The nurse is working on the neurological unit. Which task would be most appropriate to delegate to the unlicensed assistive personnel assigned to the unit?

Administering tube feedings to a quadriplegic client.

Assisting with bowel training by placing the client on the bedside commode.

Observing the client demonstrating a self-catheterization technique.

Teaching Crede's maneuver to a client needing to void.

Answer and Explanation

The Correct Answer is B

Choice A reason: Administering tube feedings to a quadriplegic client is a task that typically requires specialized training and knowledge to ensure it is performed safely and correctly. This task is often reserved for licensed nursing personnel due to the potential complications that can arise, such as aspiration or incorrect tube placement. Therefore, it is not appropriate to delegate this task to unlicensed assistive personnel (UAP).

Choice B reason: Assisting with bowel training by placing the client on the bedside commode is an appropriate task to delegate to unlicensed assistive personnel. This task involves providing physical assistance and support to the client, which falls within the scope of practice for UAP. It does not require specialized nursing knowledge or skills, making it suitable for delegation.

Choice C reason: Observing the client demonstrating a self-catheterization technique is a task that requires clinical judgment and assessment skills to ensure the client is performing the procedure correctly and safely. This responsibility is typically within the scope of practice for licensed nurses rather than UAP.

Choice D reason: Teaching Crede's maneuver to a client needing to void involves providing instruction and education on a specific technique to assist with bladder emptying. This teaching role requires specialized knowledge and skills, making it more appropriate for licensed nursing personnel. It is not suitable for delegation to UAP.

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Correct Answer is B

Explanation

Choice A reason: Libel refers to written statements that are false and damaging to a person's reputation. In this scenario, since the nurses are speaking and not writing, libel is not applicable.

Choice B reason: Invasion of privacy pertains to disclosing private information about an individual without their consent. Discussing a client's medical condition in a public place such as the hospital cafeteria where others can overhear constitutes an invasion of privacy. The client’s right to confidentiality has been violated, which could lead to a formal complaint.

Choice C reason: Slander involves spoken statements that are false and damaging to a person's reputation. While the nurses are speaking, there is no indication that what they are saying is false, so slander is not the applicable concern in this situation.

Choice D reason: Defamation is a broad term that includes both libel and slander, which are false statements made to damage someone's reputation. As mentioned earlier, there is no indication that the statements made by the nurses are false; rather, the issue is the inappropriate sharing of private information.

A. Stockpiles of medications and resuscitation equipment may be depleted. B. Resources within the hospital are likely to have changed. C. New staff is unlikely to have training and practice in using the plan. D. Surrounding communities are at an increased risk for technologic disasters.

Correct Answer is C

Explanation

Choice A reason: Depleted stockpiles of medications and resuscitation equipment is a critical concern during a disaster, as it can directly impact the ability to provide care. However, this can typically be addressed by restocking and checking inventory regularly. It is not as immediately crucial as ensuring that all staff are trained and prepared to execute the disaster plan.

Choice B reason: Changes in hospital resources, such as personnel and infrastructure, can affect the execution of a disaster plan. While this is significant, the most pressing issue is ensuring that the new staff, who may be unfamiliar with the disaster protocols, are adequately trained and ready to respond effectively in an emergency.

Choice C reason: New staff lacking training and practice in using the disaster plan is the most important finding to address. In a disaster, the ability to implement the plan swiftly and effectively can save lives. Untrained staff may not know their roles, how to use equipment, or the procedures to follow, leading to chaos and ineffective response. Therefore, it is crucial to ensure all staff are familiar with and have practiced the disaster plan.

Choice D reason: The risk of technologic disasters in surrounding communities is important to consider in the disaster plan. However, the immediate priority within the hospital is to ensure staff are trained and prepared to handle any disaster scenario. Without proper training, even the best-planned responses to technologic disasters may fail.

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The nurse is working on the neurological unit. Which task would be most appropriate to delegate to the unlicensed assistive personnel assigned to the unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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