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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."

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A reason: This action directly represents the patient's interests, which is a core aspect of advocacy, especially in situations where the patient may not be able to speak for themselves.

Choice B reason: While working in a free clinic is a form of service and support, it does not necessarily involve advocating for specific individuals or causes.

Choice C reason: Participation in a needle exchange program is more of a public health intervention than a direct form of advocacy for individual patients.

Choice D reason: Compiling resources can be helpful, but advocacy typically involves more direct action on behalf of individuals or specific groups' rights and needs.

A. Clyde requires an anticoagulant. He tells the nurse about his medications. He neglects to mention he's taking an herbal supplement. B. Claude is booked for bowel surgery. His doctor explains about the colostomy. Later, Claude tells his wife that he really doesn't know what the doctor meant by colostomy. C. Sarah is a new parent who finds that nurses on the children's unit are very helpful. She is eager to accept all suggestions, including those that she does not understand. D. George keeps a list of all medications, including OTC and natural remedies. Before every appointment, he makes a list of questions to bring and asks for clarification when he has conflicting information.

Correct Answer is ["A","B","C"]

Explanation

Choice A reason: Clyde is at risk because he fails to disclose the use of an herbal supplement, which could interact with his prescribed anticoagulant medication. It's important for healthcare providers to have a complete understanding of all substances a patient is taking to avoid adverse drug interactions.

Choice B reason: Claude is at risk because he does not understand the medical procedure he is about to undergo. Informed consent is a critical component of healthcare, and misunderstanding the nature of a procedure can lead to unexpected outcomes and dissatisfaction with care.

Choice C reason: Sarah is at risk because she accepts medical advice without understanding it. This can lead to misuse of medications or failure to follow treatment plans, which can compromise the effectiveness of care and potentially lead to harm.

Choice D reason: George is not considered at risk because he is proactive about his healthcare. He keeps detailed records and actively seeks to understand his treatment, which is indicative of an active healthcare consumer.

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In delegating to a UAP in a home health setting, which of the following represents the most appropriate delegation communication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following actions best exemplifies advocacy?

Correct Answer is A

Explanation

Which patients would be considered 'at risk' non-active healthcare consumers during a healthcare visit? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

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