NRSG FUNDAMENTALS MASTERY AQ_Delegation

Exam (elaborations) NRSG FUNDAMENTALS MASTERY AQ_Delegation 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? Leadership Delegation Supervision Assignment 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? Recording vital signs Assisting the client with bathing Administering oral medications Preparing the care plan for the client Administering intravenous antibiotics What is the ultimate goal of delegation? To deliver patient care as a team To maximize patient care outcomes To improve the working ability of the nurse To maintain open lines of communication between delegator and the delegate Which member of the health care team is accountable for initial assessment and ongoing evaluation of client care? Registered nurse Licensed practical nurse Primary health care provider Unlicensed nursing personnel Which description by the nurse is a correct explanation of delegation? The transfer of responsibility for the performance of an activity The person’s responsibility and accountability for individual actions or omissions The active process of directing, guiding, and influencing the outcome of an individual The transfer of both the accountability and responsibility from one person to another The registered nurse is delegating to four unlicensed nursing personnel (UNP) who are performing various delegated client care activities. Which UNP needs more education and monitoring? UNP A DM: measuring blood glucose levels immediately after a meal NRSG FUNDAMENTALS MASTERY AQ_Delegation 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? Technician Patient care associate Certified nursing aide Licensed practical nurse Which professionals in a healthcare organization can be delegators? Assistants Technicians Registered nurses Client care associates A healthcare team is caring for a client with dental pain. Which task is most suitable to be delegated to unlicensed assistive personnel (UAP) to provide effective client care? Administering analgesics Administering intravenous antibiotics Administering nerve block anesthesia Administering mouth wash for oral hygiene Which team member is most accountable when delegating a task to the healthcare team? Certified technician Registered nurse (RN) Licensed practical nurse (LPN) Unlicensed assistive personnel (UAP) Which component of delegation is retained while the delegator is delegating the client’s care task to the nursing aide? Authority Supervision Responsibility Accountability What entity outlined the principles of delegation for registered nurses? Nurse Practice Act Multilevel nursing model American Nurses Association (ANA) National Council of State Boards of Nursing (NCSBN) Who would the registered nurse state is accountable for establishing systems to communicate competency requirements related to delegation? Registered nurse (RN) Chief nursing officer (CNO) Licensed practical nurse (LPN) Unlicensed assistive personnel (UAP) Who is accountable for the ongoing evaluation of a client’s care? Registered nurse (RN) Chief nursing officer (CNO) Licensed practical nurse (LPN) Unlicensed nursing personnel (UNP) Who functions as a liaison between team leaders and other healthcare providers? Charge nurse Registered nurse Nursing manager Chief nursing officer What is the role of unlicensed assistive personnel in intravenous (IV) therapy for a client? Monitoring clinical manifestations Collecting the data to be used in the assessment of the IV site Administering IV fluids and medications Evaluating the client for clinical manifestations Which task can be delegated to the licensed vocational nurse (LVN)? Analyzing vital signs Maintaining oral hygiene Administering intravenous drugs Administering oral hypoglycemic agents Administering intramuscular medications What is the status of the unit secretary as a member of the healthcare team, which is in the span of control of a registered nurse (RN)? Devoid of legal authority Answerable to the nurse manager Answerable to the registered nurse Devoid of performing non-medical tasks The registered nurse considers the qualification of the unlicensed nursing personnel (UNP) before delegating a task. Which right of delegation is followed by the nurse? Task Person Direction Supervision Which work is automatically increased for the delegator when there is a decrease in direct client care? Leadership Supervision Delegation Assignment Which activity indicates improper follow-through on the part of the delegatee? Failure to report results Failure of effective communication Performing a task in the absence of a delegator Failure in following guidelines provided by a delegator A client who sustained a leg fracture is prescribed intramuscular analgesic medication. Which healthcare professional can be safely delegated this task? Registered nurse (RN) Patient care associate (PCA) Licensed practical nurse (LPN) Unlicensed nursing practitioner (UNP) In a health care setting, there are a limited number of unlicensed nursing personnel. Who would take up the responsibility of delegation in place of the registered nurse? Charge nurse Chief nursing officer Patient care associate Licensed practical nurse Which healthcare professional would the nurse know is held accountable for the tasks performed by the patient care associate (PCA)? Registered nurse (RN) Licensed vocational nurse (LVN) Unlicensed assistive personnel (UAP) Unlicensed nursing practitioner (UNP) Who supervises