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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?

A.

"The nurse relinquishes accountability for client outcomes when care is delegated to an AP."

B.

"The nurse should consider the AP's level of experience when making delegation decisions."

C.

"The AP can provide client education about how to perform basic self-care to the client."

D.

"The AP can re-delegate a task to another AP who has similar work experience."

Answer and Explanation

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. Insisting the client take medications does not respect the client’s autonomy and is not an advocacy action.

B. Informing the client that the medication is the same as taken at home does not necessarily address the client’s concerns or questions.

C. Telling the client that refusal is noncompliance does not support client autonomy and does not address their concerns.

D. Encouraging the client to verbalize questions supports their right to be informed and make decisions about their care, demonstrating advocacy.

Correct Answer is C

Explanation

Rationale:

A. Verify the AP's educational preparation prior to delegating the task is unnecessary if the AP has been trained and is competent in the task.

B. Observe the AP as she obtains the vital signs of each client is not required for routine tasks unless there is a concern about performance.

C. Determine the time frame the AP should report the results is crucial for ensuring timely and accurate reporting, which is necessary for effective patient care.

D. Ask the AP to take the vital signs of the client returning from surgery first might not be appropriate without considering the urgency of all clients’ conditions.

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