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Rationale 3: The members of the peer review committee submit a written evaluation to the manager.
Rationale 4: The manager also completes an evaluation.
Rationale 5: Peer review is often used in self-governance models.
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 23
Type: MCSA
The standard method of appraisal used by the facility rates a nurse’s performance as satisfactory, but the nurse
manager feels the nurse has room for improvement in many areas. What action should be taken by the manager?
1. Ask another staff nurse’s opinion of the situation.
2. Address the situation with the chief nursing officer.
3. Submit the appraisal as computed by the standard form.
4. Focus on developing a plan to improve the areas concerned.
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 24
Sullivan, Effective Leadership and Management, 8/e Test Bank
Type: MCSA
The staff nurse has challenged the appraisal rating given by a new nurse manager. What should the nurse manager
do?
1. Do not change the rating as that will undermine the manager’s authority.
2. Change the rating immediately as the staff nurse has more experience than the manager.
3. Investigate the staff nurse’s challenge and change the rating if it is justified.
4. Ask another staff nurse to act as a mediator in the challenge.
Rationale 3: This is a results-oriented statement.
Rationale 4: This is a behavior-based statement.
Rationale 5: This is a behavior-based statement.
Global Rationale:
Cognitive Level: Applying
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 27
Type: MCMA
An organization has begun using critical incidents as part of the evaluation process. The supervisor is meeting
with a manager to review the manager’s use of critical incidents since training last week. Which finding would
concern the supervisor?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Each nurse has one critical incident recorded and it is positive.
2. The manager is writing these notes in a handheld electronic device.
3. The manager’s notes are all written at the same time on the same day.
4. There is no indication that the critical incidents recorded have been shared with staff.
5. One note states, “This nurse has an abrasive personality.”
Rationale 5: Notes should focus specifically on what occurred, not on personal traits.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 18-4: Explain how to use critical incidents to improve annual evaluations.
Question 28
Type: MCMA
The supervisor is teaching managers about the use of critical incidents as part of the evaluation process. What
information should the supervisor share?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “Our primary focus for using these notes is to find out who is doing a poor job.”
2. “Using these notes will help you identify little problems before they become big problems.”
3. “You can expect some negative reactions from staff.”
4. “It is okay to tell your staff that you cannot remember all the details of each encounter for evaluation and the
notes will help.”
5. “Having these notes will help you feel more confident in your evaluation of staff.”
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 18-4: Explain how to use critical incidents to improve annual evaluations.
Question 29
Type: MCSA
A nurse manager elects to ignore a nurse’s performance problem, hoping it will go away. What does this strategy
indicate about the nurse’s management ability?
1. The nurse is a lazy manager.
2. The nurse is gullible.
3. The nurse is using a valid strategy.
4. The nurse needs an update on management strategy.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 18-4: Explain how to use critical incidents to improve annual evaluations.
Question 30
Type: MCSA
The manager senses that a nurse is very anxious at the beginning of the performance interview. How should the
manager proceed?
1. “I have looked back over all of my notes and interactions with you to prepare for our interview.”
2. “I sense that you are very tense. Is there a reason you feel this way?”
Sullivan, Effective Leadership and Management, 8/e Test Bank
3. “You are so tense! How about a cup of coffee to relax.”
4. “How are your children? Are you planning anything fun this summer with them?”
