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Question

Difficulty: MediumClient Care Assignments and Collaboration

Match each clinical care task with the most appropriate interprofessional healthcare team member based on their designated role and legal scope of practice.

  • Registered Nurse (RN)Developing an initial, comprehensive discharge teaching plan for a client newly diagnosed with heart failure.
  • Practical Nurse (PN)Administering scheduled oral antihypertensive medications and reinforcing previously provided dietary education.
  • Assistive Personnel (AP)Assisting a stable client who is two days postoperative with safely transferring from the bed to a chair.
  • Case ManagerCoordinating outpatient rehabilitation facility placement and arranging for the delivery of home medical equipment.

Answer

Registered Nurse: Developing initial teaching plan; Practical Nurse: Administering oral medications and reinforcing education; Assistive Personnel: Assisting with stable transfers; Case Manager: Coordinating rehabilitation and home equipment.
Appropriate delegation relies on matching the task's complexity and required judgment to the team member's legal scope of practice. The RN handles complex planning and initial education. The PN cares for stable clients, administers routine medications, and reinforces teaching. The AP performs standard activities of daily living for stable clients. The Case Manager coordinates discharge logistics and community resources.

Step-by-Step Solution

1
Evaluate the task requiring initial care planning and primary education.
Developing an initial, comprehensive discharge teaching plan matches the Registered Nurse (RN).
Creating primary teaching plans requires comprehensive assessment and synthesis, which falls exclusively under the RN scope.
2
Evaluate the task involving routine medication administration and educational reinforcement.
Administering scheduled oral antihypertensive medications and reinforcing previously provided dietary education matches the Practical Nurse (PN).
The PN is licensed to administer routine oral medications to stable clients and reinforce education that has already been initiated by the RN.
3
Evaluate the task involving standard activities of daily living for a stable client.
Assisting a stable client who is two days postoperative with safely transferring from the bed to a chair matches Assistive Personnel (AP).
This is a routine, non-invasive task that does not require nursing judgment, making it safe to delegate to the AP.
4
Evaluate the task involving interagency care coordination and resource management.
Coordinating outpatient rehabilitation facility placement and arranging for the delivery of home medical equipment matches the Case Manager.
Case managers specialize in transitioning clients between levels of care and securing necessary resources for safe discharge.

Key Concept

Interprofessional collaboration and scope of practice in client care assignments
Estimated Time:1m 30s
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Topics

Client Care Assignments and Collaboration

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