A nursing assistant (NA) did an exceptionally good job by ...

[amal]

A nursing assistant (NA) did an exceptionally good job by encouraging a resident to leave his room and go to an activity. Select the response by the LPN/LVN charge nurse that would best encourage the employee to continue this effort.
 
  a. Write a note for the NA's file explaining that she did not leave the resident in his room.
  b. Tell the NA she is a great nursing assistant and that the charge nurse wished all assistants were like her.
  c. Report the NA's good efforts to the nursing home's administrator and board of directors.
  d. Tell the NA that the charge nurse knows how hard she worked to get the resident out of his room and how pleased the nurse is that the NA is concerned with the resident's need for socialization.

Question 2

A nursing assistant states, I have never learned how to transfer a resident with end-stage Parkinson's disease from the bed to the chair. The nursing assistant refuses to transfer the resident at this time.
 
  Select the appropriate approach for the LPN/LVN charge nurse to take.
  a. Reprimand the nursing assistant for not performing the job.
  b. Encourage the nursing assistant to carry through with the transfer.
  c. Arrange to teach the nursing assistant how to transfer the resident.
  d. Mention that nursing assistants can be charged with insubordination if they do not perform their jobs.

[alexisweber49]

Answer to Question 1

ANS: D
Providing positive reinforcement for the specific behaviors used makes it more likely that the NA will use these strategies in the future. The LPN/LVN's communication is straightforward and assertive. Writing a note for the NA's file explaining that she did not leave the resident in his room would not be effective as a motivator. Telling the NA she is a great nursing assistant and the charge nurse wished all assistants were like her is not specific enough. Reporting the NA's good efforts to the nursing home administrator and board of directors is not necessary at this point.

Answer to Question 2

ANS: C
The nursing assistant should not perform tasks for which he or she has not been trained. The nurse should arrange to teach the nursing assistant so that he or she can safely perform the duty. Reprimanding the nursing assistant for not performing the job is unnecessary. Encouraging the nursing assistant to carry through with the transfer is unwise and unsafe. Mentioning that nursing assistants can be charged with insubordination if they do not perform their jobs is threatening.

[amal]

Thanks for the timely response, appreciate it

[alvinum]

Gracias!