NUR_Management of Care: Week 3 Questions With
Complete Solutions
What cannot be delegated
-Patient assessments
-Nursing diagnosis
-Planning and evaluation of nursing care
-Developing, updating plan of care
-Providing patient education to patient and/or family
-Discussing patient with physician
-Communicating with or implementing orders from physician
-Documenting patient assessment
-Administering medications
-Providing direct nursing care
Who needs rules to guide action
Novice nurses
Who can recognizes patterns in work but needs help in setting
priorities
Advanced beginner nurses
Who has been practicing 2 to 3 years, can work through various
contingencies; needs help with new situations
Competent nurses
Who sees "big picture," efficient in decision-making, can
prioritize and plan care
Proficient nurses
,Who no longer relies on rules for situations, can lead efficiently,
can manage others' work
Expert Nurses
Patient care goals should be
SMART
Specific
Measurable
Attainable
Relevant
Time-bound
Which of the following delegations by the RN would require
immediate intervention by the charge RN?
1. An RN assists with administering medication to another
nurse's patients during a code.
2. An LPN assesses a patient after a fall
3. The charge nurse changes assignments after staff is "pulled"
to another area.
4. A UAP checks a diabetic patient's blood glucose level.
2. An LPN assesses a patient after a fall
It is not within the scope of practice of the LPN to assess
an unstable patient, and thus it would require immediate
intervention. Only RNs can assess an unstable patient. The other
actions are appropriate delegation and therefore do not require
intervention.
, Which of the following delegations by the RN would require
immediate intervention by the charge RN?
1. UAP replaces the monitor electrodes on a patient after a
shower.
2. An LPN assists a patient back to bed from the bathroom
3. A UAP removed the wrist restraints on a patient and provided
ROM exercises when giving a bath
4. An LPN assesses LOC on a stable patient 3 days after surgery
1.UAP replaces the monitor electrodes on a patient after a
shower.
Replacement of electrodes requires an assessment and is not
within the scope of practice of the UAP and would require an
intervention. The other delegations are appropriate and therefore
do not require intervention
A UAP is asked to take a patient’s temperature every 4 hours
and report that temperature to the RN. Which best demonstrates
the correct interpretation of right communication?
1.The UAP charts the temperature for the patient every 4 hours
2.The UAP takes the temperature of the patient every 4 hours
3.The UAP reports that the patient has been afebrile all-day
4. The UAP reports the temperature of the patient every four
hours
4. The UAP reports the temperature of the patient every four
hours
Complete Solutions
What cannot be delegated
-Patient assessments
-Nursing diagnosis
-Planning and evaluation of nursing care
-Developing, updating plan of care
-Providing patient education to patient and/or family
-Discussing patient with physician
-Communicating with or implementing orders from physician
-Documenting patient assessment
-Administering medications
-Providing direct nursing care
Who needs rules to guide action
Novice nurses
Who can recognizes patterns in work but needs help in setting
priorities
Advanced beginner nurses
Who has been practicing 2 to 3 years, can work through various
contingencies; needs help with new situations
Competent nurses
Who sees "big picture," efficient in decision-making, can
prioritize and plan care
Proficient nurses
,Who no longer relies on rules for situations, can lead efficiently,
can manage others' work
Expert Nurses
Patient care goals should be
SMART
Specific
Measurable
Attainable
Relevant
Time-bound
Which of the following delegations by the RN would require
immediate intervention by the charge RN?
1. An RN assists with administering medication to another
nurse's patients during a code.
2. An LPN assesses a patient after a fall
3. The charge nurse changes assignments after staff is "pulled"
to another area.
4. A UAP checks a diabetic patient's blood glucose level.
2. An LPN assesses a patient after a fall
It is not within the scope of practice of the LPN to assess
an unstable patient, and thus it would require immediate
intervention. Only RNs can assess an unstable patient. The other
actions are appropriate delegation and therefore do not require
intervention.
, Which of the following delegations by the RN would require
immediate intervention by the charge RN?
1. UAP replaces the monitor electrodes on a patient after a
shower.
2. An LPN assists a patient back to bed from the bathroom
3. A UAP removed the wrist restraints on a patient and provided
ROM exercises when giving a bath
4. An LPN assesses LOC on a stable patient 3 days after surgery
1.UAP replaces the monitor electrodes on a patient after a
shower.
Replacement of electrodes requires an assessment and is not
within the scope of practice of the UAP and would require an
intervention. The other delegations are appropriate and therefore
do not require intervention
A UAP is asked to take a patient’s temperature every 4 hours
and report that temperature to the RN. Which best demonstrates
the correct interpretation of right communication?
1.The UAP charts the temperature for the patient every 4 hours
2.The UAP takes the temperature of the patient every 4 hours
3.The UAP reports that the patient has been afebrile all-day
4. The UAP reports the temperature of the patient every four
hours
4. The UAP reports the temperature of the patient every four
hours
