The nurse manager is writing employee evaluations on the staff. To ensure fairness to the staff nurse, which of the following practices should be avoided?
1. The staff nurse is appraised every 18 to 24 months.
2. The appraisal is shared with the staff nurse in writing.
3. The staff nurse is required to sign the appraisal and may write comments.
4. The staff nurse may appeal an unfair appraisal.
1
Explanation: 1. A staff member should be appraised at least every 12 months. Employees need feedback on
their performance. Informal evaluation should take place more frequently than every 12
months. Sharing the appraisal, allowing the staff nurse to write comments, and providing the
ability to appeal the appraisal are all fair in the appraisal process.
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Analysis of cases of reported negligence from 1995 to 2001 demonstrated that the majority of cases occurred in which patient care setting?
a. Acute care b. Psychiatric c. Nursing homes and long-term care facilities d. Home health
Which is an important consideration in positioning a newborn for breastfeeding?
a. Placing the infant at nipple level facing the breast b. Keeping the infant's head slightly lower than the body c. Using the forefinger and middle finger to support the breast d. Limiting the amount of areola the infant takes into the mouth
What disorder of the anus is this patient likely to have?
A 42-year-old house painter comes to your clinic, complaining of pain with defecation and profuse bleeding in the toilet after a bowel movement. He was in his usual state of health until 2 weeks ago, when he was injured in a car accident. After the accident he began taking prescription narcotics for the pain in his shoulder. Since then he has had very few bowel movements. His stool is hard and pebble-like. He states he has always been “regular” in the past, with easy bowel movements. His diet has not changed but he states that he is exercising less since the accident. His past medical history includes hypertension and he is on a low-dose diuretic. He has had no other chronic illnesses or surgeries. He has a family history of hypertension, coronary heart disease, and diabetes but no cancer. He is divorced and has three children. He smokes two packs of cigarettes per day and quit drinking more than 10 years ago. He has had no recent weight loss, weight gain, fever, or night sweats. On examination he appears muscular and healthy; he is afebrile. His blood pressure is 135/90 with a pulse of 80. His cardiac, lung, and abdominal examinations are normal. He is wearing a sling on his left arm. On observation of his anus you find a swollen bluish ovoid mass that appears to contain a blood clot. Digital rectal examination is extremely painful for the patient. No other mass is palpated within the anus or rectum. A) Anal fissure B) External hemorrhoid C) Anorectal cancer D) Internal hemorrhoid
The caregivers can best minimize separation issues associated with school by:
a. letting the child know that this experience will not be fun all the time b. presenting the experience as a fun and exciting adventure c. telling the child ahead of time about all the things he or she will not like, to prepare the child d. staying away from the school and letting the child know he or she is big now and can solve his or own problems