Delegation and Supervision
Nursing Process Framework
Critical Thinking and Clinical Judgment
Admissions, Transfers, and Discharge
Medical and Surgical Asepsis
100

An example of this delegation would be the nurse delegating an AP to assist a client who has pneumonia to use a bedpan. 

What is right task?

100

This portion of the nursing process deals with collection of data, which includes observation, interviews with clients and families, physical examination, laboratory reports, and collaboration with the health care team.

What is assessment/data collection?

100

An example of this type of critical thinking would be a nurse increasing the rate of IV fluids when a patient's blood pressure indicates hypovolemic shock after surgery.

What is commitment?

100

When does discharge planning start?

What is admission?

100

This is the easiest way for an individual to maintain medical asepsis.

What is hand hygiene?

200

An example of this delegation would be a nurse delegating an AP to assist with ambulating a client after the RN completes the admission assessment. 

What is right supervision and evaluation?

200

This portion of the nursing process requires nurses to establish priorities and optimal outcomes of care they can easily measure and evaluate.

What is planning?

200

This component of critical thinking is a decision-making ability derived from opportunities to observe, sense, and interact with clients followed by active reflection.

What is experience?

200

Nurses utilize this standard hand-off communication tool to facilitate transfers and discharges.

What is ISBAR?

200

This is an alternative name for surgical asepsis.

What is sterile technique?

300

An example of this delegation would be a nurse delegating an AP to assist the patient in room 312 with a shower before 0900. 

What is right direction and communication in writing, orally, or both?

300

This portion of the nursing process requires nurses to base the care they provide on assessment data, analyses, and the plan of care they developed in the previous steps of the nursing process. They must use various skills to carry out appropriate therapeutic interventions. 

What is implementation?

300

This attitude of a critical thinker deals with taking calculated chances in finding better solutions to problems.

What is risk-taking?

300

During this part of the nursing process, the nurse may discourage the client from keeping valuables at the bedside.

What is inventory personal items?

300

What four pieces of personal protective equipment may an individual utilize to maintain medical asepsis?

What are masks, gowns, gloves, and protective eyewear?

400

An example of this delegation would be a nurse delegating a PN to administer enteral feedings to a client who has a head injury.

What is right person?

400

In this step of the nursing process, the nurse assesses the clients' responses to nursing interventions and forms a clinical judgement about the extent to which clients have met the goals and outcomes.

What is evaluation?

400

This component of critical thinking deals with cognitive processes a nurse uses to make nursing judgments. 

What is competence?

400

This type of indication for transfer may occur if a client's health status has improved.

What is change in level of care?

400

If a sterile solution is able to be opened and reused, when will the solution expire?

What is 24 hours?

500

An example of this delegation would be a nurse delegating an AP to measure the vital signs of a client who is postoperative and stable. 

What is right circumstances?

500

This portion of the nursing process requires nurses to look at the data and recognize patterns or trends, compare the data with expected standards or reference ranges, and arrive at conclusions to guide nursing care. 

What is analysis/data collection?

500

During this part of the nursing process, the nurse will utilize the following critical thinking skills: determine accuracy of theories, evaluate outcomes based on specific criteria, and determine understanding of teaching. 

What is evaluation?

500

Children may experience this type of anxiety if guardians are not present during hospitalization. 

What is separation anxiety?

500

When performing hand hygiene, an individual will want to wash his/her hands for a minimum of this amount of time to remove transient flora.

What is 15 seconds?