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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A researcher focuses on conducting studies, gathering data, and contributing to the evidence base in healthcare. While researchers play a crucial role in advancing knowledge and improving practices, this role does not primarily involve organizing or coordinating the efforts of interprofessional team members for client care.
B. A care coordinator is responsible for organizing and managing the various aspects of a client's care across different healthcare professionals and services. This role involves ensuring that all team members work together efficiently to address the client’s needs, managing transitions of care, and facilitating communication among team members. In this context, the nurse who is organizing interprofessional team members to meet the needs of a client is performing the role of a care coordinator.
C. A counselor provides support, guidance, and therapeutic interventions to clients and their families. This role involves helping clients cope with emotional, psychological, or social issues. While important in client care, it is not primarily focused on organizing and coordinating the contributions of different professionals.
D. An educator is responsible for teaching clients, families, or healthcare staff about various aspects of health, illness, and care management. This role involves providing information and instruction but does not specifically include the task of organizing and coordinating the efforts of an interprofessional team.
Correct Answer is D
Explanation
A. A child with a head injury may require close monitoring for neurological changes, which could involve frequent assessments and interventions. While not directly related to infection risk, the needs of this child may be different from those of a postoperative child, making this pairing less ideal due to differing care needs and potential disruptions.
B. A child in sickle cell crisis is likely experiencing significant pain and requires specialized care for pain management and hydration. This condition is not contagious but can be complex and may require frequent interventions, making it less ideal to room with a postoperative patient who needs a controlled environment for recovery.
C. Streptococcal pharyngitis is a contagious infection caused by Group A Streptococcus. To minimize the risk of postoperative infection, it is generally advisable to avoid placing a postoperative patient in the same room with someone who has a contagious infection. This would help in preventing the potential spread of infection to the postoperative child, who is already vulnerable.
D. A child with a new diagnosis of type 1 diabetes mellitus requires education and management of blood glucose levels. This condition is not contagious and does not pose a risk of infection to a postoperative patient. Therefore, the needs of this child align well with the postoperative child, as both are managing chronic conditions rather than dealing with infections.
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