At the beginning of the day shift, a team leader delegates the following tasks to the assistive personnel (AP): bathe four clients, distribute fresh water, and obtain the morning vital signs. At noon, the nurse asks the AP to transport one client to physical therapy. The AP reports two clients still need bed baths. Which of the following is an appropriate strategy for the nurse to delegate more effectively in the future?
Plan a more reasonable job assignment
Co-assign a more qualified individual to assist the AP
Set a clear time frame for the completion of each task
Volunteer to give the baths for the AP
The Correct Answer is C
A. Planning a more "reasonable" job assignment assumes the workload was too high, but bathing four clients and taking vital signs is a standard workload for an AP during a shift. The issue in the scenario is a lack of prioritization and communication rather than an impossible volume of work. Reducing the assignment without addressing the time-management issues does not improve the nurse's delegatory skills or the team's efficiency. The nurse must focus on the process of delegation.
B. Co-assign a more qualified individual to assist the AP: While sharing tasks can help in the moment, it does not address the underlying issue of unrealistic workload planning. Relying on additional staff each time may not be feasible and does not improve delegation skills for future assignments.
C. Setting a clear time frame for each task is the most appropriate strategy for more effective delegation. By providing a "due by" time, the nurse helps the AP prioritize their workload and allows for early identification of barriers to completion. Without specific deadlines, the AP may follow a sequence that does not align with the unit's flow, such as delaying baths that are required before a client can participate in physical therapy. Clear expectations reduce ambiguity and improve clinical accountability.
D. Volunteer to give the baths for the AP: Completing tasks for the AP undermines delegation principles and does not address the need for effective planning. It shifts the workload back to the nurse rather than improving future delegation and efficiency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Why do you think your life is not worth it anymore?": Asking “why” can feel judgmental and may cause the client to withdraw rather than share openly. It directs the conversation toward justification rather than safety assessment, delaying the nurse’s responsibility to determine immediate suicide risk.
B. "You can trust me and tell me what you are thinking": While supportive, this statement is too vague and does not address the urgent need to assess suicidal intent. It does not guide the client toward providing specific information needed to evaluate the level of risk and plan for safety.
C. "I need to know what you mean by misery": This response explores the client’s feelings but does not directly address the expressed suicidal thoughts. Focusing on the term “misery” may allow critical details about planning or intent to go unassessed during a potentially dangerous moment.
D. “Do you have a plan to end your life?”: This is an appropriate and essential safety-focused response because it directly assesses the client’s level of suicidal intent and the presence of a plan. Determining whether a plan exists helps the nurse evaluate the immediacy of the risk and initiate protective interventions without delay.
Correct Answer is C
Explanation
A. Rupture the amniotic sac: Artificial rupture of membranes is contraindicated in complete placenta previa because it can trigger severe maternal hemorrhage due to placental location over the cervical os.
B. Medicate the client for pain: While pain management may be necessary, the immediate priority is maternal and fetal safety. Pain control does not address the life-threatening risk of bleeding with placenta previa.
C. Prepare the client for a cesarean section: Complete placenta previa requires delivery by cesarean section to prevent catastrophic hemorrhage. Preparing for surgery is the priority intervention for both maternal and fetal safety.
D. Perform a vaginal exam: Vaginal examination is contraindicated in complete placenta previa because it can disrupt the placenta and cause severe bleeding. It should not be performed.
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