Nursing Jurisprudence and Ethics for Texas Nurses Practice Exam

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A school district contracts with a registered nurse (RN) to teach the staff how to monitor a student's blood glucose. The RN then observes each perform this task correctly. The RN does not work for the school district and will not have any further contact with the staff. In this example, the RN is

acting outside of the RN's scope in teaching blood glucose monitoring to the staff

engaging in RN delegation of nursing tasks to be performed by the staff who are responsible to report to the RN

supervising the staff on a daily basis in performing blood glucose monitoring

training the staff how to perform the task of monitoring blood glucose

In this scenario, the registered nurse (RN) is engaged in a structured educational role rather than a traditional nursing role where continuous supervision or ongoing delegation would apply. The correct answer highlights that the RN is not acting outside their professional scope; in fact, this situation exemplifies appropriate actions.

Training staff in specific medical tasks, such as monitoring blood glucose, can be within the scope of an RN's practice as it contributes to the education and empowerment of non-nursing personnel. The RN's function here does not entail delegation since delegation involves a process where a nurse transfers authority for the performance of a specific task while retaining accountability—an ongoing supervisory relationship is necessary for delegation, which does not exist in this context.

Moreover, the absence of further contact indicates that the RN is not supervising staff on a daily basis; their role is strictly educational and short-term in nature. Thus, the RN is appropriately fulfilling their duties by providing training, making the correct response clear.

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