which nursing action can the nurse delegate to unlicensed assistive personnel uap who are working in the diabetic clinic

ATI RN

Leadership ATI Proctored

1. Which nursing action can the nurse delegate to unlicensed assistive personnel (UAP) working in the diabetic clinic?

A. Measure the ankle-brachial index.
B. Check for changes in skin pigmentation.
C. Assess for unilateral or bilateral foot drop.
D. Ask the patient about symptoms of depression.

Correct answer: A

Rationale: The correct answer is A: Measure the ankle-brachial index. This task involves using a Doppler ultrasound device to assess blood flow, which can be safely delegated to UAP. Choices B, C, and D require a higher level of assessment and interpretation that should be performed by licensed nursing staff. Checking for changes in skin pigmentation (B) and assessing for foot drop (C) involve more complex assessments that require nursing judgment. Asking about symptoms of depression (D) involves a psychosocial assessment, which should be performed by licensed personnel qualified to address mental health concerns.

2. Why is increasing the use of advanced practice nurses encouraged?

A. A 2010 Institute of Medicine report recommended nurses practice to the full extent of their education.
B. Advanced practice nurses act as an extension of physicians.
C. The National League for Nursing advocates for the master of science in nursing (MSN) as the terminal degree for nurse practitioners.
D. Advanced practice nurses lack the skills to diagnose.

Correct answer: A

Rationale: The correct answer is A because the 2010 Institute of Medicine report recommended that nurses practice to the full extent of their education, which includes utilizing advanced practice nurses. This supports the efficient delivery of healthcare services by leveraging the expertise and skills of advanced practice nurses. Choice B is incorrect as it describes the role of advanced practice nurses rather than providing a reason for increasing their use. Choice C is unrelated to the encouragement of increasing the use of advanced practice nurses as it focuses on the terminal degree for nurse practitioners. Choice D is incorrect as advanced practice nurses do possess the skills necessary to diagnose and provide advanced care, so the statement that they lack diagnostic skills is inaccurate.

3. Which of the following is considered voluntary turnover?

A. Desire to leave
B. Termination
C. Forced resignation
D. Floating

Correct answer: A

Rationale: The correct answer is A, 'Desire to leave.' Voluntary turnover occurs when an employee chooses to leave the organization. In this case, it is a direct function of the nurse's desire to leave. Termination and forced resignation are involuntary processes where the decision is made by the employer, not the employee. 'Floating' refers to the reassignment of a nurse to a unit different from their usual work unit and is not directly related to turnover.

4. Which of the following is an example of a sentinel event in healthcare?

A. A patient falling in the hospital without injury
B. A near-miss medication error
C. An unexpected patient death unrelated to the natural course of illness
D. A patient developing an infection during a hospital stay

Correct answer: C

Rationale: The correct answer is C. A sentinel event in healthcare is an unexpected patient death unrelated to the natural course of illness. These events are serious occurrences that warrant immediate investigation and response to prevent their recurrence and ensure patient safety. Choices A, B, and D do not fit the definition of a sentinel event. While choices A, B, and D are serious incidents, they do not involve an unexpected patient death unrelated to the natural course of illness, which is the defining characteristic of a sentinel event.

5. Behavioral leadership theory recognizes three styles of leadership. Which of the following best describes democratic leadership?

A. The democratic leader communicates meaning and purpose.
B. The democratic leader gives orders and makes decisions for the group.
C. The democratic leader does little planning or decision making.
D. The democratic leader makes plans and decisions with the team.

Correct answer: D

Rationale: Democratic leadership involves the leader working collaboratively with the team to make plans and decisions. This style values input from team members, encourages participation in the decision-making process, and fosters a sense of ownership among the team. Choice A is incorrect because simply communicating meaning and purpose does not capture the essence of democratic leadership. Choice B is incorrect as giving orders and making decisions for the group is more characteristic of an autocratic leadership style. Choice C is incorrect as democratic leaders are actively involved in planning and decision-making processes, contrary to doing little of it.