You are supervising a new graduate LPN who is ordered to perform tracheostomy care. The LPN states that she has performed this procedure only a handful of times, and completes the task slowly. Which of the following actions made by you is most appropriate?
Perform the task yourself, and have the LPN watch.
Reassure the LPN that they are likely being overly self-critical and encourage them to perform the task alone.
Observe the LPN, then provide positive feedback after the task is completed.
Protect patient safety by prohibiting the LPN from performing tracheostomy care until the LPN feels confident.
The Correct Answer is C
A. Performing the task yourself takes away the opportunity for the LPN to gain hands-on experience and can create dependency rather than fostering confidence.
B. While reassurance is helpful, encouraging the LPN to perform the task alone without observation may compromise patient safety, especially given their limited experience.
C. Observing the LPN while they perform the task allows you to provide immediate feedback and support, which is crucial for their development and helps ensure patient safety during the procedure.
D. Prohibiting the LPN from performing the task without further evaluation does not support their learning and growth, as hands-on experience is essential for skill development.
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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.
Correct Answer is D
Explanation
A. Establishing and revising the strategic vision and mission statement typically occurs earlier in the strategic planning process before environmental scanning and SWOT analysis are completed.
B. Compiling a list of strategic options is also an important step, but it generally follows the development of a plan that specifically addresses the findings from the SWOT analysis.
C. Evaluating the progress of the selected strategy occurs later in the process, after strategies have been implemented, making it an inappropriate next step at this point.
D. Developing a plan to address the SWOT analysis directly incorporates the findings from the environmental scan, ensuring that the identified strengths, weaknesses, opportunities, and threats inform future strategies and actions.