unlicensed nursing personnel (UNPs) in providing care to the client? Charge nurse Nurse manager Registered nurse Patient care associate The registered nurse is organizing a community health care program for administering tetanus vaccinations. Which member of the health care team is most suitable for being delegated the task of administering vaccinations? Nursing aide Certified technician Patient care associate Licensed practical nurse A nurse manager transfers the task of caring for a client who has undergone appendectomy to a registered nurse (RN). Which element of the healthcare system is the RN practicing? Delegation Leadership Supervision Assignment Which delegation actions may be performed by unlicensed nursing personnel while caring for a client? Teaching the care plan to the client Infusing intravenous fluids into the client Asking the client to wash the hands before meals Instructing the client to take specific medications Instructing the client to wear footwear while walking What are the three strategies that the nurse can perform while assisting other nurses in making delegation decisions? Doing Telling Asking Offering Participating Which definition of delegation given by the nurse is correct? Activities undertaken by a group of people who have common interests Transfer of both accountability and task responsibility from one person to another An organized and innovative plan that helps an organization achieve its objectives Process for the nurse to direct another person to perform nursing tasks and activities Who is the designated delegator? Unit secretary Nurse manager Registered nurse Licensed practical nurse Which employee should be competent in critical thinking, leadership, communication, and time management skills? Charge nurse Student nurse Registered nurse Unlicensed personnel Licensed practical nurse The healthcare team is caring for a client who has undergone surgery for lung cancer. The client needs respiratory therapy. Which task can be safely delegated to a respiratory therapist paired with a registered nurse? Placing a Foley catheter Assessing the respirations Placing an intravenous (IV) catheter Administering patient-controlled analgesia Who is mainly responsible for analyzing the knowledge and work of newly hired unlicensed assistive personnel (UAP) before delegating a task? Charge nurse Associate nurse Registered nurse Nursing manager Which task can be delegated to a cross-trained technician when paired with a registered nurse? Monitoring vital signs Drawing blood samples Teaching clients directly Administering intravenous medication What is an important consideration for delegation of care by the nurse when the delegatee has limited knowledge and ability to perform the task? Guidance Expectation Explanation Responsibility Which drawback indicates an improper follow-through on the part of a delegatee? Failure to report results and findings Failure to understand the skills and abilities Failure to provide clear and concise directions Failure to cooperate with the other team members What factors are most important for the nurse to consider when delegating responsibilities? Preferences of the clients and staff Physical layout of the unit and client rooms Staff member's level of education and expertise Client's diagnosis and length of time in the hospital Which description of accountability is correct? Accomplishment of the task and fulfilling the requirements Provision of guidance and oversight of a delegated nursing task Obligation to accomplish work with reliability and dependability Determination of appropriate actions and provide detailed explanations of the actions A registered nurse distributes a task to four healthcare professionals. When are both accountability and responsibility transferred to the healthcare professional? When the task is given to another registered nurse (RN) When the task is given to a licensed practical nurse (LPN) When the task is given to a licensed vocational nurse (LVN) When the task is given to an unlicensed nursing personnel (UNP) What is the duty of the nurse as delegator if the delegatee has limited knowledge and ability to perform a task? Provide guidance. Observe and motivate. Explain what is to be done. Establish mutual expectations. To improve client care, the registered nurse (RN) has delegated tasks involved in assisting the client with activities of daily life (ADLs) to a certified nursing aide, and the administration of oral medications to the licensed practical nurse. Which member of the health care team would be accountable for the final client care? Registered nurse Chief nursing officer Licensed practical nurse Unlicensed nursing personnel Which healthcare team member is responsible for the coordination and assignments of client care? Charge nurse Nurse manager Chief nursing officer Patient care associate The nursing manager is preparing a schedule for delegating appropriate tasks to different health care team members. Which health care team member can be delegated the task of administering oral medications? Certified technician Patient care associate Licensed practical nurse Licensed vocational nurse Unlicensed nursing personnel 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? Administer medication. Inform the licensed practical nurse. Inform the registered nurse immediately. Discuss with other UNP about the problem. The client is experiencing postoperative pain and requests a pain shot. Which of