STUDY GUIDE
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?
1
Which description by the nurse is a correct explanation of delegation?
1
Which right is applicable when the delegator and delegatee understand a common work•related
language?
4
Which of these clients can be provided care safely by unlicensed nursing personnel? Select
all that apply.
34
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?
4
Which description by the nurse is a correct explanation of delegation? The
transfer of responsibility for the performance of an activity
Delegation is the transfer of responsibility for the performance of an activity. Personal
liability defines each person's responsibility and accountability for individual actions
or omissions. Supervision is defined as the active process of directing, guiding, and
influencing the outcome of an individual.
Assignment is the transfer of both the accountability and the responsibility from one
person to another.
When does a delegator identify that the delegatee is less able to perform in a given
,situation?
When the delegatee is knowledge deficient
A delegatee is identified as less able to perform a specific work when he or she has a
knowledge deficit. When the delegatee is upset, bored, or anxious, the delegator will
identify that the delegatee is unwilling to perform a specific task.
Who is most accountable for an initial assessment and the ongoing evaluation of
client care?
Registered nurse
Registered nurses are accountable for initial assessment and the ongoing evaluation of
client care. The client is not responsible for assessment and evaluation. The licensed
practical nurse has a responsibility to assess and report client care. Unlicensed nursing
personnel perform tasks as delegated by the registered nurse.
Who acts as a delegator in the absence of the registered nurse? Charge nurse
,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.
What is the main motto of the Hersey's 2006 model? Situational
leadership
Hersey's 2006 model provides a solid foundation for delegation decisions. The main
motto of this model is situational leadership. The core competencies of a situational
leader are the ability to diagnose the performance, competence, and commitment of
others; to be flexible; and to partner for performance. Anthony and Vidal describe
characteristics of communication that interfere with the delegation process, such as
information decay. They also describe information salience, or the quality, meaning,
and clarity of the information. Ana mentioned individual accountability, the
expectation of accountability and responsibility in 2011, specifically referencing
delegation.
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?
Assessing the respirations
Respiratory therapy is needed in clients who undergo surgery for lung cancer.
Assessing respiration can be safely delegated to the respiratory therapist. Placing a
Foley catheter, an IV catheter, or administering patient- controlled analgesia is within
the scope of a registered nurse's practice.
Which healthcare professional does the nurse know is authorized to delegate work to
other healthcare members?
Registered nurse (RN)
Delegating work is the most effective professional management strategy that an RN can
implement in clinical practice to improve the safety and quality of client care. RNs can
delegate work to LPNs, UNP, or UAP.
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 delegating the task of administering vaccinations?
Licensed practical nurse
Tetanus vaccination is administered through the intramuscular route. The licensed
practical nurse can administer oral, topical, and intramuscular medications, except for
intravenous. The nursing aide, certified technician, and patient care associate are
unlicensed assistive personnel whose scope of practice is limited for administering
medications