NR224 / NR 224: Fundamentals Exam 1 (Latest Update) Chamberlain College of Nursing
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NR224 / NR 224: Fundamentals Exam 1 (Latest Update) Chamberlain College of Nursing
What order should the nurse follow during the delegation decision-making process when delegating client care?
1.Assessing the health needs exhibited by the client
2.Assessing the abilities demonstrated by unlice...
nr224 nr 224 fundamentals exam 1 latest update chamberlain college of nursing
nr224 nr 224
what order should the nurse follow during the delegation decision making process w
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NR224 / NR 224: Fundamentals Exam 1 (Latest Update) Chamberlain College of
Nursing
What order should the nurse follow during the delegation decision-making process when
delegating client care?
1.Assessing the health needs exhibited by the client
2.Assessing the abilities demonstrated by unlicensed personnel
3.Seeking client care issues
4.Ensuring the stability of the client
5. Monitoring the task
6.Providing feedback to unlicensed personnel Correct Answer: The delegation process starts
with assessing the health needs of the client and the skills of unlicensed personnel (UNP). The
key component of delegation decision-making is assessing the UNP's ability to perform the
work, including, safety, critical thinking, stability, and time. It is also vital to make client care
decisions at the same time. The nurse has to make sure that the client is stable and steady to
ensure the best care. The greater the stability of a client, the more likely the UNP can provide
safe client care. The nurse should then monitor the task being performed by the UNP. The nurse
should also maintain an open line of communication with the UNP to seek client care updates
and limitations. The nurse should always provide direct feedback to the UNP for professional
growth and development to improve client care outcomes.
The registered nurse (RN) is delegating tasks to several health care team members caring for a
client with a bacterial infection and high fever. Which statements by the registered nurse would
be most appropriate for the licensed practical nurse (LPN)? Select all that apply.
Correct1
"You should administer an antipyretic after the meal."
2
"You should assess the client's condition."
3
"You should change the bed sheets and dress the client every day."
Correct4
"You should administer prescribed antibiotics to the client twice a day."
Correct5
"You should collect data that can be used in the assessment of client's condition." Correct
Answer: The delegator can delegate tasks such as administration of antipyretic for the client
who has fever. This particular task should be delegated only to the licensed nursing personnel,
such as LPN. The delegator can delegate the task such as administration of antiallergic
medication to the licensed professional, such as LPN. The RN is responsible for all the
assessments performed, but the UAP or LPN can collect the data that can be used for the
assessment. The RN is responsible for assessing the client's condition. The RN should delegate
basic tasks such as changing the bed sheets and dressing the client to unlicensed nursing
personnel.
Which client's care can the registered nurse (RN) safely delegate to unlicensed nursing personnel
(UNP) based on the given data?
Correct1
,Client A, with chronic hypertension and stable vitals
2
Client B, with drainage from diabetic foot
3
Client C, with myocardial infarction due to atherosclerosis
4
Client D, with foot ulcers from peripheral vascular disease Correct Answer: Care of client A can
be safely delegated because the chronic hypertension with stable vitals is not generally
associated with any complications. Client B with drainage from diabetic foot is at a risk of
aggravating foot issues, so this client's care cannot be safely delegated. Client C with myocardial
infarction due to atherosclerosis is at a risk of cardiovascular instability and care should not be
delegated. Client D has a risk of foot ulcers due to peripheral heart disease so this client's care
also cannot be safely delegated to the UNP.
The nurse is delegating someone to care for a client with diabetes mellitus. Which instruction
given by the nurse better explains the selling relationship with the delegatee?
1
"Record the client's blood glucose level each morning."
2
"You may approach me for further assistance and questions. Thank you."
3
"I will guide and assist you while you learn how to check the client's blood glucose."
Correct4
"You will take complete care of the client with diabetes and make sure to record the blood
glucose level." Correct Answer: Selling includes ongoing relationships with an explanation of
the delegated new task. This is better explained in the statement, "You have to take complete
care of the client with diabetes and make sure that you record the blood glucose level." Telling is
ordering the delegate to record the client's blood glucose level each morning. Delegation,
involving established relationships and expertise, is better explained by, "You may approach me
for further assistance and questions. Thank you." Participation is mutual involvement to
accomplish the task. It is better explained by the statement, "I will guide and assist you while you
learn how to check the client's blood glucose."
The nurse is assisting the registered nurse with delegation decisions regarding management of a
client with shortness of breath. Which action by the nurse indicates a need for correction?
