EAQ Collaboration
Which statement made by the nurse indicates that the client interview is coming to a close?
"I have just one more question for you."
A nurse is working with a married woman who has come to the emergency department several times with injuries that appear to be related to domestic violence. While talking with the nurse manager, the nurse expresses disgust that the woman keeps returning to the situation. What is the best response by the nurse manager?
"Most women try to leave about six times before they are successful."
The registered nurse (RN) delegated a task to a licensed practical nurse (LPN). The LPN completed the task effectively. Which statement made by the RN is appropriate feedback?
"You performed that procedure safely and professionally."
The registered nurse (RN) is caring for a client with severe diarrhea. Which task of the client care plan can be safely delegated to the unlicensed assistive personnel (UAP) by the registered nurse?
Administration of oral replacement fluids
What is the status of the primary healthcare provider as a member of the healthcare team that is in the span of control of a registered nurse (RN)?
Answerable to the nurse manager
The nurse is assessing a client who arrived at the healthcare facility for an appointment. Which action by the nurse will be beneficial during the interview?
Asking about the client's current concerns
The registered nurse delegates the task of feeding a 90-year-old client suffering from dysphagia to the unlicensed assistive personnel (UAP) who has previously performed this task. The client died of choking and aspiration after being fed by the UAP. Which right of delegation was violated for this client?
Circumstace
Which client's care is least likely to be delegated to unlicensed nursing personnel (UNP)?
Client D = accidental poisoning, Emergency care
Which members of the healthcare team are under dependent status when a task is delegated by the registered nurse (RN)? Select all that apply.
Client attendant and LVN
Which actions by the nurse help set the stage for a client-centered interview during the first visit after admission to the healthcare facility? Select all that apply.
Close door after entering room, greet client, and Introduce oneself with a smile and explain the reason for the visit.
A client is brought to the emergency department following ingestion of pesticides. The primary health care provider orders gastric suction. Which task can be delegated to the unlicensed assistive personnel (UAP) in this situation?
Emptying and measuring the gastric drainage
What are the attributes of a nurse leader? Select all that apply.
Identifying the needs of others Using critical-thinking skills in making decisions Using focused energy and stamina to accomplish a vision
The delegatee is performing a task and in the process loses confidence in what he or she is doing. Which delegator's action may have contributed to the delegatee's loss of confidence?
Intervening when the delegatee is performing the task
Which healthcare team member is considered the priority person to insert an indwelling urinary catheter for a client who underwent a hysterectomy?
Licensed practical nurse
Which strategy should be implemented by the registered nurse (RN) to achieve desirable client outcomes?
Offering
The nurse manager is planning to delegate tasks to Unlicensed Assistive Personnel (UAPs). What care can be delegated on a medical-surgical unit to a UAP? Select all that apply.
Performing a bed bath for a client on bed rest Assisting a client who has patient-controlled analgesia (PCA) to the bathroom
A nurse manager asks for extra help from other nurses in the unit. In exchange, the nurse manager ensures special care for the parent of a staff nurse who is currently a client in the hospital. Which behavior does the nurse manager exhibit?
Quid pro quo
The nurse delegates the tasks of caring for a postpartum client. During assessment, the nurse observes an infection in the client caused by lack of hygiene. Which member of the health care team is most likely responsible for the client's condition? Select all that apply?
RN and UAP
The nurse is caring for a pregnant client with hypertension. Which client care tasks are most suitable to be delegated to the patient care associate (PCA)?
Recording the vital signs
In order to minimize the likelihood for error during intravenous administration of antibiotics, the legal authority advised the delegatee to wear a colored vest that says, "Do not disturb! Medication administration in process." Which delegatee is appropriate to follow the advice of legal authority?
Registered nurse
The licensed practical nurse (LPN) has been asked to monitor the blood pressure of a client with hypertension. The LPN reports to the registered nurse (RN) that the blood pressure monitor is malfunctioning. Which component of the duty is the LPN practicing?
Responsibility
A registered nurse delegates a task to a licensed practical nurse (LPN). The nurse manager asks the registered nurse, "Are the equipment and resources available for the LPN to complete the task?" Which right of delegation is the nurse manager preserving?
Right Circumstance
The registered nurse oversees five unlicensed nursing personnel (UNP), and each UNP cares for five clients, so the registered nurse in effect has responsibility for five UNPs and 25 clients. What do these numbers of subordinate and clients indicate?
Span of control Span of control is the number of individuals the supervisor or delegator is responsible for.
The legal authority wants a record of the tasks performed by the delegatees and asks the delegatees to maintain a record of completed tasks. Which task is marked by the licensed practical nurse (LPN)?
Task A - Administered oral antiemetics to client in bed #4
While teaching a nursing student about delegation, the registered nurse instructs the student to determine whether the delegation process is appropriate to the situation before delegating a task. Which right of delegation is the registered nurse referring to?
Circumstance
Which actions of the nurse exhibit transactional leadership? Select all that apply.
Meeting the targets within the deadline Working according to organizational rules Correcting the errors in a reactive manner
Which nursing intervention is employed to encourage the client to fully reveal the nature of their health problem?
The nurse leans forward attentively during the discussion.
The registered nurse (RN) is teaching a novice RN about delegating tasks to licensed practical nurses (LPN) and unlicensed assistive personnel (UAP). Which statement made by the novice RN indicates a need for further teaching?
"I will delegate the task of assisting the client with bathing to the LPN." (this can be delegated to the UAP)
The registered nurse is teaching a newly hired nurse about active delegation. Which statement made by the newly hired nurse indicates the need for further teaching?
"I will instruct the licensed vocational nurse (LVN) to administer intravenous (IV) medications."
When evaluating a task performed by a delegatee, the registered nurse finds that the delegatee fails to provide appropriate feedback. Which right of delegation is compromised in this situation?
Right supervision