Question 1

A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident.Which of the following is best for documentation of personnel problems?

Accepted Answer

A) Use of the performance appraisal on an annual basis 
B) Notes made immediately after an incident that include a description of the incident, actions taken, plans, and follow-up 
C) A tally sheet of medication errors and other specific problems that will be used at annual review 
D) Copies of reports, placed in his or her file, of all unusual occurrences involving the employee

Question 2

All of the following are grounds for immediate dismissal except:

Accepted Answer

A) Failing to pursue further medical help for a patient; patient dies. 
B) Selling narcotics obtained from the unit supply of narcotics. 
C) Restraining a patient in bed for 7 hours, unsupervised, as punishment for hitting a staff member. 
D) Grabbing the unit manager and threatening further physical harm after a poor performance appraisal.

Question 3

Susan,a new graduate,is upset that so many staff have been absent lately from the unit.She declares to you that all absenteeism could be eliminated with proper management.Your response is based on understanding that:

Accepted Answer

A) Not all absenteeism is voluntary. 
B) High personal control contributes to absenteeism. 
C) Direct discussions with employees who have high levels of absenteeism are not recommended. 
D) All absenteeism is related to personal issues and needs.

Question 4

Nurse Stacey is a self-admitted drug addict and has been a heavy abuser of codeine.Stacey and the unit manager decide that changes have to occur.Stacey enrolls in an addiction program,and the manager has her transferred to a drug-free area.What other strategies might be appropriate?

Accepted Answer

A) The manager could refer Stacey to the Human Resources Department. 
B) The manager could assist in monitoring Stacey's progress. 
C) The manager could counsel Stacey if Stacey has formed a trusting relationship with her. 
D) Stacey needs to be asked not to involve her family in the recovery program because this is a work-related situation.

Question 5

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

Accepted Answer

A) Following specific procedures from other organizations 
B) Having an attorney present at the termination meeting 
C) Having adequate written documentation to support the action 
D) Having a friend present during the termination meeting

Exam 24: Managing Personal/Personnel Problems

A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident.Which of the following is best for documentation of personnel problems?

All of the following are grounds for immediate dismissal except:

Susan,a new graduate,is upset that so many staff have been absent lately from the unit.She declares to you that all absenteeism could be eliminated with proper management.Your response is based on understanding that:

Nurse Stacey is a self-admitted drug addict and has been a heavy abuser of codeine.Stacey and the unit manager decide that changes have to occur.Stacey 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 must be familiar with the agency's policies regarding termination.Termination procedures include which of the following?