Delegation
Which professionals in a healthcare organization can be delegators?
1
Assistants
2
Technicians
3
Registered nurses
4
Client care associates
Correct
ans: 3
Registered nurses are professionals in a healthcare organization who can be delegators. The registered nurses allocate a portion of work related to client care to other individuals. Assistants, technicians, and client care associates in
a h
The registered nurse assigned a task to unlicensed nursing personnel (UNP). The UNP observed a change when measuring a client's blood pressure. What is the responsibility of the UNP in this situation?
1
Administer medication.
2
Inform the licensed practic
correcgt
ans: 3
The UNP should inform the registered nurse about the condition of the client immediately, as the RN is accountable and responsible for the client. The UNP is not
eligible to administer medication to the client. Informing the licensed pract
Which component is the ability to perform duties in a specific role?
1
Authority
2
Responsibility
3
Accountability
4
Legal authority
correct
ans: 1
Authority is the ability to perform duties in a specific role. Responsibility refers to reliability, dependability, and obligation to accomplish work. Accountability determines whether a person's
actions were appropriate and provides a deta
Which description of accountability is correct?
1
Accomplishment of the task and fulfilling the requirements
2
Provision of guidance and oversight of a delegated nursing task
3
Obligation to accomplish work with reliability and dependability
4
Determinati
ans: 4
Accountability is the expectation that actions performed are appropriate and that a detailed explanation of what
occurred is provided. Authority is the ability to perform duties in a specific role, such as accomplishment of the task and fulfillment
Which task is achieved by the delegator when he or she engages in self-care to enhance his or her ability to care for the healthcare team?
1
Managing
2
Renewing
3
Explaining
4
Motivating
correct
ans: 2
Renewing is the task achieved by the delegator when he or she engages in self-care to
enhance his or her ability to care for the healthcare team. Managing is achieved when the delegator assists the staff in planning, priority-setting, and d
What entity outlined the principles of delegation for registered nurses?
1
Nurse Practice Act
2
Multilevel nursing model
3
American Nurses Association (ANA)
4
National Council of State Boards of Nursing (NCSBN)
ans: 3
The ANA outlined the principles of delegation for
registered nurses. The Nurse Practice Act of each state examines the value of unlicensed personnel in client care delivery and declares that the importance of delegation decisions is the safety and
Which nursing model includes a registered nurse (RN) paired with technical assistance?
1
Team nursing model
2
Co-primary nursing model
3
Client-focused care model
4
Functional model of nursing
ans: 2
In the co-primary nursing
model or practice partnership model, the registered nurse (RN) is paired with technical assistance. The team nursing model is a modification of the functional nursing model. The focused care model is the care delivered in
Which nursing professional has the maximum span of control?
1
Nurse manager
2
Registered nurse
3
Patient care associate
4
Licensed vocational nurse
correct
ans: 1
Span of control, the number of people
for whom one is ultimately responsible, increases with the number of individuals under a person's control. The nurse manager is the person responsible for the tasks performed by registered nurses, patie
Which task can the registered nurse safely delegate to the unlicensed assistive personnel (UAP) while caring for a client with gastroesophageal reflex disease?
1
Positioning the bed
2
Evaluating the vitals
3
Tube feeding the client
4
Determining
calorie n
correct
ans: 1
The UAP should be assigned tasks that are simple and do not involve any complications. Positioning the bed at 30 degrees or more is one of the essential tasks that can be assigned to the UAP under supervision. Evaluating vitals is the duty
Which component of delegation is retained while the delegator is delegating the client's care task to the nursing
aide?
1
Authority
2
Supervision
3
Responsibility
4
Accountability
ans: 4
Accountability is retained by the delegator while delegating a client's care task to the nursing aide. Every individual on the healthcare team has authority for the delegated task. The nursing aide is just responsible for the delegated task, so the
Which description by the nurse is a correct explanation of delegation?
1
The transfer of
responsibility for the performance of an activity
2
The person's responsibility and accountability for individual actions or omissions
3
The active process of directi
ans: 1
Delegation is the transfer of responsibility for the performance of an activity. Personal liability defines each person's responsibility and accountability for individual actions or omissions. Supervision is defined as the active process of directi
A registered
nurse distributes a task to four healthcare professionals. When are both accountability and responsibility transferred to the healthcare professional?
1
When the task is given to another registered nurse (RN)
2
When the task is given to a lic
correct
ans: 1
When the registered nurse gives a task to another RN, the task can be assigned, but cannot be delegated. When any work is being assigned, the recipient is accountable and responsible for the work. LPNs, LVNs
and UNPs can be delegated work f
A client with asthma and depression is admitted to the hospital. Which tasks delegated by the delegator would indicate the task is applicable for the registered nurse?
