HELPFUL tips on Delegation/priority questions

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Specializes in Operating room, SDC.

I passed the Nclex with 75 questions and Im posting some helpful tips on 'rules of management' when tackling questions on delegation along with prioritizing. Hope this helps for those who find these question types challenging.

The Rules of Management

Rule #1: Do not delegate the functions of assessment, evaluation and nursing judgement. During your nursing education, you learned that assessment, evaluation and nursing judgement are the responsibility of the registered professional nurse. You cannot give this responsibility to someone else.

Rule #2: This is not the real world. Do not make decisions regarding management of care issues based on decisions you may have observed during your clinical experience in the hospital or clinic setting. Remember, the NCLEX is ivory tower nursing. The answers to the questions are found in nursing testbooks or journals. Always ask yourself, "Is this textbook nursing care?"

Rule #3: Delegate activities for stable patients with predictable outcomes. If the patient is unstable, or the outcome of an activity not assured, it should not be delegated.

Rule #4: Delegate activities that involve standard, unchanged procedures. Activities that frequently reoccur in daily patient care can be delegated. Bathing, feeding, dressing and transferring patients are examples. Activities that are complex or complicated should not be delegated.

Rule #5: Remember Priorities! Remember Maslow, the ABC's, and stable versus unstable when determining which patient the RN should attend to fist. Keep in mind that you can see only one patient or perform one activity when aswering questions that require you to establish priorities.

:typing

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I appreciate your help, thank you

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Specializes in Cardiac/Telemetry.

Great tips! Congrats!! :)

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I passed the Nclex with 75 questions and Im posting some helpful tips on 'rules of management' when tackling questions on delegation along with prioritizing. Hope this helps for those who find these question types challenging.

The Rules of Management

Rule #1: Do not delegate the functions of assessment, evaluation and nursing judgement. During your nursing education, you learned that assessment, evaluation and nursing judgement are the responsibility of the registered professional nurse. You cannot give this responsibility to someone else.

Rule #2: This is not the real world. Do not make decisions regarding management of care issues based on decisions you may have observed during your clinical experience in the hospital or clinic setting. Remember, the NCLEX is ivory tower nursing. The answers to the questions are found in nursing testbooks or journals. Always ask yourself, "Is this textbook nursing care?"

Rule #3: Delegate activities for stable patients with predictable outcomes. If the patient is unstable, or the outcome of an activity not assured, it should not be delegated.

Rule #4: Delegate activities that involve standard, unchanged procedures. Activities that frequently reoccur in daily patient care can be delegated. Bathing, feeding, dressing and transferring patients are examples. Activities that are complex or complicated should not be delegated.

Rule #5: Remember Priorities! Remember Maslow, the ABC's, and stable versus unstable when determining which patient the RN should attend to fist. Keep in mind that you can see only one patient or perform one activity when aswering questions that require you to establish priorities.

:typing

Ivory tower, stab;e versus unstable....sounds like you took the kaplan course. Just wondering what your scores for the question traniers were for all 1-7 test???

thanks

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Specializes in Operating room, SDC.

Hi There...I took the Kaplan course, early last year, and to be honest i never went right through to question trainer #7, i think i went to no. 6 and my scores were only in the mid to high 60's then.

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Specializes in Operating room, SDC.

No worries, im glad i could be of help... :nuke:

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I think this is what I overlooked in studying for the board and failed it. So, this here is so helpful, thank you. When I took it last the majority of the exam were priority questions. This is appreciated.

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Specializes in Med Surg, Telemetry, Long Term Care.

thanks for the tip

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Specializes in Hospice, LTC, Med/Surg.

What is the best way to study for the NCLEX? Considering the ATI prep. , but does anyone have any other good suggestions? I have four weeks to prepare. Kaplan is a little too pricey and I really don't have any problems taking tests.

Thanks,

Hooterhorse

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I am doing the RN school right now. Our first test is over this stuff. I am having such a hard time with it. :-( I don't know what to do. It just don't really seem too black or white to me. I hope I get the hang of it soon.

Great tips ;-)

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congrats... Is it true that if you got 75 questions, it is just more on prioritization, infection control and meds? do u have tips in infection control? please let us know what ton remember... we want to pass like you, thanks and God bless... Again congrats...im happy for u...

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