Correct Answer: B

Rationale: The correct answer is B: Ask Ellen to complete a self-assessment using a standard skills checklist. This option allows Ellen to reflect on her own performance objectively, identifying areas for improvement. It promotes self-awareness and accountability, which are crucial for personal growth. Other choices are incorrect because:
A) Ignoring errors does not address the deficiencies and can lead to repeated mistakes.
C) Isolating Ellen from her colleagues hinders her learning and professional development.
D) Constant reporting may create a negative environment and not necessarily help Ellen understand her deficiencies.

Correct Answer: B

Rationale: The correct answer is B: assist the employee in obtaining professional help. This approach recognizes the limitations of the nurse manager's role and expertise. By encouraging the employee to seek professional help, the nurse manager ensures the employee receives appropriate care from trained professionals. This is crucial for addressing emotional issues effectively. Adjusting work schedules or standards of care may not address the root cause of the emotional distress and could potentially enable the employee's behavior. Acting as a therapist exceeds the nurse manager's scope of practice and may not provide the employee with the necessary support and interventions.

Correct Answer: D

Rationale: The correct answer is D: Reminder of employment standards. This is the typical first step in handling an employee with a disciplinary problem because it serves as an initial warning to clarify the expected behavior. It allows the employee to understand the standards they are expected to follow and provides an opportunity for corrective action before escalating the issue.

A: Suspension with pay is usually a more severe disciplinary action and is not typically the first step.
B: Written reprimand is usually a follow-up step after the reminder of employment standards.
C: Day off without pay is a form of disciplinary action that is more severe than a reminder of employment standards.
E, F, G: No information provided, so cannot evaluate their correctness.

Correct Answer: B

Rationale: The correct answer is B: "I'm sorry, but you will have to enter the information using your own password." This response is appropriate because it upholds the principles of confidentiality and accountability in healthcare. By requiring the resident to enter the information using their own password, the nurse ensures that any actions taken in the client's chart are traceable to the responsible individual. This helps maintain the integrity of the client's medical record and protects the client's privacy.



Choices A, C, and D are incorrect because they involve the nurse either allowing the resident to use her login credentials or inputting information on his behalf. This breaches confidentiality and accountability protocols, as it would be unclear who made the entry and could lead to potential errors or unauthorized access to sensitive information.
Therefore, option B is the most appropriate response in this scenario.

Correct Answer: C

Rationale: The correct answer is C: Move any clients in the immediate vicinity. This is the priority action because it ensures the safety of the clients by removing them from potential harm. By moving clients away from the smoldering wastepaper basket, the nurse reduces the risk of smoke inhalation and potential burns. Using a fire extinguisher (
Choice
A) can be considered once clients are safely relocated. Closing fire doors (
Choice
B) and activating the fire alarm (
Choice
D) are important steps in a fire emergency but not as immediate as moving clients to safety.