Which questions should the nurse consider before delegating care to another team member? (Select all that apply)

Is this the right person?

Is this the right task?

Is this the right supervision?

Is this the right circumstance?

Is this the right time?

Answer and Explanation

Correct Answer : A,B,C,D,E

A.   This question assesses whether the team member has the appropriate skills, training, and competency to perform the task safely and effectively. Ensuring that the right person is assigned is crucial for quality care and patient safety.
B.   This question evaluates whether the task is appropriate to delegate, considering factors such as the complexity of the task, whether it is within the scope of practice for the team member, and if it aligns with the team's responsibilities. Delegating tasks that are outside the scope of the team member’s practice or too complex can lead to errors or suboptimal care.
C.   This question examines whether the level of supervision required for the task is appropriate. The nurse must ensure that appropriate oversight is provided to monitor the team member's performance and address any issues that may arise during task execution.
D.   This question considers whether the current circumstances or context (such as the patient's condition, the urgency of the task, or environmental factors) are suitable for delegating the task. Certain situations may require direct nursing involvement or special attention, which can affect the appropriateness of delegation.
E.   This question evaluates whether the timing of the task is appropriate, considering factors like the urgency of the task, the team member’s current workload, and patient needs. Timing can impact the effectiveness and safety of task completion.

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Correct Answer is B

Explanation

A. Serum complement levels are used to evaluate the complement system, which is part of the immune system and plays a role in inflammation and infection. While complement levels can be important in certain inflammatory and autoimmune conditions, they are not typically used to assess age-related changes that impact drug metabolism or the appropriate selection of pain medications.
B. The Glomerular Filtration Rate (GFR) is a key measure of kidney function. In older adults, kidney function often declines with age, affecting the metabolism and excretion of medications. Many drugs are primarily eliminated through the kidneys, and impaired kidney function can lead to drug accumulation, increased risk of toxicity, and altered therapeutic efficacy. Assessing GFR helps in adjusting medication doses to avoid adverse effects and ensure safe and effective treatment.
C. A White Blood Count (WBC) measures the number of white blood cells in the blood and is used to assess the body's response to infection, inflammation, and other conditions. While it provides valuable information about immune function and potential infections, it does not directly address age-related changes in drug metabolism or pharmacokinetics. Therefore, it is not the primary test for evaluating how aging might affect drug therapy.
D. An Electroencephalogram (EEG) records the electrical activity of the brain and is used to diagnose neurological conditions such as seizures, sleep disorders, and brain abnormalities. Although EEGs are valuable in certain neurological assessments, they do not provide information on how age-related physiological changes affect drug metabolism or how to tailor drug regimens for older adults.

A. Telling potential patients who are Jewish that the facility does not have a kosher kitchen B. Requesting the bridge group only use the game room for 2 hours at a time C. Repeatedly confiscating herbs and food products used in healing D. Encouraging Christian residents to attend mass or church services

Correct Answer is A

Explanation

A. Ethnocentrism is the belief that one's own culture is superior to others. In this case, the nurse is exhibiting ethnocentrism by assuming that the facility's current accommodations are sufficient for all residents, without considering the specific cultural needs of Jewish patients. By informing potential Jewish patients that the facility does not have a kosher kitchen, the nurse is essentially stating that the facility's culture and practices are more important than the cultural needs of the patients.
B. This is a reasonable request to ensure that the facility's resources are shared fairly among all residents. It does not reflect ethnocentrism.
C. While it's important to ensure that medications and treatments are safe and effective, confiscating herbs and food products used for healing without a clear medical reason could be seen as disrespectful of the patient's cultural beliefs and practices. However, if there are valid medical concerns, the nurse should communicate these to the patient in a respectful and culturally sensitive manner.
D. This is a common practice in many assisted living facilities and is not considered ethnocentric. However, the nurse should ensure that these activities do not exclude or marginalize residents of other faiths.

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Which questions should the nurse consider before delegating care to another team member? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

The nurse in an assisted living facility is practicing a form of cultural bias called ethnocentrism when:

Correct Answer is A

Explanation

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