Author Question: The nurse manager is creating the patient assignment for today. She has five registered nurses ... (Read 29 times)

michelleunicorn · **on:** Jul 23, 2018

The nurse manager is creating the patient assignment for today. She has five registered nurses (RNs), two licensed practical nurses (LPNs), and five nurse technicians (NAs) scheduled.

When making the assignment, the nurse manager needs to remember that:
a.
RNs are responsible for all care delegated to unlicensed nursing personnel.
b.
delegation is considered direct intervention for patient care.
c.
LPNs operate independently and may delegate patient care.
d.
nursing practice is clearly delineated and is standard across the country.

Question 2

Which of the following is a direct care intervention?

a. Administration of an injection
b. Making the change-of-shift report
c. Collaborating with members of the health care team
d. Ensuring availability of needed equipment

tdewitt · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
Delegation is the transfer of responsibility for performing a task to another person while the nurse who delegated the task still remains accountable. Delegation is an indirect intervention based on assessment findings and established care priorities. Nurses must be familiar with the nurse practice act in their practice jurisdiction to ensure legal delegation. The nursing process cannot be delegated. In most jurisdictions, LPNs function in a dependent role and may not delegate.

Answer to Question 2

ANS: A
Direct care refers to interventions that are carried out by having personal contact with patients. For example, direct-care interventions include cleaning an incision, administering an injection, ambulating with a patient, and completing patient teaching at the bedside. Indirect care includes nursing interventions that are performed to benefit patients but do not involve face-to-face contact with patients. Examples of indirect care include making the change-of-shift report, communicating and collaborating with members of the interdisciplinary health care team, and ensuring availability of needed equipment.