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."

Answer and Explanation

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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Correct Answer is ["C","D"]

Explanation

A. Situational leadership, on the other hand, focuses on adapting leadership styles to the needs of the team rather than relying solely on rewards or punishments. While situational leaders may use various motivational techniques, their primary focus is on flexibility and responsiveness to changing circumstances.
B. Strict enforcement of rules is characteristic of more authoritarian or bureaucratic leadership styles rather than situational leadership. Situational leaders are more flexible and adapt their approach based on the situation and the needs of the team. They focus on guiding and supporting team members in a way that is appropriate for their level of development and the context of the task.
C. This characteristic aligns well with situational leadership. Situational leaders are adept at adjusting their leadership style and approach based on the changing needs of their team and the specific context they are facing. They recognize that different situations and team members may require different types of guidance and support.
D. Flexibility is a key characteristic of situational leadership. Situational leaders are responsive to the varying needs of their team members and adjust their leadership style accordingly. This flexibility allows them to provide the appropriate level of direction and support based on each team member's competence and commitment.
E. While situational leaders may address short-term goals as part of their approach, their primary focus is on adapting their leadership style to effectively meet the needs of their team in the present moment. Situational leadership involves both short-term and long-term considerations, but the emphasis is on responsiveness and flexibility rather than exclusively focusing on short-term goals.

A. 216 B. 208 C. 212 D. 214

Correct Answer is B

Explanation

A. A positive-pressure airflow room is designed to keep potentially contaminated air from entering the room, making it suitable for immunocompromised patients who need protection from airborne pathogens. However, for a client with symptoms suggestive of tuberculosis (TB), such as a productive cough and a positive Mantoux test, a positive-pressure room is not appropriate.
B. A negative-pressure airflow room is specifically designed to contain airborne pathogens within the room and prevent their spread to other areas. This is the appropriate type of room for a client with symptoms indicative of TB, as it helps to ensure that any infectious particles are not dispersed into the general environment.
C. A semi-private, positive-pressure airflow room is not suitable for a patient with a suspected infectious disease like TB. The positive pressure could potentially allow airborne pathogens to escape from the room, which poses a risk to others. This type of room is generally used for patients who need protection from external pathogens rather than those who may be spreading infection.
D. While a negative-pressure room is appropriate for controlling airborne pathogens, a semi-private room may not be suitable for a patient with a suspected infectious disease like TB. TB patients should ideally be placed in a private room to avoid potential exposure to other patients, as semi-private rooms could still allow for transmission of airborne diseases between patients.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a class on leadership. The nurse should include that which of the following are characteristics of situational leaders? (Select All that Apply.)

Correct Answer is ["C","D"]

Explanation

Correct Answer is B

Explanation

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