A nurse is assigned to work as a member of an interprofessional team.
Which of the following are necessary to develop an effective team? (Select all that apply.)

Choice A rationale

Caring for additional clients due to another nurse's absence is an example of workload redistribution or staffing adjustment, not delegation. Delegation involves entrusting a task that is within the scope of practice of the delegator to another individual who is competent to perform it, not simply taking on more tasks oneself.

Choice B rationale

Providing a shift report to oncoming staff is a fundamental communication responsibility of a professional nurse. This involves transferring essential client information to ensure continuity of care and is not considered a delegated task. It is an act of professional accountability.

Choice C rationale

Asking an assistive personnel (AP) to assist a client to the bathroom is a classic example of delegation. The nurse retains accountability for the client's overall care but can appropriately assign this task, which falls within the AP's scope of practice and does not require complex nursing judgment, while maintaining supervision.

Choice D rationale

Administering medications is a core responsibility of a licensed nurse and typically cannot be delegated to assistive personnel due to the high level of nursing judgment, assessment, and critical thinking required to ensure client safety and therapeutic outcomes. This falls within the licensed nurse's professional scope.

Choice A rationale

The most immediate and critical concern resulting from documenting an omitted dressing change as complete is the direct impact on client safety, specifically the high risk of infection. A skipped dressing change compromises the integrity of the wound and provides an opportunity for microbial proliferation, potentially leading to serious complications.

Choice B rationale

While a malpractice claim is a possible legal consequence of falsifying documentation and causing harm, it is a secondary outcome that follows the primary clinical concern of potential client injury or infection. The immediate priority is the potential for direct physical harm to the client.

Choice C rationale

Risk management launching a hospital-wide study is a systemic response to an adverse event or policy violation. This occurs after the immediate client safety concerns have been addressed and is a measure to prevent recurrence, not the primary concern resulting from the nurse's dishonesty itself.

Choice D rationale

Disciplinary action from the licensing board is a consequence for the nurse due to professional misconduct. While significant for the nurse, it is an administrative and legal outcome, not the immediate and direct primary concern regarding the client's well-being following the omitted procedure and false documentation.