Which situations would cause concern about liability with regard ...

[asmith134]

Which situations would cause concern about liability with regard to delegation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. The nurse asks the LPN to change a central line dressing.
  2. The nursing supervisor asks the nurse for details about a client's history.
  3. The nursing assistant asks a nurse to check the status of a client on the team.
  4. The supervisor asks the charge nurse to give a nurse a difficult assignment.
  5. The charge nurse asks a staff nurse's opinion on the client's surgical incision.

Question 2

The nurse manager of a medical surgical unit is analyzing her personnel budget. The manager of a critical care unit is discussing her personnel budget with the nurse manager.
 
  The medical surgical nurse manager does not understand why her personnel budget is higher than the critical care unit. This could be due to: 1. A higher turnover rate of nursing staff.
  2. The costs of remodeling of the medical surgical nursing unit.
  3. The volume of clients on these units.
  4. Different management styles.

[GCabra]

Answer to Question 1

1,2,4
Rationale 1: The LPN cannot usually work with central lines and cannot legally change the dressing for the RN.
Rationale 2: Confidential information cannot be shared with individuals not directly involved in the client's care. Under normal circumstances, the nursing supervisor would not need information about a client's history.
Rationale 3: It is acceptable for a nursing assistant to ask the nurse to check on a client.
Rationale 4: Requesting that a nurse be given a difficult assignment is leaving the organization open to liability issues.
Rationale 5: It is common and acceptable for nurses to ask other nurses for consultation on client care.
Global Rationale:

Answer to Question 2

1
Explanation: 1. An increased turnover rate will increase personnel costs because of the need for more
personnel to train a new employee. The costs for remodeling do not affect personnel costs,
because they come out of separate cost centers. The volume of clients can affect personnel costs
but there is no differentiation between the two units in the answer provided. Different
management styles may affect turnover rates but there is not enough information in the
question to determine if this is a factor.

[asmith134]

Gracias!

[phuda]

Thanks for the timely response, appreciate it