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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. This involves self-talk or inner dialogue. It's communication with oneself.
B. This refers to communication that occurs within a person's spirit. It often involves a connection to something larger than oneself, such as spirituality or religion.
C. This type of communication involves speaking to a large group of people.
D. This is communication between two or more people.

A. Finance B. Navigation C. Caring D. Knowing E. Leading

Correct Answer is ["C","D","E"]

Explanation

A. This is not one of the core principles of shared governance. While financial considerations are important in healthcare, they are not a foundational element of shared governance.
B. Navigation refers to the ability to guide or steer through complex systems, such as healthcare processes, policies, or organizational structures. In the context of shared governance, navigating through the decision-making process is essential.
C. This principle emphasizes the importance of compassionate and patient-centered care. It underscores the nursing profession's core value of caring for patients.
D. This principle refers to the nurses' knowledge and expertise. It highlights the importance of professional development and the use of evidence-based practice.
E. This principle emphasizes the nurse's role as a leader and follower within the healthcare team. It involves empowerment, autonomy, accountability, and collaboration.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse receives a client care assignment from the charge nurse that he believes is unfair. The nurse voices his concern to the charge nurse. The nurse is using which level of communication at this time?

Correct Answer is D

Explanation

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Correct Answer is ["C","D","E"]

Explanation

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