Answer to Question 1
Correct Answer: 4
The nurse can delegate ambulation of the client to the UAP once the client has learned the skills as evidenced by demonstration. UAPs may help clients walk with assistive devices, but cannot teach the client how to use the walker or evaluate his performance.
Answer to Question 2
Correct Answer: 3
The nurse must first assess the client's ability to ambulate so proper instructions can be provided to the UAP. Ambulating the client first would tire the client, and there would be no need to delegate to the UAP. Quizzing the UAP would not be productive. If the nurse is uncertain about the UAP's abilities, the nurse would assist in ambulating the client and would evaluate the UAP's performance. Observing the client as she ambulates would not allow the nurse to provide thorough instructions to the UAP before ambulating the client.