A nurse manager is providing an inservice program about delegation to assistive personnel (AP) with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching?
"The nurse relinquishes accountability for client outcomes when care is delegated to an AP."
"The nurse should consider the AP's level of experience when making delegation decisions."
"The AP can provide client education about how to perform basic self-care to the client."
"The AP can re-delegate a task to another AP who has similar work experience."
The Correct Answer is B
Rationale:
A. The nurse does not relinquish accountability when delegating tasks to an AP; the nurse remains responsible for the overall care and outcomes.
B. Considering the AP's level of experience is crucial for effective delegation to ensure that tasks are matched to the AP's skills and knowledge.
C. Providing client education is generally beyond the scope of AP duties and should be performed by a licensed nurse.
D. Re-delegating tasks is not allowed; the original delegator remains responsible for ensuring the task is completed properly and should delegate directly to the appropriate individual.
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View Related questions
Correct Answer is A
Explanation
Rationale:
A. Clients will have a decreased incidence of foot amputations is a measurable outcome goal for a diabetes management program and aligns with long-term objectives of improving patient outcomes.
B. A facility will be reserved for the program is a logistical consideration but not a goal of the program itself.
C. Handouts and teaching materials will be distributed at the program is a part of the program's implementation, not a goal.
D. Proper foot care will be demonstrated to clients during the program is a teaching activity, not a program outcome goal.
Correct Answer is D
Explanation
Rationale:
A. Assisting a client to cough and deep breathe is a task that can be performed by an AP under supervision.
B. Application of antiembolic stockings is within the scope of APs, though it may be monitored by an RN.
C. Administration of an enema typically requires nursing judgment and assessment, making it more appropriate for the RN.
D. Assessing a client’s sacrum for edema requires clinical assessment skills and nursing judgment, which should be performed by an RN.