the following healthcare providers are legally permitted to administer an intramuscular (IM) injection to the client? Registered nurse (RN) Licensed practical nurse (LPN) Licensed vocational nurse (LVN) Unlicensed nursing personnel (UNP) Unlicensed assistive personnel (UAP) Which quality of the nursing assistant should be known by the delegator when assigning a task? Ability Willingness Interaction Relationship Which interventions are in the scope of a licensed practical nurse (LPN)? Client teaching Ambulating the client Interpreting lab data Assisting the client with bathing Administering intramuscular medications Which component is the ability to perform duties in a specific role? Authority Responsibility Accountability Legal authority Which of these clients can be provided care safely by unlicensed nursing personnel? A client with pain A client who is upset A client who is stable A client who is recovering A client with suicidal intention Which client’s healthcare requirements cannot be delegated? Client A Client B Client C teaching care measures to the diabetic client Client D When does a delegator identify that the delegatee is less able to perform in a given situation? When the delegatee is upset When the delegatee is bored When the delegatee is anxious When the delegatee is knowledge deficient The registered nurse is evaluating the statements made by a student nurse after teaching ways to make appropriate delegation decisions. Which statement made by the student nurse indicates a need for correction? "The delegatee should report the findings back to the delegator." "The delegatee should understand the assigned task completely." "The delegator should trust the delegatee to accomplish the task." "The delegator should recheck and redo the work of the delegatee." A delegator is providing feedback to four delegatees. Which feedback may undermine a long-term working relationship? A “Why did you do it this way? Aren’t you aware of the correct procedure?” B C D How can the lines of communication be improved in a healthcare organization during the process of delegation? By considering all aspects of client care By selecting experienced nursing assistants as delegatees By appreciating and valuing each other’s cultural perspectives By selecting a delegatee having similar strengths as that of the delegator What happens when a registered nurse does not trust other individuals in the healthcare organization? Altered client care Appropriate delegation Compromised healthcare Limited career opportunity Efficient time management Which strategy should be implemented by the registered nurse (RN) to achieve desirable client outcomes? Doing Asking Talking Offering Which question does the registered nurse recognize as related to the right of circumstance when delegating? "Is the delegation appropriate to the situation?" "Is the task within the delegatee’s scope of practice?" "Is the prospective delegate a willing and able employee?" "Is the delegator able to monitor and evaluate the client appropriately?" The nurse delegates the tasks of caring for a postpartum client. During assessment, the nurse observes an infection in the client caused by lack of hygiene. Which member of the health care team is most likely responsible for the client’s condition? Physician Registered nurse Licensed practical nurse Licensed vocational nurse Unlicensed assistive personnel Which activity performed by the registered nurse (RN) indicates following the "participating" leadership style in Hersey’s model? Delegating the work to the delegatee Evaluating the ability of the delegatee Providing little guidance to the delegatee Establishing mutual expectations with the delegate Which activity performed by the licensed practical nurse (LPN) would be appropriate while caring for a client based on the principle of right task of delegation? Willing to perform the task Providing feedback to the delegator Performing the task based on institutional policies Following appropriate supervision while performing the task The registered nurse orders unlicensed nursing personnel (UNP) to check blood oxygen saturation levels every 6 hours and to report the results regularly. Which activity is the registered nurse performing in this situation? Active delegation Passive delegation Individual accountability Organizational accountability While caring for a client with a permanent disability, the delegator delegated a task to the unlicensed assistive personnel (UAP). What type of care is provided to this client? Long-term care Restorative care First-access care Rehabilitative care While caring for a client with arthritis, the delegator gave the task of administering medication intramuscularly to the client to another healthcare team member. Which healthcare team member is most appropriate to perform the task? Certified technician Registered nurse (RN) Patient care associate (PCA) Licensed practical nurse (LPN) Which factors should be assessed to determine the level of followers’ readiness according to Hersey’s model? Ability Willingness Family history Work experience Educational qualifications After assigning a specific task, the registered nurse observes that the delegatee is unable to perform the task accurately. What will be the appropriate statement of the registered nurse in this situation? "It’s better if I do the work myself." "We will do the task some other time." "You can’t do even this work properly." "Just follow my steps and