Extended care and long-term care settings are more suitable for unlicensed nursing personnel (UNP). Show
Acute care, surgical care, and emergency care settings require highly qualified and licensed nursing professionals. Acute care, surgical care, and emergency care are not suitable for UNPs because the clients are less stable compared to those in extended care and long-term care. Since acute care, surgical care, and emergency care settings require highly qualified and licensed nursing professionals, the UNP's role is very limited. The nurse is caring for a client admitted with fluid overload. Which tasks are most appropriate to be delegated to the patient care associate? Select all that apply. 1 Documenting vital signs 1 Documenting vital signs Patient care associates are unlicensed assistive personnel whose scope of practice includes documenting vital signs and urine output and repositioning the client every one or two hours. Assessing the laboratory findings should be carried out by the registered nurse only. Intravenous medications should be administered the registered nurse. Administration of oral and topical medications can be delegated to the licensed practical or vocational nurse. Which questions should the delegator assess to determine the right TASK? Select all that apply. 1 "Is the task legally appropriate to delegate?" 2 "Is the environment conducive to completing the task safely?" 3 "Does the delegator provide clear and concise directions for the task?" 4 "Is the task appropriate to delegate based on institutional policies and procedures?" 5 "Does the delegatee have the knowledge and experience to perform the specific task safely?" 1 "Is the task legally appropriate to delegate?" 4 "Is the task appropriate to delegate based on institutional policies and procedures?" The delegator has to determine right task by assessing whether the task is legally appropriate to delegate. The delegator must also check that the task is appropriate to delegate based on institutional policies and procedures. The right circumstance can be assessed by asking, "Is the environment conducive to completing the task safely?" The right direction and communication is assessed by asking, "Does the delegator provide clear and concise directions for the task?" The right person eligible to accomplish the task is assessed by asking, "Does the delegatee have the knowledge and experience to perform the specific task safely?" Who supervises unlicensed nursing personnel (UNPs) in providing care to the client? 1 Charge
nurse 3 Registered nurse The registered nurse (RN) supervises UNPs and also licensed practical nurses (LPNs) in providing care to the client. The charge nurse and the nurse manager may supervise RNs. The charge nurse delegates the tasks to the LPN and UNP when the RN does not delegate. The nursing manager is in charge of the RN, LPN, and UPN. The patient care associate does not supervise the UNPs and is delegated tasks by an RN. What factors are most important for the nurse to consider when delegating responsibilities? 1 Preferences of the clients and staff 3 Staff member's level of education and expertise Delegation should provide for client safety based on staff capabilities as determined by level of education and experience. Although client and staff preferences may be considered, they are not the most important criteria for determining delegation of tasks. Although geographic factors may be considered when tasks are delegated, these are not the most significant criteria to consider. The client's acuity, not diagnosis or length of time in the hospital, is the most important client factor to consider when appropriate staff members are assigned to provide care. The registered nurse is reviewing the clinical data of four clients. Which client care can be delegated to the licensed practical nurse (LPN)? Client A: Dental Pain; NSAIDS Client A: Dental Pain; NSAIDS The licensed practical nurse (LPN) scope of practice includes administering oral, topical, intramuscular, and subcutaneous except for intravenous medications. Client A is prescribed non-steroidal anti-inflammatory drugs for dental pain that can be either administered orally or intramuscularly. This client care falls under the scope of LPN. Client B is prescribed replacement fluids for severe dehydration, which must be given intravenously. This intervention is out of scope for the LPN. Blood products transfusion should be made only by the registered nurse. Client C care is out of scope for the LPN. Dextran is administered intravenously to maintain the volume of blood during hemorrhage. This intervention in client D is out of scope for the LPN. Which delegation actions may be performed by unlicensed nursing personnel while caring for a client? Select all that apply. 1 Teaching the care plan to the client 3 Asking the client to wash the hands before meals Unlicensed nursing personnel (UNP) can delegate simple and straightforward client teaching, such as asking the client to wash his or her hands before meals and wear footwear while walking. Complex and multifaceted teaching, such as detailing the care plan to the client, cannot be delegated to a UNP. The UNP has less knowledge and professional skills with which to perform complex procedures such as infusing intravenous fluids into the client and does not have a complete knowledge of medications with which to coach the client about medications. 