A nurse working in a mobile health clinic is assessing a client who is an agricultural worker. Which of the following findings should the nurse identify as the priority?

A. "If I request a do-not-resuscitate (DNR) prescription, CPR will be withheld from my care.": Understanding that a DNR order means no resuscitation efforts, such as CPR, will be performed in the event of cardiac or respiratory arrest is crucial. This reflects the client’s autonomy in making end-of-life decisions and ensures their preferences are respected in critical situations.

B. "Once I choose a health care proxy, they will start making my health care decisions.": While selecting a health care proxy is an important step, they can only make decisions when the client is unable to do so. This means that the proxy’s authority to act is contingent upon the client’s capacity to communicate their wishes.

C. "I am required to complete these documents during my hospital stay.": Clients are encouraged to create advance directives, but there is no legal requirement to complete these documents while in the hospital. Clients have the right to determine the timing and circumstances under which they complete advance directives.

D. "The hospital is legally required to provide me information on these documents.": Hospitals have an obligation to inform clients about advance directives, ensuring they are aware of their rights and the options available for planning their medical care. This legal requirement promotes informed decision-making among clients.

E. "When completed, a copy of these documents will be kept in my medical record.": Storing advance directives in the medical record is essential for ensuring that healthcare providers have access to the client’s preferences regarding treatment. This practice helps to facilitate communication and adherence to the client’s wishes during their care.

F. "These documents provide instructions about my care preferences.": Advance directives outline a client’s preferences for medical treatment and interventions, ensuring that their values and wishes guide their care if they become unable to communicate those preferences. This helps healthcare providers understand and respect the client’s desires regarding their treatment.

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.