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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Planning a farewell event is considerate but may not be appropriate in the context of termination due to conflict, as it could lead to further tension.
Choice B reason: This is the most professional and respectful approach, allowing for a private discussion and the opportunity to address any questions or concerns directly.
Choice C reason: Informing an employee of termination over the phone can feel impersonal and may not provide the necessary support during such a sensitive conversation.
Choice D reason: While it is important to offer support, calling an employee to the office without prior notice can be distressing and may not be the most considerate approach.
Correct Answer is A
Explanation
Choice A reason: Asking what happened to initiate the disagreement is a direct approach to understanding the root cause of the conflict. It allows the nurse manager to gather facts and assess the situation before making any judgments.
Choice B reason: Understanding the impact on the client's perception of care is important, but it is secondary to resolving the conflict between the staff members. The immediate concern is to address the cause of the disagreement.
Choice C reason: Asking why one thinks the other is wrong may escalate the conflict by focusing on blame rather than resolution. It is more constructive to understand the events that led to the disagreement.
Choice D reason: Knowing how long the nursing assistants have been working together could provide context to their working relationship, but it does not address the immediate issue of the disagreement.
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