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? 1 Administering analgesics 4 Administering mouth wash for oral hygiene The UAP scope of practice includes administering mouth wash to the client. Instructing the UAP to administer medications such as antibiotics and anesthetics is inappropriate because the UAP is not eligible to do so and may not have the knowledge to administer medications. Administering nerve block anesthesia should be performed by the anesthesiologist. What entity outlined the principles of delegation for registered nurses? 1 Nurse Practice Act 3 American Nurses Association (ANA) The ANA outlined the principles of delegation for registered nurses. The Nurse Practice Act of each state examines the value of unlicensed personnel in client care delivery and declares that the importance of delegation decisions is the safety and welfare of the public. The multilevel nursing model consists of registered nurses, licensed practical nurses, and unlicensed nursing professionals. The National Council of State Boards of Nursing (NCSBN) stated that the state boards of nursing should regulate nursing assistive personnel across multiple settings. 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? 1 Leadership 2 Delegation Delegation is a process of sharing the responsibility of client care. It involves the transfer of responsibility for the performance of an activity from one individual to another, with the delegator retaining accountability for the outcome. Leadership is the use of individual traits and abilities in relationship with others, the ability to interpret the context where a situation is emerging, and entering that situation in the absence of a script or defined plan that could have been projected. Supervision is defined as the active process of directing, guiding, and influencing the outcome of an individual's performance of an activity. Assignment is the transfer of both the accountability and the responsibility from one person to another. 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? Select all that apply. 1 Recording vital signs 1 Recording vital signs The tasks within the scope of unlicensed assistive personnel (UAP) include recording vital signs and providing basic hygiene, such as assisting the client with activities of daily life such as bathing. Administering oral medications is under the scope of licensed practical nurse (LPN) or licensed vocational nurse (LVN), but not the UAP. Depending on the state, administering intravenous antibiotics can be performed by either the RN or an LPN/LVN. Preparing the care plan for the client should be performed by the registered nurse only. Which professionals in a healthcare organization can be delegators? 1
Assistants 3 Registered nurses Registered nurses are professionals in a healthcare organization who can be delegators. The registered nurses allocate a portion of work related to client care to other individuals. Assistants, technicians, and client care associates in a healthcare organization can be delegatees. Which definition of delegation given by the nurse is correct? 1 Activities undertaken by a group of people who have common interests 2 Transfer of both accountability and task responsibility from one person to another 3 An organized and innovative plan that helps an organization achieve its objectives 4 Process for the nurse to direct another person to perform nursing tasks and activities 4 Process for the nurse to direct another person to perform nursing tasks and activities The American Nurses Association (ANA) and National Council of State Boards of Nursing (NCSBN) collaboratively defined delegation as the "process for the nurse to direct another person to perform nursing tasks and activities." Collective actions are the "activities that are undertaken by a group of people who have common interests." Transferring both accountability and responsibility from one person to another is referred to as an assignment. Strategy is an "organized and innovative plan that assists an organization to achieve the objectives." Which behavior of the nurse leader is characterized as delegating according to the Hersey's model? 1 Guiding or directing 2 Observing or monitoring Observing or monitoring behavior of the leader is characterized as delegating according to Hersey's model. Guiding or directing behavior of the leader is characterized as telling according to Hersey's model. Explaining or persuading behavior of the leader is characterized as selling according to Hersey's model. Encouraging or problem solving behavior of the leader is characterized as selling according to Hersey's model. The registered nurse finds that the delegatee is only working for half a day in the healthcare unit. Which is
