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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Correct Answer is D
Explanation
Rationale:
A. "Whether or not I am a good lover is irrelevant." does not directly address the inappropriate nature of the comment.
B. "Let's talk about something else." avoids the issue without addressing the inappropriateness of the behavior.
C. "You need to lower your voice. Others can hear you." addresses the volume but not the content of the comment.
D. "Speaking to me like that makes me uncomfortable." directly addresses the inappropriate behavior and communicates the impact on the nurse, which is the most appropriate response.
Correct Answer is D
Explanation
Rationale:
A. Agency policies for the LPN are important but secondary to ensuring the tasks fall within the scope of practice.
B. The documented experience level of the LPN is relevant but should be considered in conjunction with the scope of practice.
C. The documented skill level of the LPN is important for assigning tasks but must align with legal scope of practice.
D. State Nurse Practice Act for the LPN is the priority criterion as it defines the legal scope of practice and ensures that tasks delegated to the LPN are within their legal and professional boundaries.