you can do it." Which client’s care is least likely to be delegated to unlicensed nursing personnel (UNP)? Client A Client B Client C Client D Accidental poisoning: emergency care While assigning a task, the registered nurse finds lack of job readiness in the delegatee. What does this indicate? Lack of attitude Lack of confidence Lack of commitment Lack of knowledge and skill Before assigning a task, the registered nurse makes sure that the delegation process is appropriate to the situation. To which delegation right does this situation refer? Person Supervision Circumstance Communication A client with chronic asthma is being cared for in the inpatient care unit. To assess the client on a regular basis would be delegated to which healthcare team member? Charge nurse Registered nurse Patient care associate Licensed practical nurse Which members of the health care team have dependent status under the registered nurse? Unit secretary Certified nursing aide Licensed practical nurse Licensed vocational nurse Unlicensed nursing personnel While caring for a client, the registered nurse (RN) needs the assistance of a licensed practical nurse (LPN). The RN feels that the LPN requires supervision as the LPN has previously only worked in a physician’s office. Which action by the RN would help diminish any negative feelings the LPN might have about being supervised? Initiating a conversation about the limited skills of the LPN Appreciating the performance of the LPN when providing feedback Explaining the policies and procedures of the organization Initiating a conversation about the new role and functions of the LPN What are the overall purposes of delegation? To achieve nursing goals To improve client outcomes To develop critical judgment skills To understand the art of delegation To apply delegation decision in clinical nursing practice What type of relationship between the nurse delegator and delegatee causes the nurse delegator to use the leadership behavior of telling? Limited Established New or developing Developing or ongoing Which behavior of the nurse leader is characterized as delegating according to the Hersey’s model? Guiding or directing Observing or monitoring Explaining or persuading Encouraging or problem solving What is the status of the primary healthcare provider as a member of the healthcare team that is in the span of control of a registered nurse (RN)? Devoid of legal authority Devoid of delegation authority Answerable to the nurse manager Answerable to the registered nurse A client is admitted to the emergency department following a motor vehicle accident. The client’s wounds are extensive. Which healthcare team member is best suited to care for this client in the emergency ward? Charge nurse Registered nurse Licensed practical nurse Unlicensed nursing personnel Which activity of the registered nurse is included in supervision? Performing the given task Allocating a portion of the work Providing information to the delegator Providing guidance and oversight in delegating a task Which health care professional is accountable for establishing systems to assess and communicate competency requirements related to delegation? Registered nurses Chief nursing officers Licensed practical nurses Unlicensed nursing personnel Which among the Five Rights of Delegation is the cornerstone of delegation? "Right person" "Right supervision" "Right circumstance" "Right communication and direction" The licensed practical nurse (LPN) has been asked to monitor the blood pressure of a client with hypertension. The LPN reports to the registered nurse (RN) that the blood pressure monitor is malfunctioning. Which component of the duty is the LPN practicing? Authority Supervision Responsibility Accountability A healthcare team is caring for a 68-year-old client with diabetes insipidus. Which task is most suitable to be delegated to licensed practical nurse (LPN) to provide effective client care? Emptying the urinary drainage bag Monitoring urine output Feeding the client with food Administration of intravenous fluids Administering oral rehydration medication The nurse manager is planning to assign an unlicensed healthcare worker to care for clients. What care can be delegated on a medical-surgical unit to an unlicensed healthcare worker? Performing a bed bath for a client on bed rest Evaluating the effectiveness of acetaminophen and codeine (Tylenol #3) Obtaining an apical pulse rate before oral digoxin (Lanoxin) is administered Assisting a client who has patient-controlled analgesia (PCA) to the bathroom Assessing the wound integrity of a client recovering from an abdominal laparotomy The registered nurse (RN) is caring for a client who was admitted to the hospital due to severe diarrhea. The RN assigns the unlicensed assistive personnel (UAP) to check on the client hourly and perform hygiene care as needed. Which concept best explains this situation? Leadership Delegation Supervision Assignment A healthcare team is caring for a client with diabetes insipidus. According to the functional model, which healthcare personnel would the nurse state is qualified to perform all hygienic tasks? Registered nurse Licensed practical nurse Licensed vocational nurse Unlicensed assistive personnel A client who underwent a nephrectomy develops pneumonia after being cared for by a registered nurse (RN) with some duties delegated to a cross-trained technician. Which individuals on the healthcare team may