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Delegation for effective task management. - correct answerA nurse is responsible for providing clear
directions when a task is initially delegated and for periodic reassessment and evaluation of the
outcome of the task.
RNs must delegate tasks so that they can complete higher level tasks.
RNs may delegate to other RNs, PNs or APs.
PNs may delegate to other PNs or APs.
Predictability of outcome: Is this routine, or is this new, is there potential for complications
Potential for harm: Is the client stable? Risks? Aspiration, Bleeding
Complexity of Care: Does the delegatee have the license to perform the task, and the training?
Need for problem solving: Does this require the nursing process? Assessment skills or judgment
Level of client interaction: Is there psychosocial support needed?
TO PN - correct answerMonitoring findings
Reinforcing client teaching
Tracheostomy Care
Suctioning
NG tube patency
Enteral Feedings
Insert Catheter
Administering Meds
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TO AP - correct answerADLs Bathing, Grooming, Dressing, Toliet
Ambulating
Feeding
Positioning
Routine tasks
Bed making
Specimen Collection, I and Os
Vitals For stable clients
Concepts of management—Strategies to identify solutions to community health problems - correct
answerPlanning
Organizing:
Controlling:
Directing:
Staffing:
Planning: - correct answerWhat needs to be done, and who is going to do it
Organizing: - correct answerLines of authority, communications, and where decisions are made
Directing: - correct answerInfluences and motivates people to perform
Controlling: - correct answerThe evaluation of performance and unit goals to ensure outcomes are met
Staffing: - correct answerAdequate staffing, and staffing mix
Characteristics of managers: - correct answerHold formal positions of authority and power, Possess
clinical expertise, Network with members of the team, Coach subordinates, Make decisions for the
organization: Resources, Budget, Hiring, and Firing
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Conflict Management between health care workers - correct answer
Autonomy: - correct answerThe ability of the client to make personal decisions, even when those
decisions might not be in the client's own best interest
Beneficence: - correct answerCare that is in the best interest of the client
Fidelity: - correct answerKeeping one's promise to the client about care that was offered
Justice: - correct answerFair treatment in matters related to physical and psychosocial care and use of
resources
Nonmaleficence: - correct answerThe nurse's obligation to avoid causing harm to the client
Veracity: - correct answerThe nurse's duty to tell the truth
Examples when an incident report should be filed: - correct answerMedication errors,
Procedure/treatment errors, Equipment related injuries/errors, Needlestick injuries, Client falls,
Visitor/Volunteer injuries, Threat made to client or staff, Loss of property.
Establishing Priorities---Facility Protocols: Triage evaluation of peds - correct answerEmergent:
Urgent
Nonurgent:
Expectant:
Emergent: - correct answerHighest priority, life threatening injuries but also have high survival rate once
stable
Urgent: - correct answerSecond highest priority can wait 40-60 mins for treatment
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Nonurgent: - correct answerMinor injuries that are not life threatening and do not need immediate
attention
Expectant: - correct answerLowest priority, expected to die, Comfort care, but not restorative care
Determining Priority Care for a group of clients - correct answer
Prioritizing Care for multiple home care clients - correct answerLife before limb
Acute before Chronic
Actual problems before potential problems
Listen carefully to clients and don't assume
Trends vs Transient findings Complications vs expected findings
Prioritizing Care for post op clients - correct answerAirway, Breathing, Circulation, Disability,
Examination/Exposure
Maslow's Hierarchy - correct answerPhysiological, Safety and Security, Love and Belonging, Self-esteem,
Self-Actualization
Speaking to a client who has a hearing Impairment - correct answerLearn the clients' preferred method
of communications and make accommodations.
Avoid covering your mouth
Sit and face the client
Speak slowly and clearly
Encourage the use of hearing devices
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ATI Comprehensive Predictor.pdf