Chapter 2: The Nursing Assistant (Roles, Responsibilities, Delegation) updated 2022

Chapter 2: The Nursing Assistant (Roles, Responsibilities, Delegation) updated 2022Nursing assistants assist the nurse by performing basic nursing functions, such as those related to hygiene, safety, comfort, nutrition, exercise, and elimination. Just know this! In order to ensure that the nursing team operates smoothly and efficiently, what exists? A chain of command. This means that licensed nurses are able to assign certain tasks to nursing assistants. 00:49 01:08 Nursing assistants who work in the long-term care setting must complete a course of training and undergo a competency evaluation. These requirements are set by the: a. Centers for Disease Control (CDC) b. Food and Drug Administration (FDA) c. Omnibus Budget Reconciliation Act (OBRA) d. Occupational Safety and Health Administer (OSHA) c As a nursing assistant, it is your responsibility to: a. Plan the patient's or resident's care b. Perform the tasks your supervisor assigns to you c. Do the best you can without asking for help d. Compare assignments with your coworkers b If you do not know how to do an assigned task, you should: a. Call another nursing assistant for help b. Ask the patient or resident how he prefers to have it done c. Call the charge nurse and ask for help d. Follow the instructions in the procedure manual c Nursing assistants work under the supervision of: a. A doctor b. A registered nurse (RN) or licensed practical nurse (LPN) c. Other nursing assistants d. The long-term care facility administrator b To "delegate means to: a. Do what you are told to do b. Give another person permission to perform a task on your behalf c. Transfer your duties to another assistant d. Have the charge nurse take your assignment b. What information is included in the registry? a. The nursing assistant's full name b. The nursing assistant's Registry number and date of expiration c. Any reported incidents of abuse or theft d. All of the above d What important role does the nursing assistant play? a. Consultant b. Medical advisor c. Observer and communicator d. Administrator c Which one of the following is NOT a basic physical need? a. Hygiene b. Comfort c. Nutrition d. Entertainment d A nursing assistant's duties do NOT include taking care of the patient's or resident's: a. Safety b. Exercise c. Financial needs d. Emotional needs c Every nursing team consists of at least a nurse and a nursing assistant a nurse can be either a _____________ __________ _________, or a _______ _________. In some states, an LPN is also referred to as a _____________ _________. A nursing team could also include a _____________ _____________, whose duty involves supervising other nurses during a shift, and a ________ ___________, who heads a department or section. An RN who directs all the nursing care within a health care organization is called a __________ _____ ___________. Licensed practical nurse Registered nurse Vocational nurse Unit manager Director of nursing 00:02 01:08 Explain the difference between primary nursing, functional (modular) nursing, and team nursing. Primary has 1 nurse and aide to take full responsibility of multiple patients. Functional: each person has 1 specific task for every patient. Team: Jobs are assigned by team leader T/F: "Scope of practice" refers to the range of tasks that a nursing assistant is morally allowed to perform. False T/F: By delegating a task, a nurse gives a nursing assistant permission to perform the task on his or her behalf True T/F: Tasks such as assessment, planning, and evaluating can be delegated to nursing assistants. False What are the 5 rights of delegation according to the National Council of State Boards of Nursing? The right task: Can this task be delegated? The right circumstance: What are the needs of the patient or resident at this time? The right person: Does the nursing assistant have the right training and experience to safely complete the task? The right direction: Will the nurse be able to give the nursing assistant clear directions regarding how to perform the task? The right supervision: Will the nurse be available to supervise or answer questions? Which one of the following reasons is NOT an acceptable reason to refuse to perform a delegated task? a. The directions given to you by the nurse are not clear. b. You do not have the proper equipment to perform the task. c. You do not enjoy the task d. The task if illegal or unethical c When a nurse delegates a task to a nursing assistant, the nurse is responsible for any injury that may occur to the patient or resident if: a. The nursing assistant is not qualified for the task b. The nursing assistant is suitably qualified, but is not supervised by the nurse c. The nursing assistant is suitably qualified but makes a mistake while carrying out the task d. The nursing assistant is suitably qualified but does not perform the task as requested. a. The principle by which one state recognizes the validity of a license or certification granted by another state Reciprocity An official recored maintained by the state of the people who have successfully completed the nursing assistant training program. Registry To authorize another person to perform a task on your behalf. Delegate A registered nurse who is in charge of a department or section Head nurse A model for organizing the nursing team's efforts in which a team leader (a registered nurse) determines all of the nursing needs for the patients or residents assigned to the team, and assigns tasks according to each team member's skills and level of responsibility. Nursing team