1
Asking questions about the client's respiratory rate
2
Asking the client to perform breathing exercises regularly
3
Administering oxygen to the client with shortness of breath
Correct4
Providing constructive feedback about client care management Correct Answer: The nurse may
not provide constructive feedback about the client care management during delegation decisions.
The nurse may, however, provide constructive feedback to the delegatee to maximize the
efficiency of the client care.
,The registered nurse (RN) is caring for a client who has severe abdominal pain. The RN plans to
work with the assistance of an unlicensed nursing personnel (UNP). The RN starts the client
care. What should the RN consider during the process of active delegation? Select all that apply.
Correct1
Assessing the level of the client's abdominal pain
Correct2
Directing the UNP to assist the client while toileting
3
Advising the client to take pain medication when needed
Correct4
Ensuring that the UNP is accountable for successful completion of the task
5
Explaining to the client about the reason and cause of abdominal pain Correct Answer: In active
delegation the RN assesses the client's situation to ensure the client is stable enough to be handed
over to the UNP. The RN can then delegate specific basic tasks to the UNP such as oral care and
toileting. The RN then holds the UNP accountable for successful completion of the task. It is
within the scope of practice of the RN to advise the client to take pain medication in accordance
with the primary health care provider's prescription. Likewise, the RN can explain the reason and
cause of the condition diagnosed by the primary health care provider. These tasks are considered
passive delegation.
A nurse is assisting another registered nurse in the intensive care unit who is caring for a client
with uncontrolled blood pressure. Which action on the part of the nurse indicates "offering"
during delegation decisions?
1
"Did you check the client's blood pressure this morning?"
Correct2
"You can use this stethoscope and sphygmomanometer to take the blood pressure."
3
"Would you fetch me the client's laboratory reports? I'll record the blood pressure."
4
"How is the client doing this morning? Let me look at yesterday's blood pressure report." Correct
Answer: Offering involves making a suggestion to facilitate the achievement of a desirable
client care outcome. The statement, "You can use this stethoscope and sphygmomanometer to
take the blood pressure," is an example of offering. Asking begins with questions related to the
problem or issue regarding client care. "Did you check the client's blood pressure this morning?"
is an example of asking. Doing involves demonstrating the specific task or behavior needed to
improve client care. "Would you fetch me the client's laboratory reports? I'll record the blood
pressure," is an example of doing. "How is the client doing this morning? Let me look at
yesterday's blood pressure report," is an example of supervision.
Which behavior does the delegator adopt when communicating with the delegatee if the
relationship between them is new, the delegatee has limited knowledge, and the delegator does
not expect the relationship to be ongoing?
Correct1
, Telling
2
Selling
3
Delegating
4
Participating Correct Answer: According to Hersey's Situational Leadership Model, if the
relationship between a delegator and a delegatee with limited knowledge is new and is not going
to be ongoing, the delegator's behavior is characterized as "telling." Delegator's behavior is
characterized as "selling" if the delegatee and delegator have an ongoing relationship and a new
task is being delegated. The delegator's behavior is characterized as "delegating" when the
delegatee has expertise and an established relationship with the delegator. If the delegatee has
willingness and ability, but the relationship with the delegator is new, then the delegator's
behavior is characterized as "participating."
Which action in the delegation process represents accountability?
1
Providing open and honest feedback to the delegatee
2
Assisting other registered nurses with delegation decisions
Correct3
Monitoring the client care given and determining outcomes
4
Assessing the ability of the delegatee and educating him or her about the task Correct Answer:
Monitoring client care and determining outcomes represents accountability of the task in case of
conflicts. Providing open and honest feedback to the delegatee improves work performance and
client care outcomes. The nurse can assist other registered nurses with delegation decisions when
there are safety issues, an urgent need to intervene, or potential negative client outcomes.
Assessing the ability of the delegatee and educating him or her about the task indicates
responsibility.
The client is admitted to the medical unit with a diagnosis of pulmonary edema. The client care
is assigned to the registered nurse (RN) by the charge nurse. The RN admits and provides a
written plan and assigns the client to a licensed practical nurse. Which healthcare personnel is
accountable and responsible for the client if there is development of any complications in the
client?
1
Charge nurse
2
Associate nurse
Correct3
Registered nurse
4
Licensed practical nurse Correct Answer: The registered nurse is responsible and accountable
for the client if complications develop. The registered nurse is responsible for the client because
he or she delegated client care and wrote the care plan. The charge nurse may be accountable but
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