When an LP/VN is delegating or assigning the accomplishment of a specific task, which of these factors should be considered FIRST?
a. Should this task be delegated for a specific client?
b. Is this the appropriate client setting for this task to be performed?
c. Are there sufficient resources available for this task to be performed?
d. Can the task be clearly described to the assigned personnel?
A
When delegating or assigning tasks, five factors must be considered: the potential for harm, the complexity of the task, the required problem solving and innovation, the unpredictability of the outcome, and the required coordination and consistency of the client's care.
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A patient who is in transition reports her pain medication last given 3 hours ago has worn off. She asks if she can have another dose of the Demerol. How should the nurse respond to her request?
A) "Since it has been over 3 hours, you should be able to have more of the medication." B) "It is too early as the medication should be given only every 4 hours." C) "Your stage of labor makes giving another dose unsafe." D) "I will get permission from your doctor."
The nurse is taking a health history from a family of a 3-year-old child. The statement by the nurse that would be most likely to establish rapport and elicit an accurate response from the family is
1. "Does any member of your familyhave a history of asthma,heart disease,or diabetes?" 2. "Hello,I would like to talk with youand get some information on you and your child." 3. "Tell me about the concerns thatbrought you to the clinic today." 4. "You will need to fill out these forms;make sure that the information is as complete as possible."
A patient admitted with conversion disorder was prematurely forced to acknowledge the psychological nature of what was thought to be paralysis. The morning after, the patient called a nurse and reports, "I am blind."
This set of circumstances is evidence of the _____ disorder. a. unpredictability of the b. defensive nature of the c. intentional nature of the d. manipulative tendencies of patients with conversion
When caring for a patient who is receiving radiation therapy, you should
A) wear a mask and gloves at all times. B) stay at least 3 feet away from the patient unless providing direct care. C) remain behind the "safe line" at all times to prevent radiation exposure. D) work behind a mobile lead shield when providing direct care.