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. Licensed
practical nurses and unlicensed nursing personnel are considered
delegatees due to insufficient experience and training.
The registered nurse (RN) delegates the collection of respiratory rate data
to a licensed practical nurse (LPN) for a client who is experiencing severe
dehydration and whose condition is unstable. The LPN reports the data to
the RN. The RN rechecks the data and finds that the report no longer
reflects the client's current condition. Which characteristic of
communication has interfered with the delegation process?
1 Information decay
2 Information salience
3 Confidence in abilities
4 Synergy between team members ------CORRECT ANSWER---------------1
Information decay
,Information decay can occur in a rapidly changing situation when
reported information is no longer relevant to a client's condition.
Information salience describes the different ways individuals from
different backgrounds might assess the quality, meaning, and clarity
of certain information. Trust is developed when there is confidence in
the abilities and capabilities of the team members. Healthy
relationships among members of the health care team promote
synergy between the team members.
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 to do and when to report."
3 "Please tell me how you are going to perform this procedure."
4 "It is important that you check the client's temperature every hour." ------
CORRECT ANSWER---------------2 "You know what to do and when to
report."
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 delegatee.
When the relationship is new and a new task is delegated, an
explanation is required about how to perform the task. When the
delegatee is newly assigned, then the delegator checks the ability of
the delegatee by asking how to perform the procedure. When the
relationship between the delegatee and delegator is new, and it is for
a limited period, then the delegator just informs the delegatee what is
to be done.
,The nurse leader arranges a meeting with the staff members to learn how
satisfied they are with their jobs. Which approach by the nurse leader
would outline effective leadership? Select all that apply.
1 Seeking feedback from the team
2 Allotting work schedules to the team
3 Penalizing the team for poor performance
4 Motivating the team to reach the desired goals
5 Asking the team to participate in decision making ------CORRECT
ANSWER---------------1, 4, 5
Seeking feedback from the team will help the team members in
reaching the organizational goals and a shared vision. The most
important leadership quality is to motivate the team members in such
a way that they are satisfied with their jobs and helped in reaching
their goals. Asking team members to participate in decision making
will improve their job satisfaction.
Allotting the work schedules and penalizing team members for poor
performance are the duties of a nurse manager.
During a peer review, the manager finds that a newly appointed nurse
leader encourages "bottom up" interaction among the workers. To which
statement of the staff does the manager relate this?
1 "He/she accepts responsibility willingly."
2 "He/she is empathetic to the experiences of others."
3 "He/she involves us in shaping policies for client care."
4 "He/she believes in unleashing constructive energy rather than
constraining energy." ------CORRECT ANSWER---------------3 "He/she
involves us in shaping policies for client care."
"Bottom-up" interaction values every nurse as a human resource with
rich perspective. Therefore involving peers in shaping policies is an
example of a "bottom-up" interaction.
Willingness to accept responsibility is a generally desired attribute.
Empathy to others' experiences shows emotional intelligence. A
, leader who unleashes constructive energy demonstrates the concept
of focus on emergence.
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?
1 Leadership
2 Delegation
3 Supervision
4 Assignment ------CORRECT ANSWER---------------2
Delegation is the concept of a transfer of authority between two
people to perform some type of task, e.g., between an RN and
licensed staff.
Leadership is the action of leading a group or an organization.
Supervision is defined as the active process of directing, guiding, and
influencing the outcome of an individual's performance. Assignment
is the transfer of both accountability and responsibility.
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?
Unlicensed assistive personnel perform all the hygiene tasks. Per the
functional model, intravenous (IV) medication administration is
provided by the registered nurse. The licensed practical nurse and a
licensed vocational nurse may be permitted to give IV administration
of medications, but they maybe limited to giving oral medications.
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