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. Suspension with pay is a serious disciplinary action typically taken after other measures have failed.
B. A written reprimand is a formal disciplinary action that may follow initial informal discussions.
C. A day off without pay is a significant punitive action and is not typically the first step.
D. A reminder of employment standards serves as an initial approach to address concerns and clarify expectations before escalating to formal disciplinary actions.
Correct Answer is ["A","C","D"]
Explanation
A. Blocking access to pools is essential to prevent drowning, which is a significant risk for infants. This action promotes safety in the home environment.
B. Keeping houseplants near the baby's crib is not advisable, as some plants can be toxic if ingested, posing a safety hazard.
C. Keeping plastic bags away from infants is crucial, as they can pose a suffocation risk if a child plays with or gets trapped in one.
D. Serving food in small, bite-sized pieces is recommended to prevent choking, as infants can easily gag on larger pieces of food.
E. Placing an infant in a supine position while feeding is not safe, as it can increase the risk of aspiration. Infants should be in an upright position while eating to reduce this risk.