A nurse delegates a specific intervention to unlicensed assistive personnel (UAP). What implications does this have for the nurse?

The nurse transfers responsibility for completion of the task to the UAP but is accountable for the outcome.

Nurses do not have authority to delegate interventions to a UAP.

The UAP is responsible and accountable for his or her own actions.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

When a nurse delegates a specific intervention to unlicensed assistive personnel (UAP), the nurse transfers the responsibility for completing the task to the UAP. However, the nurse remains accountable for the outcome. Delegation does not absolve the nurse of their accountability; instead, it means that the nurse trusts the UAP to perform the task safely and effectively under their supervision. This approach allows healthcare teams to work collaboratively, improving efficiency and patient care outcomes.

Choice B rationale:

Nurses do have the authority to delegate interventions to UAP, but they must do so responsibly and within the scope of practice. Improper delegation or delegating tasks that UAP are not trained to perform can lead to adverse outcomes and legal consequences.

Choice C rationale:

While the UAP is responsible for their own actions, the nurse remains accountable for the overall patient care. Nurses must ensure that tasks are delegated to competent individuals and provide adequate supervision and guidance. The nurse cannot completely transfer all responsibility to the UAP without being accountable for the outcome.

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Correct Answer is B

No explanation

A. An adult patient who has left arm weakness secondary to a childhood injury. B. An elderly patient who requires eye glasses for reading small print on labels and newspapers. C. A patient who is confused and experiencing nausea due to a head injury. D. A patient who uses the grab bars located in the hospital bathroom.

Correct Answer is C

Explanation

Choice A rationale:

While a patient with left arm weakness may have some mobility limitations, it does not necessarily put them at the highest risk for falling compared to the other options provided.

Choice B rationale:

Needing glasses for reading small print does not directly indicate a high risk of falling. The patient can still have good overall mobility and balance.

Choice C rationale:

A confused patient experiencing nausea due to a head injury is at the highest risk for falling. Confusion impairs judgment and decision-making abilities, increasing the likelihood of accidents. Nausea can further destabilize the patient, making them prone to falls.

Choice D rationale:

Using grab bars in the hospital bathroom indicates that the patient is aware of their limitations and is taking precautions to prevent falls. This does not suggest a higher risk compared to a confused and nauseous patient.

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A nurse delegates a specific intervention to unlicensed assistive personnel (UAP). What implications does this have for the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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