A nurse is completing a performance evaluation for an assistive personnel (AP). Which of the following actions by the AP requires intervention by the nurse?

The AP uses alcohol hand antiseptic after caring for a client who has Clostridium difficile.

The AP wears a mask when caring for a client who has varicella.

The AP closes the door of a client who is on airborne precautions.

The AP removes cut flowers from the room of a client who is in a protective environment.

Answer and Explanation

The Correct Answer is A

Rationale:
A. Alcohol-based hand sanitizer is not effective against C. difficile spores. Hands must be washed with soap and water to physically remove the spores, making this action unsafe and requiring intervention.
B. Wearing a mask when caring for a client who has varicella is appropriate for airborne precautions.
C. Closing the door of a client on airborne precautions helps contain infectious particles and is correct.
D. Removing cut flowers from the room of a client in a protective environment is appropriate to reduce the risk of infection.

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Correct Answer is B

Explanation

Rationale:
A. Choosing an infant safety system should not occur until the committee first understands the required standards and regulations.
B. The first step in quality control is to identify industry standards or benchmarks. This ensures the facility’s practices align with established guidelines for infant safety.
C. Establishing measurement criteria comes after standards are identified, so performance can be measured against them.
D. Evaluation of a selected system is one of the final steps, after standards are identified, a system is chosen, and criteria are established.

A. Nonmaleficence B. Veracity C. Utility D. Autonomy

Correct Answer is A

Explanation

Rationale:
A. Nonmaleficence refers to the ethical principle of avoiding harm or preventing injury. By removing a fall hazard, the nurse is actively working to prevent harm to the client.
B. Veracity means telling the truth and being honest with clients, which is not demonstrated in this scenario.
C. Utility focuses on the greatest good for the greatest number, not on preventing individual harm in a direct care setting.
D. Autonomy is respecting the client’s right to make their own decisions about care, but it does not apply to removing environmental hazards.

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A nurse is completing a performance evaluation for an assistive personnel (AP). Which of the following actions by the AP requires intervention by the nurse?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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