be responsible for the complication? Registered nurse Patient care associate Cross-trained technician Licensed vocational nurse Unlicensed assistive personnel The registered nurse is assisting a client who is hospitalized with high fever. Which task delegated to the unlicensed assistive personnel (UAP) would be appropriate? Assessing the vital signs Performing all hygiene tasks Administering oral medications Helping the client in changing clothes Administering intravenous medications Which statement is correct regarding delegation? It involves transfer of authority. The delegator retains accountability for the outcome. The delegatee retains accountability for the outcome. It is the transfer of both responsibility and accountability. Principles of delegation outline what nurses need to know about the task. The registered nurse delegates a task to the unlicensed nursing personnel (UNP). Which client care is suitable for UNP? Client A Client B Client C Undergone ileostomy: monitor wound discharge Client D A nurse manager delegates the task of phlebotomy to the members of a healthcare team who are caring for a client with diabetes. Which individual on the team can be delegated to perform the task of phlebotomy? Registered nurse Cross-trained technician Licensed vocational nurse Unlicensed assistive personnel The registered nurse delegates the task of feeding a 90-year-old client suffering from dysphagia to the unlicensed assistive personnel (UAP) who has previously performed this task. The client died of choking and aspiration after being fed by the UAP. Which right of delegation was violated for this client? Task Person Circumstance Communication The registered nurse (RN) assigns a task to a licensed practical nurse (LPN) to take care of a client admitted with severe burns. Which tasks are being performed by the LPN in this situation? Performing hygiene tasks Monitoring the heart rate Evaluating the medical reports Monitoring the blood pressure Administering the oral medication The registered nurse (RN) is caring for a pregnant client with malnutrition due to morning sickness. Which task can be safely performed by the licensed practical nurse (LPN) in this condition? Assessing hemoglobin levels Evaluating nutritional status Administering oral antiemetics Administering intravenous fluids The nurse is teaching breathing exercises to a client who underwent surgery. Which member of the healthcare team is most suitable for reinforcement of teaching in the client? Certified technician Case manager Cross-trained technician Licensed vocational nurse (LVN) The registered nurse (RN) is caring for a client who underwent surgery for a pituitary tumor. Which task can be delegated to unlicensed nursing personnel (UNP)? Teaching the client Monitoring vital signs Assessing laboratory reports Evaluating the status of the client Which condition may increase the potential for nursing malpractice? When the client care is satisfactorily provided When the delegatee is unable to perform the specified task When the nursing assistant adapts to the changing situation When the delegation task is not within acceptable standards A registered nurse (RN) delegates a task to a licensed practical nurse (LPN). What should the RN do when the LPN executes the task improperly? Provide constructive feedback. Engage in a verbal attack on the delegate. Express satisfaction with the LPN’s execution of the task. Ignore the task for now but stop considering the LPN for further delegation. Which care activities would be involved in a correct delegation process? Licensed practical nurse (LPN) cleans the client’s body. Unlicensed assistive personnel (UAP) provides medication to the client. Unlicensed assistive personnel (UAP) assist the client with oral feedings. Licensed practical nurse(LPN) evaluates the client’s temperature condition. Registered nurse (RN) guides the unlicensed assistive personnel (UAP) while recording client’s temperature. What does appropriate delegation do to a healthcare organization? Reduces stress Decreases trust Reduces client care Decrease time efficiency Improves treatment outcomes During the process of delegation, the delegator’s behavior is noted to be observing and monitoring. How is the relationship between the delegator and delagatee in this situation? Limited Established New or developing Developing or ongoing When evaluating a task performed by a delegatee, the registered nurse finds that the delegatee fails to provide appropriate feedback. Which right of delegation is compromised in this situation? Right task Right person Right supervision Right communication A registered nurse delegates a task to a licensed practical nurse (LPN). The nurse manager asks the registered nurse, "Are the equipment and resources available for the LPN to complete the task?" Which right of delegation is the nurse manager preserving? Right task Right direction Right supervision Right circumstance Which element of the healthcare system is the registered nurse (RN) practicing when the delegator shares accountability with the RN? Delegation Leadership Supervision Assignment When does delegation become more challenging? When the client is stable When the client is pregnant When the geographic area is small When the resources are abundant When school children are receiving care The registered nurse is caring for an elderly client in the medical unit. The registered nurse wants to transfer the responsibilities and