and Answers Graded A+
delegation/supervision - Correct answer-*5 rights*
1. task
2. circumstance
3. person
4. direction and communication
5. supervision and evaluation
-based on individual client needs, facility policies and job descriptions, state NPA,
professional standards
-consider the individual's education, training, and experience
-RNs can delegate to:
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,>>other RNs
>>LPNs
>>APs
delegating to AP - Correct answer--ADLs
-bathing
-grooming
-dressing
-toileting
-ambulating
-feeding without swallowing precautions
-positioning
-bed making
-VS for stable clients
-specimen collection
-I&O
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,>>follow facility policies and stage practice guidelines
right task - Correct answer-repetitive, requires little supervision, and relatively
noninvasive
right task: AP to assist pt with bedpan and pneumonia
wrong task: delegate AP to administer a nebilizer to a pt with pneumonia
right circumstance - Correct answer--assess health status and complexity of care
required by the client
-match the complexity of care demands to the skill level of the health care team
-consider workload
right circustance: delegate to AP to measure VS on stable pt
wrong: delegate AP to measure VS on pt who is post-op and received naloxone to
reverse respiratory depression
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, right person - Correct answer--assess and verify competency of the health care
team member
>>within scope of practice and necessary competence and training
-continual performance reviews
right: delegate a LPN to adminster enteral to a client who has a head injury
wrong: delegate an AP to adminster enteral feedings to a client who has a head
injury
right direction/communication - Correct answer--data that needs to be collected
-method and time line for reporting (when to report concerns/findings
right: delegate an AP to assist in room X with (something very specific) before X
amount of time
wrong: delegate an AP to assist with (something nonspecific) in room x
right supervision/evaluation - Correct answer--directly or indirectly
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