The registered nurse (RN) and unlicensed assistive personnel (UAP) have been working together for two years. Which statement made by the RN would be appropriate after delegating a task to the UAP? Show "Let me tell you how to do this task." "You know what to do and when to report." "Please tell me how you are going to perform this procedure." "It is important that you check the client’s temperature every hour." 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 Check also... Immunologic System And Infectious DiseasesWhat 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 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 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 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? Charge nurse Registered nurse Patient care associate Licensed practical nurse Which members of the health care team have dependent status under the registered nurse? Unit secretary Certified nursing aide Licensed practical nurse Licensed vocational nurse Unlicensed nursing personnel While caring for a client, the registered nurse (RN) needs the assistance of a licensed practical nurse (LPN). The RN feels that the LPN requires supervision as the LPN has previously only worked in a physician’s office. Which action by the RN would help diminish any negative feelings the LPN might have about being supervised? Initiating a conversation about the limited skills of the LPN Appreciating the performance of the LPN when providing feedback Explaining the policies and procedures of the organization Initiating a conversation about the new role and functions of the LPN What are the overall purposes of delegation? To achieve nursing goals To improve client outcomes To develop critical judgment skills To understand the art of delegation To apply delegation decision in clinical nursing practice What type of relationship between the nurse delegator and delegatee causes the nurse delegator to use the leadership behavior of telling? Limited Established New or developing Developing or ongoing Which behavior of the nurse leader is characterized as delegating according to the Hersey’s model? Guiding or directing Observing or monitoring Explaining or persuading Encouraging or problem solving What is the status of the primary healthcare provider as a member of the healthcare team that is in the span of control of a registered nurse (RN)? Devoid of legal authority Devoid of delegation authority Answerable to the nurse manager Answerable to the registered nurse A client is admitted to the emergency department following a motor vehicle accident. The client’s wounds are extensive. Which healthcare team member is best suited to care for this client in the emergency ward? Charge nurse Registered nurse Licensed practical nurse Unlicensed nursing personnel Which activity of the registered nurse is included in supervision? Performing the given task Allocating a portion of the work Providing information to the delegator Providing guidance and oversight in delegating a task Which health care professional is accountable for establishing systems to assess and communicate competency requirements related to delegation? Registered nurses Chief nursing officers Licensed practical nurses Unlicensed nursing personnel Which among the Five Rights of Delegation is the cornerstone of delegation? "Right person" "Right supervision" "Right circumstance" "Right communication and direction" The licensed practical nurse (LPN) has been asked to monitor the blood pressure of a client with hypertension. The LPN reports to the registered nurse (RN) that the blood pressure monitor is malfunctioning. Which component of the duty is the LPN practicing? Authority Supervision Responsibility Accountability A healthcare team is caring for a 68-year-old client with diabetes insipidus. Which task is most suitable to be delegated to licensed practical nurse (LPN) to provide effective client care? Emptying the urinary drainage bag Monitoring urine output Feeding the client with food Administration of intravenous fluids Administering oral rehydration medication The nurse manager is planning to assign an unlicensed healthcare worker to care for clients. What care can be delegated on a medical-surgical unit to an unlicensed healthcare worker? Performing a bed bath for a client on bed rest Evaluating the effectiveness of acetaminophen and codeine (Tylenol #3) Obtaining an apical pulse rate before oral digoxin (Lanoxin) is administered Assisting a client who has patient-controlled analgesia (PCA) to the bathroom Assessing the wound integrity of a client recovering from an abdominal laparotomy The registered nurse (RN) is caring for a client who was admitted to the hospital due to severe diarrhea. The RN assigns the unlicensed assistive personnel (UAP) to check on the client hourly and perform hygiene care as needed. Which concept best explains this situation? Leadership Delegation Supervision Assignment A healthcare team is caring for a client with diabetes insipidus. According to the functional model, which healthcare personnel would the nurse state is qualified to perform all hygienic tasks? Registered nurse Licensed practical nurse Licensed vocational nurse Unlicensed assistive personnel A client who underwent a nephrectomy develops pneumonia after being cared for by a registered nurse (RN) with some duties delegated to a cross-trained technician. Which individuals on the healthcare team may be responsible for the complication? Registered nurse Patient care associate Cross-trained technician Licensed vocational nurse Unlicensed assistive personnel The registered nurse is assisting a client who is hospitalized with high fever. Which task delegated to the unlicensed assistive personnel (UAP) would be appropriate? Assessing the vital signs Performing all hygiene tasks Administering oral medications Helping the client in changing clothes Administering