the most appropriate leadership style in this situation? 2 Telling The relationship between the delegator and the delegatee is limited if the delegatee is only working for a half day in the healthcare unit. Therefore, the most appropriate leadership style in this situation is telling because it provides a fair amount of guidance but limits the time spent on the interactions. The leadership style of selling requires more time because the delegator needs to understand the delegatee's motivation related to the situation. Delegating is the leadership style when the relationship between the delegator and delegatee is well established and the delegatee spends more time in the healthcare organization. Participating is the leadership style of sharing and exchanging views, which requires more time and an ongoing relationship between the delegator and the delegatee. The client with methicillin-resistant staphylococcus aureus (MRSA) is admitted to the medical unit. Which of the following tasks should be performed by the registered nurse? 1 Feeding 3 Initiating intravenous (IV) antibiotic therapy The registered nurse performs the task of administering the IV medication. Feeding the hospitalized client is done by the unlicensed nursing professional. Oral administration of medicine is done by the licensed practical nurse. Changing the dressing of a postoperative wound is done by the unlicensed nursing professional. When does delegation become more challenging? Select all that apply. 1 When the client is stable 2 When the client is pregnant The delegation process becomes more challenging when vulnerable populations such as pregnant women and school children are receiving care. Delegation can be safely and successfully carried out in the stable client. Delegation can be accomplished successfully when the geographical area is small and resources are abundant. A client is diagnosed with cancer and is physically weak. The delegator has delegated the healthcare team members to care for the client. Which aspects of the care are most appropriate for the registered nurse (RN)? Select all that apply. 1 Administering vitamin supplements 3 Collecting the client's medical history The RN is capable of providing physical and emotional aspects of care when the client is diagnosed with life-threatening conditions. The RN is also responsible for all aspects of patient assessment. The RN should collect the medical history, take the responsibility of helping the client be hopeful about the treatment and providing emotional support to the client's family. Vitamin supplements are administered by the licensed practical nurse. Collecting urine samples is delegated to nursing assistive personnel. Which conditions make a delegation more challenging for the registered nurses, delegatees, and clients? Select all that apply. 1 Limited resources 1 Limited resources Delegation is a multifaceted decision-making process which involves a nurse directing another person to perform nursing tasks and activities. Delegation is more challenging when other resources are limited because it is difficult to care for all clients when resources are limited. Delegation is more challenging when the geographic area is greater because of more population. Delegation is more challenging when vulnerable populations are receiving care because they are economically uninsured. Delegation is better when more staff is available and when more time is allotted to care for clients. A healthcare team is delegated the task of assisting a client with bathing. Which member of the healthcare team is responsible and accountable for this aspect of client care? 1 Nursing aide 2 Registered nurse (RN) Bathing is often delegated to a patient care associate (PCA) on the healthcare team. The registered nurse (RN) is accountable for the client care, but is not delegated the task of basic hygiene care such as bathing. Though the nursing aide is responsible for client care, he or she is not accountable for the client care. Similarly, a PCA may be responsible but not accountable for client care. As bathing is not generally delegated to a licensed vocational nurse (LVN), the LVN is neither responsible nor accountable for client care. The registered nurse is caring for a client undergoing chemotherapy. Which statement made by the client shows a need for the registered nurse (RN) to delegate unlicensed assistive personnel (UAP) to help the client with activities of daily living (ADL)? Select all that apply. 1 "I have severe nausea." 4 "I am unable to eat by myself due to the intravenous (IV)
catheter." Unlicensed assistive personnel are members of the healthcare team whose scope of practice is limited to feeding, providing basic care, hygiene, and comfort. The client reporting an inability to eat due to the intravenous catheter and an inability to get out of bed due to weakness indicates that he or she can be assisted by the UAP. The RN will be required to report the client's severe nausea to the primary healthcare provider. The RN will be required to report the pain experienced by the client undergoing chemotherapy. The client who developed rashes after therapy will require the RN to report the side effects of the medication to the primary healthcare provider. The registered nurse (RN) delegates obtaining and recording a client's pulse every 30 minutes. During the last hour, the licensed practical nurse (LPN) fails to report the client's elevated heart rate to the RN. Which factor best explains the situation? 