An RN is delegating a task to an unlicensed assistive personnel. Which of the following scenarios best demonstrates appropriate delegation?
"Mr. G's lunch tray should arrive in 30 minutes. Before you deliver his meal tray, please reinforce the information that the diabetes educator went over with him earlier this morning. If necessary, re-teach him to regulate his intake of carbohydrates. Report to me when you are finished."
"Mr. G in Room 258 finished taking a shower and needs help getting back to bed. Help him as soon as possible. Please ensure he wears non-slip socks before ambulating. Once you have assisted him back to bed, notify me so I can assess him."
"Mr. G just called and is complaining of dizziness. Please see him as soon as possible and feel his pulse. If you suspect he is hypoglycemic, give him orange juice then check his blood sugar. When you are done, report to me your findings."
"Mr. G requests assistance to the bathroom. Please help him as soon as possible. I understand you are new and are uncomfortable with this task, but the best way to learn is to try on your own. When you are done, let me know how it went."
The Correct Answer is B
A. This scenario involves the UNP providing education and re-teaching, which is beyond their scope of practice. Delegation should involve tasks that are within the UNP's competency.
B. This scenario appropriately delegates a task that is within the UNP's role, providing clear instructions and ensuring safety with non-slip socks. It maintains accountability by requiring a report afterward.
C. This scenario requires assessment and nursing judgment, which are tasks that should not be delegated to UNP, as they need to be performed by a licensed nurse.
D. This scenario suggests a lack of support and guidance for a new employee, which is not appropriate. Delegation should provide clear instructions and ensure safety rather than placing the burden of learning on the UNP without proper support.
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Correct Answer is A
Explanation
A. Logging off the computer after entering client data is appropriate as it ensures client confidentiality and protects sensitive information.
B. Posting a client's medical diagnosis in a public area like a message board violates patient confidentiality and privacy regulations.
C. Discarding a nursing activity worksheet without proper disposal methods may lead to breaches in confidentiality, especially if it contains patient information.
D. Sharing a password compromises the security of the system and client information, which is against ethical guidelines and facility policies.
Correct Answer is B
Explanation
A. This option reflects a negative view of human nature and does not fully capture the importance of agreements in fostering a collaborative environment.
B. Establishing agreements provides clear expectations for behavior and interactions, preventing misunderstandings and conflicts. Without such agreements, team members may feel free to act without consideration for others, leading to discord.
C. While agreements may help mitigate personal conflicts, their primary purpose is to set standards for behavior rather than to justify negative interactions.
D. While agreements can help identify roles within a team, their main function is to ensure respectful and productive interactions among all members rather than simply distinguishing between types of members.