A nurse is asked by the unit manager to provide input for the performance appraisal of an assistive personnel (AP). Which of the following actions should the nurse take?

Base appraisals on peer review from other AP.

Examine the agency's job description for AP.

Gather information from clients regarding the AP.

Review the AP's previous performance appraisal.

Answer and Explanation

The Correct Answer is C

A. Base appraisals on peer review from other AP:

While peer input can provide valuable insights, it's important to gather feedback from various sources, including those who directly interact with the AP, such as clients and nurses.

B. Examine the agency's job description for AP:

The job description provides information about the expectations and responsibilities of the AP. However, performance appraisal should involve more than just a comparison to the job description.

C. Gather information from clients regarding the AP:

This is the correct answer. Clients can provide valuable feedback on the care and services they receive from the AP. Their perspective can contribute to a more comprehensive assessment of the AP's performance.

D. Review the AP's previous performance appraisal:

While reviewing previous appraisals can offer historical context, it's essential to gather current information to assess the AP's current performance and growth.

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Correct Answer is C

Explanation

A. Disinfecting hands using an alcohol-based waterless antiseptic is not effective against Clostridium difficile spores. C. difficile is a bacterium that forms spores, which are resistant to alcohol-based hand sanitizers. Handwashing with soap and water is recommended for effective removal of the spores.

B. Wearing an N95 respirator is not specifically indicated for caring for clients with Clostridium difficile. The primary mode of transmission for C. difficile is fecal-oral, and standard precautions, including gloves and gowns, are usually sufficient. N95 respirators are more commonly used for airborne precautions.

C. Using diluted bleach to clean soiled equipment is the correct instruction. Clostridium difficile spores are resistant to many disinfectants, but bleach (sodium hypochlorite) is effective in killing C. difficile spores. Diluted bleach solutions are recommended for cleaning surfaces and equipment that may be contaminated with C. difficile.

D. Providing a room with negative-pressure airflow is not typically necessary for clients with Clostridium difficile. Standard precautions, including appropriate cleaning and disinfection, are generally sufficient to prevent the spread of C. difficile in healthcare settings.

A. I should wait until I am terminally ill to complete my advance directives." B. "I must name a relative to make decisions for me in my health care proxy." C. I can state in my living will which medical treatments I want done if I am terminally ill." D. "I will make changes to my advance directives if I change my mind about anything." E. I will need to complete a new living will each time I am hospitalized."

Correct Answer is ["C","D"]

Explanation

A. "I should wait until I am terminally ill to complete my advance directives."

This statement is incorrect. It is advisable to complete advance directives before a critical or terminal illness occurs to ensure that one's preferences are known and respected in the event of incapacity.

B. "I must name a relative to make decisions for me in my health care proxy."

This statement is incorrect. While naming a relative is a common choice, individuals can choose any competent person as their healthcare proxy, and it does not have to be a family member.

C. "I can state in my living will which medical treatments I want done if I am terminally ill."

This statement is correct. A living will allows individuals to specify the medical treatments they wish to receive or avoid in the event they become terminally ill or incapacitated.

D. "I will make changes to my advance directives if I change my mind about anything."

This statement is correct. Advance directives are not permanent and can be changed or updated if the individual's preferences or circumstances change.

E. "I will need to complete a new living will each time I am hospitalized."

This statement is incorrect. Advance directives, including living wills, are generally not tied to a specific hospitalization. They remain in effect unless the individual chooses to update or change them.

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