A nurse manager is providing an inservice program about delegation to assistive personnel (AP) with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching?

"The AP can re-delegate a task to another AP who has similar work experience."

"The nurse should consider the AP's level of experience when making delegation decisions."

"The nurse relinquishes accountability for client outcomes when care is delegated to an AP."

"The AP can provide client education about how to perform basic self-care to the client."

Answer and Explanation

The Correct Answer is B

A.   This statement reflects a misunderstanding of delegation principles. Typically, the original delegating nurse is responsible for ensuring that the task is completed correctly and safely. APs are not authorized to re-delegate tasks to other APs. The nurse must ensure that the task is assigned appropriately and directly to the right individual, considering their qualifications and experience.
B.   This statement demonstrates an understanding of proper delegation practices. When delegating tasks, the nurse should indeed consider the AP's level of experience and competence. Delegating tasks based on the AP's skills ensures that the tasks are performed safely and effectively, aligning with the principle that delegation should be based on the qualifications and experience of the person to whom the task is assigned.
C.   This statement reflects a misunderstanding of accountability in delegation. When a nurse delegates a task to an AP, the nurse does not relinquish accountability for client outcomes. The nurse remains accountable for ensuring that the task is delegated appropriately and that the care provided meets professional standards.
D.   This statement indicates a misunderstanding of the AP’s role. APs typically do not provide client
education, as this requires specialized knowledge and assessment skills that are within the scope of practice of licensed nurses. Client education, especially about self-care, is generally performed by registered nurses who can assess the client’s understanding and provide detailed instructions.

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Correct Answer is C

Explanation

A. An educator's primary role is to provide knowledge and teach others about health-related topics, procedures, or skills. While analyzing a clinical situation might involve sharing information or educating patients and colleagues, the core function of an educator is to impart knowledge rather than solely analyzing clinical situations.
B. A mentor provides guidance, support, and advice based on their experience and expertise. While mentors might analyze clinical situations as part of their role, their primary focus is on guiding and developing others rather than just analyzing situations.
C. A critical thinker evaluates and interprets information, assessing situations logically and systematically to make sound decisions. Critical thinking is fundamental to effective problem-solving and decision- making in nursing practice.
D. An advocate supports and speaks up for the rights and needs of patients, ensuring their preferences and best interests are considered in care decisions.

A. Laissez-faire leader B. Transformational leader C. Transactional leader D. Bureaucratic leader

Correct Answer is B

Explanation

A. This type of leader has a hands-off approach and provides minimal guidance or direction.
B. These leaders inspire and motivate followers to achieve extraordinary outcomes. They focus on building relationships, fostering creativity, and encouraging individual and team growth. This often involves identifying shared values to create a sense of purpose and unity.
C. This leader focuses on the exchange of rewards for performance and often uses corrective action for errors.
D. This leader relies heavily on policies and procedures to direct work and relationships.

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A nurse manager is providing an inservice program about delegation to assistive personnel (AP) with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching?

Nursing Test Bank

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Correct Answer is B

Explanation

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