Medical & Nursing Studies 30 flashcards ~15 min

NCLEX Prioritization and Delegation

Prioritization and delegation questions are consistently ranked among the hardest and most heavily tested areas of the NCLEX. This deck covers frameworks like Maslow's Hierarchy and the ABC mnemonic for prioritizing patient care, along with the five rights of...

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Prioritization and delegation questions are consistently ranked among the hardest and most heavily tested areas of the NCLEX. This deck covers frameworks like Maslow's Hierarchy and the ABC mnemonic for prioritizing patient care, along with the five rights of delegation and what tasks can and cannot be assigned to unlicensed assistive personnel. Essential for nursing students preparing for licensure exams.

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Determining which patient needs or tasks require immediate attention
Assigning tasks to other qualified healthcare team members while retaining accountability
Maslow's Hierarchy of Needs
Physiological needs, such as airway, breathing, and circulation
Airway, Breathing, Circulation
The unstable patient
Right task, right circumstance, right person, right direction/communication, right supervision
No, assessment requires nursing judgment and cannot be delegated
Routine, stable, and non-judgment-based tasks like bathing or vital signs
Assessment, Diagnosis, Planning, Implementation, Evaluation (ADPIE)
Acute changes typically take priority
The ethical principle of avoiding actions that could cause patient harm
The process of ranking patients by the severity of their condition to determine treatment order
The patient with chest pain
The hierarchical reporting structure used to escalate concerns or decisions
The delegatee's competency and scope of practice
The delegating nurse
The legally defined range of tasks and responsibilities a healthcare professional is permitted to perform
Refuse and reassign the task appropriately
Delegation transfers a task to someone with a different scope; assignment distributes tasks within the same scope
Initial patient assessments or care plan development
Unstable patients requiring immediate intervention take priority over stable patients
Structuring communication as Situation, Background, Assessment, Recommendation
The nurse's skill level and competency to the complexity of patient needs
Patients with the most severe, changing conditions should be assessed and treated first
Taking routine vital signs on a stable patient
Overseeing and providing guidance to ensure delegated tasks are performed correctly
Because nurses must make rapid, safe decisions when managing multiple patients
Beneficence — acting in the best interest of patients overall
Consult facility policy or supervising staff before delegating