A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?

A. Evaluate how well employees were able to perform duties outside of their job description: Performance appraisals should focus on the duties and responsibilities outlined in the employee’s job description.
B. Conduct the performance appraisal in a public setting to ease tension: Conducting appraisals in a public setting can lead to discomfort and should instead be done privately to respect confidentiality and ensure a constructive conversation.
C. Provide the staff member the opportunity to disagree with the evaluation: Allowing the staff member to provide their perspective or disagreement is an important part of a fair and balanced performance appraisal process.
D. Initiate a random time to conduct the performance appraisal to ensure authentic responses by the staff member: Performance appraisals should be scheduled and communicated in advance to allow for preparation and a constructive dialogue, not conducted randomly.

A. Review the events leading up to each medication administration error: Analyzing the events that led to medication errors helps identify root causes and contributing factors, which is crucial for developing targeted interventions and improving practices.
B. Require staff nurses to demonstrate competency by passing a medication administration examination: While competency is important, it should be based on insights gained from reviewing errors and understanding specific areas needing improvement.
C. Develop a quality improvement program for nurses involved in medication administration errors: This is a valuable step but should come after understanding the underlying causes of the errors through a review process.
D. Provide an inservice on medication administration to all the nurses: Training is important, but it should be informed by the findings from the error review to address specific issues and improve practices effectively.