Which situation indicates the nurse needs additional training on ...

[go.lag]

Which situation indicates the nurse needs additional training on effective delegation?
 
  1. The charge nurse tells the unlicensed assistant to help prepare rooms for new clients.
  2. The office nurse calls in orders for admission on a client following a surgical complication.
  3. A rehabilitation nurse asks a physical therapy assistant to assist a client with ambulation around the facility.
  4. A home health nurse calls the office and asks another nurse to make the visit on her next client.

Question 2

A nursing supervisor is seeking staff input while developing policies regarding violence prevention. A staff nurse says, We have lots of threatening behaviors on our unit. What is the most important question for the supervisor to ask?
 
  1. Why is so much threatening behavior happening on your unit?
  2. Why haven't you reported that?
  3. Where do you work?
  4. When you report threats to your manager, is action taken quickly?

[chereeb]

Answer to Question 1

2
Rationale 1: The charge nurse can delegate the responsibility of preparing rooms to the unlicensed assistant.
Rationale 2: Unless the office nurse is an advanced practice nurse, the office nurse cannot call in orders not signed off by a physician or nurse practitioner. This opens the organization up to problems with liability.
Rationale 3: The physical therapy assistant is part of the rehabilitation nurse's team and can legally accept direction from that nurse.
Rationale 4: A home health nurse might be delayed at a visit and need another nurse to visit the next client. It would be inappropriate for the nurse to ask an unlicensed assistant to make the visit.
Global Rationale:

Answer to Question 2

4
Rationale 1: While the reason for this behavior would be interesting to discuss, another question is more important.
Rationale 2: This is the second best question to ask.
Rationale 3: Where the nurse works is not as important as another factor.
Rationale 4: This is the most important question. If the staff is reporting threats, yet nothing is done, it is very important for the supervisor to act.
Global Rationale: