A nurse in a long-term care facility is reinforcing teaching about safe delegation practices with a newly licensed nurse. Which of the following statements should the nurse include in the teaching?
"Delegate tasks such as vital signs regardless of the client's condition."
"Delegate simple tasks prior to evaluating the client's condition."
"Observe delegated tasks directly during task performance."
"Delegated tasks require follow-up to ensure compliance."
The Correct Answer is D
Explanation:
A. "Delegate tasks such as vital signs regardless of the client's condition."
This statement is incorrect because delegation should be based on the complexity of the task, the client's condition and stability, the competence of the delegatee, and other factors. Vital signs are critical assessments that often require the direct involvement of a licensed nurse, especially when there are changes in the client's condition or if the client is unstable.
B. "Delegate simple tasks prior to evaluating the client's condition."
This statement is incorrect because delegation should not occur based solely on the simplicity of the task. Instead, the nurse should evaluate the client's condition first, assess the complexity of care required, and then delegate tasks accordingly. The client's needs, stability, and safety should guide the delegation process.
C. "Observe delegated tasks directly during task performance."
While direct observation of delegated tasks is important, it may not always be feasible or necessary for every task. Nurses should use their judgment to determine the level of supervision required based on factors such as the complexity of the task, the delegatee's experience and competence, and the client's condition. Direct observation may be necessary for more complex or critical tasks, but for routine and low-risk tasks, periodic checks and effective communication with the delegatee can suffice.
D. "Delegated tasks require follow-up to ensure compliance."
This statement is correct. Follow-up is essential to ensure that delegated tasks were performed correctly, safely, and in accordance with the client's care plan. It allows the nurse to verify task completion, assess the client's response if applicable, address any issues or concerns that arise, and provide feedback and guidance to the delegatee. Follow-up also helps maintain accountability and quality of care.
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Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Explanation:
A. "We use an automated dispensing device to track the use of controlled substances."
This is a valid statement. Automated dispensing devices (ADDs) help track the use of controlled substances by requiring users to log in, record transactions, and provide an audit trail of medication access.
B. "You are required to have a second nurse witness disposal of a controlled substance."
Having a second nurse witness disposal of controlled substances is a common practice to ensure accountability and prevent diversion. This statement aligns with safety protocols.
C. “If a client refuses a medication, you can place it in your pocket to administer later."
This statement is incorrect and potentially dangerous. Controlled substances should never be pocketed or carried around for later administration, as this increases the risk of diversion and compromises medication safety.
D. "Activities of the automated dispensing machine will be reviewed periodically."
Reviewing the activities of the automated dispensing machine is an essential part of medication safety and helps detect any discrepancies or irregularities in medication access and administration.
E. "We count the amount of a controlled substance available before removal from a medication drawer."
Counting the amount of controlled substances before removal from a medication drawer is a standard procedure to ensure accurate inventory management and detect any discrepancies or losses promptly.
Correct Answer is A
Explanation
Explanation:
A. Right communication:
This refers to providing clear and concise instructions to the assistive personnel regarding the delegated task. Effective communication ensures that the AP understands the task, its objectives, any limitations or special considerations, and the expectations regarding its completion. Clear communication helps prevent misunderstandings and promotes safe and efficient task execution.
B. Right room:
This choice does not directly relate to the five rights of delegation. The "right room" concept may refer to ensuring that the environment or room where care is provided is appropriate, safe, and conducive to the task being performed. While environmental factors are important in healthcare, they are not part of the specific rights of delegation.
C. Right time:
The "right time" aspect of delegation involves considering the timing of the task within the overall care plan. It includes assessing whether the task should be performed immediately, at a specific time, or within a particular timeframe. Delegating tasks at the right time ensures that they align with the client's needs and the overall care schedule.
D. Right documentation:
This refers to documenting the delegation process, including details such as the delegated task, the personnel involved, any specific instructions or limitations provided, and the outcomes or results of the task. Documentation is crucial for accountability, continuity of care, and legal purposes, ensuring that there is a record of who performed the task and how it was carried out.
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