1 Limited delegation 3 Decayed information Information decay is the characteristic feature of communication that occurs when the client's health status changes rapidly; this might include a change in the client's vital signs such as the heartbeat. Nursing when performed with limited delegation leads to misusing valuable resources. Information salience is a characteristic feature of communication in which the information provided by the delegator is monitored and evaluated. Supervision is mainly provided to the new delegatees. The registered nurse is evaluating the statements made by a student nurse after teaching about the delegation communication template. Which statement made by the student nurse indicates a need for correction? 1 "The delegation communication template should identify the priorities." 2 "The delegation communication template should specify the deviations." 3 "The delegation communication template should identify the appropriate resources." 4 "The delegation communication template should include only the work that is to be delegated." 4 "The delegation communication template should include only the work that is to be delegated." The delegation communication template should emphasize the work that is NOT to be delegated. The delegation communication template should identify the priorities such as what is to be done first. The delegation communication template should specify deviations such as when to take an immediate action. The delegation communication template should identify the appropriate resources including the individual consultants. The registered nurse (RN) is caring for a client with renal calculi. Which healthcare professional is most suitable to be delegated the task of administering urinary alkalinizer by mouth to the client? 1 Certified technician 3 Licensed practical nurse Administering oral medications such as urinary alkalinizer can be safely delegated to a licensed practical nurse (LPN) or licensed vocational nurse (LVN) as per guidelines. Certified technician is a licensed assistive personnel whose scope of practice is limited for administering medications. The scope of practice of the patient care associate and unlicensed assistive personnel is limited to performing basic care, feeding, and hygiene. A patient care associate (PCA) is delegated a task that can be completed in 2 hours. The PCA has limited knowledge and willingness regarding that particular task. Which leadership style should be implemented by the delegator in this situation? 1 Selling 2 Telling If the ability and willingness of the delegatee is low and the work assigned to the delegatee can be completed in 2 hours, it means the nature of relationship between delegator and delegatee is limited. In such situation, the leadership style of the delegator should be telling, because it provides a fair amount of guidance and also limits the time spent on the interactions. The selling style of leadership should be used when the relationship is ongoing; that is, individuals who usually work together continue to work together. The monitoring style should be used when the delegatee has the ability and willingness, and has an established relationship with the delegator. The participating style can be implemented when the delegatee is willing to perform the task. The registered nurse is delegating a task for unlicensed assistive personnel l (UAP). Which client's care would be suitable for delegation to the UAP? 1 Client A: Surgical removal of anal fistula; Monitor for discharges from fistula site 2 Client B: Severe malarial fever; Monitor temperature hourly 3 Client C: Underwent appendectomy and hospitalized; Monitor for abdominal pain 4 Client D: Respiratory infections; Monitoring respiratory rate 2 Client B: Severe malarial fever; Monitor temperature hourly The unlicensed assistive personnel (UAP) can monitor the temperature of client B every hour. Discharges from the surgical site of client A should be monitored, but the UAP may not have appropriate knowledge. Abdominal pain should be monitored in client C, but the UAP is not qualified to understand the condition of the client. Respiratory rate cannot be monitored by the UAP as it is the responsibility of the more qualified UNP. The client is admitted to the medical unit with a diagnosis of pulmonary edema. The client care is assigned to the registered nurse (RN) by the charge nurse. The RN admits and provides a written plan and assigns the client to a licensed practical nurse. Which healthcare personnel is accountable and responsible for the client if there is development of any complications in the client? 1 Charge nurse 3 Registered nurse The registered nurse is responsible and accountable for the client if complications develop. The registered nurse is responsible for the client because he or she delegated client care and wrote the care plan. The charge nurse may be accountable but may not be responsible since the charge nurse gets the task in the absence of the RN. The associate nurse is responsible for the client's condition if the primary nurse's written plan is implemented by the associate nurse. The licensed practical nurse (LPN) is not responsible because the LPN follows the written plan given by the RN. The charge nurse is assigning client care to oncoming staff. The new nurse on the unit expresses an inability to care for the assigned client and is requesting to be reassigned. What should the delegator do in this situation? 1 Provide
