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 A

Explanation

A. This is a crucial step in the cascade of care, as it involves connecting individuals with OUD to treatment services. Without engagement, subsequent steps like medication initiation and recovery cannot be achieved.
B. While recovery is the ultimate goal of OUD treatment, it is a later stage in the cascade. It follows successful engagement, medication initiation, and retention in care.
C. This is not a primary focus of the cascade of care framework, although it can be a relevant outcome measure to assess the effectiveness of treatment.
D. While important, medication initiation is a step that occurs after engagement in care. It is not the foundational element of the cascade.

A. Advocacy B. Accountability C. Confidence D. Fairness

Correct Answer is B

Explanation

A. Advocacy involves protecting the client's rights and interests. While the nurse is acting in the client's best interest by assessing and reporting the error, the primary action here is taking responsibility.
B. Accountability is taking responsibility for one's actions and their consequences. By admitting the medication error, assessing the client, notifying the provider, and completing an incident report, the nurse is demonstrating accountability for their actions.
C. Confidence is believing in one's abilities. While confidence is important in nursing, it is not the primary characteristic displayed in this scenario.
D. Fairness involves treating everyone equally. This is not directly related to the nurse's actions in this case.

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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

Naxlex Comprehensive Predictor Exams

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