Exam (elaborations) 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