In delegating to a UAP in a home health setting, which of the following represents the most appropriate delegation communication?
"Ms. S needs help to get into and out of her bathtub. Her bath will need to be completed by soon. When you are helping her to dry, please check between her toes and toenails, and phone me by 10:30 if you notice any discoloration or redness."
"I am not sure that you know how to do this, but I am giving you Ms. S. She is quite obese and needs skin care."
"You all need to help Mrs. S get into and out of her shoes. Ensure that you check the condition of her feet, and let me know if you have any concerns when you check in."
"You will be taking care of Ms. S, who needs assistance with her bath."
The Correct Answer is A
Choice A reason: This option is the most detailed and provides clear instructions for the UAP, including a specific task, a time frame, and what to do if there is an issue. It promotes patient safety and ensures proper communication and follow-up.
Choice B reason: This statement is inappropriate as it expresses doubt about the UAP's competence, which can undermine confidence and does not provide clear guidance or expectations.
Choice C reason: While this choice includes an action and a follow-up, it lacks specificity about the task and does not mention a time frame for reporting potential issues, which is crucial for patient safety and effective delegation.
Choice D reason: This option is too vague and does not provide specific instructions or expectations for the UAP, which could lead to confusion and potential neglect of important care details.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While analyzing the cause is an important part of the process, it cannot be effectively done without first having a clear definition of what the problem is.
Choice B reason: Defining the problem is crucial as it sets the stage for all subsequent steps in the Quality Management process. It ensures that everyone understands what the issue is and agrees on its importance.
Choice C reason: Measuring the problem is necessary to understand its extent and impact, but it comes after the problem has been defined and before solutions are considered.
Choice D reason: Solving the root cause is the ultimate goal, but it is a later step that follows defining, analyzing, and measuring the problem.
Correct Answer is A
Explanation
Choice A reason: A formalized competency program with established standards for practice ensures that all nurses meet a certain level of proficiency and adhere to the same high standards, which is essential for preventing clinical incompetence.
Choice B reason: While a standardized clinical skills checklist can be a useful tool for assessing specific skills, it does not encompass the comprehensive approach of a formalized competency program.
Choice C reason: Personality tests and competency assessments at the point of hire can help in selecting competent staff, but they are not sufficient on their own to prevent clinical incompetence throughout an employee's tenure.
Choice D reason: A flexible protocol for evaluating competency skills may allow for individualized assessment, but without established standards, it may not effectively prevent clinical incompetence.
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