As a nurse manager, you notice that one of your new nurses has provided exceptional care for a patient with complex needs. What would be the MOST effective way of acknowledging the nurse's performance?
Saving the nurse from embarrassment by complimenting the nurse in private.
Waiting for the nurse to come out of the patient's room, then telling them specifically what you appreciated about the care that was provided.
Sending an e-mail to the nurse thanking them for their excellent performance.
Praising the nurse's behavior during the nurse's next performance review.
The Correct Answer is B
A. While private compliments can be valuable, they may not have the same impact as immediate, specific feedback given in the moment.
B. Acknowledging the nurse's performance immediately after they provide exceptional care reinforces positive behavior and allows for specific feedback, which can enhance the nurse's confidence and motivation.
C. While sending an email is a nice gesture, it lacks the immediacy and personal touch that can significantly impact the nurse's morale at that moment.
D. Praising the nurse during a performance review is important, but it delays recognition of their hard work and may not provide the immediate reinforcement that can influence their practice positively.
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Correct Answer is D
Explanation
A. The PSDA ensures patients understand their rights but does not authorize family members to alter a living will when the patient is incapacitated.
B. A durable power of attorney can make healthcare decisions but cannot simply annul the living will without considering the patient's stated wishes.
C. Family members cannot change a living will arbitrarily, especially when the client is unconscious; the living will conveys the client's predetermined preferences.
D. The living will is a legal document that outlines the client's desires regarding lifesaving measures and must be followed, even if the client is unconscious.
Correct Answer is D
Explanation
A. Speaking to an assistive personnel with a demeaning tone represents vertical violence, where a person in a position of authority mistreats a subordinate.
B. Rudeness towards a nurse manager is also an example of vertical violence because it involves an inappropriate interaction between different hierarchical levels.
C. Refusing to help a charge nurse is a form of unprofessional behavior but does not exemplify lateral violence, as it doesn't involve peers at the same level.
D. Rolling one's eyes at another nurse after providing a report is a clear example of lateral violence, where one peer demonstrates disrespect or hostility towards another peer.