little guidance to the delegatee 3 Understand the delegatee's motivation in the situation. An inability to care for the assigned client shows inability and/or unwillingness in the new nurse. The delegator needs to understand the delegatee's motivation related to the situation and should use selling leadership style, which leads to a supportive relationship. Little guidance should be provided to the delegatee when he or she has high ability and willingness to perform the task delegated efficiently. When a new team begins to work together, the delegator should evaluate the ability and willingness of the delegatee. In the application of practice before delegation, the delegator needs to understand the kind of support to be given to accomplish the task. A registered nurse is caring for a client according to the total client care model of nursing. Which activity performed by the nurse manager would be appropriate in this situation? Select all that apply. 1 Providing care to group of clients 4 Weighing the expenses of a registered nurse (RN) vs. LPNs Weighing the expenses of RNs versus LPNs and unlicensed assistive personnel (UNP) are performed by the nurse manager in the total client care model of nursing. Providing care to the group of clients is the responsibility of a direct care nurse in the functional nursing model. Providing care to a client in an ambulatory clinic is the responsibility of the nurse manger in the functional nursing model. Delegating a task to an LPN is not the responsibility of the nurse manager; it is the responsibility of the RN. As a part of the nursing curriculum, the nursing faculty is teaching nursing students about high-quality clinical delegation experiences and has also chosen to engage the students with nursing mentors. Which skill does the nursing faculty expect the nursing students to develop via this approach? 1 Proficiency in delegation 3 Professional self-confidence in delegation Because of the ever-changing health care system, the faculty in nursing schools should teach and mentor the nursing students regarding advances in the health care system. Teaching and exposing the students to high-quality clinical delegation experiences and engaging the student nurses with nursing mentors is helpful for fostering students' professional self-confidence. These experiences advance the nurse's ability to become a successful delegator. The student's proficiency in delegation is improved with the study and practical application of teaching and learning. The nursing practicum develops the student's ability to apply theoretical knowledge to the process of delegation and also develops the student's clinical judgment skills related to delegation. The registered nurse (RN) assigns an unlicensed assistive personnel (UAP) to obtain and record the body temperature of a client with a fever. After completing the task, the delegator evaluates the work and gets clear feedback from the delegatee related to the task. Which delegation right is followed in this situation? 1 Right person 2 Right supervision Right supervision is followed by the delegator in this situation. After completing the task, the delegatee gives the feedback related to the task. Right person is the right followed when the specific task is given and the delegate has the knowledge to complete the task safely. Right circumstance is the right followed when the delegatee has the appropriate supervision to complete the task. Right communication is followed when the delegator and the delegatee understand the common working language. Which statement is true regarding the framework of delegation related to the Hersey's Situational Leadership Model? Select all that apply. 1 Single factor influences the effectiveness of a leader 3 Willingness relates to the individual's attitude towards the task 4 Ability to diagnose performance is a core competency of a situational leader Hersey's Situational Leadership Model serves as a foundation for delegation decision making. Willingness is the individual's attitude and commitment towards the task. The ability to diagnose the performance and commitment of others is a core competency of Hersey's Situational Leadership Model. Multiple factors such as assessment of personality characteristics and readiness level of an individual influence the effectiveness of a leader. Willingness, not ability, relates to attitude and commitment. Willingness and ability are the two factors that are assessed when determining the level of follower's readiness. A nurse is assisting another registered nurse in the intensive care unit who is caring for a client with uncontrolled blood pressure. Which action on the part of the nurse indicates "offering" during delegation decisions? 1 "Did you check the client's blood pressure this morning?" 2 "You can use this stethoscope and sphygmomanometer to take the blood pressure." 3 "Would you fetch me the client's laboratory reports? I'll record the blood pressure." 4 "How is the client doing this morning? Let me look at yesterday's blood pressure report." 