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 D
Explanation
A. Involving nonprofessional workers can lead to resistance, but it is not the primary factor when considering the overall impact of change.
B. Interdisciplinary collaboration can present challenges, but it does not inherently lead to resistance. Many professionals recognize the value of collaboration.
C. While involving many layers can complicate change, it does not necessarily result in resistance if there is clear communication and support.
D. Change that threatens personal security, whether physical, emotional, or job-related, is most likely to evoke resistance as individuals often prioritize their sense of safety and stability.
Correct Answer is B
Explanation
A. While some nurses may eventually support the change, it is unlikely that immediate disagreement will lead to intergroup cohesiveness without addressing the underlying concerns and communication issues.
B. The division among staff regarding the policy change can lead to distractions and decreased collaboration, ultimately impacting patient care and overall effectiveness within the unit.
C. Although conflict can lead to identifying shared values, this typically requires constructive dialogue and resolution, which is not currently occurring in this scenario.
D. While the policy change may be justified, the lack of staff support and trust can hinder the implementation process, making it unlikely that overall unit outcomes will improve without addressing staff concerns.