A nurse is working on a medical unit and assigns a nurse's aide ...

[stevenposner]

A nurse is working on a medical unit and assigns a nurse's aide to take vital signs for several clients. The aide completes this task and documents them accordingly.
 
  One of the clients had a blood pressure reading of 180/110, and it wasn't until the end of the shift that the nurse realized this value. The physician was notified and orders were received for treatment, but not until much later in the shift. Which of the two responsibilities of delegation did the nurse fail to carry out?
  What will be an ideal response?

Question 2

A nursing unit has had a large number of negative client responses about various aspects of their care in the previous quarter. The quality assurance officer is evaluating this unit, paying particular attention to which of the components of care?
 
  1. Competency
  2. Structure
  3. Process
  4. Outcome

[alexisweber49]

Answer to Question 1

Correct Answer: adequate supervision
Rationale : The nurse has two responsibilities in delegating and assigning duties: (1) appropriate delegation of duties (that is, giving people duties within their scope of practice) and (2) adequate supervision of personnel to whom work is delegated or assigned. In this situation, the nurse gave an unlicensed person a duty that was appropriate. The aide completed the duty and documented the findings. The nurse is still responsible for analyzing data, planning care, and evaluating outcomes. In this case, the nurse failed to follow up (supervise) after the duty was performed and analyze the findings.

Answer to Question 2

Correct Answer: 3
Rationale: Process evaluation focuses on how the care was given. Is the care relevant to the clients' needs? Is it appropriate, complete, and timely? Process standards focus on the manner in which the nurse uses the nursing process. Competency is not one of the components of quality assurance evaluation. Structure evaluation focuses on the setting in which the care is given. Outcome evaluation focuses on demonstrable changes in the client's health status as a result of nursing care.