When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?

Correct Answer: B

Rationale: The correct answer is B: The AP has the knowledge and skill to perform the task. This is important because delegation should only be done to individuals who are competent and capable of carrying out the assigned tasks safely and effectively. The nurse must assess the AP's knowledge and skills to ensure they are qualified for the task. A: The AP's ability to prioritize is not directly related to their competence in performing the task at hand. C: The AP's rapport with clients is important for communication and teamwork but does not determine their ability to perform a specific task. D: The AP's ability to complete the task without assistance is important, but it does not guarantee that they have the required knowledge and skill to perform the task correctly.

Correct Answer: A

Rationale: The correct answer is A: Quietly tell the APs that this is not appropriate. The priority action is to address the situation immediately to prevent further breach of confidentiality. By speaking to the APs directly, the nurse can educate them on the importance of patient confidentiality and address the issue at its source. This approach promotes immediate corrective action and helps prevent future incidents. Summary: - Choice B: Asking the nurse manager for an inservice program may be helpful in the long run, but it does not address the immediate breach of confidentiality. - Choice C: Completing an incident report is important, but it should not be the initial action in this scenario. - Choice D: Documenting the occurrence in a personal log does not address the issue directly and may not prevent future breaches of confidentiality.

Correct Answer: A

Rationale: The correct answer is A because the AP's statement indicates a need for assistance in establishing priorities. Starting with room 1 and working way to room 10 does not consider the acuity of the clients' needs or urgency of tasks. This approach may lead to delays in providing care to clients with more critical needs. Option B demonstrates prioritizing based on a client's specific situation, which is appropriate. Option C shows planning for future discharges after immediate client needs are addressed. Option D indicates a logical sequence by starting with providing baths before breakfast to promote comfort and hygiene. Thus, A stands out as needing guidance on prioritization.

Correct Answer: D

Rationale: The correct answer is D because it encourages therapeutic communication by focusing on the client's understanding of the illness, which can help address feelings of hopelessness. Asking the client to explain their understanding opens up the opportunity for clarification and support. Choice A focuses on the emotion only, not the underlying cause. Choice B dismisses the client's feelings. Choice C assumes the client should seek hospice care without exploring their current thoughts and feelings. Thus, D is the most appropriate response for effective client-centered care.

Correct Answer: D

Rationale: The correct answer is D: Set a target date. During the moving stage of change, setting a target date is crucial to provide a clear timeline for the implementation of the change. This helps create a sense of urgency and accountability among staff, ensuring progress towards the desired change. Assessing the problem (A) is typically done in the unfreezing stage to understand the need for change. Using tactics to alert staff nurses that a change is needed (B) is more relevant to the unfreezing stage to gain buy-in. Evaluating the effectiveness of the change (C) is usually done in the refreezing stage to assess outcomes and make adjustments. Setting a target date (D) is essential during the moving stage to maintain focus and drive progress.