Which task would be appropriate for the nurse to delegate to an unlicensed assistive personnel UAP?

A nurse plans the nursing activities for the shift. Which of the following activities should the nurse assign to the nursing assistant?

Assist a client to ambulate and sit on a bedside chair

The nurse should ask the nursing assistant to assist a client to ambulate and sit on a bedside chair. The nursing activities should be delegated according to the personnel's capability. Assessing the airway of a mechanically ventilated client, performing tracheotomy suction, and administering anti-emetics to a post-operative client are core nursing activities that should not be delegated to the nursing assistant.

How should a nurse leader best address nurses' resistance to a change in the shift-scheduling protocol on their hospital unit?

Explain the benefits of the change and elicit honest feedback
Strategies for overcoming resistance to change include maximizing explanations in terms of those affected and encouraging feedback. Emphasizing benefits to the institution is not likely to overcome resistance while allowing skeptics to opt out or putting the matter to a vote are likely impractical and unrealistic and may lead to further conflict and resistance.

A nurse is considering the delegation of administering medications to an unskilled assistant. What is the first question the nurse must ask herself before doing so?

Is the delegated task permitted by law?

The first question the nurse should always ask of him- or herself before delegating a task is “is the delegated task permitted by law?” In this case, it would not be, and the task (administering medications) would not be delegated.

Which of the following nursing care tasks is acceptable for a graduate nurse to delegate to unlicensed assistive personnel (UAP)?Term

Assisting a patient with ambulation
Tasks that should be performed by a registered nurse include initial and ongoing assessments, determining nursing diagnoses, plan of care, evaluation of patient progress, evaluation of the nursing care delivered to the patient, supervision and education of nursing personnel, and patient education. Tasks such as ambulation, assistance with meals and hygiene, and obtaining vital signs are acceptable tasks for a UAP to perform.

How might one define leadership?

Leadership is the process of guiding, teaching, motivating, and directing others.
Leadership may be viewed as the process of guiding, teaching, motivating, and directing the activities of others toward attaining goals. Management includes planning, organizing, directing and controlling activities. Empowerment is the process by which the leader shares power with others. It is the manager who interviews, hires, and fires.

The charge nurse on a unit receives a report that a licensed practical nurse (LPN) is taking clients' narcotics and hiding them in the nurses' lounge. The charge nurse disregards the report and continues to work on a scheduled task. Which conflict resolution style is the charge nurse using?

Avoiding
The charge nurse approaching the LPN would potentially cause conflict. To prevent the potential conflict, the charge nurse has chosen to avoid the situation. Collaborating, compromising, and accommodating would involve the charge nurse talking to the LPN to resolve the problem.

A nursing facility has recently implemented new policies regarding nurse-to-patient ratios. The nursing staff seems very resistant to the change. How can the nurse manager help the staff accept the change?

Hold a unit meeting to discuss how the changes will benefit staff.
Holding meetings allows open communication and opportunities for feedback. Listing the benefits of change to the individual and group also helps with buy-in. Laissez-faire leadership styles tend to increase conflicts and anxiety during times of change. Challenging staff beliefs will increase anxiety and create unpleasant work environments. Change should be instituted gradually, if possible.

A nurse on a telemetry unit is admitting a client and has an unlicensed assistive person (UAP) helping with the admission process. Which task can the nurse delegate to the UAP?

Obtaining an admission weight for the client utilizing the client?s bed scale
The nurse should delegate obtaining the initial weight to the UAP, as this is within the capability of the UAP. The task of obtaining a history, including home medications, is a responsibility of the nurse with documentation in the medical record. The nurse should also interpret the initial rhythm of the client. Although UAPs may be able to interpret the rhythm based on special training, there is no indication of this being true for the UAP in the scenario and the nurse should still verify the initial rhythm interpretation is correct.

A nurse manager and the charge nurse have two employees who are disagreeing with the accomplishment of client care. The manager determines a mutually agreed-upon time to discuss this situation with all the members involved. This activity is

Conflict resolution

To produce high-quality care, the manager must constantly be developing the staff to meet new challenges. Along with their managers, nurses engage in conflict resolution.

The nurse and unlicensed assistive personnel (UAP) are working together to admit a pediatric client to a nursing unit. Which task would be inappropriate to delegate to the UAP?

Initiating intravenous therapy
When delegating the RN must determine the skill level, education of the UAP, client?s condition, complexity of the client, and potential for harm. Initiating intravenous therapy is reserved for the nurse due to the potential for harm and scope of the UAP. The UAP can assist the nurse by obtaining equipment, securing the client, and soothing the client.

The registered nurse (RN) wants to delegate a task to an unlicensed assistive personnel (UAP) but is unsure if the task can be delegated. What is the best resource for the RN to use in determining if the task is appropriate?

The nurse practice act or facility's policy and procedures
The RN should consult the nurse practice act or the facility?s policy and procedures. The nurse mentor or preceptor and the more experienced nurse are good resources, but may mistakenly give inaccurate information. The medical practice act is designed to govern physician practice and may not contain information on the task that is to be delegated.

Megan is the nurse manager for a surgical unit and is planning a significant change in how the unit functions. She plans to include some things that will help to overcome any resistance to the change from the staff. Which of the following might help overcome resistance to Megan’s planned change?

