A nurse is observing an assistive personnel (AP). For which of the following actions by the AP should the nurse intervene?

Logs oﬀ the computer after entering a client's intake and output totals.

Tears a document with client information in half before disposing of it in a waste basket.

Denies a request by another AP to use her password to enter client's vital signs.

Removes a clipboard with client information from the room during visiting hours.

Answer and Explanation

The Correct Answer is B

The nurse should intervene when the AP tears a document with client information in half before disposing of it in a waste basket. This is because client information is confidential and should be disposed of properly to protect the client's privacy. Tearing a document in half is not sufficient to ensure that the information is protected.
Option A is incorrect because logging oﬀ the computer after entering a client's intake and output totals is an appropriate action.
Option C is incorrect because denying a request by another AP to use her password to enter the client's vital signs is an appropriate action to protect the client's information.
Option D is incorrect because removing a clipboard with client information from the room during visiting hours may be necessary to protect the client's privacy.

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Correct Answer is B

Explanation

The charge nurse should include the statement "The final step in delegation is evaluation of the outcomes" in the teaching. This is because it is important for the nurse to evaluate the outcomes of delegated tasks to ensure that they have been completed correctly and that the client's needs have been met.
Option A is incorrect because it is not the AP's responsibility to document the client's outcome for a delegated task.
Option C is incorrect because a delegated task should have predictable outcomes.
Option D is incorrect because the nurse does not give up accountability for client outcomes when care is delegated. The nurse remains accountable for ensuring that the delegated task is completed correctly and that the client's needs are met.

A. The nurse disagrees with the nurse manager about inadequate staffing. B. A staﬀ member has not arrived at the facility to work an assigned shift. C. A client tells the nurse that his dentures are missing. D. The nurse discovers that the client does not have advanced directives.

Correct Answer is C

Explanation

An incident report should be filed whenever an unexpected event occurs. The rule of thumb is that any time a patient makes a complaint, a medication error occurs, a medical device malfunctions, or anyone— patient, staﬀ member, or visitor—is injured or involved in a situation with the potential for injury, an incident report is required ⁴. In this case, the client's missing dentures would be considered a complaint and would require the nurse to complete an incident report.

The other options do not require an incident report. Disagreeing with the nurse manager about inadequate staffing [a], a staﬀ member not arriving at the facility to work an assigned shift [b], and discovering that the client does not have advanced directives [d] are not situations that would require an incident report according to the information provided in my sources.

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A nurse is observing an assistive personnel (AP). For which of the following actions by the AP should the nurse intervene?

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Naxlex Comprehensive Predictor Exams

A charge nurse in a long-term care facility reviews client outcomes when delegating tasks to assistive personnel (AP) with a newly licensed nurse. Which of the following statements should the charge nurse include in the teaching?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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