A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

Irrigate and perform a dressing change for a client who has a pressure injury wound.

Administer oral PRN pain medication to a client who has arthritis.

Obtain a daily weight on a client who has heart failure.

Reinforce teaching the use of an incentive spirometer to a postoperative client.

Answer and Explanation

The Correct Answer is C

Choice A reason: Irrigating and performing a dressing change for a client who has a pressure injury wound is not a task that the nurse should delegate to an AP. This task requires the nurse's clinical judgment, skill, and knowledge to assess the wound, select the appropriate dressing, and prevent infection. This task is also within the nurse's scope of practice, but not the AP's scope of practice.

Choice B reason: Administering oral PRN pain medication to a client who has arthritis is not a task that the nurse should delegate to an AP. This task involves the nurse's responsibility to evaluate the client's pain level, determine the need and the dosage of the medication, and monitor the client's response and side effects. This task is also within the nurse's scope of practice, but not the AP's scope of practice.

Choice C reason: Obtaining a daily weight on a client who has heart failure is a task that the nurse can delegate to an AP. This task is a routine and standardized procedure that does not require the nurse's clinical judgment, skill, or knowledge. This task is also within the AP's scope of practice, if the nurse provides clear directions and supervision.

Choice D reason: Reinforcing teaching the use of an incentive spirometer to a postoperative client is not a task that the nurse should delegate to an AP. This task involves the nurse's role to educate the client about the purpose, benefits, and technique of using the incentive spirometer, and to evaluate the client's understanding and compliance. This task is also within the nurse's scope of practice, but not the AP's scope of practice.

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Correct Answer is C

Explanation

Choice A reason: This statement is false and should not be included in the teaching. Teaches nursing students is not a responsibility of a case manager, but rather a role of a nurse educator. A nurse educator is a nurse who designs, implements, and evaluates educational programs for nurses, students, and other health care professionals.

Choice B reason: This statement is false and should not be included in the teaching. Provides direct client care is not a responsibility of a case manager, but rather a role of a direct care nurse. A direct care nurse is a nurse who provides handson care to patients in various settings, such as hospitals, clinics, or home health agencies.

Choice C reason: This statement is true and should be included in the teaching. Organizes client services following discharge is a responsibility of a case manager, as it involves coordinating and facilitating the transition of care from one setting to another. A case manager is a nurse who assesses, plans, implements, monitors, and evaluates the options and services required to meet the client's health and human service needs.

Choice D reason: This statement is false and should not be included in the teaching. Collects and utilizes data to change current practice is not a responsibility of a case manager, but rather a role of a nurse researcher. A nurse researcher is a nurse who conducts scientific studies to improve health care outcomes, quality, and safety.

A. A nurse’s personal values should not influence ethical decisions. B. Value clarification involves maintaining clinical competency. C. It is important that the nurse is aware of the client’s values. D. A nurse's behaviors and actions are called values.

Correct Answer is C

Explanation

Choice A reason: This statement is incorrect because a nurse’s personal values can and do influence ethical decisions. The nurse should be aware of their own values and how they affect their judgment and actions. The nurse should also respect the values of others and avoid imposing their own values on the clients or colleagues.
Choice B reason: This statement is incorrect because value clarification is not related to maintaining clinical competency. Value clarification is a process of identifying, examining, and prioritizing one’s values. It can help the nurse to understand their own values and beliefs, as well as those of the clients and the profession.
Choice C reason: This statement is correct because it is important that the nurse is aware of the client’s values. The nurse should assess the client’s values and preferences, and incorporate them into the plan of care. The nurse should also respect the client’s right to self-determination and autonomy, and support the client in making informed decisions.
Choice D reason: This statement is incorrect because a nurse's behaviors and actions are not called values. Values are the beliefs and principles that guide one’s decisions and actions. A nurse's behaviors and actions are the expressions of their values, as well as their knowledge, skills, and attitudes.

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