Ellen is a novice nurse on your unit. As her supervisor, you notice Ellen's knowledge and skill deficiencies. These deficiencies have been noticed by her peers as well. Which of the following is likely to be the greatest asset to Ellen in improving her performance?
Ignore Ellen's errors until she has more experience.
Ask Ellen to complete a self-assessment, using a standard skills checklist.
Instruct staff to avoid working with Ellen until she learns to do things herself.
Encourage staff to report every behavior of Ellen's that is different from theirs.
The Correct Answer is B
A. Ignoring Ellen's errors does not support her development and may lead to continued mistakes that could affect patient care and team dynamics.
B. A self-assessment using a standard skills checklist allows Ellen to reflect on her skills, identify areas needing improvement, and take ownership of her learning process. This approach encourages self-directed learning and accountability.
C. Instructing staff to avoid working with Ellen can foster isolation and hinder her development by denying her opportunities for mentorship and guidance.
D. Encouraging staff to report Ellen’s behaviors can create a negative environment, fostering distrust and discouraging collaboration rather than supporting her growth.
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Correct Answer is D
Explanation
A. The instruction about using a fire extinguisher is misleading; the focus should be on preventing fire hazards rather than managing them.
B. Opening windows and doors during a fire may not be a safe or effective action; the emphasis should be on evacuation and safety measures instead.
C. Using wool blankets is not advisable as they can generate static electricity, which poses a fire risk.
D. Refraining from smoking near oxygen delivery equipment is crucial as oxygen increases flammability, making this the most important safety instruction for the client.
Correct Answer is ["A","B","D","E"]
Explanation
A. Ensuring two fingers can fit between the device and the client is crucial for monitoring circulation and preventing skin breakdown.
B. Performing a neurovascular check every 2 hours is necessary to assess circulation and nerve function, ensuring that the restraint is not causing harm.
C. Securing the restraint to the bedrail is not appropriate; restraints should be secured to the movable part of the bed frame to avoid causing injury.
D. Obtaining a prescription renewal every 72 hours is required for ongoing restraints, as it ensures continued monitoring and justification for their use.
E. Implementing passive range-of-motion exercises is essential to maintain joint mobility and prevent complications associated with immobility.