A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Correct Answer: D Rationale: Providing the staff member with a copy of the appraisal form in advance allows them to review their performance, prepare examples, and reflect on their achievements and areas for improvement. This promotes a more meaningful and constructive discussion during the appraisal interview. It also ensures transparency and fairness in the evaluation process. Summary: A: Informing the staff member of the appraisal time prior to change-of-shift report may not allow sufficient time for preparation and reflection. B: Scheduling the appraisal interview early in the shift might not give the staff member ample time to prepare and may lead to rushed discussions. C: Providing a chair across the desk is a good practice for creating a comfortable environment but does not directly impact the effectiveness of the appraisal process.

Correct Answer: C

Rationale: The correct answer is C. HICS stands for Hospital Incident Command System, which is a standardized system used for managing incidents or disasters in healthcare settings. Choice C is correct because HICS indeed identifies facility responsibilities and channels of reporting, ensuring clear communication and coordination during emergencies. A: This statement is incorrect because while HICS does involve resource management, it does not specifically ensure the availability of antibiotics and antidotes. B: This statement is incorrect as HICS focuses on establishing a clear command structure and roles rather than the disciplines of responders. D: This statement is incorrect because while HICS may involve requesting additional resources, its primary focus is on coordinating within the facility rather than bringing in external responders.

Correct Answer: D

Rationale: The correct answer is D because the client not receiving any medications is a critical issue that requires immediate follow-up to ensure the client's safety and well-being. A, B, and C are not urgent concerns and can be addressed by the nurse or PN at a later time. A is related to non-essential comfort, B is a common query about discharge, and C is about routine care already provided. Thus, D stands out as the most concerning statement that necessitates immediate attention.

Correct Answer: D

Rationale: The correct answer is D: Contact isolation. MRSA is primarily spread through direct contact with infected wounds or contaminated surfaces. Contact isolation is crucial to prevent transmission. Reverse isolation (A) is used to protect immunocompromised patients. Airborne precautions (B) are for diseases transmitted through droplets in the air. Standard precautions (C) are used for all patients to prevent the spread of infections, but specific isolation precautions like contact isolation are necessary for MRSA.

Correct Answer: B

Rationale: The correct answer is B because roast beef, mashed potatoes, and green beans are all considered safe food choices for a client receiving filgrastim for neutropenia. Roast beef provides protein, mashed potatoes are a good source of carbohydrates, and green beans offer essential vitamins and minerals. Grilled chicken sandwich (A) may contain harmful bacteria if not cooked properly. Peanut butter sandwich (C) and barbecue beef (D) can harbor potential pathogens that may be harmful to a compromised host. Skim milk (A) is generally safe, but the entire meal should be considered.