A nurse is teaching about delegation with a newly licensed nurse. Which of the following statements if made by the newly licensed nurse indicates understanding?
"There are 4 rights of delegation."
“I am responsible for ensuring that a delegated task is completed."
"It is the duty of the delegate to perform a task without asking questions when it is delegated."
"The nurse manager is responsible for delegating nursing tasks during each shift."
The Correct Answer is B
A. According to the National Council of State Boards of Nursing (NCSBN), there are actually 5 rights of delegation. These are the Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right Supervision/Evaluation. Each of these rights helps ensure that tasks are delegated appropriately and safely.
B. This statement indicates an understanding of delegation. While the nurse can delegate tasks, they remain accountable for the outcome. This means the delegating nurse must ensure that the task is completed appropriately and the results are satisfactory. The responsibility for the task remains with the nurse, even though the execution is handled by someone else.
C. It is important for the delegate to ask questions if they are unclear about the task or need additional information. Effective communication and clarification are crucial for ensuring that tasks are performed correctly. The delegate has the right and responsibility to seek clarification to ensure safe and effective task performance.
D. While the nurse manager may oversee and support delegation processes, the responsibility for delegating specific tasks generally falls to the registered nurse (RN) who is managing the care for that shift. The RN assesses which tasks can be delegated and to whom, based on the needs of the patients and the skill level of the assistive personnel.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While assisting others is an important aspect of nursing care, it generally does not directly reflect the acuity of clients. Assisting colleagues might involve helping with tasks, offering support, or collaborating on care, but it is more related to teamwork and overall unit dynamics rather than directly indicating the complexity or intensity of care needed by individual clients.
B. Medication administration is a significant factor in determining client acuity. The complexity and frequency of medications, the need for monitoring and adjustments, and the administration of high-risk medications (e.g., anticoagulants, insulin) all contribute to the overall acuity level. High acuity clients often require more complex medication management, which demands more time and attention from nursing staff.
C. Meal breaks are a necessary part of a nurse’s schedule but are not related to client acuity. Meal breaks are periods of rest and are essential for maintaining the nurse’s well-being and productivity. However, they do not affect the level of care required by clients or the determination of client acuity.
D. Charting is a crucial component of nursing care that reflects the time spent documenting client information, assessments, and care provided. While charting is essential for legal documentation, communication, and continuity of care, it is not a direct indicator of client acuity.
Correct Answer is B
Explanation
A. Professional identity refers to how an individual sees themselves within their profession and how they align with the values, ethics, and roles associated with their field. It is more directly related to engagement and commitment rather than identity formation.
B. Professional commitment involves dedication to the profession and a willingness to advance the field, adhere to ethical standards, and engage in ongoing learning and development. Joining a professional organization is a strong example of professional commitment, as it demonstrates a nurse’s dedication to staying informed, participating in professional development, and contributing to the advancement of their profession.
C. Risk management involves identifying, assessing, and mitigating risks to ensure safety and compliance within the healthcare setting. While professional organizations may provide resources and support related to risk management, joining such an organization is not primarily about managing risk.
D. Quality improvement focuses on enhancing patient care and healthcare processes through systematic efforts to improve outcomes and efficiency. Joining a professional organization can support quality improvement by providing access to best practices and research, but the primary purpose of membership is not specifically to engage in quality improvement activities.
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