A nurse manager is conducting an in-service program about delegation to assistive personnel (AP) with staff nurses on the unit.
Which statement by a staff nurse indicates that the teaching was effective?
“The nurse should consider the AP’s level of experience when making delegation decisions.”.
“The AP can provide client education about how to perform basic self-care to the client.”.
“The nurse relinquishes accountability for client outcomes when care is delegated to an AP.”.
“The AP can re-delegate a task to another AP who has similar work experience.”.
The Correct Answer is A
Choice A rationale
The nurse should indeed consider the AP’s level of experience when making delegation decisions. This is because the level of experience can greatly influence the ability of the AP to perform the delegated tasks effectively and safely. An experienced AP may be more competent and confident in performing certain tasks compared to someone with less experience. Therefore, considering the AP’s level of experience is crucial in ensuring quality care for patients.
Choice B rationale
While it is true that APs can assist in providing client education about basic self-care, it is important to note that the scope of their teaching is limited. They can reinforce teaching done by the nurse but should not be the primary source of education, especially for complex care needs or new diagnoses. Therefore, this statement does not fully reflect effective delegation.
Choice C rationale
This statement is incorrect. Even when care is delegated to an AP, the nurse retains accountability for client outcomes. The nurse remains responsible for ensuring that the delegated tasks are completed correctly and safely. Therefore, this statement does not indicate effective delegation.
Choice D rationale
This statement is also incorrect. APs should not re-delegate tasks to another AP1. The nurse who delegated the task has assessed the competency and capabilities of the specific AP to whom the task was delegated. Re-delegation could lead to tasks being performed by someone who may not have the necessary skills or knowledge, potentially compromising patient safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale
Hypertension is the most common risk factor for placental abruption. Hypertension can cause constriction of the blood vessels, including those in the placenta, which can lead to detachment of the placenta from the uterine wall.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale
Fetal motion is indeed evaluated during a biophysical profile. It assesses the health of the baby by observing its movements16.
Choice B rationale
Fetal neck translucency is not evaluated during a biophysical profile. It is usually measured during an ultrasound examination in the first trimester of pregnancy as a part of screening for chromosomal abnormalities.
Choice C rationale
Fetal gender is not evaluated during a biophysical profile. The focus of a biophysical profile is on the baby’s health, not its gender16.
Choice D rationale
Fetal breathing is indeed evaluated during a biophysical profile. It assesses the health of the baby by observing its breathing movements16.
Choice E rationale
Amniotic fluid volume is indeed evaluated during a biophysical profile. It assesses the health of the baby by measuring the amount of amniotic fluid surrounding the fetus in the uterus16.
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