Professional Identity (adaptive quizzing)
How many rights of delegation are there in the nursing practice? Record your answer using a whole number. _______________
Answer: 5 There are five rights of delegation in nursing practice. They are right task, right circumstances, right person, right direction/communication, and right supervision/evaluation.
What is a high-level cognitive process that the nurse recognizes can be improved with practice in delegation?
Answer: Critical thinking Critical thinking is a high-level cognitive process that can be improved by practice. Creativity is essential for the generation of options or solutions. Problem solving mainly focuses on resolving an issue. Decision making is a purposeful and goal-directed effort that uses a systematic process to choose among options.
Which model of nursing is focused on the task-oriented approach to client care?
Answer: Functional model The functional model of nursing is a method of providing client care by which each licensed and unlicensed staff member performs specific tasks for a large group of clients. Team nursing is a small group of licensed and unlicensed personnel, with a team leader, responsible for providing client care to a group of clients. Primary nursing is a model of client care delivery whereby one registered nurse functions autonomously as the client's main nurse throughout the entire hospital stay. Case management is a model of delivering client care based on client outcomes and cost containment.
Which member of the health care team is accountable for initial assessment and ongoing evaluation of client care?
Answer: Registered nurse The registered nurse is accountable for the initial assessment and ongoing evaluation of the client. A licensed practical nurse is not accountable for initial assessment and ongoing evaluation of the client. The primary health care provider is accountable for diagnosing the problem and reviewing the client responses. An unlicensed nursing personnel performs the tasks delegated by the registered nurse or other delegators.
The nurse is an active participant on human resource committees. What does this indicate?
Answer: The nurse is staying clear on group outcomes. When a nurse participates as a leader in any leadership opportunities such as on human resource committees, it indicates that he or she is staying clear on group outcomes. Participating on human resource committees does not indicate any involvement in malpractice. Active participation on human resource committees does not indicate pursuing a higher degree. Participating on human resource committees indicates that the nurse is thinking beyond his or her personal needs.
The registered nurse is teaching a group of nursing students about leadership principles. Which statement made by a nursing student indicates the need for further teaching?
Answer: "A leader has a formal position." A leader does not necessarily have a formal position to indicate that he or she is a leader; rather, leadership refers to the performance. Leaders are those medical professionals who can intervene with courage when needed. Leaders are also able to organize a group of colleagues to solve an organizational problem. A nursing medical professional becomes a leader after promotion.
A client with asthma and depression is admitted to the hospital. Which tasks delegated by the delegator would indicate the task is applicable for the registered nurse?
Answer: "Teach the client how to use a meter dose inhaler." The registered nurse is delegated to teach the client about using a meter dose inhaler for asthma. Oral administration of drugs is under the scope of practice of a licensed practical nurse (LPN) and a licensed vocational nurse (LVN). Administration of intramuscular medications will also be tasks delegated to an LPN or LVN. Reinforcing teachings is the task of an LPN, LVN, or unlicensed assistive personnel (UAP).
The nurse is helping a client and his or her family to set and meet goals with minimal financial cost, time, and energy. Which professional role of the nurse is applicable in this situation?
Answer: Caregiver As a caregiver, the nurse helps the client and his or her family set goals. The nurse also assists them in meeting these goals with a minimal financial cost, time, and energy. The educator role is used to explain concepts and facts about health, describe the reason for routine care activities, demonstrate procedures such as self-care activities, reinforce learning or client behavior, and evaluate the client's progress in learning. The advocator role helps protect the client's human and legal rights and provide assistance in asserting these rights if the need arises. In the manager role, the nurse coordinates the activities of members of the nursing staff and has personnel, policy, and budgetary responsibility for a specific nursing unit or agency.
Who functions as a liaison between team leaders and other healthcare providers?
Answer: Charge nurse The charge nurse functions as a liaison between team leaders and other healthcare providers. Registered nurses function as accountable and responsible people for delegated tasks. Nursing managers are responsible for more than one unit and have other managerial responsibilities. Chief nursing officers are accountable for establishing systems to assess, monitor, verify, and communicate competency requirements related to delegation.
The registered nurse is reviewing the clinical data of four clients. Which client care can be delegated to the licensed practical nurse (LPN)?
Answer: Client A dental pain The licensed practical nurse (LPN) scope of practice includes administering oral, topical, intramuscular, and subcutaneous except for intravenous medications. Client A is prescribed non-steroidal anti-inflammatory drugs for dental pain that can be either administered orally or intramuscularly. This client care falls under the scope of LPN. Client B is prescribed replacement fluids for severe dehydration, which must be given intravenously. This intervention is out of scope for the LPN. Blood products transfusion should be made only by the registered nurse. Client C care is out of scope for the LPN. Dextran is administered intravenously to maintain the volume of blood during hemorrhage. This intervention in client D is out of scope for the LPN.
A nurse on the medical-surgical unit tells other staff members, "That client can just wait for the lorazepam; I get so annoyed when people drink too much." What does this nurse's comment reflect?
Answer: Demonstration of a personal bias When nurses make judgmental remarks and client needs are not placed first, the standards of care are violated and quality of care is compromised. Assessments should be objective, not subjective and biased. There is no information about the client's acuity to come to this conclusion regarding priorities. The statement does not reflect information about complexity of care.
What is the status of the unit secretary as a member of the healthcare team, which is in the span of control of a registered nurse (RN)?
Answer: Devoid of legal authority A unit secretary is a member of the healthcare team who is devoid of formal preparation or legal recognition. RNs or healthcare providers who report to a designated delegator, such as a nurse manager, are answerable to the nurse manager. Members with dependent status such as unlicensed assistive personnel (UAP) and the licensed practical nurse (LPN) and licensed vocational nurse (LVN) who function under the direction of an RN or physician are answerable to the RN. The unit secretary's role in the healthcare team is to perform nonmedical tasks.
