A nurse has assigned client care activities to an assistive personnel (AP). Which of the following statements by the AP Indicates a need for assistance in establishing priorities?

"I have my assignment and will start with room 1, then work my way to room 10."

"After breakfast, I will pack the belongings of clients who will be discharged this morning."

"I will start by providing partial baths before breakfast."

"I will give this client his meal tray first, as he is going early to physical therapy."

Answer and Explanation

The Correct Answer is A

Rationale:

A. Starting with room 1 and working to room 10 suggests a lack of prioritization based on client needs, which is important for efficient and effective care.

B. Packing belongings after breakfast is a reasonable plan, assuming it fits within the priorities of the shift.

C. Providing partial baths before breakfast might be acceptable depending on the client’s needs and the urgency of the task.

D. Giving a client their meal tray first based on their scheduled physical therapy is an example of prioritizing care based on client needs.

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Correct Answer is D

Explanation

Rationale:

A. Palpate for possible bladder distention is a task that requires nursing assessment skills and should be done by the nurse.

B. Observe the incision site is a nursing task that involves assessing for signs of complications.

C. Change the abdominal dressing requires sterile technique and should be done by a nurse to prevent infection and ensure proper care.

D. Obtain vital signs is within the AP’s scope of practice and is a task that can be delegated. It is important for monitoring the client’s status and identifying potential issues.

A. Verbally question the staff about the new equipment. B. Ask each nurse to read the procedure and sign a form acknowledging competency. C. Require each nurse to take a written examination about the new equipment. D. Allow time during the workday when each nurse can demonstrate proficiency.

Correct Answer is D

Explanation

Rationale:

A. Verbally questioning the staff does not effectively assess hands-on competency with the equipment.

B. Reading the procedure and signing a form does not ensure that the staff can actually use the equipment correctly.

C. A written examination tests knowledge but not practical skills.

D. Demonstrating proficiency ensures that staff can correctly operate the equipment in a practical setting, which is the most effective way to evaluate competency.

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A nurse has assigned client care activities to an assistive personnel (AP). Which of the following statements by the AP Indicates a need for assistance in establishing priorities?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

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