When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?

The AP’s rapport with clients

The AP’s ability to complete the task without assistance

The AP has the knowledge and sail to perform the task

The AP’s ability to prioritize

Answer and Explanation

The Correct Answer is C

A. The AP’s rapport with clients:
While a positive rapport with clients is valuable, it is not a direct factor in determining whether an AP is suitable for a specific task based on the five rights of delegation.

B. The AP’s ability to complete the task without assistance:
The ability to complete a task without assistance is relevant but does not guarantee that the AP has the necessary knowledge and skill for the task. The focus should be on competence rather than independence.

C. The AP has the knowledge and skill to perform the task
When considering the five rights of delegation, one of the crucial factors is ensuring that the assistive personnel (AP) has the knowledge and skill necessary to perform the delegated task safely and effectively. Delegated tasks should align with the AP's competence and training to maintain the safety and well-being of the client.

D. The AP’s ability to prioritize:
Prioritization skills are important for healthcare providers, but the focus of delegation, as per the five rights, is on the AP's competence to perform the specific task.

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Correct Answer is C

Explanation

A. Close the fire doors on the unit:
Closing fire doors is a safety measure to contain smoke and flames, but activating the fire alarm is the priority to ensure a swift and comprehensive response.

B. Use a fire extinguisher to put out the fire:
While using a fire extinguisher is an important action, it should come after activating the fire alarm. The fire alarm alerts everyone to the emergency, and then the appropriate personnel can use fire extinguishers as needed.

C. Move any clients in the immediate vicinity:

Priority action during a fire: The priority in any fire situation is to ensure the safety of individuals in the immediate area. The acronym RACE is commonly used in healthcare settings to outline the steps to take in the event of a fire:

Rescue anyone in immediate danger.
Alarm: Activate the fire alarm.
Contain the fire by closing doors.
Extinguish the fire if it is small and safe to do so, or Evacuate the area if necessary.

D. Activate the fire alarm
This is also important but comes after rescuing or moving clients in immediate danger.

A. “I understand your fears, I was a smoker also.” B. “Don’t worry. The important thing is you have now quit smoking.” C. “Your doctor is a great surgeon. You will be fine.” D. “It’s okay to feel scared. Let’s talk about what you are afraid of.”

Correct Answer is D

Explanation

A. “I understand your fears, I was a smoker also.”
While sharing personal experiences can sometimes be relatable, it may not be the most therapeutic response in this situation. The focus should be on the client's feelings and concerns rather than the nurse's personal history.

B. “Don’t worry. The important thing is you have now quit smoking.”
Dismissing the client's fear with a "don't worry" statement may invalidate the client's emotions. It's important to acknowledge and address the client's feelings rather than downplaying them.

C. “Your doctor is a great surgeon. You will be fine.”
While it's positive to express confidence in the medical team, this response does not directly address the client's emotional concerns. The client's fear may extend beyond the surgical aspect, and it's essential to explore and discuss those fears.

D. “It’s okay to feel scared. Let’s talk about what you are afraid of.”
This response is the most therapeutic as it acknowledges the client's emotions, validates the fear, and opens the door for further communication. It invites the client to express her concerns and allows the nurse to provide support and information based on the client's specific fears.

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When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?

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