A nurse delegates to assistive personnel.
During the delegation, the nurse is demonstrating which of the following rights of delegation?

Right circumstance.

Right communication.

Right supervision.

Right task.

Answer and Explanation

The Correct Answer is B

Choice A rationale
The right circumstance refers to the appropriate setting and resources being available for the task to be delegated. It ensures that the situation is suitable for delegation, considering factors such as the patient’s condition and the complexity of the task. However, this is not the focus of the question, which is about the nurse’s demonstration during delegation.
Choice B rationale
The right communication involves clear, concise, and complete instructions given to the assistive personnel. It ensures that the delegatee understands the task, the expected outcomes, and any specific instructions or precautions. This is the correct answer because the nurse is demonstrating effective communication during the delegation process.
Choice C rationale
The right supervision refers to the appropriate monitoring and evaluation of the task being performed by the delegatee. It ensures that the nurse provides guidance, support, and feedback as needed. While important, this is not the focus of the question, which is about the nurse’s demonstration during delegation.
Choice D rationale
The right task refers to the appropriateness of the task being delegated, ensuring it is within the delegatee’s scope of practice and competency level. It ensures that the task is suitable for delegation. However, this is not the focus of the question, which is about the nurse’s demonstration during delegation.

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Correct Answer is C

Explanation

Choice A rationale
Ensuring that the patient has been adequately monitored is important, but it is not the first step when considering the use of restraints. The nurse should first explore alternative interventions.
Choice B rationale
Proceeding with the application of restraints without considering alternatives can lead to unnecessary use of restraints, which can cause physical and psychological harm to the patient.
Choice C rationale
Exploring alternative interventions to address the patient’s behavior is the first step. Restraints should only be used as a last resort when other interventions have failed.
Choice D rationale
Obtaining verbal consent from the patient’s family is important, but it is not the first step. The nurse should first explore alternative interventions.

A. A patient who experiences postural hypotension. B. A patient who is experiencing nausea from chemotherapy. C. A patient who has already fallen twice. D. A patient who is older than 50 years old. E. A patient who is transferred to long-term care.

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

Explanation

Choice A rationale
A patient who experiences postural hypotension is at a higher risk for falls. Postural hypotension, or a sudden drop in blood pressure upon standing, can cause dizziness and increase the likelihood of falling. This condition is common in older adults and those with certain medical conditions.
Choice B rationale
A patient who is experiencing nausea from chemotherapy is not necessarily at a higher risk for falls. While nausea can cause discomfort and weakness, it does not directly contribute to an increased risk of falling. Other factors, such as medication side effects or balance issues, are more significant in fall risk assessment.
Choice C rationale

A patient who has already fallen twice is at a higher risk for future falls. A history of falls is a strong predictor of subsequent falls, as it may indicate underlying issues such as balance problems, muscle weakness, or environmental hazards.
Choice D rationale
A patient who is older than 50 years old is not automatically at a higher risk for falls. While age is a factor, the risk significantly increases for individuals over 65 years old. Other factors, such as medical conditions and medication use, play a more critical role in fall risk assessment.
Choice E rationale
A patient who is transferred to long-term care is at a higher risk for falls. The transition to a new environment can be disorienting, and patients may be unfamiliar with their surroundings. Additionally, long-term care patients often have multiple health issues that contribute to an increased fall risk.

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A nurse delegates to assistive personnel. During the delegation, the nurse is demonstrating which of the following rights of delegation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is considering the use of restraints. The nurse should:

Correct Answer is C

Explanation

A nurse caring for patients in a long-term care facility knows that there are factors that place certain patients at a higher risk for falls. Which patients would the nurse consider to be in this category? Select all that apply.

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

Explanation

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A nurse delegates to assistive personnel.
During the delegation, the nurse is demonstrating which of the following rights of delegation?