Wow, I'm picturing being the nursing assistant working and having a student try to delegate to me. Just...wow. In my opinion, this should be taught in class. But at clinical, aside from *asking* for assistance doing something like turning a heavy patient, you should be asking THEM, "how can I help? What can I do for you?"
I just posted a reply to a student yesterday who mentioned all the butt wiping she does in clinical. My reply was, take that as an opportunity to build your assessment skills. You are in school learning right now. Don't view ADLs as tasks. Of course, in your mind, you should be thinking, "If I'm the nurse, I would delegate this right now." But in school...do not pass up opportunities to care for patients.
I'll use my example I gave the other student. Let's say there is a patient admitted for pneumonia with dehydration and they need a bed bath. If you delegate that, you are missing a huge learning opportunity. Do the bed bath. Assess assess assess. Are they requiring a lot of assistance? Ask the patient how they get bathed at home. The pt is going to be weak when arriving. Are they improving, requiring less help day by day? Listen to their lungs sounds. What is their respiratory effort? Skin turgur? Strong pulse? Weak pulse? What does that tell you in relation to their disease process? Tie it together with the patho you are learning. Come up with a nursing diagnosis in your head for each patient you do a task for, and think of nursing interventions. On TOP of your already signed care plans
. This all should take no time at all doing it while you are giving a bed bath. It takes a moment to feel a pulse and place your stethoscope to skin.
You're going to work with all sorts of personalities. Accept that this is how your instructor is and take the learning where you can get it.