A charge nurse is delegating tasks to nursing personnel on a 10-bed medical-surgical nursing unit. Which of the following assignments is an example of overdelegation?
Assigning the most efficient AP to perform glucometer monitoring for each client
Assigning two assistive personnel (AP) to ambulate all clients
Assigning a new graduate nurse to perform a wet-to-dry dressing change
Assigning the most competent RN to perform a central line dressing change
The Correct Answer is C
A. This task is generally appropriate for an assistive personnel (AP) if it is within their scope of practice and if proper training has been provided. Glucometer monitoring is a routine task that APs can often perform, assuming they are trained in using the glucometer and understanding the importance of accurate readings.
B. Assigning two APs to ambulate all clients might be seen as overdelegation if the task requires more clinical judgment or if there are other tasks that need to be managed concurrently. Ambulating clients can sometimes be complex depending on their condition, and it’s essential to ensure that APs are appropriately trained and that the workload is balanced.
C. Assigning a new graduate nurse to perform a wet-to-dry dressing change could be considered overdelegation if the task requires advanced skills and experience that the new graduate might not yet possess. Wet-to-dry dressing changes can be complex and require a certain level of expertise to ensure proper technique and patient safety.
D. This task is typically appropriate for an RN with the necessary competencies and experience. A central line dressing change requires specific skills and knowledge, and delegating this task to the most competent RN ensures that it is performed correctly and safely. This is not considered overdelegation because it matches the task to the skill level of the RN.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. De-escalation techniques are focused on managing agitated or aggressive behavior, not opioid use.
B. Hallucinations are often related to underlying medical or psychiatric conditions and require specific treatments. De-escalation techniques may help manage agitated behaviors associated with hallucinations but won't directly decrease them.
C. While de-escalation techniques often involve improved communication, it's a means to an end rather than a primary benefit.
D. This is the primary benefit of de-escalation techniques. By effectively calming agitated individuals, the need for physical restraints can be minimized, promoting patient safety and dignity.
Correct Answer is ["A","B","E"]
Explanation
A. This task can be delegated to AP as it involves physical assistance and does not require nursing judgment.
B. Feeding a client who has regained swallowing ability can be delegated to AP. However, the nurse should assess the client's ability to swallow safely before delegation.
C. This task requires patient education and assessment, which are within the scope of nursing practice and cannot be delegated.
D. Patient education requires nursing judgment and cannot be delegated to AP.
E. Bathing a client is a routine task that can be delegated to AP, as long as the AP has received appropriate training and the client's condition is stable.
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