A nurse is reviewing his client care assignments after receiving a change-of-shift report.
The nurse should notify the charge nurse that which of the following tasks should be reassigned to an RN?

Choice A rationale

Incorporating process changes into daily practice is vital for sustainable improvements in infection rates. However, this step follows identifying baseline infection rates and evaluating the efficacy of interventions. Implementation must be based on data-driven decisions to ensure its effectiveness.

Choice B rationale

Identifying current infection rates provides the baseline data necessary for assessing the extent of health care-associated infections. This information guides the identification of trends, prioritization of interventions, and evaluation of outcomes, forming the foundation of quality improvement initiatives.

Choice C rationale

Determining if the implemented change has lowered infection rates is an evaluation step performed after implementing interventions. While this step measures the success of changes, it is not the starting point for initiating quality improvement programs.

Choice D rationale

Selecting a potential intervention focuses on proposing solutions to reduce infection rates. However, interventions must be informed by baseline data on current rates to ensure they target the most pressing issues effectively. Selection occurs after data analysis.

Choice A rationale

Teaching prescribed medications focuses on education rather than advocacy. Advocacy specifically involves representing or supporting the client’s unique needs and rights. While medication education is a valuable nursing function, it does not encompass the broader scope of advocacy that emphasizes active representation and championing of a client’s priorities.

Choice B rationale

Collaboration with team members highlights teamwork, which is essential but distinct from advocacy. Advocacy involves a nurse acting as an intermediary between the client and healthcare system, prioritizing the client’s voice. Collaboration, although beneficial for client outcomes, lacks the personalized focus inherent to advocacy.

Choice C rationale

Encouraging the expression of feelings is integral to emotional support and therapeutic communication but does not inherently constitute advocacy. Advocacy goes beyond emotional expression by actively ensuring that the client’s needs and preferences are addressed within the healthcare framework.

Choice D rationale

Advocacy involves actively supporting the client’s needs, which aligns with the concept of representing their best interests. It ensures their priorities and rights are addressed, particularly in situations where the client may feel vulnerable or unheard, making it the core aspect of advocacy.