A nurse is training a newly licensed nurse. The newly licensed nurse asks if she can delegate the task of weighing several clients to an assistive personnel (AP). Which of the following responses should the nurse make?

"You can delegate this task if the AP has been trained to use our scales."

"You should not delegate this task because you have the capability to obtain clients' weights.”

"You should not delegate this task because it requires nursing judgment."

"You can delegate this task to an AP for new clients before performing a nursing assessment.”

Answer and Explanation

The Correct Answer is A

A. Weighing clients is within the scope of an assistive personnel’s role, provided they have been properly trained in using facility equipment and understand the procedure. The nurse retains responsibility for ensuring the accuracy of the data and interpreting it.
B. This response focuses on the nurse’s ability rather than appropriate delegation. Delegating tasks helps manage time and resources effectively when delegation is safe and appropriate.
C. Weighing clients does not require nursing judgment; it is a routine, stable task that is appropriate for delegation under the right conditions.
D. Weights obtained on new clients may be needed before a full nursing assessment, but initial assessments must be performed by a nurse, not delegated to APs.

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Correct Answer is D

Explanation

A. Ask each nurse to take turns making the assignments: This may seem fair, but it avoids addressing the underlying conflict and could lead to inconsistent or biased assignments. It doesn't promote teamwork or long-term resolution.
B. Tell the nurses that the assignments will be more equitable in the future: This is a vague promise that doesn't actively involve the nurses in resolving the conflict. It may not build trust or address the root perception of favoritism.
C. Arrange for the nurses to have as few shifts together as possible: Separating the nurses may reduce short-term tension, but it avoids the issue and fails to improve communication or working relationships between team members.
D. Encourage collaboration between the two nurses when making the assignments: This strategy promotes open communication, mutual understanding, and shared responsibility. It empowers both nurses to contribute to the process and helps build trust and teamwork.

A. Remove the thermometer from client's room for use on another client. B. Wear an N95 respirator when providing care. C. Wash hands with an alcohol-based cleaner. D. Wear a gown when providing care. E. Change gloves after contact with infectious material.

Correct Answer is ["D","E"]

Explanation

A. Remove the thermometer from client's room for use on another client: Equipment used for clients with C. difficile should be dedicated or thoroughly disinfected to prevent cross-contamination; sharing without proper cleaning poses a high infection risk.
B. Wear an N95 respirator when providing care: C. difficile is spread via the fecal-oral route, not through airborne transmission. A surgical mask or respirator is not required unless aerosol-generating procedures are performed for another condition.
C. Wash hands with an alcohol-based cleaner: Alcohol-based hand sanitizers are ineffective against C. difficile spores. Soap and water must be used for hand hygiene after contact to physically remove the spores.
D. Wear a gown when providing care: A gown is necessary when providing care to prevent contact with contaminated surfaces or infectious materials, especially when contact with feces is possible.
E. Change gloves after contact with infectious material: Gloves must be changed between tasks to prevent the spread of spores and reduce contamination between different body sites or surfaces.

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A nurse is training a newly licensed nurse. The newly licensed nurse asks if she can delegate the task of weighing several clients to an assistive personnel (AP). Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

A charge nurse is observing a conflict between two nurses who both insist that the charge nurse favors the other when making assignments. Which of the following conflict-resolution strategies should the charge nurse use?

Correct Answer is D

Explanation

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Correct Answer is ["D","E"]

Explanation

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