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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 Superv...

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  • 20 januari 2022
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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

,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

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