Essential elements of eﬀective delegation by an LPN include: (SELECT ALL THAT APPLY)

Compliance with state and institutional policies.

Direct supervision of tasks assigned to others.

Evaluation of the patient's response to care.

Knowledge of each patient's condition.

Determination of tasks that can be safely delegated.

Answer and Explanation

Correct Answer : A,C,D,E

Eﬀective delegation by an LPN includes compliance with state and institutional policies, evaluation of the patient's response to care, knowledge of each patient's condition, and determination of tasks that can be safely delegated.

Option B may not always be necessary as direct supervision may not always be required for all tasks assigned to others.

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Correct Answer is D

Explanation

When resolving a conﬂict with an assistive personnel (AP) who refuses a client assignment, it would be appropriate for the nurse to say "I need to talk to you about the unit policies regarding client assignments." This comment addresses the issue directly and professionally and provides an opportunity for the nurse to clarify the unit policies and expectations.
Option A is accusatory and unprofessional.
Option B may be necessary at some point, but it should not be the first response.
Option C is also accusatory and unprofessional.

A. Logs oﬀ the computer after entering a client's intake and output totals. B. Tears a document with client information in half before disposing of it in a waste basket. C. Denies a request by another AP to use her password to enter client's vital signs. D. Removes a clipboard with client information from the room during visiting hours.

Correct Answer is B

Explanation

The nurse should intervene when the AP tears a document with client information in half before disposing of it in a waste basket. This is because client information is confidential and should be disposed of properly to protect the client's privacy. Tearing a document in half is not sufficient to ensure that the information is protected.
Option A is incorrect because logging oﬀ the computer after entering a client's intake and output totals is an appropriate action.
Option C is incorrect because denying a request by another AP to use her password to enter the client's vital signs is an appropriate action to protect the client's information.
Option D is incorrect because removing a clipboard with client information from the room during visiting hours may be necessary to protect the client's privacy.

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Essential elements of eﬀective delegation by an LPN include: (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working with an assistive personnel (AP) who refuses a client assignment. When resolving this conﬂict, which of the following comments is appropriate for the nurse to make?

Correct Answer is D

Explanation

A nurse is observing an assistive personnel (AP). For which of the following actions by the AP should the nurse intervene?

Correct Answer is B

Explanation

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following actions jeopardize client confidentiality? (Select all that apply.)

Doing no harm is?

A nurse requests that an assistive personnel (AP) change all the linens and give bed baths to four clients on the unit. The previous day, the AP was not able to complete these same tasks. Which of the following actions should the nurse take in addressing this situation?

A nurse is receiving a change-of-shift report for four clients. Which of the following findings should the nurse identify as the priority?

A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to see first?

A male client tells the nurse that he does not want the female assistive personnel (AP) involved in his care. Which of the following statements should the nurse give?

Nurses are responsible not only for their actions but also for the actions of the staﬀ to whom they delegate work, including accurate documentation. What is the principle associated with this responsibility?

A nurse observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse take?