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?

Accountability

Conﬂict resolution

Coordination of care

Authoritativeness

Answer and Explanation

The Correct Answer is A

The principle associated with the responsibility of nurses for their actions and the actions of the staﬀ to whom they delegate work, including accurate documentation, is accountability. This means that nurses are responsible for ensuring that the care provided by themselves and their staﬀ meets the appropriate standards and that all documentation is accurate and complete.
Option B is incorrect because conﬂict resolution is a process for resolving disagreements or disputes.
Option C is incorrect because coordination of care refers to the process of organizing and managing a patient's healthcare needs.
Option D is incorrect because authoritativeness refers to the ability to make decisions and provide direction.

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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. Collecting intake and output. B. Evaluating pain relief after administering pain medication. C. Providing a central line dressing change. D. Selecting a menu for a low-sodium diet.

Correct Answer is A

Explanation

Assistive personnel (AP), also known as unlicensed assistive personnel (UAP), can perform tasks such as recording vital signs ¹. Collecting intake and output [a] is a task that can be delegated to an AP.

The other options are not tasks that should be delegated to an AP.

Evaluating pain relief after administering pain medication [b] involves assessing the eﬀectiveness of a medical intervention, which is typically the responsibility of a licensed nurse.

Providing a central line dressing change [c] is a complex task that requires specialized knowledge and skills.

Selecting a menu for a low-sodium diet [d] involves dietary planning, which is typically the responsibility of a licensed nurse or a registered dietitian.

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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?

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 delegating client care assignments for the upcoming shift. Which of the following tasks should the nurse plan to delegate to the assistive personnel (AP)?

Correct Answer is A

Explanation

A nurse is performing care for several clients with the help of an assistive personnel (AP). Which task should the nurse ask the AP to perform first?

A charge nurse in a long-term care facility checks with other nursing personnel on the unit throughout the day to determine if they are completing tasks. Which of the following rights of delegation is the nurse demonstrating?

A nurse on a pediatric unit is working with an assistive personnel (AP). Which of the following tasks should the nurse have the AP perform first?

A nurse tells another nurse that she thinks that he did not provide adequate care for a client who underwent a hip arthroplasty earlier that day. Which of the following responses by the accused nurse demonstrates assertiveness?

A nurse asks an assistive personnel (AP) to take a specimen to the laboratory, and the AP refuses. Which of the following actions should the nurse take?

A nurse is assigning care to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP?

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?

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?