Answer to Question 1
Correct Answer: 4
Rationale 1: The nurse manager did not delegate the task of vital signs and therefore is not responsible for the time lapse between discovery and action.
Rationale 2: The aide did not delegate the task of vital signs and therefore is not responsible for the time lapse between discovery and action.
Rationale 3: The client did not delegate the task of vital signs and therefore is not responsible for the time lapse between discovery and action.
Rationale 4: The RN is ultimately responsible for the action, for reporting it, and for following through on any action. Part of delegation is supervision and evaluationultimate responsibilities that belong to the RN.
Answer to Question 2
Correct Answer: 4
Rationale 1: Taking and recording vital signs is an appropriate task for the registered nurse to delegate to the UAP.
Rationale 2: Assisting with bathing is an appropriate task for the registered nurse to delegate to the UAP.
Rationale 3: Making a bed is an appropriate task for the registered nurse to delegate to the UAP.
Rationale 4: The unlicensed person may not delegate tasks to another person. Delegation is part of the registered nurse's role.
A nurse shows empathy to a client.
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