CRNE Exam Prep

Category - Professionalism

A Registered Nurse is providing care to five clients on a nursing unit. The RN works with a certified nursing assistant. The RN assigns the CNA to administer an enema to a client who is scheduled for a voiding cystourethrography. The CNA carries out the care on the assigned client and reports back to the registered nurse. Which of the following is NOT accurately derived from the given situation?
  1. The registered nurse transfers responsibility and authority when the task is delegated to and accepted by the certified nursing assistant.
  2. By reporting back to the registered nurse, the certified nursing assistant demonstrates responsibility for his or her actions.
  3. The registered nurse continuously own ups to the results of the task although it has been delegated to a certified nursing assistant.
  4. The certified nursing assistant is responsible to accomplish the task.
Explanation
Answer: B - By reporting back to the registered nurse, the certified nursing assistant demonstrates accountability for his or her actions. Accountability is accepting or owning up the results of one’s actions. An RN can transfer responsibility for which s/he is responsible, but not accountability. In addition to responsibility, the nurse must also transfer authority or the right to act. Without transferring authority, the delegate cannot accomplish the task.
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