Ch 23-24 The Nurse's Roles

Question 1

What are the nursing care or tasks that should never be delegated except to another RN?

Answer 1

• Initial and ongoing nursing assessment of patient and nursing care needs
• Determination of the nursing diagnosis, care plans, evaluation of pt’s progress

Question 2

(T/F) If the patient is unstable, even under their scope of practice, the CNAs cannot be delegated tasks.

Answer 2

TRUE

Question 3

What is the pathway to delegate?

Answer 3

• Assess
• Plan
• Assure accountability
• Supervise
• Evaluate your decision to delegate

Question 4

Tasks that may be delegated to UAPs:

Answer 4

• Vital signs
• A.M care
• Bed-making
• Ambulating client
• Toileting, dressing
• I & Os

Question 5

Tasks that should NOT be delegated to UPAs:

Answer 5

• Medications
• Assessment
• Evaluating effects of medications
• Anything vague

Question 6

(T/F) Tasks that are performed by CNAs can be charted by CNAs.

Answer 6

TRUE

Question 7

(T/F) Delegation on mentally unstable and ICU patients is NOT recommended.

Answer 7

TRUE

Question 8

Legally safe delegation:

Answer 8

• W/in scope of practice
• W/in job description
• UAP has training
• UAP has demonstrated capability
• RN provides supervision and feedback

Question 9

What are the 3 learning domains use in patient teaching ?

Answer 9

1) Cognitive - pt will state or rephrase to demonstrate understanding of teaching.
2) Affective - pt understood and “bought into it”.
3) Psychomotor - pt demonstrates how to perform task. Ex: administer insulin sq injection.

Question 10

What can the nursing assistants assist with exactly?

Answer 10

Direct patient care activities such as:

• Bathing
• Transferring
• Ambulating
• Feeding
• Toileting
• Vital signs
• Height and weight
• I & O
• Housekeeping
• Transporting STABLE patients
• Stocking supplies