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 D

Explanation

A. De-escalation techniques are focused on managing agitated or aggressive behavior, not opioid use.
B. Hallucinations are often related to underlying medical or psychiatric conditions and require specific treatments. De-escalation techniques may help manage agitated behaviors associated with hallucinations but won't directly decrease them.
C. While de-escalation techniques often involve improved communication, it's a means to an end rather than a primary benefit.
D. This is the primary benefit of de-escalation techniques. By effectively calming agitated individuals, the need for physical restraints can be minimized, promoting patient safety and dignity.

A. Clinical judgement B. Critical thinking C. Concept mapping D. Clinical reasoning

Correct Answer is D

Explanation

A. While clinical judgment is essential in decision-making, it is based on experience and intuition. While valuable, it alone is not sufficient for evidence-based decision-making.
B. Critical thinking is a vital component of clinical decision-making, but it focuses on analyzing information and evaluating options. It's part of the process but doesn't encompass the entire evidence- based decision-making framework.
C. This is a visual tool used to organize information and identify relationships. It's a helpful aid in decision-making but not the core component.
D. This involves using critical thinking, knowledge, and experience to analyze patient data, consider options, and make decisions. It is the process of applying evidence to patient care and is therefore the most accurate answer.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is attending training on de-escalation techniques. Which of the following is a benefit of de-escalation techniques?

Correct Answer is D

Explanation

Which of the following is a component of clinical decision-making that the nurse should use to make an evidence-based decision?

Correct Answer is D

Explanation

A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should further assess the client before administering medication?

A nurse is admitting a new client. Which of the followings steps of the nursing process is the nurse performing when formulating goals for a positive outcome?

A nurse on a pediatric unit is reviewing her client assignment following the shift report. Which of the following clients should the nurse plan to assess first?

A nurse is teaching a class on professionalism. The nurse should include that which of the following is an example of accountability?

A nurse is assessing a client who is postoperative.. Which of the following findings should the nurse identify as objective data? (Select All that Apply.)

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?

A nurse administers the wrong medication to a client. After assessing the client, the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating?

A nurse is teaching a class about the steps of critical thinking. The nurse should include that interpreting data is included in which of the following steps?