accountability to someone. Who should the registered nurse utilize to fulfill the condition? Charge nurse Nursing assistant Licensed vocational nurse (LVN) Unlicensed assistive personnel (UAP) Which element creates an integrative process that fosters effective delegation decisions by the registered nurse? Ability Liability Stability Ethnicity The registered nurse assigns a task to a licensed practical nurse (LPN) to check the blood pressure and temperature of a client. Which factor is transferred to the LPN for the performance of the task? Liability Authority Responsibility Accountability The registered nurse oversees five unlicensed nursing personnel (UNP), and each UNP cares for five clients, so the registered nurse in effect has responsibility for five UNPs and 25 clients. What do these numbers of subordinate and clients indicate? Supervision Span of control Passive delegation Appropriate authority While teaching a nursing student about delegation, the registered nurse instructs the student to determine whether the delegation process is appropriate to the situation before delegating a task. Which right of delegation is the registered nurse referring to? Task Person Supervision Circumstance The registered nurse (RN) is getting ready to leave the client care unit for a lunch break. The RN asks the LPN to take care of a client during the lunch break. Which concept is emphasized in this situation? Leadership Delegation Supervision Assignment Which individual is categorized as one who would be considered as "dependent status"? Unit secretary Nurse manager Registered nurse (RN) Licensed practical nurse (LPN) Which factors does the registered nurse consider in the decision to delegate process? Evaluation Nursing judgment Predictability of outcomes Pervasive functions of assessment Complexity of the task to be performed Which component of delegation is considered a "two way process"? Authority Supervision Responsibility Accountability A nursing supervisor sends an unlicensed healthcare worker to help relieve the burden of care on a short-staffed medical-surgical unit. Which tasks can be delegated to the health care worker? Taking routine vital signs Applying a sterile dressing Answering clients' call lights Administering saline infusions Changing linens on an occupied bed Assessing client responses to ambulation Before assigning a task, the registered nurse makes sure that the prospective delegatee is willing to complete the task. Which delegation right does this situation reference? Person Supervision Circumstance Communication The registered nurse is caring for a client admitted to the hospital with chronic obstructive pulmonary disease. Which assessment by the registered nurse before delegating would help to determine the principle of "right person"? "Is the environment conducive for completing the task safely?" "Does the licensed practical nurse (LPN) know about polices of the institution?" "Can the nursing assistive personnel (NAP) evaluate the client’s’ condition appropriately?" "Does the nursing assistive personnel (NAP) have the knowledge and expertise to perform the task?" The delegatee is performing a task and in the process loses confidence in what he or she is doing. Which delegator’s action may have contributed to the delegatee’s loss of confidence? Intervening when the delegatee is performing the task Providing feedback about the work performed Communicating with the delegatee about the work being performed Stating that the task should be completed by a specified time The registered nurse assesses if an unlicensed assistive personnel (UAP) new to the unit is capable of carrying out a task. Which principle of delegation does this illustrate? Right task Right person Right circumstance Right communication The registered nurse (RN) delegated a task to a licensed practical nurse (LPN). The LPN completed the task effectively. Which statement made by the RN is appropriate feedback? "Nice job." "Well done." "Your performance was good." "You performed that procedure safely and professionally." The healthcare team is caring for a client with neutropenia. Which task is delegated to unlicensed assistive personnel? Administering antibiotics Assisting with personal hygiene Monitoring for signs and symptoms of infection Teaching the client and caregivers about how to avoid infection The registered nurse is delegating tasks for nursing assistants caring for a client who requires more attention. Which element should be considered when selecting the suitable nursing assistant for delegation of a task? Time Safety Stability Critical thinking The registered nurse delegates a task to the unlicensed assistive personnel (UAP). After the UAP starts the task, the registered nurse (RN) asks for feedback related to the task. Which right of delegation is the RN following? Task Supervision Circumstance Communication The registered nurse (RN) who delegates work to a newly hired licensed practical nurse (LPN) says, "Please tell me how you will go about performing this procedure, and I will share my expectations with you." Which behavior strategy of Hersey's model is being applied? Telling Selling Delegating Participating A client with postural hypotension requires nursing care. Which task can be safely delegated by the registered nurse to unlicensed nursing personnel (UNP)? Mobilizing the client Assessing the pulse rate Assessing the blood pressure Managing foot care of the client Maintaining