A nurse manager is providing an inservice program about delegation to assistive personnel (AP) with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching?
"The AP can re-delegate a task to another AP who has similar work experience."
"The nurse should consider the AP's level of experience when making delegation decisions."
"The nurse relinquishes accountability for client outcomes when care is delegated to an AP."
"The AP can provide client education about how to perform basic self-care to the client."
The Correct Answer is B
A. This statement reflects a misunderstanding of delegation principles. Typically, the original delegating nurse is responsible for ensuring that the task is completed correctly and safely. APs are not authorized to re-delegate tasks to other APs. The nurse must ensure that the task is assigned appropriately and directly to the right individual, considering their qualifications and experience.
B. This statement demonstrates an understanding of proper delegation practices. When delegating tasks, the nurse should indeed consider the AP's level of experience and competence. Delegating tasks based on the AP's skills ensures that the tasks are performed safely and effectively, aligning with the principle that delegation should be based on the qualifications and experience of the person to whom the task is assigned.
C. This statement reflects a misunderstanding of accountability in delegation. When a nurse delegates a task to an AP, the nurse does not relinquish accountability for client outcomes. The nurse remains accountable for ensuring that the task is delegated appropriately and that the care provided meets professional standards.
D. This statement indicates a misunderstanding of the AP’s role. APs typically do not provide client
education, as this requires specialized knowledge and assessment skills that are within the scope of practice of licensed nurses. Client education, especially about self-care, is generally performed by registered nurses who can assess the client’s understanding and provide detailed instructions.
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Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. This is not one of the core principles of shared governance. While financial considerations are important in healthcare, they are not a foundational element of shared governance.
B. Navigation refers to the ability to guide or steer through complex systems, such as healthcare processes, policies, or organizational structures. In the context of shared governance, navigating through the decision-making process is essential.
C. This principle emphasizes the importance of compassionate and patient-centered care. It underscores the nursing profession's core value of caring for patients.
D. This principle refers to the nurses' knowledge and expertise. It highlights the importance of professional development and the use of evidence-based practice.
E. This principle emphasizes the nurse's role as a leader and follower within the healthcare team. It involves empowerment, autonomy, accountability, and collaboration.
Correct Answer is B
Explanation
A. The hospital supervisor is responsible for overseeing the day-to-day operations of the hospital, including staff management. However, in the immediate chain of command, the supervisor might not be the first point of contact for specific unit issues unless the concern escalates beyond the unit level.
B. The charge nurse is the immediate supervisor on the unit and is usually the first point of contact for issues related to staff behavior or performance. Reporting the concern to the charge nurse is appropriate because they have the responsibility to oversee the staff on the unit, address concerns, and ensure the safety and well-being of both patients and staff. The charge nurse can assess the situation and take appropriate action, such as further investigation or reporting to higher authorities.
C. The unit director is responsible for overall management and administration of the unit, including staff issues. While the unit director is a higher level of authority than the charge nurse, it is often appropriate to first report to the charge nurse, who is closer to the situation and can address it more immediately.
D. The Chief Nursing Officer (CNO) is a top executive responsible for nursing practices across the entire hospital or healthcare system. Reporting directly to the CNO is generally not the first step in the chain of command for concerns about a coworker’s impairment.
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