The nurse working on the medical-surgical unit has delegated several patient care tasks to the unlicensed assistive personnel. What is the nurse's primary responsibility after the delegation of tasks?

Assign the tasks that were not completed to the next nursing shift.

Allow each staff member to judge if the task needs to be completed.

Perform follow-up with each staff member regarding the performance and outcome of each task.

Document that the task was completed.

Answer and Explanation

The Correct Answer is C

Choice A reason: Assigning tasks that were not completed to the next nursing shift is a part of shift change protocols but is not the primary responsibility after delegating tasks. Follow-up is crucial to ensure that all tasks are completed correctly and on time.

Choice B reason: Allowing each staff member to judge if the task needs to be completed undermines the importance of the tasks and could lead to inconsistencies in patient care. It is essential to follow up and ensure that the tasks are completed as delegated.

Choice C reason: Following up with each staff member regarding the performance and outcome of each task is critical. This ensures that the tasks are completed correctly, provides an opportunity to address any issues, and reinforces accountability in the team.

Choice D reason: Documenting that the task was completed is important, but it should occur after the nurse has confirmed that the task was performed correctly. Follow-up is essential to verify the accuracy and completeness of the delegated tasks before documentation.

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Correct Answer is C

Explanation

Choice A reason: This response acknowledges the friend's concern and respects Mary's privacy, but it implies that Mary is indeed having a difficult time, which is a breach of confidentiality. The nurse should not provide any information about the client's situation, even indirectly.

Choice B reason: This response directly shares information about Mary's condition, which is a violation of client confidentiality. The nurse must not disclose any details about a client's health status to someone who is not authorized to receive that information, regardless of their relationship with the client.

Choice C reason: This response is the most appropriate because it clearly states that the nurse cannot discuss any client situation. It respects client confidentiality and adheres to professional and legal standards of privacy.

Choice D reason: While this response directs the neighbor to ask Mary directly, it avoids the issue of confidentiality by not giving any information. However, it is less clear and professional compared to simply stating that the nurse cannot discuss client situations. The response should be straightforward and focused on upholding confidentiality.

A. The client can have issues with fertility. B. The client may observe an increase in muscle mass. C. The client may experience an increase in acne. D. The client may notice a change in emotion.

Correct Answer is A

Explanation

Choice A reason: This statement is a priority because testosterone therapy can significantly impact fertility. Clients should be informed about the potential effects on their reproductive health, including the possibility of reduced fertility or infertility. This knowledge allows them to make informed decisions about fertility preservation before starting hormone therapy.

Choice B reason: While an increase in muscle mass is a common and expected effect of testosterone therapy, it is not as critical as discussing the potential impact on fertility. Increased muscle mass is generally seen as a desired outcome for transgender men undergoing hormone therapy.

Choice C reason: Acne is a known side effect of testosterone therapy, but it is not as high of a priority compared to the long-term implications of fertility. Acne can be managed with appropriate skincare and treatment.

Choice D reason: Changes in emotion or mood can occur with hormone therapy, but they are generally considered part of the overall effects of transitioning. These changes are important to monitor but are not as immediately critical as the impact on fertility.

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The nurse working on the medical-surgical unit has delegated several patient care tasks to the unlicensed assistive personnel. What is the nurse's primary responsibility after the delegation of tasks?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbor asks the nurse, "How is Mary doing? She is my best friend and is seen at your clinic every week." Which is the most appropriate nursing response?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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