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. Limiting the number of visitors may be a necessary step if the patient is becoming overwhelmed or tired. However, this approach might not consider the cultural significance of extended family and community in Arab American culture, where family involvement is often highly valued.
B. Suggesting shorter visits is a more balanced approach. It acknowledges the patient's need for rest while still respecting the importance of family and community involvement. This action can help manage the patient's fatigue while allowing them to maintain cultural and familial connections. It’s a compromise that accommodates both the patient's health needs and cultural values.
C. Requiring visitors to check in at the front desk can help manage visitor flow and ensure that the patient is not overwhelmed. However, this action does not directly address the issue of visitor duration or frequency, which might still lead to patient fatigue. It also might not align with cultural expectations of openness and hospitality in Arab American culture, where family and visitors are often seen as central to the patient’s well-being.
D. Allowing only family members to visit might help reduce the number of visitors and ensure that the patient receives support from those closest to them. However, this approach may be too restrictive and could potentially isolate the patient from their broader support network, which might be an important aspect of their cultural practices. It also does not address the underlying issue of managing visitor fatigue.

A. 69-year-old with peripheral vascular disease who is visited by home health care weekly. B. 73-year-old with a history of chronic bronchitis who lives with family. C. 86-year-old who lost a spouse and is moving into an assisted living facility. D. 79-year-old with moderate Alzheimer disease who requires assistance with all activities of daily living (ADLs)

Correct Answer is D

Explanation

A. Peripheral vascular disease (PVD) impairs blood flow to the extremities, which can affect the body's ability to regulate temperature, heal wounds, and manage cardiovascular function. Despite having regular home health care, which helps with monitoring and managing the condition, PVD still poses challenges to maintaining homeostasis.
B. Chronic bronchitis is a type of chronic obstructive pulmonary disease (COPD) that impairs lung function and impacts the body's ability to exchange gases efficiently. This condition can lead to chronic hypoxemia (low oxygen levels) and hypercapnia (elevated carbon dioxide levels), which directly affect homeostasis.
C. This individual is undergoing significant life changes, including bereavement and relocation, which can affect emotional and physiological well-being. While these stressors can impact overall health, they are less directly related to physiological processes that maintain homeostasis compared to chronic physical conditions.
D. Alzheimer’s disease leads to significant cognitive decline, which impairs the ability to perform daily activities and manage personal health. This cognitive impairment can result in a reduced ability to recognize and respond to physiological needs, which compromises homeostatic mechanisms. The need for assistance with all ADLs indicates severe functional impairment, making this patient highly vulnerable to disruptions in homeostasis due to their inability to self-manage health and daily activities effectively.

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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

A nurse is caring for an Arab American patient in the hospital. The patient has many visitors who seem to be tiring the patient. What action by the nurse is best?

Correct Answer is B

Explanation

The geriatric nurse recognizes that the bodys homeostatic mechanisms may be compromised in the:

Correct Answer is D

Explanation

To best minimize patient anxiety and help ensure a successful history assessment interview, the geriatric nurse first:

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

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