intravenous medications Which statement is correct regarding delegation? It involves transfer of authority. The delegator retains accountability for the outcome. The delegatee retains accountability for the outcome. It is the transfer of both responsibility and accountability. Principles of delegation outline what nurses need to know about the task. The registered nurse delegates a task to the unlicensed nursing personnel (UNP). Which client care is suitable for UNP? Client A Client B Client C Undergone ileostomy: monitor wound discharge Client D A nurse manager delegates the task of phlebotomy to the members of a healthcare team who are caring for a client with diabetes. Which individual on the team can be delegated to perform the task of phlebotomy? Registered nurse Cross-trained technician Licensed vocational nurse Unlicensed assistive personnel The registered nurse delegates the task of feeding a 90-year-old client suffering from dysphagia to the unlicensed assistive personnel (UAP) who has previously performed this task. The client died of choking and aspiration after being fed by the UAP. Which right of delegation was violated for this client? Task Person Circumstance Communication The registered nurse (RN) assigns a task to a licensed practical nurse (LPN) to take care of a client admitted with severe burns. Which tasks are being performed by the LPN in this situation? Performing hygiene tasks Monitoring the heart rate Evaluating the medical reports Monitoring the blood pressure Administering the oral medication The registered nurse (RN) is caring for a pregnant client with malnutrition due to morning sickness. Which task can be safely performed by the licensed practical nurse (LPN) in this condition? Assessing hemoglobin levels Evaluating nutritional status Administering oral antiemetics Administering intravenous fluids The nurse is teaching breathing exercises to a client who underwent surgery. Which member of the healthcare team is most suitable for reinforcement of teaching in the client? Certified technician Case manager Cross-trained technician Licensed vocational nurse (LVN) The registered nurse (RN) is caring for a client who underwent surgery for a pituitary tumor. Which task can be delegated to unlicensed nursing personnel (UNP)? Teaching the client Monitoring vital signs Assessing laboratory reports Evaluating the status of the client Which condition may increase the potential for nursing malpractice? When the client care is satisfactorily provided When the delegatee is unable to perform the specified task When the nursing assistant adapts to the changing situation When the delegation task is not within acceptable standards A registered nurse (RN) delegates a task to a licensed practical nurse (LPN). What should the RN do when the LPN executes the task improperly? Provide constructive feedback. Engage in a verbal attack on the delegate. Express satisfaction with the LPN’s execution of the task. Ignore the task for now but stop considering the LPN for further delegation. Which care activities would be involved in a correct delegation process? Licensed practical nurse (LPN) cleans the client’s body. Unlicensed assistive personnel (UAP) provides medication to the client. Unlicensed assistive personnel (UAP) assist the client with oral feedings. Licensed practical nurse(LPN) evaluates the client’s temperature condition. Registered nurse (RN) guides the unlicensed assistive personnel (UAP) while recording client’s temperature. What does appropriate delegation do to a healthcare organization? Reduces stress Decreases trust Reduces client care Decrease time efficiency Improves treatment outcomes During the process of delegation, the delegator’s behavior is noted to be observing and monitoring. How is the relationship between the delegator and delagatee in this situation? Limited Established New or developing Developing or ongoing When evaluating a task performed by a delegatee, the registered nurse finds that the delegatee fails to provide appropriate feedback. Which right of delegation is compromised in this situation? Right task Right person Right supervision Right communication A registered nurse delegates a task to a licensed practical nurse (LPN). The nurse manager asks the registered nurse, "Are the equipment and resources available for the LPN to complete the task?" Which right of delegation is the nurse manager preserving? Right task Right direction Right supervision Right circumstance Which element of the healthcare system is the registered nurse (RN) practicing when the delegator shares accountability with the RN? Delegation Leadership Supervision Assignment When does delegation become more challenging? When the client is stable When the client is pregnant When the geographic area is small When the resources are abundant When school children are receiving care The registered nurse is caring for an elderly client in the medical unit. The registered nurse wants to transfer the responsibilities and accountability to someone. Who should the registered nurse utilize to fulfill the condition? Charge nurse Nursing assistant Licensed vocational nurse (LVN) Unlicensed assistive personnel (UAP) Which element creates an integrative process that fosters effective delegation decisions by the registered nurse? Ability Liability Stability Ethnicity The registered nurse assigns a task to a licensed practical nurse (LPN) to check the blood pressure and temperature of a client. Which factor is transferred to the LPN for the performance of the task? Liability Authority Responsibility Accountability The registered nurse oversees five unlicensed nursing personnel (UNP), and each UNP cares for five clients, so the registered nurse in effect has responsibility for five UNPs and 25 clients. What do these numbers of subordinate and clients indicate? Supervision Span of control Passive delegation Appropriate