Exam 25: Managing Personnel Challenges

You need to terminate Gregory,who has had a long-standing history of conflict with you and the staff and who recently was charged with theft of patient belongings.You consult the human resources department,and together you develop a plan,which includes:

The nursing director calls a meeting with one of the new unit managers.She is very concerned about a report of substance abuse on the manager's unit,and she reviews the procedures involved in dealing with chemically dependent staff.Which of the following statements would not be included in the discussion?

Many employers have moved from a progressive discipline approach to a nonpunitive approach.The value of this approach is? (Select all that apply.)

The chief nursing officer understands that clinical incompetence is best prevented by which of the following?

Role strain can result in which of the following manifestations? (Select all that apply.)

When progressive discipline is used,the steps are followed progressively only for repeated infractions of the same rule.On some occasions,the breaking of rules is so serious that the employee is:

A nurse manager must be familiar with the agency's policies regarding employment termination.Termination procedures include which of the following?

The chief nursing officer reviews the policy about "progressive discipline process." The progressive discipline process includes which of the following?

The nurse manager knows that the most serious effect that absenteeism has on the nursing unit is that:

The nurse manager places a staff member on probation because of reports of chemical dependency.The nurse manager should be aware that which of the following statements is true regarding chemical dependency?

Incivility is a disruptive behaviour or communication that creates negativity in the environment and interferes with quality of patient care and safety.The manager can implement steps that help to alleviate uncivil behaviour on a unit.Which of the following would not be an appropriate first step?

Nathan has been on the cardiac unit for 6 months and has found it difficult to adjust to the expectations of his team.Which of the following behaviours are most likely to signal that Nathan is intending to resign from his position on the unit?

Before terminating an employee,a nurse manger must:

The unit manager discusses absenteeism with the unit clerk.She indicates that it is a serious problem on the unit.Which of the following points would they have probably discussed?

Clinical incompetence is one of the more serious problems facing a nurse manager.Joyce,the nurse manager,is not aware of the problems of Sarah,a novice nurse.After she investigates,it is obvious that Sarah's peers are covering for her.Which of the following might Joyce include in her meeting with the nurses? (Select all that apply.)

Although the Health Professions Acts and professional nursing standards and competencies vary across Canada,the underlying expectation is that members of any health care profession recognized in Canada have on overarching mandate to:

Aurora,RN,is a self-admitted drug addict and has abused codeine heavily.Aurora and the unit manager decide that changes have to occur.Aurora enrolls in an addiction program,and the manager has her transferred to a drug-free area.What other strategies might be appropriate?

A nurse manager understands that the typical first step in handling an employee with a disciplinary problem is to:

All of the following are grounds for immediate dismissal except:

The nurse manager notices that Tia,a staff nurse,has been absent 2 to 3 days per month for the past 3 months.What is the manager's best response?