A nurse in an acute care facility is admitting an older adult client diagnosed with Alzheimer’s disease.
The nurse notes that the client’s partner appears exhausted.
He states that he is finding it more and more difficult to care for his wife.
Which of the following interventions is the nurse’s priority?

Choice A rationale

While followers demonstrating high critical thinking are valuable, passive contribution may not be as beneficial to a nurse leader’s performance. Active participation is often more beneficial in a healthcare setting, as it allows for the exchange of ideas and collaborative problem-solving.

Choice B rationale

Followers who are dependent and passive when they disagree may not contribute effectively to the team’s performance. Constructive disagreement can lead to better decision-making and innovation. Therefore, passive disagreement may not be the most beneficial trait for a nurse leader.

Choice C rationale

Followers who are active contributors and participate in developing and analyzing ideas are highly beneficial to a nurse leader’s performance. Active participation fosters a collaborative environment, encourages the exchange of ideas, and leads to innovative solutions. This type of follower can significantly enhance the performance of a nurse leader and the overall team.

Choice D rationale

While participation in developing and analyzing ideas is important, not being an active contributor can limit the effectiveness of this participation. Active contribution is key to fostering a collaborative and innovative environment.

Choice A rationale

The nurse should indeed consider the AP’s level of experience when making delegation decisions. This is because the level of experience can greatly influence the ability of the AP to perform the delegated tasks effectively and safely. An experienced AP may be more competent and confident in performing certain tasks compared to someone with less experience. Therefore, considering the AP’s level of experience is crucial in ensuring quality care for patients.

Choice B rationale

While it is true that APs can assist in providing client education about basic self-care, it is important to note that the scope of their teaching is limited. They can reinforce teaching done by the nurse but should not be the primary source of education, especially for complex care needs or new diagnoses. Therefore, this statement does not fully reflect effective delegation.

Choice C rationale

This statement is incorrect. Even when care is delegated to an AP, the nurse retains accountability for client outcomes. The nurse remains responsible for ensuring that the delegated tasks are completed correctly and safely. Therefore, this statement does not indicate effective delegation.

Choice D rationale

This statement is also incorrect. APs should not re-delegate tasks to another AP1. The nurse who delegated the task has assessed the competency and capabilities of the specific AP to whom the task was delegated. Re-delegation could lead to tasks being performed by someone who may not have the necessary skills or knowledge, potentially compromising patient safety.