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 B
Explanation
Rationale:
A. "If you let us know ahead of time that you plan to perform a procedure, we could do better job of having the supplies available." may be perceived as placing blame and does not address the immediate concern of the provider's anger.
B. "It must be very frustrating when you don't have what you need to perform the procedure." acknowledges the provider's frustration and validates their feelings, which can help de-escalate the situation and improve communication.
C. "I will help you with this procedure instead of the staff nurse." does not address the underlying issue and might not resolve the conflict or improve the situation.
D. "You should think about how you make others feel when you lose your temper." is confrontational and may escalate the situation further rather than resolving it.
Correct Answer is ["B","E","F","I"]
Explanation
Rationale:
A. Typically involved in helping clients with activities of daily living due to physical or cognitive impairments, which is not the primary focus in this scenario.
B. May be involved if there is a need for possible surgical management due to complications or disease progression. Surgical intervention can be necessary for Crohn's disease, particularly if there are abscesses, strictures, or fistulas.
C. While important in general rehabilitation, physical therapy is not specifically indicated in this case unless there are complications affecting physical mobility.
D. While they perform diagnostic imaging, they are not directly involved in the ongoing care plan or treatment decisions.
E. Essential for managing nutritional needs, especially given the client's weight loss and inability to keep food down. A dietitian can help develop a plan to address nutritional deficiencies and manage symptoms through diet.
F. A specialist in gastrointestinal diseases who will likely be a key member of the team for managing and evaluating the client's Crohn's disease, overseeing medical and therapeutic interventions.
G. Generally involved if there are issues with swallowing or speech, which is not indicated here.
H. Though crucial in medication management, their role is more supportive in reviewing medication plans rather than direct patient care involvement in this specific scenario.
I. Important for addressing psychosocial issues, such as the client's frustration and possible depression. They can assist with coping strategies, support services, and facilitating access to community resources.