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Exam 16: Providing Competent Staff

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Question 1

Multiple Choice

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The clinical ladder used in some hospitals allows for recognition of both the clinical and academic growth of the individual nurse.On which of the following is this ladder based?

A) The concept that people will work harder when recognized
B) The concept that nurses respond to harder work
C) The concept of growth in nursing from novice to expert
D) The concept that nurses like to be intellectually stimulated

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C

Question 2

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In the first phase of the performance appraisal process,the nurse manager prepares for the interview with the nurse.What should the nurse manager plan in preparation for the performance appraisal?

A) Anecdotal notes from other staff
B) Complaints from patients and families
C) Documentation of examples of performance
D) Documentation of medication errors

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Question 3

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Accrediting agencies require that staff demonstrate competency in their jobs.Annual competency of mandatory skills is evaluated.Which of the following skills should be demonstrated annually in the health care field as required by accrediting agencies?

In addition to evaluative feedback,the nurse manager is also involved in orientation in which areas?

Orientation of new employees is a two-stage process.The first stage includes orientation to the hospital and its policies and expectations.What would the new nurse expect to accomplish at the time of the unit orientation?

The second phase of the performance appraisal interview is the participation.It is important for the nurse manager to do which of the following first during this phase?

During unit orientation,a preceptor is used to provide learning and role modeling.What should the nurse expect from a preceptor during orientation? Select all that apply.

You are the charge nurse on a busy medical-surgical unit.You are also the preceptor to a novice nurse.What response would be expected from a nurse in the novice stage of clinical competence development when assigned to perform a morning assessment on a patient?

You are the charge nurse on the 3 P.M.to 11 P.M.shift.The nurses on this shift range from novice to competent.What response would be expected in the beginner stage of clinical competence development when the nurse is assigned a patient on beta-blockers and scheduled for a stress test?

The nurse's progression from novice to expert is usually encouraged by the organizations for which they work.Which of the following is an example of a method used to encourage nurses to progress in their level of experience?

What is the nurse manager's primary role in a new nurse's orientation program?

The third phase of the performance appraisal process is using the evaluation results.The nurse and nurse manager can set goals for improvement.Which of the following evaluation tools should be designed during the third stage of the performance appraisal process?

The Joint Commission ( TJC ) has set standards for employee ongoing education in which situations? Select all that apply.

Performance appraisals provide the employee with which of the following?

In the first phase of the performance appraisal process,the nurse prepares for the interview with the nurse manager.Which of the following should the nurse do to prepare for the performance appraisal interview?

Which of the following topics would the new nurse expect to review in the hospital's new employee orientation program? Select all that apply.

In what ways can hospitals meet The Joint Commission goals of adequate competent staffing? Select all that apply.

You are the nurse educator on a medical unit.What action would be expected from a nurse in the proficient stage of clinical competence when assessing shortness of breath in a patient?

Which of the following best explains the use of career development strategies in health care institutions?

During unit orientation,a preceptor is used to provide learning and role modeling.Which of the following would one expect to observe in a seasoned nurse preceptor? Select all that apply.