oral hygiene of the client The registered nurse is teaching a newly hired nurse about active delegation. Which statement made by the newly hired nurse indicates the need for further teaching? "I will evaluate the client’s pain status." "I will assess the client’s laboratory findings." "I will instruct the unlicensed assistive personnel (UAP) to wash the client." "I will instruct the licensed vocational nurse (LVN) to administer intravenous (IV) medications." Which characteristics of a licensed practical nurse should be considered before delegation of tasks? Critical thinking Effective client care Diagnostic reasoning Synthesizing information Accountability of assigned task When tasks are delegated by the registered nurse (RN) to the unlicensed nursing personnel (UNP), who can assume the responsibilities when the RN goes for a break? Charge nurse Chief nursing officer Healthcare provider Licensed practical nurse The nurse is assessing the level of readiness before delegating tasks to unlicensed assistive personnel (UAP). According to Hersey’s model of situational leadership, what specific factors reflect the level of readiness? Ability Honesty Reliability Willingness Conscientiousness In order to minimize the likelihood for error during intravenous administration of antibiotics, the legal authority advised the delegatee to wear a colored vest that says, "Do not disturb! Medication administration in process." Which delegatee is appropriate to follow the advice of legal authority? Nursing aide Registered nurse Patient care associate Licensed vocational nurse Which client care can be safely delegated to the unlicensed nursing personnel (UNP) to provide oral hygiene? Client A Dental caries Client B Client C Client D The registered nurse (RN) is delegating tasks to licensed practical nurses (LPNs) regarding client care. Which factors should be considered when delegating a task to the LPN? Client’s condition Complexity of the task Number of LPNs available Predictability of outcomes Relationship status between the delegatee and delegator The registered nurse (RN) is caring for a client with severe diarrhea. Which task of the client care plan can be safely delegated to the unlicensed assistive personnel (UAP) by the registered nurse? Administration of oral antidiarrheal Administration of intravenous antibiotics Administration of oral replacement fluids Administration of intravenous antiemetics A client underwent extraction of a tooth due to an underlying tumor one day ago. Which healthcare professional is appropriately involved in caring for the postoperative oral hygiene needs of this client? Registered nurse (RN) Licensed practical nurse (LPN) Licensed vocational nurse (LVN) Unlicensed nursing practitioner (UNP) Which activity performed by the registered nurse (RN) indicates effective supervision of the delegatee? Assigning the task to the delegatee Taking responsibility of the delegated task Guiding the delegatee while he or she is performing the task Understanding the nurse practice of the state A client with hypoglycemia is admitted to the hospital. Which duties can the registered nurse (RN) safely delegate to the licensed practical nurse (LPN)? Intravenous fluid intervention Administering oral medications Monitoring the fluctuating vitals Analyzing the case history of the client Administering intramuscular medication How should a student nurse be trained for implementing delegation in practice? By reinforcing delegation to the student nurse only during academics By interacting with highly qualified, clinically experienced nursing mentors By improving didactic content by theoretically educating the student nurse By considering the student nurse’s opinions for the master delegation decisions The behavior of four nurses in different situations is given below. Which nurse exhibits a behavior that can be characterized as delegation according to Hersey’s model? Nurse A Nurse B Observing and monitoring Nurse C Nurse D While caring for a client with diabetes, the registered nurse delegates the task of administering oral medications to the licensed practitioner nurse (LPN), but the LPN is reluctant to take the assignment. What should be the most appropriate response of the registered nurse in this situation? Evaluate the reason for the behavior. Engage more actively in the delegated task. Require the delegatee to complete the task. Report the LPN’s reluctance to higher authorities. The nurse is caring for a pregnant client with hypertension. Which client care tasks are most suitable to be delegated to the patient care associate (PCA)? Recording the vital signs Monitoring the blood pressure Administering intravenous fluids Administering antihypertensive medications Which right does the question, "Do staffing ratios demand the use of high-level delegation strategies?" indicate? The right task The right person The right supervision The right circumstance A registered nurse delegates the task of administering oral antibiotics for a client with diabetes. Which statements are true in this scenario? The registered nurse (RN) is accountable for the delegatee’s work. The licensed practical nurse (LPN) should report to the RN once the task is completed. The unlicensed nursing practitioner (UNP) can also be delegated the task of administering oral antibiotics. The licensed practical nurse (LPN) can be held responsible for any failure in administration of oral medication. The licensed practical