A nurse is teaching a newly licensed nurse about delegating tasks to assistive personnel. Which of the following statements should the nurse make?

“You can ask an AP to teach a simple task to a client.”

“You should assign tasks you are unfamiliar with to an experienced AP.”

“If you are unsure about an AP’s ability, observe them performing the task.”

“The person who delegates a task is not held accountable for the outcome.”

Answer and Explanation

The Correct Answer is C

a. "You can ask an AP to teach a simple task to a client."

While assistive personnel may assist with client education under the supervision of a licensed nurse, the primary responsibility for teaching tasks to clients usually rests with licensed healthcare providers.

b. "You should assign tasks you are unfamiliar with to an experienced AP."

Delegating tasks to assistive personnel should be based on their competency and the complexity of the task, not necessarily on the nurse's familiarity with it. It is essential to delegate tasks that the AP is trained and competent to perform.

c. "If you are unsure about an AP’s ability, observe them performing the task."

This is the correct statement. It emphasizes the importance of assessing an assistive personnel's competence by observing their performance before delegating tasks, especially if there is uncertainty about their abilities.

d. "The person who delegates a task is not held accountable for the outcome."

This statement is incorrect. The person delegating a task is ultimately accountable for ensuring that the task is performed correctly and safely. Delegation does not relieve the delegator of accountability.

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Correct Answer is ["A"]

Explanation

A. Nurses are permitted to share a client’s information with family members only if the client grants permission. This aligns with the Health Insurance Portability and Accountability Act (HIPAA) and ensures the client’s right to privacy and confidentiality is upheld.

B.While nurses play a critical role in client education, it is the provider’s responsibility to explain treatment options, including risks, benefits, and alternatives. Nurses can reinforce this information and answer questions but are not the primary party responsible for obtaining informed consent.

C.Restraints must never be applied on a "PRN" (as needed) basis. They require a specific, time-limited order from a provider, and their use must be justified and continually reassessed. This ensures that client rights and safety are maintained.

D.Participation in a research study requires informed consent from the client. Administering medications without consent is a violation of the client’s rights and ethical standards, even in research settings.

A. Review the chart for nonrestraint alternatives for agitation B. Inform the unit manager of the incident C. Speak with the AP about the incident D. Remove the restraints from the client’s wrists

Correct Answer is D

Explanation

a. Review the chart for nonrestraint alternatives for agitation:

This action involves assessing the client's history, current condition, and any documented alternatives to restraints for managing agitation. While exploring nonrestraint interventions is important, addressing the immediate issue of inappropriate restraint use should take precedence.

b. Inform the unit manager:

Notifying the unit manager about the incident is important for escalating the situation and involving higher-level management in addressing the inappropriate use of restraints. However, before escalating, the immediate needs of the client should be addressed.

c. Speak with the AP about the incident:

Engaging in a conversation with the assistive personnel (AP) who applied the restraints allows for clarification of the situation, identification of any misunderstandings or training needs regarding restraint use, and immediate removal of the restraints if necessary. However, ensuring the client's safety should be the first priority.

d. Remove the restraints from the client’s wrist:

In situations where restraints are applied without a prescription or appropriate authorization, it is crucial to remove the restraints promptly to prevent potential harm to the client. However, it is essential to address the root cause of the inappropriate use of restraints and ensure that the client receives appropriate care and monitoring following restraint removal.

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A nurse is teaching a newly licensed nurse about delegating tasks to assistive personnel. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements should the nurse include in the in-service?

Correct Answer is ["A"]

Explanation

A charge nurse making rounds observes that an assistive personnel has applied wrist restraints to a client who is agitated and does not have a prescription for restraints. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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