A registered nurse in the United States is assigning care to an unlicensed assistive person. Which task is appropriate to delegate for a stable patient?
Correct answer: C. Obtain routine vital signs and report findings
- A. Assess a newly reported change in pain
- B. Teach the patient how to use a walker
- C. Obtain routine vital signs and report findings
- D. Evaluate whether a treatment relieved symptoms
Explanation
Routine vital signs for a stable patient are within the usual role of unlicensed assistive personnel when the nurse provides instructions and supervision. Assessment, teaching, and evaluation require nursing judgment and remain with the registered nurse. The nurse retains accountability for the delegated care.
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About US Legal and Ethical Nursing Practice
US nursing law and ethics include state nurse practice acts, scope of practice, standards of care, negligence, malpractice, documentation, confidentiality under HIPAA and informed consent. Ethical reasoning applies autonomy, beneficence, nonmaleficence, justice and fidelity to conflicts such as refusal of treatment, advance directives, privacy breaches and mandatory reporting, which are not the same as legal liability.
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