ATI Ch 6 (Josh)

Question 1

Examples of Unlicensed Personnel:

Answer 1

CNAs (Certified Nursing Assistants)

CMAs (Certified Med. Assistants)

Question 2

Can RNs delegate the nursing process or patient education?

Answer 2

No

Question 3

Can non-nursing assistive personnel take vitals signs?

Answer 3

Yes, but only of stable clients

Question 4

Five Rights of Delegation:

Answer 4

1) Right Task
2) Right Circumstance
3) Right Person
4) Right Direction/Communication
5) Right Supervision/Evaluation

Question 5

Which nursing assistant staff can administer enteral feedings to a client who has a head injury?

Answer 5

LPN

Question 6

Is this appropriate delegation:

Delegate to an AP to assist the client in room 312 w/ morning hygiene.

Answer 6

No,

it is not specific enough & needs a time frame (ex: delegate to an AP to assist the client in room 312 with a shower before 0900

Question 7

A nurse on a med-surge unit has received change-of-shift report and will care for 4 clients. Which of the following client’s needs may the nurse assign to an assistive personnel (AP)?

a) feeding client admitted 24hr ago w/ aspirational pneumonia
b) reinforcing teaching w/ a client who is learning to walk w/ a quad cane
c) reapplying a condom catheter for a client w/ urinary incontenence
d) applying a sterile dressing to a pressure ulcer

Answer 7

c) application of condom catheter is a noninvasive, routine procedure that the nurse may delegate to an AP