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."
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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Related Questions
Correct Answer is C
Explanation
Choice A:
While nurse case managers do oversee the overall care of their patients, their role is not typically to supervise the nursing staff members who implement the care map. Their focus is more on coordinating care, communicating with the healthcare team, and ensuring the patient's needs are met.
Choice B:
While reducing the client's financial cost can be a part of a nurse case manager's role, it is not the primary consideration. The main goal is to ensure the patient receives the best possible care. While cost-effectiveness is important, it should not compromise the quality of care.
Choice C:
This is the correct answer. One of the main goals of a nurse case manager, especially when working with a client with a chronic condition like end-stage renal disease, is to prevent additional hospitalizations. This is achieved by coordinating care, educating the patient and their family, and closely monitoring the patient's condition.
Choice D:
While nurse case managers are registered nurses and capable of providing direct nursing care, their role is more focused on coordinating and managing care rather than providing direct care. They work closely with the healthcare team to ensure the patient's needs are met, but they do not typically provide bedside care.
Correct Answer is D
Explanation
Choice A reason: While understanding a candidate's background is important, it does not specifically address their fit with the unit's culture.
Choice B reason: Asking about strengths and weaknesses provides insight into a candidate's self-awareness but does not directly relate to cultural fit.
Choice C reason: Reviewing a resume is a standard part of the interview process but does not provide information on how the candidate would interact within the unit's culture.
Choice D reason: This question is relevant to determining cultural fit as it assesses the candidate's interpersonal skills and their approach to potential conflicts or challenges within the unit's environment.
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