Provide incentives, such as time off
Nurses acting as change agents would it beneficial to: (1) explain the proposed change to all affected people in simple, concise language; (2) list the advantages of the proposed change, both for the individual and for members of the group; (3) relate the proposed change to the person’s or group’s existing beliefs and values; (4) help overcome resistance by providing opportunities for open communication and feedback; (5) indicate clearly how the change will be evaluated; (6) introduce change gradually and involve everyone affected by the change in the design and implementation of the process; (7) provide incentives for commitment to change, such as money, status, time off, or a better working environment. Threatening to end employment, demands for loyalty, and refusal to listen to discussion are sure ways to turn staff against the planned change.

In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in mind the delegation guidelines, which statement denotes the right communication for the nursing assistant?

Dispose of the disconnected IV set.
The statement, ?Dispose of the disconnected IV set? is in accordance with the delegation guidelines of right communication. The nurse should provide all the necessary information to carry out the assigned task. The other statements do not follow the delegation guideline of right communication. The tasks mentioned in the other instructions are not a nursing assistant's role.

The new graduate nurse is having difficulty managing the time required to care for a group of complex clients and is several hours behind in completing nursing interventions. Of the following outstanding tasks, which nursing intervention should the nurse complete first?

Administer a dose of digoxin (lanoxin) that is two hours behind schedule.
The first step in time management is to determine which tasks are priority tasks. Digoxin (lanoxin) is a critical client medication and therefore takes priority when considering the other options. Dressing changes, discharge orders, and completing facility forms can be delayed until critical tasks are complete.

A registered nurse is delegating activities to UAPs on a hospital unit. Which activities could this nurse normally delegate? (Select all that apply.)

*Giving a bed bath to a patient *Taking routine vital signs *Transferring a patient to another floor
The nurse should be familiar with guidelines for delegating nursing care. The nurse could delegate the following tasks: giving a bed bath to a client, taking routine vital signs, and transferring a client to another floor. The nurse could not delegate the administering of medications, planning client education for a client with a colostomy, or the determination of a nursing diagnosis.

John is a nursing student who is working to improve his time management. Which of the following would assist John in accomplishing his goal? Choose all that apply.

*Identify priorities for the day *Evaluate at the day’s end *Establish a reasonable time line
Establish goals and priorities for each day. Identify what you need to accomplish each day, differentiating “need to do” from “nice to do” tasks. Establish a time line so that you will recognize when you are falling behind schedule in time to correct it. Evaluate your success or failure and use the results to plan the next day’s time management. You should plan to arrive at least 15 minutes or more before start of shift so that you can be prepared to receive change of shift report. John should plan time to assist his cohorts instead of them helping him. His cohorts may be too busy to assist or may need assistance themselves.

Nurse L. is having an exceptionally busy shift on an obstetrical unit. Which of the following tasks is Nurse L. justified in delegating to an unlicensed care provider?

Emptying a patient's Foley catheter bag and reporting the volume to Nurse L.
Emptying a Foley catheter bag and reporting the volume is within the scope of an unlicensed care provider. Assistance with breastfeeding, assessments, and medication administration are not tasks that should be delegating to anyone but an RN.

Derrick is the nurse manager for the psychiatric unit. There are major conflicts between the day and night shift staff. Derrick suggests that each shift put aside their differences for a time and determine a common major goal. Which of the following conflict resolution styles does Derrick display?

Collaborating
With collaborating there is a joint effort to resolve the conflict with a win–win solution. All parties set aside previously determined goals, determine a priority common goal, and accept mutual responsibility for achieving this goal. With avoiding there is awareness of the conflict situation but the parties involved decide to either ignore the conflict or avoid/postpone its resolution. Competing is an approach that results in a win for one party at the expense of the other. Smoothing is an effort to complement the other party and focus on agreement rather than disagreement thus reducing the emotion in the conflict. The original conflict is rarely resolved with this technique.

The registered nurse (RN) wants to delegate measuring a client's urinary output to an unlicensed assistive personnel (UAP). Which factors should the nurse consider before delegating the task?

The stability of the patient's condition, potential for harm, and complexity of the activity
RNs should consider the following when delegating tasks to UAPs: qualifications and capabilities of the UAP, stability of the patient?s condition, complexity of the activity to be delegated, potential for harm, predictability of the outcome, and overall context of other patient needs.

Which is a task that the nurse can delegate to the unlicensed assistive personnel (UAP)?

Obtaining intake and output on a client with a foley catheter
The nurse should delegate tasks to the UAP that consider the scope of practice of the UAP, as well as the client?s stability and the complexity of the task. The client with a foley catheter who needs intake and output involves a routine process on a medical-surgical unit and would be within the scope of practice of the UAP. A client who is actively bleeding or has orthostatic hypotension is unstable, and these tasks should not be delegated to the UAP. Teaching a client about injection of insulin should not be delegated because it is a complex task that is outside the scope of practice for a UAP.

A nurse can improve his or her skill with time management by doing which of the following?

Evaluating success with accomplishment of goals in client care
Time management is a skill that can be improved for nurses by taking time during the day to evaluate whether goals have been accomplished, and setting new priorities based on this. Goals and priorities should be established at the beginning of each day, and clients and their families should be involved in this. At the end of the day, a nurse should look back and determine what has and has not been accomplished; this helps to set a time line for the next day. If a timeline is not set each day, then the nurse will allow the flow of the day to control the day, rather than having a plan for what needs to be accomplished.

Which task is appropriate to assign to an unlicensed assistive personnel UAP?

What tasks can a UAP perform?

What can a nurse delegate to a UAP quizlet?

What tasks Cannot be delegated to a UAP?