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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The client's provider cannot provide informed consent on behalf of the client. The provider's role is to explain the procedure, its risks and benefits, and answer any questions the client may have to help the client make an informed decision.
The client's mother may have a supportive role in the decision-making process, especially if the client desires their involvement. However, unless the client has been legally deemed unable to make decisions (for example, due to lack of decision-making capacity), the client's consent should be sought directly.
The client is the primary individual who should provide informed consent for their own medical procedure, assuming they have decision-making capacity. They have the right to accept or refuse the treatment after being fully informed about the procedure, risks, benefits, and alternatives.
The client's sibling does not have the authority to provide informed consent for the client's medical procedure unless they have been legally designated as the client's healthcare proxy or legally authorized decision-maker.
Correct Answer is B
Explanation
A. Flush the tube with 5 mL of water:
Explanation: Flushing the tube with water is a routine practice before and after administering medications or feedings to maintain tube patency. However, it is not the primary action to confirm tube placement.
B. Test the pH of fluid aspirated from the tube (Correct Answer):
Explanation: Testing the pH of aspirated fluid helps confirm that the tube is in the stomach. A pH between 1 and 5 is generally indicative of gastric placement.
C. Inject air through the tubing and auscultate for gurgling sounds:
Explanation: This method is an older practice and is not recommended as a reliable method for verifying tube placement. Testing the pH is a more accurate and preferred method.
D. Change the bag and tubing system every 12 hr:
Explanation: Changing the bag and tubing system every 12 hours is a routine practice to maintain the integrity of the enteral feeding system. However, it is not specifically related to the initial steps in verifying tube placement.
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