Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 19-1: Describe how to coach an employee.
Question 14
Type: MCSA
The staff has complained that a nurse receives frequent personal phone calls, which is a violation of policy. In
what manner should the manager address this nurse?
1. Meet with the nurse privately and inquire as to the necessity of personal phone calls.
2. Meet with the nurse and give a verbal warning.
3. The manager should inform the nurse the other nurses are complaining about the phone calls.
4. Tell the complaining nurses to handle the situation with peer pressure.
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 15
Type: MCSA
A nurse who receives frequent phone calls informs the manager the phone calls are related to a health crisis
concerning a family member. Other nurses also receive personal calls, but not as many as the first nurse. Which
action by the manager is appropriate?
1. Tell the nurse to have family call the manager’s office if there is a crisis.
2. Discuss with the nurse how personal phone calls may affect client care and should be limited.
Sullivan, Effective Leadership and Management, 8/e Test Bank
3. Inform the nurse the phone calls are causing morale issues among the staff.
4. Lift the policy against staff carrying personal cell phones for this nurse while the crisis continues.
Rationale 4: Being visible on the unit when this nurse is working may adversely impact the manager’s
productivity. It is also a transparent method of “watching” the nurse.
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: 19-1: Describe how to coach an employee.
Question 17
Type: MCMA
A nurse has been pulled from the surgical unit to the ICU unit and is asked by an ICU nurse to administer a
medication that requires monitoring the cardiac rhythm. When asked about the client’s cardiac rhythm after the
medication was administered, the surgical nurse states, “I don’t know.” What actions should be taken by the unit’s
nurse manager?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Meet with the ICU nurse to discuss the situation.
2. Meet with the surgical nurse to discuss the situation.
3. Give a written warning to the surgical nurse for not following policy.
4. Give a written warning to the ICU nurse for not following policy.
5. Meet with the nurses together and issue an informal verbal warning to both.
Rationale 5: Until the manager has more facts, it is unclear whether a warning is necessary and, if so, what kind
of warning is required.
Global Rationale:
Cognitive Level: Analyzing
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 18
Type: MCSA
An ICU nurse does not follow policy when administering a medication intravenously. Which would be the most
appropriate action by the manager to assist the employee?
1. Provide written instructions for administering the medication.
2. Remediate the situation with the ICU staff.
3. Provide a copy of the policy and discuss the rationale for the policy as it relates to client care.
4. Reprimand the ICU nurse for giving the medication.
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 19
Type: MCSA
Sullivan, Effective Leadership and Management, 8/e Test Bank
An OB nurse has violated a unit policy. The OB manager is discussing the incident with the nurse. During the
discussion the nurse informs the OB manager of the actions of other staff and the physician’s attitude leading up
to the event. How should the manager address these issues?
1. Tell the nurse that physician’s attitude is none of the nurse’s business.
2. Inform the nurse of the policy violation.
3. Inquire about the physician’s attitude and the staff actions during the incident.
4. Redirect the nurse to focus on the issue.
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: 19-4: Discuss how to discipline an employee.
Question 22
Type: MCSA
An emergency department (ED) manager is disciplining a nurse with a history of multiple client and staff
complaints. The last disciplinary action was a verbal warning. If the institution follows the progressive method of
addressing disciplinary issues, the manager would prepare for which action?
1. A written warning
2. A counseling session
3. Another verbal warning
4. Termination
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 19-4: Discuss how to discipline an employee.
Question 23
Type: MCMA
Sullivan, Effective Leadership and Management, 8/e Test Bank