A nurse has assigned client care activities to an assistive personnel (AP). Which of the following statements by the AP Indicates a need for assistance in establishing priorities?

"I have my assignment and will start with room 1, then work my way to room 10."

"After breakfast, I will pack the belongings of clients who will be discharged this morning."

"I will start by providing partial baths before breakfast."

"I will give this client his meal tray first, as he is going early to physical therapy."

Answer and Explanation

The Correct Answer is A

Rationale:

A. Starting with room 1 and working to room 10 suggests a lack of prioritization based on client needs, which is important for efficient and effective care.

B. Packing belongings after breakfast is a reasonable plan, assuming it fits within the priorities of the shift.

C. Providing partial baths before breakfast might be acceptable depending on the client’s needs and the urgency of the task.

D. Giving a client their meal tray first based on their scheduled physical therapy is an example of prioritizing care based on client needs.

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Correct Answer is C

Explanation

Rationale:

A. Asking about discharge is a general inquiry that does not require immediate follow-up unless it’s related to specific discharge planning.

B. Changing the dressing is a routine postoperative care task and doesn’t necessarily require follow-up unless there’s a concern about the procedure.

C. Not receiving medications is a critical issue that needs immediate attention to address potential gaps in treatment.

D. Not knowing how to use the remote control is a minor issue that does not require clinical follow-up.

A. "The nurse relinquishes accountability for client outcomes when care is delegated to an AP." B. "The nurse should consider the AP's level of experience when making delegation decisions." C. "The AP can provide client education about how to perform basic self-care to the client." D. "The AP can re-delegate a task to another AP who has similar work experience."

Correct Answer is B

Explanation

Rationale:

A. The nurse does not relinquish accountability when delegating tasks to an AP; the nurse remains responsible for the overall care and outcomes.

B. Considering the AP's level of experience is crucial for effective delegation to ensure that tasks are matched to the AP's skills and knowledge.

C. Providing client education is generally beyond the scope of AP duties and should be performed by a licensed nurse.

D. Re-delegating tasks is not allowed; the original delegator remains responsible for ensuring the task is completed properly and should delegate directly to the appropriate individual.

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A nurse has assigned client care activities to an assistive personnel (AP). Which of the following statements by the AP Indicates a need for assistance in establishing priorities?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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