A
The National Council of State Boards of Nursing (NCSBN, 2016) defined accountability as being answerable to oneself and others for one's own choices, decisions, and actions as measured against a standard.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
11. Which staff member should be assigned to a dying client who is experiencing symptoms of
emotional distress?
a. UAP who can be spared to sit with the client
b. LPN/LVN who has grown attached to the family
c. RN who has experience as a hospice nurse
d. Newly graduated RN
ANS: C
The delegation process, as outlined by the ANA/NCSBN joint statement (2005) and the NCSBN national guidelines (2016), begins with the preparation/assessment phase and then goes on to outline a five-step process. These steps are (1) the right task, (2) under the right circumstance, (3) to
the right person, (4) with the right directions and communication, (5) under the right supervision and evaluation. The right person is the one who has the education and competency to perform the element of care. A hospice nurse has experience in managing symptoms associated with the dying process. This is the best nurse to care for this patient.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Physiological Integrity: Physiological Adaptation