A charge nurse is delegating tasks to nursing personnel on a 10-bed medical-surgical nursing unit. Which of the following assignments is an example of overdelegation?

Assigning the most efficient AP to perform glucometer monitoring for each client

Assigning two assistive personnel (AP) to ambulate all clients

Assigning a new graduate nurse to perform a wet-to-dry dressing change

Assigning the most competent RN to perform a central line dressing change

Answer and Explanation

The Correct Answer is C

A.   This task is generally appropriate for an assistive personnel (AP) if it is within their scope of practice and if proper training has been provided. Glucometer monitoring is a routine task that APs can often perform, assuming they are trained in using the glucometer and understanding the importance of accurate readings.

B.   Assigning two APs to ambulate all clients might be seen as overdelegation if the task requires more clinical judgment or if there are other tasks that need to be managed concurrently. Ambulating clients can sometimes be complex depending on their condition, and it’s essential to ensure that APs are appropriately trained and that the workload is balanced.
C.   Assigning a new graduate nurse to perform a wet-to-dry dressing change could be considered overdelegation if the task requires advanced skills and experience that the new graduate might not yet possess. Wet-to-dry dressing changes can be complex and require a certain level of expertise to ensure proper technique and patient safety.
D.   This task is typically appropriate for an RN with the necessary competencies and experience. A central line dressing change requires specific skills and knowledge, and delegating this task to the most competent RN ensures that it is performed correctly and safely. This is not considered overdelegation because it matches the task to the skill level of the RN.

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Correct Answer is A

Explanation

A. A bureaucratic leader strictly enforces rules and procedures to maintain compliance and ensure consistency within the organization. This leadership style emphasizes adherence to established policies, regulations, and guidelines. Bureaucratic leaders often focus on following protocols and standard operating procedures, ensuring that every task is completed according to set rules.
B. A laissez-faire leader adopts a hands-off approach, allowing team members to make decisions and manage their own work with minimal interference. This style provides autonomy to team members and does not emphasize strict rule enforcement or close supervision.
C. A situational leader adapts their leadership style based on the needs of the team and the specific circumstances they face. This approach is flexible and responsive, adjusting leadership methods to the situation at hand. While situational leaders may enforce rules when necessary, their primary focus is on adapting their style to fit the context and the needs of the team rather than strictly enforcing rules.
D. A transformational leader focuses on inspiring and motivating team members to achieve their best and to embrace change and innovation. This style is characterized by a focus on vision, inspiration, and fostering a positive work environment.

A. Identify excellence in the delivery of care B. Disseminate best practice in nursing services C. Facilitate a decrease in length of stays in a facility D. Promote quality in health care settings E. Prioritize client needs

Correct Answer is ["A","B","D"]

Explanation

A. One of the core goals of the Magnet Recognition Program is to recognize and identify healthcare organizations that provide excellent nursing care and achieve superior patient outcomes. This aligns
with the program’s emphasis on distinguishing organizations that exhibit high standards of practice and
innovation in nursing care.
B. The Magnet Recognition Program encourages organizations to share and implement best practices in nursing. This involves promoting evidence-based practices and creating an environment where innovative approaches to care are developed and shared. Thus, disseminating best practices aligns well with the goals of Magnet recognition.

C. While decreasing the length of hospital stays can be a positive outcome of high-quality care, it is not a primary goal of the Magnet Recognition Program. The focus of Magnet is more on improving the overall quality of nursing care and patient outcomes rather than specifically targeting length of stay metrics.
D. Promoting high standards of quality in healthcare settings is a fundamental goal of the Magnet Recognition Program. Magnet-recognized organizations are known for their commitment to delivering exceptional care and improving patient outcomes, which inherently promotes overall quality in healthcare.
E. Prioritizing patient or client needs is a critical component of providing high-quality nursing care. While Magnet recognizes organizations that excel in this area, it is more about the broader commitment to nursing excellence and patient-centered care rather than just the prioritization of client needs alone.

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A charge nurse is delegating tasks to nursing personnel on a 10-bed medical-surgical nursing unit. Which of the following assignments is an example of overdelegation?

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