The PN is assigned to supervise two nursing assistants and ensure patient care tasks are completed safely. What is the PN's primary responsibility in this role?
Allowing the assistants to plan patient care independently
Observing and providing feedback as tasks are performed
Assigning tasks and leaving the area to complete charting
Completing all care tasks independently
The Correct Answer is B
A. Allowing the assistants to plan patient care independently is inappropriate because nursing assistants do not have the education or licensure to make nursing judgments or develop care plans. Their role is to perform delegated tasks under supervision, not to determine patient priorities or care needs.
B. The PN’s primary responsibility in a supervisory role is to ensure that delegated tasks are carried out safely, correctly, and in accordance with established standards of care. This involves direct observation, offering constructive feedback, correcting errors, and providing support to promote safe, high-quality patient outcomes.
C. Assigning tasks and leaving the area to complete charting shows inadequate supervision and increases the risk of errors or harm, as the PN would not be available to monitor performance or intervene if a problem arises.
D. Completing all care tasks independently is ineffective use of team resources and prevents nursing assistants from contributing within their scope of practice. It also limits the PN’s ability to manage multiple patients and perform higher-level nursing responsibilities.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Speaking to both individuals separately and encouraging open, respectful dialogue allows the nurse to understand each person’s perspective and promote mutual understanding. This approach uses assertive communication and demonstrates effective conflict resolution skills that maintain teamwork and respect.
B. Reporting both employees to the nurse manager immediately may escalate the situation unnecessarily before attempting to resolve it at the team level. The APN should first try to mediate the conflict directly.
C. Ignoring the situation and hoping it improves on its own avoids the issue, which can lead to tension, decreased morale, and reduced team effectiveness.
D. Telling the team to "just get along" and focus on patient care dismisses the underlying problem and fails to address the root cause of the conflict, preventing a long-term resolution.
Correct Answer is B
Explanation
A. Subjective communication, which involves sharing personal experiences or feelings, is commonly used by nurses to build rapport and show empathy when appropriate.
B. Assertive communication often does not come naturally to many nurses, as it requires confidently expressing one’s needs, setting boundaries, and addressing issues directly while maintaining respect for others. Nurses may struggle with assertiveness due to hierarchical structures or fear of conflict in the workplace.
C. Caring communication is a natural and essential aspect of nursing practice, reflecting empathy, compassion, and patient-centered care.
D. Aggressive communication is not an appropriate or professional style for nurses, but the question asks which type is not natural rather than which is inappropriate; assertive communication best fits this context.
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