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A charge nurse who is new to the role analyzes their relationship to other positions on the unit. Choose the correct word to complete the sentence.

The charge nurse may delegate assignments and tasks to the

The charge nurse escalates issues to the

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Rationale for correct choices:

  • Staff nurses: The charge nurse is responsible for coordinating care on the unit and can delegate tasks and assignments to staff nurses to ensure efficient workflow and patient care.
  • Nurse manager: The charge nurse escalates concerns, conflicts, or higher-level administrative issues to the nurse manager, who has broader authority and responsibility for unit operations.

Rationale for incorrect choices:

  • Client: Delegation applies to healthcare team members, not clients. Clients receive care and are not part of the staffing hierarchy.


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Related Questions

Correct Answer is ["A","C","D","E","F"]

Explanation

Rationale:

A. Falls are considered adverse events that may result in injury or potential harm and must be documented in an incident report to identify risks and prevent recurrence.

B. Medication refusal is a patient right and should be documented in the medical record but does not constitute an incident unless it causes harm. Therefore, it typically does not require an incident report.

C. Any injury caused during a procedure is considered an adverse event and requires an incident report to ensure safety review and risk management.

D. Leaving against medical advice (AMA) is a potential safety risk. While the client is exercising autonomy, it is important to document the event in an incident report to protect patient safety and the facility legally.

E. Errors in medication labeling are considered near-miss or actual adverse events. Documenting these in an incident report is crucial for quality improvement and preventing patient harm.

F. Accidental removal of IV lines is an adverse event that can lead to injury or infection. It must be reported to track safety risks and improve care processes.

Correct Answer is C

Explanation

Rationale:
A. This response is inappropriate because it is leading and attempts to influence the spouse’s decision by suggesting emotional benefit. It places pressure on the spouse and does not respect autonomy. Ethical nursing practice requires providing support without coercion or manipulation.

B. This option is also inappropriate because it reflects the nurse’s personal opinion and introduces external pressure (organ shortage) to influence the decision. The nurse must remain neutral and avoid persuading the family, especially in sensitive end-of-life situations.

C. This is the best response because it is therapeutic, nonjudgmental, and supports decision-making based on the client’s values and wishes. It encourages the spouse to reflect on what the client would have wanted, which is central to ethical decision-making in situations involving incapacitated patients. This approach respects autonomy and supports the family without imposing the nurse’s beliefs.

D. While this statement may be factually true in many cases, it is still inappropriate because it assumes religion is the primary concern and may dismiss the spouse’s feelings or beliefs. It also introduces bias and could be perceived as pressuring the spouse rather than supporting her decision-making process.

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