A nurse delegates a client’s vital signs to an experienced unlicensed assistive personnel (UAP). Four hours later, the nurse notes the clients blood pressure is much higher than previous readings, and the clients mental status has changed. What action by the nurse would most likely have prevented this negative outcome?

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Question 1 of 5

A nurse delegates a client’s vital signs to an experienced unlicensed assistive personnel (UAP). Four hours later, the nurse notes the clients blood pressure is much higher than previous readings, and the clients mental status has changed. What action by the nurse would most likely have prevented this negative outcome?

Correct Answer: C

Rationale: Proper supervision, including directing and following up, per the five rights of delegation, would have ensured timely reporting of changes. Assessing UAP skill (A) is assumed, double-checking (B) undermines delegation, and doing it herself (D) negates delegation’s purpose.

Question 2 of 5

An outpatient surgery manager evaluating infusion pumps should:

Correct Answer: B

Rationale: A decision-making tool (B) ensures objective evaluation, unlike A (cost only), C (staff preference), or D (vendor habit).

Question 3 of 5

The hallmark of decision making is:

Correct Answer: B

Rationale: Decision making (B) centers on choosing options, unlike A (problem solving), C (idea generation), or D (evaluation).

Question 4 of 5

Individual decision making is warranted when:

Correct Answer: A

Rationale: Simple tasks (A) suit individual decisions, unlike B, C, or D.

Question 5 of 5

An efficient technique for controlling negative group behaviors is:

Correct Answer: D

Rationale: Nominal group technique (D) structures discussion to manage behaviors, unlike A, B, or C.

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