A nurse at a clinic receives a provider's prescription to admit a child to an acute care facility for asthma management. The nurse reinforces teaching with the parents about acute care. Which of the following statements by the parent indicates an understanding of acute care?

Choice A reason: The hospital supervisor is not the first person to notify, as they are not directly responsible for the unit or the staff. The hospital supervisor is usually a senior nurse who oversees the operations of the entire hospital or a specific shift. They may be involved in the later stages of the reporting process, but not as the initial contact.

Choice B reason: The charge nurse is the first person to notify, as they are the immediate supervisor of the unit and the staff. The charge nurse is usually an experienced nurse who coordinates the care and activities of the unit, assigns tasks, and provides guidance and support to the staff. They have the authority and responsibility to address the situation and take appropriate actions.

Choice C reason: The chief nursing officer is not the first person to notify, as they are not directly involved in the unit or the staff. The chief nursing officer is usually the highestranking nurse in the organization, who oversees the nursing practice, quality, and education across the entire system. They may be informed of the situation by the unit director or the hospital supervisor, but not as the initial contact.

Choice D reason: The unit director is not the first person to notify, as they are not directly available on the unit or the staff. The unit director is usually a nurse manager who oversees the administrative and financial aspects of the unit, such as budgeting, staffing, and evaluation. They may be notified of the situation by the charge nurse or the hospital supervisor, but not as the initial contact.

Choice A reason: There are not 4 rights of delegation, but 5 rights of delegation. The 5 rights of delegation are the right task, the right circumstance, the right person, the right direction or communication, and the right supervision or evaluation. The nurse should know and apply these rights when delegating tasks to other members of the health care team.
Choice B reason: The nurse manager is not the only one responsible for delegating nursing tasks during each shift, but the registered nurse (RN) is also responsible for delegating nursing tasks within their scope of practice. The RN should delegate tasks based on the client's needs, the staff's competencies, and the organizational policies. The nurse manager should support and oversee the delegation process, but not assume the sole responsibility for it.
Choice C reason: It is not the duty of the delegate to perform a task without asking questions when it is delegated, but to ask questions or clarify any doubts or concerns before accepting or performing the task. The delegate should communicate effectively with the delegator and ensure that they understand the task, the expected outcome, the time frame, and the resources available. The delegate should also report any problems or issues that arise during or after the task completion.
Choice D reason: I am responsible for ensuring that a delegated task is completed is a correct statement that indicates understanding of delegation. The delegator is accountable for the decision to delegate and the outcome of the task. The delegator should monitor and evaluate the performance and the results of the task, and provide feedback and recognition to the delegate. The delegator should also intervene or take corrective actions if needed.