The nurse manager gave the unit secretary complete responsibility for the unit's staffing, including finding replacements for call-ins and disciplining nurses with excessive call-ins. This is an example of which type of delegation?
1. Effective delegation
2. Overdelegation
3. Reverse delegation
4. Underdelegation
2
Rationale 1: Effective delegation is the process by which responsibility and authority for performing a task is transferred to another person. It is critical that the task is one that can be delegated.
Rationale 2: Overdelegation occurs when the delegator loses control over a situation by providing the delegate with too much authority or responsibility. Discipline of an employee is a responsibility of the manager that cannot be delegated because of the confidentiality and controversy associated with it.
Rationale 3: Reverse delegation occurs when a person with a lower rank (unit secretary) delegates to someone with authority (nurse manager).
Rationale 4: Underdelegation occurs when full authority and responsibility are not transferred in a situation where delegation would otherwise be appropriate.
Global Rationale:
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During a well-child visit, the nurse questions the mother about a toddler's food habits
The mother expresses concern that her child, who used to be a good eater and would eat all types of vegetables, now refuses all but three types of vegetables. Which is the appropriate response for the nurse to make to the mother? 1. "This is a serious concern, and we need to address this with the physician." 2. "Toddlers often go on food jags. Just continue to offer all types of vegetables without making it an issue." 3. "Don't make an issue over it. Just stop offering those favorite vegetables and the child will start eating other vegetables." 4. "Have you thought about adding a multivitamin to the child's daily routine?"
A patient with peptic ulcer disease secondary to chronic nonsteroidal anti-inflammatory drug (NSAID) use is prescribed misoprostol (Cytotec). The nurse would be most accurate in informing the patient that the drug:
A) Reduces the stomach's volume of hydrochloric acid B) Increases the speed of gastric emptying C) Protects the stomach's lining D) Increases lower esophageal sphincter pressure
Your client has returned from a parathyroidectomy and must be monitored for hypocalcemia. The nurse should assess for:
A) muscle cramps, tingling, tetany. B) flaccid paralysis. C) bradycardia and weight loss. D) hypotension and headache.
What is an example of a primary prevention strategy that the school nurse can implement to influence the school climate and reduce bullying?
A) Determine whether bullying/sexual harassment policies are in place in the school system. B) Assess for bullying behaviors using a student questionnaire, such as the Peer Relations Questionnaire. C) Have a school conference day to disseminate the results of the survey and launch a multicomponent plan to tackle the problem. D) Implement effective adult supervision during recess, lunchtime, and classroom/bathroom breaks.