1
"Administer oral antidepressants."
2
"Administer a pain killer intramuscularly."
3
"T
correct
ans: 3
The registered nurse is delegated to teach the client about using a meter dose inhaler for asthma. Oral administration of drugs
is under the scope of practice of a licensed practical nurse (LPN) and a licensed vocational nurse (LVN). Admini
Which nursing process includes tasks that can be delegated?
1
Planning
2
Evaluation
3
Assessment
4
Implementation
correct
ans: 4
Implementation of certain tasks can be delegated by the registered nurse based on the ability and willingness of the delegatee. The pervasive functions of assessment, planning,
evaluation, and nursing judgment cannot be delegated by the reg
Which task can be delegated to the licensed vocational nurse (LVN)? Select all that apply.
1
Analyzing vital signs
2
Maintaining oral hygiene
3
Administering intravenous drugs
4
Administering oral hypoglycemic agents
5
Administering intramuscular medicati
ans: 4 & 5
Licensed vocational nurses and licensed practical nurses are authorized to administer
drugs through oral and intramuscular routes. Analyzing vital signs should be performed by the registered nurse. Hygiene maintenance can be delegated to unlice
Which process involves transferring responsibility to multiple players, usually with varying degrees of education and experience, while retaining the ultimate accountability for providing the client care?
1
Leadership
2
Delegation
3
Supervision
4
Assignme
correct
ans:
2
Delegation is a process of sharing the responsibility of client care. It involves the transfer of responsibility for the performance of an activity from one individual to another, with the delegator retaining accountability for the outcome.
The registered nurse is reviewing the clinical data of four clients. Which client care can be delegated to the licensed practical nurse (LPN)?
1
Client A: Dental pain with NSAIDS
2
Client B: Severe dehydration with
replacement fluids
3
Client C: anemia wi
correct
ans: 1
The licensed practical nurse (LPN) scope of practice includes administering oral, topical, intramuscular, and subcutaneous except for intravenous medications. Client A is prescribed non-steroidal anti-inflammatory drugs for dental pain that
What are the three strategies that the nurse can perform while assisting other nurses in making delegation decisions? Select all that
apply.
1
Doing
2
Telling
3
Asking
4
Offering
5
Participating
ans: 1, 3, 4
The nurse can assist other registered nurses with delegation decisions by using three strategies: asking, offering, and doing. Telling and participating are the strategies used by the nurse to communicate with the delegatee.
Which delegation actions may be performed by unlicensed nursing personnel while caring for a client? Select all that
apply.
1
Teaching the care plan to the client
2
Infusing intravenous fluids into the client
3
Asking the client to wash the hands before m
correct
Ans: 3 & 5
Unlicensed nursing personnel (UNP) can delegate simple and straightforward client teaching, such as asking the client to wash his or her hands before meals and wear footwear while walking. Complex and multifaceted teaching, such as deta
Which definition of delegation
given by the nurse is correct?
1
Activities undertaken by a group of people who have common interests
2
Transfer of both accountability and task responsibility from one person to another
3
An organized and innovative plan th
ans: 4
The American Nurses Association (ANA) and National Council of State Boards of Nursing (NCSBN) collaboratively defined delegation as the "process for the nurse to direct another person to perform nursing tasks and activities."
Collective actions are
The registered nurse (RN) and unlicensed assistive personnel (UAP) have been working together for two years. Which statement made by the RN would be appropriate after delegating a task to the UAP?
1
"Let me tell you how to do this task."
2
"You know what
correct
ans: 2
According to Hersey's model of situational leadership, the delegator should act according to the situation. When there is an established
relationship between the delegator and the delegatee, little guidance needs to be provided to the deleg
What is the main motto of the Hersey's 2006 model?
1
Information decay
2
Information salience
3
Situational leadership
4
Individual accountability
ans: 3
Hersey's 2006 model provides a solid foundation for delegation decisions. The main motto of this model is situational leadership. The core competencies of a situational
leader are the ability to diagnose the performance, competence, and commitment
Which drawback indicates an improper follow-through on the part of a delegatee?
1
Failure to report results and findings
2
Failure to understand the skills and abilities
3
Failure to provide clear and concise directions
4
Failure to cooperate with the oth
correct
ans: 1
Improper follow-through on the part of a delegatee is failure to report
results and findings. Improper follow-through occurs when the delegator does not understand the skills and abilities of the delegatee and does not provide clear and con
Which questions should the delegator assess to determine the right task? Select all that apply.
1
"Is the task legally appropriate to delegate?"
2
"Is the environment conducive to completing the task safely?"
