Which option reflects assignment in nursing?
1. The nurse says to the charge nurse, "Please watch my patients while I run down and pick up some lunch from the hospital cafeteria."
2. The nurse asks a housekeeper to clean a bed quickly for a new admission.
3. The charge nurse divides the patient load into one team for each staff nurse who works the shift.
4. The nurse says, "I know we aren't supposed to take the patients out to smoke, but go ahead and do it. I'll take the heat if anything happens."
3
Rationale: Dividing the patient load into a team for each staff nurse is an example of downward (charge nurse to staff nurse) transfer of responsibility and accountability and is assignment. This is frequently referred to as "making assignments." The option about the nurse picking up lunch is an example of upward transfer of responsibility and accountability (from staff nurse to charge nurse). The other two options are examples of delegation.
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