Answer to Question 1
Answer: 4
Rationale: The unit secretary is not licensed, and cannot take a message regarding orders for client care. Therefore, the charge nurse would need to intervene and question the legality of the delegated task. It is appropriate to ask the nursing assistant to assist a client out of bed to the bathroom and fill the water pitchers for clients on the unit. The unit secretary is capable of taking a client to Radiology, although this might not be the best utilization of unit resources.
Answer to Question 2
Answer: 2, 5, 3, 1, 4
Rationale:
Allows the nursing assistant to decide how best to complete the task: The nurse then gives the nursing assistant the freedom to decide how to complete the task.
Sets goals and expected outcome of the task to be completed: The nurse first must set goals and decide on the expected outcome for the task to be completed.
Asks the nursing assistant to describe the goals and expected outcomes of the task: The nursing assistant should describe expectations to ensure clear understanding regarding goals and outcomes.
Evaluates the task completed by the nursing assistant: Evaluation is the final step in the delegation process to ensure appropriate completion.
Describes the goals and expected outcome clearly to the nursing assistant: The nurse must clearly describe expected goals and outcomes with task completion.