2 "You can use this stethoscope and sphygmomanometer to take the blood pressure." Offering involves making a suggestion to facilitate the achievement of a desirable client care outcome. The statement, "You can use this stethoscope and sphygmomanometer to take the blood pressure," is an example of offering. Asking begins with questions related to the problem or issue regarding client care. "Did you check the client's blood pressure this morning?" is an example of asking. Doing involves demonstrating the specific task or behavior needed to improve client care. "Would you fetch me the client's laboratory reports? I'll record the blood pressure," is an example of doing. "How is the client doing this morning? Let me look at yesterday's blood pressure report," is an example of supervision. The nurse says to the licensed practical nurse (LPN), "I know that you can accomplish the task with dedication. Report to me the expected outcomes and approach me for further assistance if needed." Which relationship is the nurse maintaining with the LPN? 1 Telling 3 Delegating The statements, "I know that you can responsibly accomplish the task with dedication. Report to me the expected outcomes and approach me for further assistance if needed," indicate delegation. Delegation involves an established relationship and expertise with little guidance. Telling requires intensive guidance for a delegatee with limited knowledge and ability to perform the task. Selling requires explanation of the new task that is to be delegated. Participation requires involvement of both the delegator and delegatee to create mutual expectations and conditions for performance. The nurse is delegating someone to care for a client with diabetes mellitus. Which instruction given by the nurse better explains the selling relationship with the delegatee? 1 "Record the client's blood glucose level each morning." 4 "You will take complete care of the client with diabetes and make sure to record the blood glucose level." Selling includes ongoing relationships with an explanation of the delegated new task. This is better explained in the statement, "You have to take complete care of the client with diabetes and make sure that you record the blood glucose level." Telling is ordering the delegate to record the client's blood glucose level each morning. Delegation, involving established relationships and expertise, is better explained by, "You may approach me for further assistance and questions. Thank you." Participation is mutual involvement to accomplish the task. It is better explained by the statement, "I will guide and assist you while you learn how to check the client's blood glucose." The nurse is assisting the registered nurse with delegation decisions regarding management of a client with shortness of breath. Which action by the nurse indicates a need for correction? 1 Asking questions about the client's respiratory rate 4 Providing constructive feedback about client care management The nurse may not provide constructive feedback about the client care management during delegation decisions. The nurse may, however, provide constructive feedback to the delegatee to maximize the efficiency of the client care. The nurse may assist other registered nurses with delegation decisions by using three strategies: asking, offering, and doing. Asking involves inquiring about the client care problems and issues such as the respiratory rate. Offering involves suggesting ways to achieve desirable client care outcomes, such as asking the client to perform breathing exercises regularly. Doing involves demonstrating the specific task to improve client care—for instance, administering oxygen to the client. The nurse manager appointed a registered nurse (RN) to provide hospice care for a client and explained the tasks to be performed. Which tasks has the nurse manager delegated to the RN? Select all that apply. 1 Providing total
client care 1 Providing total client care The registered nurse provides total client care, teaches the family about the client's care, and teaches the client about personal hygiene. The registered nurse may not perform all the hygienic tasks and daily activities. These tasks are delegated to the unlicensed assistive personnel. In which situation would a delegator identify that a delegatee is unable to perform an assigned task?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.
Which factor is important for the nurse to consider when delegating care to a delegatee who has limited knowledge?The nurse should assess the knowledge and experience of the prospective delegatee to perform the specific task safely and fulfill the expected outcomes. Right direction and documentation are assessed by the delegatee's ability to understand the directions and expected results of the task.
Which questions related to decisionQuestions related to the equipment and resources available for carrying out the task allotted are appropriate for the delegation right "right circumstance." Asking about the required supervision needed for the delegatee to complete the task is appropriate for the delegation right "right circumstance." Questioning ...
Which definition of delegation given by the nurse is correct quizlet?correct. ans: 2. Delegation is a process of sharing the responsibility of client care. It involves the transfer of responsibility for the performance of an activity from one individual to another, with the delegator retaining accountability for the outcome.
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Which right is applicable when the delegator and delegatee understand a common work related language quizlet?
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