3
"Does the delegator provide clear and concis
ans 1 &
4
The delegator has to determine right task by assessing whether the task is legally appropriate to delegate. The delegator must also check that the task is appropriate to delegate based on institutional policies and procedures. The right circumst
Which healthcare team member would the nurse expect can be delegated with the task of administering oral medication to a client per the functional model?
1
Registered nurse
2
Patient care
associate
3
Licensed practical nurse
4
Unlicensed assistive personn
correct
ans: 3
The licensed practical nurse can give oral medication to a client. The registered nurse gives IV medication to a client. Patient care associates assist and monitor vital signs. Unlicensed assistive personnel perform all hygienic tasks.
A nurse manager determines which nurses on the unit will care for particular patients for the upcoming shift. Which
element of the health care system is the manager practicing?
1
Delegation
2
Leadership
3
Supervision
4
Assignment
correct
ans: 4
Both accountability and responsibility are transferred from one person to the other in assignment. When a nurse manager delegates the task of client care to an RN, responsibility is transferred to the RN. The nurse manager shares accountabi
The registered nurse (RN) is caring for a client who
underwent a hysterectomy. Which tasks can be delegated to the unlicensed assistive personnel (UAP) to provide quality care to the client? Select all that apply.
1
Recording vital signs
2
Assisting the c
correct
ans: 1 & 2
The tasks within the scope of unlicensed assistive personnel (UAP) include recording vital signs and providing basic hygiene, such as assisting the client with activities of daily life such as bathing. Administering oral medications is
While organizing a community health care program for polio vaccinations, the registered nurse delegates the task of administering vaccines to the members of the health care team. Who among the health care team is most suitable to carry out the task?
1
Tec
correct
ans 4
The licensed practical nurse can be delegated the task of administering oral medications or vaccines. Technicians, patient care associates, and certified nursing aides are
unlicensed assistive personnel who are not appropriate for delegation
When does a delegator identify that the delegatee is less able to perform in a given situation?
1
When the delegatee is upset
2
When the delegatee is bored
3
When the delegatee is anxious
4
When the delegatee is knowledge deficient
correct
ans 4
A delegatee is identified as less able to perform a specific work when he or she has a knowledge deficit.
When the delegatee is upset, bored, or anxious, the delegator will identify that the delegatee is unwilling to perform a specific task.
Which of these clients can be provided care safely by unlicensed nursing personnel? Select all that apply.
1
A client with pain
2
A client who is upset
3
A client who is stable
4
A client who is recovering
5
A client with suicidal intention
correct
ans: 3 & 4
The greater the
stability of a client, the more likely it is that unlicensed nursing personnel (UNP) can provide safe client care. It is also easy for a UNP to care for a client who is recovering. A client with pain is anxious and agita
Who supervises unlicensed nursing personnel (UNPs) in providing care to the client?
1
Charge nurse
2
Nurse manager
3
Registered nurse
4
Patient care associate
correct
ans: 3
The registered nurse (RN)
supervises UNPs and also licensed practical nurses (LPNs) in providing care to the client. The charge nurse and the nurse manager may supervise RNs. The charge nurse delegates the tasks to the LPN and UNP when the
Which healthcare professional does the nurse know is authorized to delegate work to other healthcare members?
1
Registered nurse (RN)
2
Licensed practical nurse (LPN)
3
Unlicensed nursing personnel (UNP)
4
Unlicensed assistive
personnel (UAP)
correct
ans 1
Delegating work is the most effective professional management strategy that an RN can implement in clinical practice to improve the safety and quality of client care. RNs can delegate work to LPNs, UNP, or UAP.
Who acts as a delegator in the absence of the registered nurse?
1
Charge nurse
2
Patient care associate
3
Licensed practical nurse
4
Unlicensed nursing personnel
correct
ans
1
The charge nurses act as a delegator on the basis of knowledge and experience in clinical settings. In the absence of a registered nurse, the charge nurse usually delegates the tasks. A patient care associate assists and monitors vital signs
A client with foot ulcers is admitted to the hospital. The nurse manager should delegate the task of maintaining hygiene to which staff members to maximize efficient use of human resources? Select all that
apply.
1
Registered nurse (RN)
2
Patient care ass
correct
ans: 2 & 5
Nurses, PCAs, and UNPs can perform the task of maintaining hygiene; however the best use of resources is to delegate to UNPs and PCAs so the nurses can complete medication administration and other skills the UNPs and PCAs are not legall
Which member of the health care team is accountable for initial assessment and ongoing evaluation of client
care?
1
Registered nurse
2
Licensed practical nurse
3
Primary health care provider
4
Unlicensed nursing personnel
correct
ans 1
The registered nurse is accountable for the initial assessment and ongoing evaluation of the client. A licensed practical nurse is not accountable for initial assessment and ongoing evaluation of the client. The primary health care provider