Which action by the nurse best demonstrates the concept of right supervision?
The nurse checks if the hospital policy allows the licensed practical nurse to perform venipuncture before delegating the task.
The nurse confirms that the patient’s urine output is entered into the medical record by the nursing assistant by the end of the shift.
The nurse ensures that the scale is accurate before directing the nursing assistant to obtain the patient’s weight.
The nurse directs the nursing assistant to ambulate the patient at least 20 feet in the hallway using the gait belt before lunch.
The Correct Answer is A
Choice A reason: This is the correct choice because the nurse checks if the hospital policy allows the licensed practical nurse to perform venipuncture before delegating the task is an action that demonstrates the concept of right supervision. Right supervision is one of the five rights of delegation, which are the principles that guide the nurse to delegate tasks safely and effectively. Right supervision means that the nurse provides appropriate guidance and monitoring of the delegated task and evaluates the outcomes³. By checking the hospital policy, the nurse ensures that the task is within the scope of practice and competency of the licensed practical nurse and that the delegation is consistent with the standards of care.
Choice B reason: This is an incorrect choice because the nurse confirms that the patient’s urine output is entered into the medical record by the nursing assistant by the end of the shift is not an action that demonstrates the concept of right supervision. Right supervision is one of the five rights of delegation, which are the principles that guide the nurse to delegate tasks safely and effectively. Right supervision means that the nurse provides appropriate guidance and monitoring of the delegated task and evaluates the outcomes³. By confirming the documentation, the nurse is performing a quality check, but not providing supervision of the delegated task.
Choice C reason: This is an incorrect choice because the nurse ensures that the scale is accurate before directing the nursing assistant to obtain the patient’s weight is not an action that demonstrates the concept of right supervision. Right supervision is one of the five rights of delegation, which are the principles that guide the nurse to delegate tasks safely and effectively. Right supervision means that the nurse provides appropriate guidance and monitoring of the delegated task and evaluates the outcomes³. By ensuring the accuracy of the scale, the nurse is preparing the equipment, but not providing supervision of the delegated task.
Choice D reason: This is an incorrect choice because the nurse directs the nursing assistant to ambulate the patient at least 20 feet in the hallway using the gait belt before lunch is not an action that demonstrates the concept of right supervision. Right supervision is one of the five rights of delegation, which are the principles that guide the nurse to delegate tasks safely and effectively. Right supervision means that the nurse provides appropriate guidance and monitoring of the delegated task and evaluates the outcomes³. By directing the nursing assistant, the nurse is assigning the task, but not providing supervision of the delegated task.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is an incorrect choice because suggesting having warm milk with a shot of whisky before going to bed is not an appropriate intervention to treat ongoing insomnia for a middle-aged adult with a busy career. Warm milk may have some soothing effects on the patient, but adding whisky to it may counteract the benefits and worsen the insomnia. Alcohol is a depressant that can make the patient feel sleepy at first, but it can also disrupt the sleep cycle and cause frequent awakenings, nightmares, or hangovers.
Choice B reason: This is an incorrect choice because obtaining a prescription for zolpidem to be taken at bedtime is not an appropriate intervention to treat ongoing insomnia for a middle-aged adult with a busy career. Zolpidem is a hypnotic drug that can induce sleep and improve the sleep quality and quantity of the patient, but it can also have many side effects and interactions, and cause dependence, tolerance, or withdrawal. Zolpidem should be used only as a short-term treatment for insomnia, and only under the supervision of a physician.
Choice C reason: This is an incorrect choice because recommending the use of sleep aids such as triazolam is not an appropriate intervention to treat ongoing insomnia for a middle-aged adult with a busy career. Triazolam is a benzodiazepine drug that can enhance the activity of GABA, a neurotransmitter that inhibits brain activity and promotes sleep. However, it can also have many side effects and interactions, and cause dependence, tolerance, or withdrawal. Triazolam should be used only as a short-term treatment for insomnia, and only under the supervision of a physician.
Choice D reason: This is the correct choice because encouraging the patient to practice peaceful meditation before bedtime is an appropriate intervention to treat ongoing insomnia for a middle-aged adult with a busy career. Meditation is a relaxation technique that can reduce stress, anxiety, and negative emotions, and promote calmness, mindfulness, and well-being. Meditation can help the patient to fall asleep faster and sleep better, and it does not have any adverse effects or risks. The nurse should teach the patient how to meditate and encourage the patient to practice it regularly.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A reason: This is a correct choice because autonomy is a key element of decentralized decision making. Autonomy refers to the ability and right of individuals or groups to make their own decisions without interference from others. Decentralized decision making empowers the employees to exercise their autonomy and use their own judgment and expertise to solve problems and improve performance².
Choice B reason: This is a correct choice because authority is a key element of decentralized decision making. Authority refers to the power and legitimacy to make decisions and take actions. Decentralized decision making delegates the authority from the top management to the lower levels of the organization, allowing them to make decisions that affect their work and outcomes².
Choice C reason: This is an incorrect choice because prioritization is not a key element of decentralized decision making. Prioritization refers to the process of ranking tasks or goals according to their importance and urgency. Decentralized decision making does not necessarily involve prioritization, as different individuals or groups may have different criteria and preferences for setting their priorities².
Choice D reason: This is a correct choice because responsibility is a key element of decentralized decision making. Responsibility refers to the obligation and duty to perform the assigned tasks and achieve the desired results. Decentralized decision making assigns the responsibility to the individuals or groups who make the decisions and hold them accountable for their actions and outcomes².
Choice E reason: This is a correct choice because accountability is a key element of decentralized decision making. Accountability refers to the expectation and requirement to report and explain the decisions and actions taken and the results achieved. Decentralized decision making ensures that the individuals or groups who make the decisions are accountable for their performance and quality, and that they receive feedback and recognition for their work².
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