The nurse is assisting with patient data collection in a clinic. The nurse is assigned to a young female patient who has an older male friend present at her bedside. The patient is nervous, timid, very thin, and with poor hygiene and lets the friend answer all of the nurse's questions. What actions should the nurse take?

Explanation:

A. Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) website:

This is a credible source for information related to women's health, obstetrics, and neonatal care. AWHONN is a reputable organization in the healthcare field, and their website likely provides evidence-based information and resources.

B. A pamphlet about hypoglycemia from the American Diabetes Association Cumulative Index of Nursing and Allied Health Literature (CINAHL) website:

CINAHL is a reputable database for nursing and allied health literature. Pamphlets or articles from organizations like the American Diabetes Association are generally considered credible sources of information, especially when they are based on scientific evidence and research.

C. A magazine article about healthcare trends authored by a journalist:

While magazine articles can sometimes provide valuable insights, they are generally not considered as credible as information from professional organizations, peer-reviewed journals, or government agencies. Journalists may not always have the same level of expertise or access to scientific research as healthcare professionals.

D. American Association of Critical Care Nurses (AACN) website:

The AACN is a respected organization in critical care nursing, and their website is likely a credible source for information related to critical care nursing practices, guidelines, and research.

E. Agency for Healthcare Research and Quality (AHRQ) website:

The AHRQ is a federal agency that conducts research and provides evidence-based information and guidelines related to healthcare quality, safety, and effectiveness. Their website is considered a highly credible source for healthcare information.

Explanation:

A. "There are 4 rights of delegation."

This statement is not entirely accurate. Delegation involves several principles, including the right task, right circumstances, right person, right direction/communication, and right supervision/evaluation. Therefore, simply stating "4 rights" does not fully encompass the principles of delegation.

B. “The nurse manager is responsible for delegating nursing tasks during each shift."

This statement is incorrect. While the nurse manager may have oversight and authority regarding delegation policies and procedures, it is typically the responsibility of the delegating nurse (the one assigning tasks) to delegate appropriate tasks to qualified individuals based on their competency and scope of practice.

C. "It is the duty of the delegatee to perform a task without asking questions when it is delegated."

This statement is not accurate and could lead to misunderstandings or errors. Effective delegation involves clear communication, which includes the opportunity for the delegatee to ask questions if they are unsure about any aspect of the delegated task. Encouraging questions helps ensure that the task is understood and performed safely and appropriately.

D. “I am responsible for ensuring that a delegated task is completed."

This statement demonstrates understanding of delegation principles. The delegating nurse (the one assigning tasks) is indeed responsible for ensuring that delegated tasks are appropriate, communicated effectively, and completed according to established standards. This includes providing necessary guidance, supervision, and follow-up to ensure task completion and quality of care.