is natural for a nurse to gain experience, thereby gaining
confidence. However, attitude is also important. Working with a group on a continual basis
involves a possibility for groupthink and maintaining an atmosphere of trust has little to do
with improving personal decision-making ability.

Answer to Question 2

2,5
Rationale 1: The manager should keep notes on everything discussed regarding discipline. This would benefit the institution.
Rationale 2: Even though coaching is done in short sessions, it should be documented.
Rationale 3: Intervention in less than 1 day shows that the manager was aware of and quickly handling problems.
Rationale 4: The HR director would be party to problems with employees. This does not violate confidentiality.
Rationale 5: This note could be a problem for the institution as it is the manager's opinion, not a defensible fact.
Global Rationale:

[RODY.ELKHALIL]

Thank you

[kmb352]

No problemo