Unlicensed personnel are not licensed by the state in their own right. Why is it that these persons can perform delegated tasks?
1. They practice on the license of the professionals delegating the tasks.
2. They are sanctioned by the American Hospital Association as an exception to the requirement for a license.
3. They work under the auspices and licensure of the institution, not the professional nurse.
4. They are sanctioned by the state nurse practice act as an exception to the requirement for licensure.
The nurse has recently assumed the position of chief nurse in a long-term care facility with a record of poor patient care. How should this nurse approach the issue of effective discipline regarding patient care activities?
1. Set variable standards of care depending upon the nurse's previous experience.
2. Fire any nurse who does not meet established standards of care.
3. Establish a formal discipline plan to be used when standards of care are not followed.
4. Eliminate standards of care until the chief nurse can assess the situation.
A nurse has delegated the task of ambulating a patient to two nursing assistants. Despite the patient's appearance, assistance of two people is needed for safe ambulation. The nurse discovers the patient being ambulated by only one aide.
What should be the nurse's first action? 1. Demand to know why a second aide is not assisting with this patient.
2. Assist the aide in completion of the ambulation.
3. Scold the second aide for not carrying through with the delegated task.
4. Immediately initiate disciplinary actions against both aides for not following directions.
The unit is extremely busy when the physician orders that a urinary catheter be inserted in a patient. The patient's assigned nurse is new, has seen the procedure done, but has never done it independently.
How should the charge nurse handle this situation? 1. The charge nurse should do the procedure to save time.
2. The charge nurse should ask the new nurse to try the procedure alone.
3. The charge nurse should assign the task to a different nurse.
4. The charge nurse should assist the new nurse with the procedure.
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