Answer to Question 1
1
Explanation: 1. The RN is the only caregiver legally responsible for assessing clients. Thus, the RN cannot
delegate this to the LPN, and this is an example of overdelegation. The LPN asking the RN to
describe assignments is appropriate. The RN delegation to the LPN should not be affected by
the unlicensed assistants call-in, and the LPN should not delegate to the unlicensed assistant
as only RNs should delegate tasks.
Answer to Question 2
1,2,3,5
Rationale 1: The manager just transferred from a different unit and may be uncomfortable with skills needed to care for pediatric clients.
Rationale 2: Confronting the staff about absences may be difficult for a new manager.
Rationale 3: If the manager consistently stays in the office, supervision is minimal.
Rationale 4: It is difficult to say that the staff is consciously taking advantage of the manager, but this may be occurring on a subconscious level.
Rationale 5: The manager's own absence culture may be very tolerant.
Global Rationale:
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Critical thinking and the process of planning care
In the summer of 1793, a yellow fever epidemic struck Philadelphia, killing nearly 4,000. Tens of th
Greet a First-Time Client With a Firm Handshake.
Apply the substance to the client’s upper chest.
Measuring the client’s weight with a standard platform scale