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 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.
Correct Answer is B
Explanation
A. This statement reflects a misunderstanding of delegation principles. Typically, the original delegating nurse is responsible for ensuring that the task is completed correctly and safely. APs are not authorized to re-delegate tasks to other APs. The nurse must ensure that the task is assigned appropriately and directly to the right individual, considering their qualifications and experience.
B. This statement demonstrates an understanding of proper delegation practices. When delegating tasks, the nurse should indeed consider the AP's level of experience and competence. Delegating tasks based on the AP's skills ensures that the tasks are performed safely and effectively, aligning with the principle that delegation should be based on the qualifications and experience of the person to whom the task is assigned.
C. This statement reflects a misunderstanding of accountability in delegation. When a nurse delegates a task to an AP, the nurse does not relinquish accountability for client outcomes. The nurse remains accountable for ensuring that the task is delegated appropriately and that the care provided meets professional standards.
D. This statement indicates a misunderstanding of the AP’s role. APs typically do not provide client
education, as this requires specialized knowledge and assessment skills that are within the scope of practice of licensed nurses. Client education, especially about self-care, is generally performed by registered nurses who can assess the client’s understanding and provide detailed instructions.
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