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Zorluk: KolayClient Care Assignments and Collaboration

A practical nurse (PN) is preparing to delegate assistance with ambulation to an unlicensed assistive personnel (UAP) for a client who is two days postoperative. Arrange the steps of the delegation process in the correct chronological order.

  1. 1Assess the client's current stability and determine if the task is appropriate for the UAP.
  2. 2Communicate clear instructions, including the destination and specific observations to report.
  3. 3Supervise the UAP during the task or verify periodically that the care is being performed safely.
  4. 4Evaluate the client's response to ambulation and ensure the completion of the task.

Cevap

The correct sequence for the delegation process is: 1) Assess appropriateness and client stability, 2) Communicate clear instructions, 3) Supervise the delegate, and 4) Evaluate the client's outcome.
The National Council of State Boards of Nursing (NCSBN) outlines a standard delegation process. The PN must first assess the client to ensure stability and verify the task is appropriate for the UAP. Next, the PN communicates clear expectations and guidelines for the task. The PN then supervises the execution of the task, and finally evaluates the client's response and verifies task completion.

Adım Adım Çözüm

1
Identify the initial requirement before any task is assigned.
Assess the client's current stability and appropriateness of the task.
The Five Rights of Delegation require the right task and right circumstances, which can only be determined through initial data collection.
2
Determine the next action after confirming the task can be safely delegated.
Communicate clear instructions.
The delegate needs to know exactly what to do, how to do it, and what abnormalities to report, satisfying Right Direction and Communication.
3
Identify the PN's responsibility while the task is occurring.
Supervise the UAP.
The PN retains accountability and must ensure safe execution through proper supervision.
4
Determine the final phase of the delegation process.
Evaluate the client's response.
The nursing process concludes with evaluating whether the intervention was successful and well-tolerated by the client.

Anahtar Kavram

The chronological steps of the delegation process: Assess, Communicate, Supervise, and Evaluate.
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