Sullivan, Effective Leadership and Management, 8/e
Chapter 19
Question 1
Type: MCMA
The nurse manager is coaching an employee who has been late for work three mornings this week. What
statements and questions should the manager include in this coaching 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 is causing you to be late?”
2. “When you are late it throws the pace of the entire unit off and client care suffers.”
3. “Does it not bother you that your lateness makes everyone else’s job more difficult?”
4. “You have been late three times this week and that is not acceptable.”
5. “What are you going to do to avoid being tardy again?”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 19-1: Describe how to coach an employee.
Question 2
Sullivan, Effective Leadership and Management, 8/e Test Bank
Type: MCSA
What is the primary reason a nurse manager would confront a nurse who has been reported for violating infection
control policy?
1. To punish the guilty
2. To protect the institution from liability
3. To set an example for other employees
4. To encourage the correct behavior
Rationale 1: Planning a private meeting is not the first step in the process.
Rationale 2: The manager has decided discipline is required. There is no need to wait for another infraction to
occur.
Rationale 3: The manager must first be certain that the facts about infraction are complete and correct.
Rationale 4: Human Resources should be informed, but this is not the first step.
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: 19-4: Discuss how to discipline an employee.
Question 4
Type: MCSA
Which statement by the nurse manager is the best example of day-to-day coaching?
1. “Can we meet this afternoon for about 30 minutes to discuss your progress?”
2. “I think you need to get different day care that would allow you to be on time.”
3. “Over the past 6 months the narcotics count has been off on several days that you have worked.”
4. “Let me show you a method I have found to be effective in making patient assignments.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 19-1: Describe how to coach an employee.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Question 5
Type: MCSA
A certified nurse’s aide (CNA) has been reported to the nurse manager for refusing to perform hand hygiene
between clients when providing morning care. Which statement by the nurse manager would be the most
effective?
1. “Do you need a class on hand hygiene?”
2. “Forgetting to perform hand hygiene between clients can spread infection.”
3. “Why do you refuse to perform hand hygiene?”
4. “If I hear of any more instances of you not performing hand hygiene, I will write you up.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 19-3: Explain how to confront an employee about a policy violation.
Question 6
Type: MCSA
Coaching and discipline have failed and the nurse manager is faced with no alternative but to terminate an
employee. Which aspect of this situation requires the most careful planning?
1. When the termination will occur
2. How to keep the human resources department informed
Sullivan, Effective Leadership and Management, 8/e Test Bank
3. Accurately documenting all stages of the situation
4. Whether the termination will adversely affect unit staffing
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 19-3: Explain how to confront an employee about a policy violation.
Question 9
Type: MCMA
A nursing assistant has taken long lunch breaks for the last 2 days and today is 15 minutes late returning from the
cafeteria. What should the manager do?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Go to the cafeteria and confront the assistant.
2. Send a message with a nurse going to lunch for the assistant to return to the unit immediately.
3. Call the cafeteria and ask that they send the assistant back to the unit.
4. Meet with the assistant and calmly say, “You have been late back from lunch for 3 days this week.”
5. Anticipate that the assistant will give an explanation for the lateness.
Client Need: Safe Effective Care Environment
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 19-3: Explain how to confront an employee about a policy violation.
Question 10
Type: MCSA
A newly hired certified nurse’s aide (CNA) has been 15 minutes late returning from mealtime 4 days this week.
The nurse manager coaches the employee and finds the CNA thought meal breaks were 45 minutes. What is the
most appropriate response from the nurse manager?
1. Document the tardy behavior in the CNA’s record.
2. Show the CNA the break hours in the employee handbook.
3. Warn the CNA tardiness is not tolerated and follow up in 2 weeks.
4. Warn the CNA that the charge nurse will be timing future meal breaks.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 19-2: Discuss positive coaching.
Question 11
Type: MCSA
A manager has been informed by a reliable registered nurse that an assistant lied about bathing a client. The
manager calls the assistant into the office with a written warning. Why is this action inappropriate?
1. The registered nurse should issue the warning.
Sullivan, Effective Leadership and Management, 8/e Test Bank
2. The first warning should be verbal.
3. The assistant should be allowed to discuss the matter.
4. This type of action should be conducted by the human resources department.
Rationale 2: The manager should obtain information; ask questions in a calm manner and offer instruction or
solutions so the supervisor learns from the experience.
Rationale 3: The manager should remain calm while coaching.
Rationale 4: The question regarding the urgency of the case is not applicable to the situation.
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: 19-2: Discuss positive coaching.
Question 13
Type: MCSA
The nurse manager identifies a minor problem with the way a staff nurse documents client care. The manager
meets with the nurse and discusses the issue, but does not issue a warning. What is the manager’s next action?
1. Report the meeting to human resources.
2. Enlist the aid of a more experienced nurse to help monitor the documentation.
3. Record the specific behavioral steps discussed for future reference.
4. Tell the nurse that failure to comply with steps discussed will result in a written warning.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.