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In delegating to a UAP in a home health setting, which of the following represents the most appropriate delegation communication?

"Ms. S needs help to get into and out of her bathtub. Her bath will need to be completed by soon. When you are helping her to dry, please check between her toes and toenails, and phone me by 10:30 if you notice any discoloration or redness."

"I am not sure that you know how to do this, but I am giving you Ms. S. She is quite obese and needs skin care."

"You all need to help Mrs. S get into and out of her shoes. Ensure that you check the condition of her feet, and let me know if you have any concerns when you check in."

"You will be taking care of Ms. S, who needs assistance with her bath."

Answer and Explanation

The Correct Answer is A

Choice A reason: This option is the most detailed and provides clear instructions for the UAP, including a specific task, a time frame, and what to do if there is an issue. It promotes patient safety and ensures proper communication and follow-up.

Choice B reason: This statement is inappropriate as it expresses doubt about the UAP's competence, which can undermine confidence and does not provide clear guidance or expectations.

Choice C reason: While this choice includes an action and a follow-up, it lacks specificity about the task and does not mention a time frame for reporting potential issues, which is crucial for patient safety and effective delegation.

Choice D reason: This option is too vague and does not provide specific instructions or expectations for the UAP, which could lead to confusion and potential neglect of important care details.

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Correct Answer is A

Explanation

Choice A reason: This action directly represents the patient's interests, which is a core aspect of advocacy, especially in situations where the patient may not be able to speak for themselves.

Choice B reason: While working in a free clinic is a form of service and support, it does not necessarily involve advocating for specific individuals or causes.

Choice C reason: Participation in a needle exchange program is more of a public health intervention than a direct form of advocacy for individual patients.

Choice D reason: Compiling resources can be helpful, but advocacy typically involves more direct action on behalf of individuals or specific groups' rights and needs.

A. Vacation time, holiday time, and sick time B. Paid hours minus meeting time C. Work time, educational time, and holiday time D. Paid hours minus worked hours

Correct Answer is A

Explanation

Choice A reason: Paid nonproductive time typically includes periods when staff members are compensated but are not directly engaged in productive work, such as providing patient care. This includes vacation time, holiday time, and sick time. These are standard components of nonproductive time that must be accounted for in staffing schedules to ensure adequate coverage and maintain operational efficiency.

Choice B reason: Paid hours minus meeting time does not accurately represent nonproductive time. While meeting time may not be directly related to patient care, it is generally considered productive work time as it contributes to staff development and operational planning.

Choice C reason: Work time and educational time are considered productive time because they contribute to patient care and staff development, respectively. Holiday time can be considered nonproductive, but when combined with work and educational time, it does not accurately reflect nonproductive time alone.

Choice D reason: Paid hours minus worked hours could theoretically represent nonproductive time; however, this is an overly simplistic view. Nonproductive time should account for specific types of leave that are planned and predictable, such as vacation and sick leave, rather than just the difference between paid and worked hours.

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In delegating to a UAP in a home health setting, which of the following represents the most appropriate delegation communication?

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Correct Answer is A

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