Leadership Exam 1 (ATI Nursing Leadership and Management questions with accurate detailed answers

Leadership Exam 1 (ATI Nursing Leadership and Management || || || || || || || ||




questions with accurate detailed answers || || || ||




Delegation - ✔✔the process of transferring the authority and responsibility to another
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team member to complete a task, while retaining the accountability
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Delegation Decisions are Based on: - ✔✔-individual client needs
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-facility policies ||




-job descriptions
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-state nurse practice act
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-professional standards ||




Can LPN's delegate to other LPN's or AP? - ✔✔Yes
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Five Rights of Delegation - ✔✔-Right Task
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-Right Circumstance ||




-Right Person ||




-Right Direction/Communication
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-Right Supervision/Evaluation
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Right Task - ✔✔-repetitive
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-requires little supervision || ||




-relatively noninvasive for the client
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Right Circumstance - ✔✔-consider the team members workload
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,-match the complexity of care demands to the skill level of the heath care team
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member



Right Person - ✔✔-assess and verify the competency of the health care member
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-must be within the team members scope of practice and must have the necessary
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competence/training

-continually review the performance and determine care competency
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-assess performance based on standards and IF NECESSARY take steps to remediate a
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failure to meet standards
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Right Direction/Communication - ✔✔Communicate either in writing or orally:
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-data that needs to be collected
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-method and time line for reporting (including when to report concerns/assessment
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findings)

-specific tasks to be performed
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-client specific instructions
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-expected results, time lines and expectations for follow up communication
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Right Supervision/Evaluation - ✔✔-provide supervision either directly or indirectly
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(can assign supervision to another licensed nurse)
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-provide clear directions and expectations
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-monitor performance ||




-provide feedback ||




-intervene if necessary || ||




-evaluate the client and if outcomes were met
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-evaluate client care tasks and identify needs for improvement/additional resources
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, When does supervision occur? - ✔✔AFTER delegation
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A supervisor oversees a staff's performance of delegated activities and determines if: -
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✔✔-completion of tasks is on schedule || || || || ||




-performance was at satisfactory level || || || ||




-abnormal/unexpected finding were documented/reported || || ||




-assistance is needed to complete assigned tasks in a timely manner
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-assignment should be re-evaluated and possible changed
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What things can be delegated LPNs? - ✔✔-Monitoring client findings (ongoing
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assessment)

-Reinforcement of client teaching from a standard care plan|| || || || || || || ||




-Trach care ||




-Suctioning

-Checking NG tube patency || || ||




-Administering enteral feedings || ||




-Inserting urinary catheter
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-Med administration (excluding IV in some states)
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What things can be delegated to AP? - ✔✔ADLs
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-bathing

-grooming

-dressing

-toileting

-ambulating

-feeding (w/out swallow precautions)
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