A staff nurse asks the nurse manager, What assignment are you ...

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A staff nurse asks the nurse manager, What assignment are you delegating to me today? I would like to begin to organize my day before shift report begins. What is the error inherent in this statement?
 
  1. There is no way for the nurse to know how to organize until the assignment is clear.
  2. The nurse manager would not make assignments.
  3. The nurse manager is not delegating but rather making daily assignments.
  4. Assignment occurs after shift report.

Question 2

The nurse has just been notified that a client is to be admitted from the emergency department (ED) with a diagnosis of alcohol intoxication.
 
  The ED nurse says they have been unable to obtain much history because of the client's lethargic state. Which action is an appropriate intervention by the nurse? 1. Approach the client with caution when obtaining vital signs and shift assessments.
  2. Place the client in a room farthest from the nurse's station so as not to disturb other clients.
  3. Place the client in four-point restraints as a protective measure.
  4. Post an armed security person at the client's door.

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Answer to Question 1

3
Rationale 1: Organization takes many forms and is different for every nurse. Some nurses may use the time prior to shift report to organize.
Rationale 2: Depending on the structure of the unit, assignments may be made by the charge nurse or the nurse manager.
Rationale 3: Assignment is a bureaucratic function that reflects job descriptions and client or organizational needs. Daily work allotment from nurse manager to staff nurse is an assignment, not delegation.
Rationale 4: Team assignments occur prior to shift report. In some institutions all nurses working on the unit listen to shift report on all clients. In other institutions the nurse receives report only on the assigned team.
Global Rationale:

Answer to Question 2

1
Rationale 1: Alcohol withdrawal clients may lash out in violence.
Rationale 2: Placing the client farthest away from the nurse's station may cause added liability to the organization due to the client's lethargic state and potential for harm if not closely monitored.
Rationale 3: There is no evidence that it is necessary to place this client is restraints.
Rationale 4: There is no evidence that it is necessary to post an armed guard at the door.
Global Rationale: