A charge nurse is making assignments for nursing personnel who will be caring for clients during the oncoming shift. Which of the following factors should the charge nurse consider?
Social relationships between nurses working the oncoming shift
The most experienced nurse receives the more complex clients
The physiologic status of the clients on the unit
Personal comfort level in making the assignments
The Correct Answer is C
A. While considering staff morale is important, it should not be the primary factor in making patient assignments. The focus should be on patient safety and care needs.
B. While experience is a valuable asset, it's not always fair or practical to assign the most complex patients to one nurse. It's essential to consider the overall workload and skill mix of the nursing staff.
C. This is the most crucial factor in making patient assignments. Patients with unstable conditions or complex care requirements should be assigned to nurses with the appropriate skills and experience.
D. The charge nurse's personal comfort should not influence patient assignments. The primary goal is to ensure safe and effective patient care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While having a good rapport with clients is important for effective care, it is not one of the five rights of delegation. Rapport affects client interactions and overall satisfaction but does not directly impact the appropriateness of delegating a specific task.
B. This is a critical consideration under the "Right Person" component of the five rights of delegation. The nurse must ensure that the AP has the appropriate knowledge, skills, and competencies to perform the delegated task safely and effectively. This ensures that the task is performed correctly and reduces the risk of errors.
C. The ability of the AP to complete the task without assistance is related to the "Right Person" and "Right Task" components. However, it is not always necessary for the AP to complete the task independently, as some tasks may require supervision or periodic check-ins.
D. While the AP’s ability to prioritize tasks can be valuable, it is not one of the five rights of delegation. The nurse should provide clear instructions and prioritize tasks as part of effective delegation, but the specific ability of the AP to prioritize independently is not a primary factor in the delegation process.
Correct Answer is D
Explanation
A. While a quiet environment is generally desirable for patients, a client in a manic phase often experiences increased energy and agitation. A quiet room might not adequately address their need for constant monitoring.
B. Seclusion should be used as a last resort and only in cases where the client poses an immediate danger to themselves or others. It is not appropriate for routine management of mania.
C. While it might seem helpful to pair patients with similar conditions, a manic patient can be disruptive to roommates, affecting their well-being and potentially escalating their own symptoms.
D. This option is the most appropriate. A private room provides necessary privacy and space, while proximity to the nursing station allows for close observation and rapid intervention if needed.
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