Author Question: What is the best way for the nurse to ensure control on the nursing unit? 1. Create tightly ... (Read 27 times)

berenicecastro · **on:** Jul 8, 2018

What is the best way for the nurse to ensure control on the nursing unit?

1. Create tightly written job descriptions
2. Write extensive rules
3. Make certain that procedures are strict
4. Support continuous quality improvement activities

Question 2

The nurse is caring for a client who requires an intervention the nurse does not know how to perform. Can the nurse delegate this intervention to another person?

1. No; the nurse should delegate only activities that he or she would be willing and able to do.
2. No; the nurse must transfer the accountability and responsibility for this client to another nurse who knows how to do the skill.
3. Yes; there is no requirement for the nurse to have personal knowledge or expertise in the skill.
4. Yes, but the nurse must then learn to perform the skill within a reasonable period of time.

Tonyam972 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Correct Answer: 4

Formal, structured, bureaucratic controls, such as tightly written job descriptions, extensive rules, and strict procedures elicit control by implying that not following procedures will result in a negative outcome for the employee. Continuous quality improvement activities are more flexible and are done with the employees. Activities done with employees tend to produce better control and less staff resistance.

Answer to Question 2

Correct Answer: 3

There is no requirement for the nurse to have personal knowledge or expertise in a delegated skill, nor is there a requirement for the nurse to learn that skill. The nurse also is not required to transfer total care of the client to another registered nurse. Examples of such skills might be delegating food choice selection to a dietician.