nurse (LPN) can change the medication dosage according to the client’s physiological needs in the absence of the RN. The registered nurse (RN) who was caring for a postsurgical client went out for a break. The RN assigns the work to a healthcare professional who is also an RN. Which is the correct statement regarding this situation? The situation describes delegation. The situation describes assignment. The second nurse holds accountability rather than responsibility for the client. The second nurse holds responsibility rather than accountability for the client. The legal authority wants a record of the tasks performed by the delegatees and asks the delegatees to maintain a record of completed tasks. Which task is marked by the licensed practical nurse (LPN)? Task A Administered oral antiemitics to the client in bed no. 4 Task B Task C Task D After delegating a task to the unlicensed assistive personnel (UAP), the registered nurse (RN) provides clear and concise directions to the delegate, to whom she assigned the task. Which right of delegation is the RN following? Task Supervision Circumstance Communication The delegator explains the procedure of the task to the delegatee and asks to provide regular feedback on the events. Which delegation right is the delegator referring to in this situation? The right person The right supervision The right circumstances The right communication A delegator working in a rural setting has to handle a task of managing care for clients in that area. Which crucial step should the delegator take to develop a productive strategy in delegating tasks to a delegatee? Assigning the task to the delegatee Providing feedback to the delegatee Supervising the task at regular intervals Understanding the capabilities of the delegate A healthcare team is delegated the task of assisting a client with bathing. Which member of the healthcare team is responsible and accountable for this aspect of client care? Nursing aide Registered nurse (RN) Patient care associate (PCA) Licensed vocational nurse (LVN) After assigning a task, the delegator makes sure that the instructions are clear to provide feedback related to the task. Which delegation right is referred in this situation? Task Person Direction Supervision Which client is most appropriate to be delegated to unlicensed assistive personnel (UAP) based on the given data? Client A Client B Client C Client D Dementia While delegating a specific task, the registered nurse says to the delegatee, "It is important that you measure the client’s blood pressure every 15 minutes." What does this situation indicate? The delegatee requires little guidance. The delegator is providing explanation. The delegator is providing more guidance. The delegator and delegatee are creating mutual expectations. The registered nurse (RN) is planning to provide feedback to the licensed practical nurse(LPN). Which questions asked by the RN help in eliciting the LPN’s work quality? "Are you feeling well today?" "How did the patient respond?" "Has the task been completed?" "Are you willing to perform the task?" "What changes were observed in the client?" While delegating a task, the registered nurse says to the delegatee, "Please tell me how you go about performing this procedure, and I will share with you my perspective about how frequently and under what conditions we need to communicate with and report to each other." What does this indicate? The delegatee requires explanation. The delegatee has limited knowledge. The delegatee and delegator relationship is established. The delegatee and delegator are creating mutual expectations. A client is brought to the emergency department following ingestion of pesticides. The primary health care provider orders gastric suction. Which task can be delegated to the unlicensed assistive personnel (UAP) in this situation? Monitoring the vital signs Evaluating the client response Gastric suctioning through vented tube Emptying and measuring the gastric drainage The registered nurse (RN) delegates a task to a licensed practical nurse (LPN). Which client task can be assigned to the LPN? Client A Client B wound care Client C Client D Which aspects of organizations does the nurse consider during the decision-making process? Laws Policies Standards Environment Relationships A registered nurse is caring for a client according to the total client care model of nursing. Which activity performed by the nurse manager would be appropriate in this situation? Providing care to group of clients Providing care to clients in ambulatory clinics Delegating tasks to licensed practical nurse (LPN) Weighing the expenses of a registered nurse (RN) vs. LPNs Deciding the type of care provided by nursing assistive personnel The charge nurse is assigning client care to oncoming staff. The new nurse on the unit expresses an inability to care for the assigned client and is requesting to be reassigned. What should the delegator do in this situation? Provide little guidance to the delegatee Evaluate the ability and willingness of the delegate. Understand the delegatee’s motivation in the situation. Understand the kind of support needed to accomplish the task. What does Hersey’s situational leadership model describe about ability and willingness? Willingness relates to knowledge and skills in a specific situation. An individual’s ability does not change from one moment to the next. An individual’s willingness can fluctuate from one