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. Maintaining a client tracking system is crucial for managing large numbers of clients during a disaster.
B. Performing concise client assessment is essential for determining the severity of each client’s condition and prioritizing care.
C. Preventing cross-contamination of clients is important to prevent the spread of toxic substances.
D. Transferring a client to the discharge location is the lowest priority during a disaster, as immediate care and management of acute conditions take precedence over discharge planning.
Correct Answer is B
Explanation
Rationale:
A. Identifying changes within the family unit can be important but is not the immediate priority for medical stabilization.
B. Gaining weight is a critical goal for clients with anorexia nervosa to address their physical health and nutritional status.
C. Making positive statements about body image is helpful but secondary to the goal of weight gain.
D. Feeling in control of behavior is important for long-term recovery but is not the immediate priority compared to physical health.