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 A rationale
A democratic leadership style, while effective in many situations, may not be the best approach during a code blue. This style often involves group decision-making, which can be time-consuming.
Choice B rationale
An authoritarian leadership style is often most effective during a code blue. This style involves clear, direct communication and quick decision-making, which are crucial in emergency situations.
Choice C rationale
A laissez-faire leadership style involves a hands-off approach, which is not appropriate during a code blue. Quick decision-making and direct leadership are needed in these situations.
Choice D rationale
While a transformational leadership style can be effective in motivating and inspiring staff, it may not be the best approach during a code blue. This style often involves big-picture thinking and long-term goals, which are not the focus during an emergency situation.
Correct Answer is B
Explanation
Choice A rationale
Epigastric discomfort is a common symptom of peptic ulcer disease, but it is not typically the symptom that should be prioritized. While discomfort can indicate an active ulcer, it does not necessarily signify a complication.
Choice B rationale
Hematemesis, or vomiting blood, is a serious symptom that could indicate a bleeding ulcer, which is a medical emergency. Therefore, this symptom should be prioritized.
Choice C rationale
Dyspepsia, or indigestion, is a common symptom of peptic ulcer disease. However, it is not typically the symptom that should be prioritized as it does not necessarily indicate a serious complication.
Choice D rationale
Constipation is not typically associated with peptic ulcer disease and therefore should not be prioritized.
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