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. Asking the nursing staff to create a wish list for the lounge is a form of assessment or data collection, as it involves gathering input and opinions from the users to understand their needs and preferences.
B. Generating hypotheses typically involves formulating possible explanations or solutions based on existing information, which is not applicable here.
C. Planning refers to the development of strategies and actions based on collected data, but the wish list gathering is preliminary to this stage.
D. Data interpretation involves analyzing collected data to draw conclusions, which comes after the initial collection phase.
Correct Answer is B
Explanation
A. While private compliments can be valuable, they may not have the same impact as immediate, specific feedback given in the moment.
B. Acknowledging the nurse's performance immediately after they provide exceptional care reinforces positive behavior and allows for specific feedback, which can enhance the nurse's confidence and motivation.
C. While sending an email is a nice gesture, it lacks the immediacy and personal touch that can significantly impact the nurse's morale at that moment.
D. Praising the nurse during a performance review is important, but it delays recognition of their hard work and may not provide the immediate reinforcement that can influence their practice positively.