You are caring for a patient with gastroesophageal reflux disease (GERD). You have an unlicensed staff member working with you. Which activity can you delegate to the unlicensed staff?
  1. Teach the patient about weight loss.
  2. Explore any concerns about managing the disease.
  3. Explain why the patient needs eat several small meals a day.
  4. Instruct the patient to remain upright for 2 hours following a meal.
Explanation
Answer: D - The unlicensed staff member can instruct the patient to remain upright for 2 hours following a meal. Therapeutic counseling and communication are not within the scope of practice of unlicensed staff members. Assessment and teaching are the responsibility of the RN and can not be delegated.
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