An RN is delegating a task to an unlicensed assistive personnel. Which of the following scenarios best demonstrates appropriate delegation?
"Mr. G's lunch tray should arrive in 30 minutes. Before you deliver his meal tray, please reinforce the information that the diabetes educator went over with him earlier this morning. If necessary, re-teach him to regulate his intake of carbohydrates. Report to me when you are finished."
"Mr. G in Room 258 finished taking a shower and needs help getting back to bed. Help him as soon as possible. Please ensure he wears non-slip socks before ambulating. Once you have assisted him back to bed, notify me so I can assess him."
"Mr. G just called and is complaining of dizziness. Please see him as soon as possible and feel his pulse. If you suspect he is hypoglycemic, give him orange juice then check his blood sugar. When you are done, report to me your findings."
"Mr. G requests assistance to the bathroom. Please help him as soon as possible. I understand you are new and are uncomfortable with this task, but the best way to learn is to try on your own. When you are done, let me know how it went."
The Correct Answer is B
A. This scenario involves the UNP providing education and re-teaching, which is beyond their scope of practice. Delegation should involve tasks that are within the UNP's competency.
B. This scenario appropriately delegates a task that is within the UNP's role, providing clear instructions and ensuring safety with non-slip socks. It maintains accountability by requiring a report afterward.
C. This scenario requires assessment and nursing judgment, which are tasks that should not be delegated to UNP, as they need to be performed by a licensed nurse.
D. This scenario suggests a lack of support and guidance for a new employee, which is not appropriate. Delegation should provide clear instructions and ensure safety rather than placing the burden of learning on the UNP without proper support.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While ethical expectations are part of nursing practice, standards of practice encompass more than just ethics; they include clinical competencies, accountability, and roles.
B. Standards of practice indeed outline a set of skills and responsibilities that every nurse is expected to adhere to, regardless of their specific role or specialty. This option accurately captures the comprehensive nature of nursing standards.
C. Establishing a protocol for a specific health problem is more about clinical guidelines than the broader scope of nursing standards, which apply to various scenarios beyond specific health issues.
D. The accreditation of nursing schools is separate from the standards of practice for nurses, which focus more on the competencies required in the field rather than educational criteria.
Correct Answer is ["A","B","C"]
Explanation
A. The effectiveness of debriefing is indeed influenced by the skills and abilities of the person conducting it, making this statement true.
B. One of the primary purposes of debriefing is to analyze the implications of actions taken, promoting learning and improvement.
C. Debriefing can lead to cognitive reframing, helping individuals view situations from different perspectives, which enhances understanding and coping strategies.
D. Effective debriefing often requires a facilitator (debriefer) to guide the process, so this statement is inaccurate.
E. Debriefing focuses on understanding the actions and their implications rather than disregarding their meaning, making this statement false.
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