Chapter 14: Delegation in the Clinical
Setting
MULTIPLE CHOICE
1. The nurse needs to discuss a problem with the nursing assistant. The nursing
assistant has left several rooms cluttered with trash and not cleaned appropriately.
Which comment by the nurse would be the best way to approach the problem?
a. “I checked on the four rooms you were assigned, and they are really a
mess.”
b. “Have you had a problem completing your work assignment today?”
c. “All four of the patient rooms assigned to you today are messy with a lot
of trash in them.”
d. “Family members have been really upset today. Why have you not
cleaned up the rooms assigned to you?”
ANS: B
Providing an open-ended question to determine if there was some difficulty with an
assignment is an appropriate method to assess this situation. When correcting or
telling a person that he/she did something wrong, it is best to start by giving that
person an opportunity to provide some input into the situation. This can be
accomplished by asking the nursing assistant if there was any problems completing
the assignment today. Asking why-type questions can put the person on the defensive
and does not allow the CNA to provide an explanation of why the rooms were
cluttered. Telling the CNA that the rooms were cluttered and messy does not address
the issue of how it occurred.
PTS: 1 DIF: Cognitive Level: Application/Applying REF: Critical
Thinking Box 14.6
, OBJ: Provide reciprocal feedback for the effective evaluation of the delegate’s
performance. TOP: Providing feedback
MSC: NCLEX®: Safe and effective care environment—management of care.
2. Which of the following tasks can the nurse safely delegate to the nursing
assistant?
a. Assessing the patients who are being discharged later today
b. Giving discharge instructions to a patient .
c. Helping a patient select food according to the specified diet
d. Educating the patient on what foods to eat for his/her diet plan
ANS: C
The nurse can safely delegate the job of helping the patient select food according to a
specified diet. The nurse is responsible for assessing patients, giving discharge
instructions, and educating the patient on what foods to eat for the diet plan.
PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 306 |p.
308
TOP: What does delegation mean? OBJ: Understand and apply the five rights
of delegation in nursing practice.
MSC: NCLEX®: Safe and effective care environment.
3. Determine how the registered nurse’s role is different from that of the LPN in
assessment of the patient.
a. Collects data during the health history and physical exam
b. Contributes to the development of the care plan
c. Assist in updating the care plan .
d. Uses findings from the assessment to create a care plan
ANS: D
, The registered nurse differs from the LPN in that the RN uses assessment findings to
create a care plan for the patient. The LPN focuses on collecting data during the
health history and exam, contributes to the development of the care plan, and assists
in updating the care plan.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 307 OBJ: Understand and apply the five rights of delegation in
nursing practice.
TOP: Delegation MSC: NCLEX®: Safe and effective care environment .
4. A registered nurse is feeling overwhelmed. Which of the following would be
most appropriate for the registered nurse to delegate to an LPN?
a. An initial assessment on a new patient
b. Educational teaching on diabetes management .
c. Creating a care plan for a patient
d. Updating the care plan for a patient who is postop day 2
ANS: D
The registered nurse could delegate updating the care plan for a patient who is postop
day 2. The RN should not delegate an initial assessment, teaching, or creating a care
plan for a patient. These responsibilities are not within the scope of practice for the
LPN and must be completed by the registered nurse.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 307 OBJ: Understand and apply the five rights of delegation in
nursing practice. TOP: Delegation MSC: NCLEX®: Safe and effective care
environment.
5. A day shift nurse has come into work and notices that the glucometers were not
tested overnight as they typically are. What is the best way for the nurse to
question the nurse assistant in order to give feedback?
Setting
MULTIPLE CHOICE
1. The nurse needs to discuss a problem with the nursing assistant. The nursing
assistant has left several rooms cluttered with trash and not cleaned appropriately.
Which comment by the nurse would be the best way to approach the problem?
a. “I checked on the four rooms you were assigned, and they are really a
mess.”
b. “Have you had a problem completing your work assignment today?”
c. “All four of the patient rooms assigned to you today are messy with a lot
of trash in them.”
d. “Family members have been really upset today. Why have you not
cleaned up the rooms assigned to you?”
ANS: B
Providing an open-ended question to determine if there was some difficulty with an
assignment is an appropriate method to assess this situation. When correcting or
telling a person that he/she did something wrong, it is best to start by giving that
person an opportunity to provide some input into the situation. This can be
accomplished by asking the nursing assistant if there was any problems completing
the assignment today. Asking why-type questions can put the person on the defensive
and does not allow the CNA to provide an explanation of why the rooms were
cluttered. Telling the CNA that the rooms were cluttered and messy does not address
the issue of how it occurred.
PTS: 1 DIF: Cognitive Level: Application/Applying REF: Critical
Thinking Box 14.6
, OBJ: Provide reciprocal feedback for the effective evaluation of the delegate’s
performance. TOP: Providing feedback
MSC: NCLEX®: Safe and effective care environment—management of care.
2. Which of the following tasks can the nurse safely delegate to the nursing
assistant?
a. Assessing the patients who are being discharged later today
b. Giving discharge instructions to a patient .
c. Helping a patient select food according to the specified diet
d. Educating the patient on what foods to eat for his/her diet plan
ANS: C
The nurse can safely delegate the job of helping the patient select food according to a
specified diet. The nurse is responsible for assessing patients, giving discharge
instructions, and educating the patient on what foods to eat for the diet plan.
PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 306 |p.
308
TOP: What does delegation mean? OBJ: Understand and apply the five rights
of delegation in nursing practice.
MSC: NCLEX®: Safe and effective care environment.
3. Determine how the registered nurse’s role is different from that of the LPN in
assessment of the patient.
a. Collects data during the health history and physical exam
b. Contributes to the development of the care plan
c. Assist in updating the care plan .
d. Uses findings from the assessment to create a care plan
ANS: D
, The registered nurse differs from the LPN in that the RN uses assessment findings to
create a care plan for the patient. The LPN focuses on collecting data during the
health history and exam, contributes to the development of the care plan, and assists
in updating the care plan.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 307 OBJ: Understand and apply the five rights of delegation in
nursing practice.
TOP: Delegation MSC: NCLEX®: Safe and effective care environment .
4. A registered nurse is feeling overwhelmed. Which of the following would be
most appropriate for the registered nurse to delegate to an LPN?
a. An initial assessment on a new patient
b. Educational teaching on diabetes management .
c. Creating a care plan for a patient
d. Updating the care plan for a patient who is postop day 2
ANS: D
The registered nurse could delegate updating the care plan for a patient who is postop
day 2. The RN should not delegate an initial assessment, teaching, or creating a care
plan for a patient. These responsibilities are not within the scope of practice for the
LPN and must be completed by the registered nurse.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 307 OBJ: Understand and apply the five rights of delegation in
nursing practice. TOP: Delegation MSC: NCLEX®: Safe and effective care
environment.
5. A day shift nurse has come into work and notices that the glucometers were not
tested overnight as they typically are. What is the best way for the nurse to
question the nurse assistant in order to give feedback?
