A unit director at a local hospital knows even leadership may face ethical dilemmas. Which of the following should the director take into consideration when dealing with an employee who is incompetent?

Correct Answer: C

Rationale: The correct answer is C. The unit director should follow the institution's formal process for reporting and handling practices that jeopardize patient safety when dealing with an incompetent employee. 1. Firstly, it is important to prioritize patient safety above all else. 2. By following the institution's formal process, the director ensures that the proper steps are taken to address the incompetence effectively. 3. This approach also promotes transparency and accountability within the organization. 4. It aligns with ethical principles of duty to care and responsibility for patient well-being. The other choices are incorrect: A: Tolerating incompetence is not an acceptable approach as it can compromise patient safety. B: Incompetence can have broader impacts beyond the individual nurse, such as affecting patient outcomes and overall team performance. D: While nurse practice acts may provide guidance, the institution's specific procedures should be followed to address incompetence effectively.

Correct Answer: A

Rationale: Step-by-step rationale for why choice A is correct: 1. Careful assessment helps in understanding the client's condition and needs. 2. Documenting client status provides evidence of the care provided. 3. It ensures that necessary actions are taken promptly to prevent negligence. 4. Documentation serves as legal protection against false imprisonment accusations. Summary: - Choice B is about data security, not directly related to preventing negligence and false imprisonment. - Choice C focuses on accurate documentation but lacks the emphasis on assessment. - Choice D is vague and does not specifically address the legal aspects of negligence and false imprisonment.

Correct Answer: A

Rationale: The correct answer is A. Emotionally intelligent leaders must develop the skill of encouraging constructive criticism because it fosters open communication, builds trust, and promotes growth and learning within the team. By actively seeking feedback and input from others, leaders show humility, empathy, and a willingness to improve. This skill also helps in creating a positive work environment where team members feel valued and supported. Choice B is incorrect because emotionally intelligent leaders understand the importance of collaboration and delegating tasks effectively rather than working solely on their own. Choice C is incorrect because minimizing one's own emotions hinders effective communication and empathy, which are crucial aspects of emotional intelligence. Choice D is incorrect because while encouraging others to work efficiently is important, it does not specifically address the need for constructive criticism in developing emotional intelligence.

Correct Answer: D

Rationale: The correct answer is D: Essential to nursing care. Attending a continuing education class on advanced technology in health care is essential for nurses to stay updated with the latest advancements, improve patient care, and enhance their clinical skills. It helps nurses deliver high-quality care, adapt to changes in healthcare practices, and improve patient outcomes. The other choices are incorrect because continuing education benefits all healthcare professionals, not just nurse managers. It is not unimportant or a waste of time, as it directly impacts the quality of nursing care provided.

Correct Answer: C

Rationale: The correct answer is C because shared governance involves staff nurses and CNAs collaborating in decision-making processes, such as creating schedules. This promotes autonomy, teamwork, and mutual respect. Option A involves delegation, not shared decision-making. Option B shows centralized authority by nurse managers. Option D indicates hierarchical decision-making, not shared governance. In summary, choice C aligns with the principles of shared governance, while the other options do not involve the active involvement of both staff nurses and CNAs in decision-making.