The LPN is caring for a full nursing assignment and delegates specific duties to the certified nursing assistant (CNA). Which nursing action is best to assess the competency of the CNA to complete the assignment?
A) Ask the client if the assignments were completed
B) View the paperwork related to the assignments for completion
C) Ask the CNA exactly how the assignments were completed
D) Observe the CNA during completion of the assignments
D
Feedback:
Observing the CNA, especially during the first time that the CNA is independent, is the best way to ensure the knowledge and competency of the CNA (a component of supervision). If the CNA performs the assignment correctly, the task can be routinely delegated with usual follow-up. Asking clients, viewing paperwork, and asking the CNA provides information on the task but is not the best choice for assessing.
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