A hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness and their family. Which of the following statements should the nurse include in the teaching?

A. Performance appraisals should be written in measurable terms: This principle is essential for creating objective and clear evaluations. Measurable terms allow for the assessment of specific behaviors and outcomes, making it easier to identify areas of strength and areas needing improvement. This approach helps ensure fairness and transparency in the appraisal process.

B. Appraisal objectives should be applicable to staff at every level: While having relevant objectives is important, it may not be feasible for every objective to apply equally to all staff levels. Different roles and responsibilities necessitate tailored objectives that reflect the unique contributions of various positions within the organization.

C. Performance appraisals should be based on the nurse manager's preferences: Appraisals should not be based on personal preferences. Instead, they should focus on objective criteria and measurable outcomes related to job performance, ensuring fairness and consistency across evaluations.

D. Completed appraisals should be approved by a provider: While collaboration and input from other healthcare professionals can be valuable, the nurse manager is typically responsible for conducting performance appraisals. Approval from a provider is not a standard requirement for the completion of staff performance evaluations.

A. The client has a do-not-resuscitate (DNR) prescription: Including the client’s code status is essential for ensuring that the receiving medical-surgical team follows the appropriate resuscitation plan. This information directly impacts emergency decision-making and aligns with the client's wishes.

B. The client has a continuous IV of lactated Ringer’s: Reporting active IV fluids is necessary for continuity of care, as it affects fluid balance, medication administration, and overall treatment planning. The receiving nurse must be aware of the infusion to monitor for effectiveness and complications.

C. The client was straight catheterized for 350 mL 2 hr ago: Details about recent procedures, such as urinary catheterization, are relevant to ongoing assessment and care. Monitoring urinary output helps evaluate kidney function and fluid status, making it crucial information for the next shift.

D. The client has Medicare insurance: Insurance details are important for administrative and billing purposes but do not directly impact immediate patient care. This information is typically managed by case management or the hospital’s financial services.

E. The client lives in a one-story home: While discharge planning may involve assessing home arrangements, this detail is not immediately necessary for a shift report. Relevant home considerations should be discussed later when planning for discharge and follow-up care.