A nurse receives a client care assignment from the charge nurse that he believes is unfair. The nurse voices his concern to the charge nurse. The nurse is using which level of communication at this time?

A. A client who is easily distracted during art therapy may benefit from being near the nurses' station if their distraction could lead to issues with concentration or focus that might impact their therapy.
However, this is less of a priority compared to clients with higher risks related to safety or behavioral issues. This client’s needs are more about support and engagement in therapy rather than immediate safety monitoring.
B. Clients with frequent anger outbursts can pose a risk to themselves and others. Having them in a room near the nurses' station allows for closer monitoring and quick intervention if their behavior escalates. This placement helps ensure safety and provides immediate access to staff if the client becomes agitated or poses a threat.
C. A client who has threatened to kill themselves requires close observation to ensure their safety and prevent self-harm. Placing this client in a room near the nurses' station allows for constant monitoring and immediate intervention if the client’s condition worsens or if they attempt self-harm. This is a high priority for safety and supervision.
D. A client who has engaged in cutting behaviors is at risk for self-harm. Placing this client near the nurses' station is important for ensuring close observation and timely intervention to prevent further self-injury. This helps in providing a safer environment and immediate support if the client shows signs of distress or attempts self-harm.
E. A client who cannot sit still at breakfast might need supervision to ensure they eat properly and safely. However, this need is less critical compared to clients with high risks of self-harm or aggressive behaviors. While this client may benefit from being in a more monitored area, it is not as urgent as the needs of clients with significant safety concerns.

A. According to the National Council of State Boards of Nursing (NCSBN), there are actually 5 rights of delegation. These are the Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right Supervision/Evaluation. Each of these rights helps ensure that tasks are delegated appropriately and safely.
B. This statement indicates an understanding of delegation. While the nurse can delegate tasks, they remain accountable for the outcome. This means the delegating nurse must ensure that the task is completed appropriately and the results are satisfactory. The responsibility for the task remains with the nurse, even though the execution is handled by someone else.

C. It is important for the delegate to ask questions if they are unclear about the task or need additional information. Effective communication and clarification are crucial for ensuring that tasks are performed correctly. The delegate has the right and responsibility to seek clarification to ensure safe and effective task performance.
D. While the nurse manager may oversee and support delegation processes, the responsibility for delegating specific tasks generally falls to the registered nurse (RN) who is managing the care for that shift. The RN assesses which tasks can be delegated and to whom, based on the needs of the patients and the skill level of the assistive personnel.