A nurse manager is preparing a newly licensed nurse's performance appraisal. Which of the following methods should the nurse manager use to evaluate the nurse's time management skills?
Compare the nurse's time management skills to the skills of coworkers.
Review client satisfaction reports about the nurse's performance.
Maintain regular notes about the nurse's time management skills.
Ask another staff nurse to evaluate the nurse's time management skills.
The Correct Answer is C
Rationale:
A. Comparing the nurse's skills to coworkers may not provide an accurate evaluation as it can vary based on individual roles and responsibilities.
B. While client satisfaction reports can reflect overall performance, they may not specifically address time management skills.
C. Maintaining regular notes about the nurse's time management skills allows for ongoing assessment and provides concrete examples during the appraisal, making it the most effective method.
D. Asking another staff nurse for evaluation can introduce bias and may not provide a comprehensive view of the nurse's time management skills.
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Correct Answer is ["B","C","D"]
Explanation
Rationale:
A. Assessing a client requires clinical judgment and should not be delegated to an AP.
B. Accompanying a client to occupational therapy is a task that can be safely assigned to an AP as it does not require clinical judgment.
C. Checking the position of a client in soft wrist restraints is a routine task that can be assigned to an AP as long as the AP has been trained in restraint protocols.
D. Sitting with a client who has alcohol use disorder (5 days after their last drink) is a task that an AP can perform, especially if the client does not require close monitoring for medical complications such as delirium tremens.
E. Setting limits with a client requires therapeutic communication skills and clinical judgment, so this should not be delegated to an AP.
Correct Answer is C
Explanation
Rationale:
A. Reporting suspected child maltreatment is a legal and ethical responsibility of the nurse; this action is appropriate and does not require intervention.
B. Notifying the health department about a client's diagnosis of chlamydia is a legal requirement, as it is a reportable disease, so this action is appropriate.
C. Sharing a client’s diagnosis with a hospital chaplain without the client's consent could violate the client's confidentiality and requires intervention.
D. Informing the provider about a client's suicide plan is a critical action for patient safety and does not require intervention.