A nurse is working with an assistive personnel (AP) who refuses a client assignment. When resolving this conflict, which of the following comments is appropriate for the nurse to make?
"You always get your choice of assignment and don't work your fair share."
"I have to let the human resources department know about this situation."
"I feel that you are being inconsiderate of the other nursing assistants."
"I need to talk to you about the unit policies regarding client assignments."
The Correct Answer is D
When resolving a conflict with an assistive personnel (AP) who refuses a client assignment, it would be appropriate for the nurse to say "I need to talk to you about the unit policies regarding client assignments." This comment addresses the issue directly and professionally and provides an opportunity for the nurse to clarify the unit policies and expectations.
Option A is accusatory and unprofessional.
Option B may be necessary at some point, but it should not be the first response.
Option C is also accusatory and unprofessional.
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Correct Answer is C
Explanation
In this situation, the nurse's failure to administer Mr. Smith's medication on time as ordered, resulting in harm to the patient, could be considered malpractice. Malpractice refers to a failure to meet the standard of care that results in harm to a patient.
Option A refers to legal responsibility for one's actions, but it does not specify the type of wrongdoing.
Option B refers to wrongdoing or misconduct, but it is not specific to the medical profession.
Option D refers to a failure to fulfill one's duties or obligations, but it does not necessarily imply harm to a patient.
Correct Answer is B
Explanation
The nurse should include the statement "Delegation permits a designated individual to meet a goal on your behalf" in the teaching. This is because delegation allows the nurse to assign tasks to an AP who has the appropriate skills and knowledge to complete them, while still maintaining accountability for the outcome of the task.
Option A is incorrect because accountability for a delegated task remains with the delegator, not the AP.
Option C is incorrect because discharge teaching activities for clients cannot be delegated to an AP as they require nursing judgment and assessment.
Option D is incorrect because it is important for the nurse to follow up on delegated tasks even if the AP has completed them before to ensure that they have been completed correctly and that the client's needs have been met.
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