Sullivan, Effective Leadership and Management, 8/e
Chapter 18
Question 1
Type: MCMA
The nurse manager is completing employee evaluations. Which practices should the manager use when doing
these appraisals?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Appraising staff nurses every 18 to 24 months
2. Sharing the appraisal with staff nurses verbally and in writing
3. Requiring the staff nurse to sign the appraisal
4. Allowing the nurse to make written comments on the appraisal
5. Advising the nurse of the right to appeal the appraisal
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 18-2: Discuss different methods used to evaluate performance.
Question 2
Type: MCSA
Sullivan, Effective Leadership and Management, 8/e Test Bank
Which statement would be inappropriate for a manager to write on an employee’s performance appraisal?
1. “The nurse’s attitude positively affects coworkers.”
2. “The nurse seeks learning experiences.”
3. “The nurse is frequently tardy.”
4. “The nurse is shy and quiet.”
Rationale 2: A results-oriented system evaluates the employee based upon outcomes and the employee knows
what is expected. This appraisal system is quantifiable, objective, and easily measured.
Rationale 3: Comparative judgments measure employees against peers.
Rationale 4: Systems have different scales, but “excellence” is almost universally included and is not excluded
simply because the system is “results oriented.”
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 18-2: Discuss different methods used to evaluate performance.
Question 4
Type: MCSA
A nurse manager is discussing the hospital’s changes to peer evaluation with nursing staff. Which comment by a
staff nurse would the manager interpret as evidence of understanding this process?
1. “Our evaluations will be more objective.”
2. “This must be a less expensive method of evaluation.”
3. “This should be quicker than our existing method.”
4. “This would be a good way to get back at the nurses who don’t work as hard.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 18-2: Discuss different methods used to evaluate performance.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Question 5
Type: MCMA
An organization has changed its performance appraisal process and is conducting training for managers. What
topics should the trainer include in the agenda for this session?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. What a reasonable job performance should look like
2. How to conduct a disciplinary meeting
3. How to complete the evaluation form
4. How to give the employee feedback on evaluation
5. Use of anecdotal notes
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 18-1: Describe criteria that can be used to evaluate staff performance.
Question 6
Type: MCMA
Sullivan, Effective Leadership and Management, 8/e Test Bank
A nurse manager has been terminated for failing to follow institutional policy and procedures. Upon reviewing the
manager’s files, the supervisor discovers multiple unfinished employee evaluations from the last two years. The
supervisor is faced with which concerns?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Finding someone with enough knowledge of the employee’s work to complete the evaluation processes
2. How to share evaluation information with employees
3. The legal steps necessary to invalidate the in-process evaluations and begin new evaluations
4. Whether the care provided on the unit has been safe and effective
5. How long it has been since employees have had a valid evaluation
1. Being careful not to overrate employees
2. Evaluating each behavior separately and fairly
3. Carefully defining performance standards
4. Recording critical incidents as they occur
5. To increase the accuracy of the evaluation
Rationale 3: The nurse may lack the motivation to do the job on time. The manager should first clarify the
expectation that the nurse will have work completed by the end of the shift. If the problem continues, additional
intervention may be necessary.
Rationale 4: There is no indication that assigning the nurse to another unit would solve this problem.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 18-3: Describe problems to expect when evaluating performance.
Question 10
Type: MCSA
A nurse manager and an employee meet to discuss the employee’s appraisal. They disagree on the content of the
employee evaluation. The disagreement turns into an argument. Which is the best managerial strategy in this
situation?
1. Postpone the interview.
2. Agree on arbitration.
3. Seek input from employee peers.
4. Report the employee to the human resources manager.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 18-3: Describe problems to expect when evaluating performance.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Question 11
Type: MCSA
A nurse manager gives a staff nurse an exceptional appraisal. The other nurses learn of the appraisal and are upset
because this nurse has had numerous complaints from peers regarding laziness. The manager informs a colleague
the nurse obtained an exceptional appraisal because the nurse “will always work for me when I need extra help to
come in.” This is an example of which problem in evaluating?
1. Recency error
2. Leniency error
3. Ambiguity error
4. Halo error
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 18-3: Describe problems to expect when evaluating performance.
Question 12
Type: MCSA
The manager overhears a nurse say to a client, “I am having trouble getting your IV started because you are so
fat.” The manager determines that a critical incident form should be completed. Which entry is appropriate to
document on the form?
1. The nurse was rude to the client.
2. The nurse was rude and incompetent when caring for the client.
Sullivan, Effective Leadership and Management, 8/e Test Bank
3. The client is obese, and intravenous catheter placement was attempted but unsuccessful due to the client’s size.
4. Nurse _____ attempted to start an IV on this client and stated, “I’m having trouble getting your IV started
because you are so fat.”