You are recent graduate working in your first job as a healthcare professional at the assisted living facility where Mrs. Smith (the patient from Module 1) resides. Your employer meets with you on a weekly basis to review your productivity. In the past four meetings, your employer has indicated that you are falling below their expectation for productivity. Your employer has made a few recommendations on how you can increase your productivity including decreasing time spent on checking the accuracy of your work, distributing some of your patient care tasks to a non-healthcare provider, and streamlining services you provide to patients. Although Mrs. Smith’s mobility, oral intake and level of chronic disease have continued to improve slowly with close monitoring, you worry specifically about her declining if you carry out the suggestions provided by your supervisor. Your employer has indicated that assessment of your productivity will weigh heavily in the outcome of your upcoming 6-month performance review including if your employment contract will continue. You are concerned about the outcome of your performance review given the significance of your student loans and your reliance on your employer for your own personal healthcare benefits. You seek advice from two of your co-workers that have been working with this employer for the past two years.