authority While teaching a nursing student about delegation, the registered nurse instructs the student to determine whether the delegation process is appropriate to the situation before delegating a task. Which right of delegation is the registered nurse referring to? Task Person Supervision Circumstance The registered nurse (RN) is getting ready to leave the client care unit for a lunch break. The RN asks the LPN to take care of a client during the lunch break. Which concept is emphasized in this situation? Leadership Delegation Supervision Assignment Which individual is categorized as one who would be considered as "dependent status"? Unit secretary Nurse manager Registered nurse (RN) Licensed practical nurse (LPN) Which factors does the registered nurse consider in the decision to delegate process? Evaluation Nursing judgment Predictability of outcomes Pervasive functions of assessment Complexity of the task to be performed Which component of delegation is considered a "two way process"? Authority Supervision Responsibility Accountability A nursing supervisor sends an unlicensed healthcare worker to help relieve the burden of care on a short-staffed medical-surgical unit. Which tasks can be delegated to the health care worker? Taking routine vital signs Applying a sterile dressing Answering clients' call lights Administering saline infusions Changing linens on an occupied bed Assessing client responses to ambulation Before assigning a task, the registered nurse makes sure that the prospective delegatee is willing to complete the task. Which delegation right does this situation reference? Person Supervision Circumstance Communication The registered nurse is caring for a client admitted to the hospital with chronic obstructive pulmonary disease. Which assessment by the registered nurse before delegating would help to determine the principle of "right person"? "Is the environment conducive for completing the task safely?" "Does the licensed practical nurse (LPN) know about polices of the institution?" "Can the nursing assistive personnel (NAP) evaluate the client’s’ condition appropriately?" "Does the nursing assistive personnel (NAP) have the knowledge and expertise to perform the task?" The delegatee is performing a task and in the process loses confidence in what he or she is doing. Which delegator’s action may have contributed to the delegatee’s loss of confidence? Intervening when the delegatee is performing the task Providing feedback about the work performed Communicating with the delegatee about the work being performed Stating that the task should be completed by a specified time The registered nurse assesses if an unlicensed assistive personnel (UAP) new to the unit is capable of carrying out a task. Which principle of delegation does this illustrate? Right task Right person Right circumstance Right communication The registered nurse (RN) delegated a task to a licensed practical nurse (LPN). The LPN completed the task effectively. Which statement made by the RN is appropriate feedback? "Nice job." "Well done." "Your performance was good." "You performed that procedure safely and professionally." The healthcare team is caring for a client with neutropenia. Which task is delegated to unlicensed assistive personnel? Administering antibiotics Assisting with personal hygiene Monitoring for signs and symptoms of infection Teaching the client and caregivers about how to avoid infection The registered nurse is delegating tasks for nursing assistants caring for a client who requires more attention. Which element should be considered when selecting the suitable nursing assistant for delegation of a task? Time Safety Stability Critical thinking The registered nurse delegates a task to the unlicensed assistive personnel (UAP). After the UAP starts the task, the registered nurse (RN) asks for feedback related to the task. Which right of delegation is the RN following? Task Supervision Circumstance Communication The registered nurse (RN) who delegates work to a newly hired licensed practical nurse (LPN) says, "Please tell me how you will go about performing this procedure, and I will share my expectations with you." Which behavior strategy of Hersey's model is being applied? Telling Selling Delegating Participating A client with postural hypotension requires nursing care. Which task can be safely delegated by the registered nurse to unlicensed nursing personnel (UNP)? Mobilizing the client Assessing the pulse rate Assessing the blood pressure Managing foot care of the client Maintaining oral hygiene of the client The registered nurse is teaching a newly hired nurse about active delegation. Which statement made by the newly hired nurse indicates the need for further teaching? "I will evaluate the client’s pain status." "I will assess the client’s laboratory findings." "I will instruct the unlicensed assistive personnel (UAP) to wash the client." "I will instruct the licensed vocational nurse (LVN) to administer intravenous (IV) medications." Which characteristics of a licensed practical nurse should be considered before delegation of tasks? Critical thinking Effective client care Diagnostic reasoning Synthesizing information Accountability of assigned task When tasks are delegated by the registered nurse (RN) to the unlicensed nursing personnel (UNP), who can assume the responsibilities when the RN goes for a break? Charge nurse Chief nursing officer Healthcare provider Licensed practical nurse The nurse is assessing the level of readiness before delegating tasks to unlicensed assistive personnel (UAP). According to Hersey’s model of situational leadership, what specific factors reflect the level of readiness? Ability Honesty Reliability Willingness Conscientiousness In order to minimize the likelihood for error during intravenous administration of antibiotics, the legal authority advised the delegatee to wear a colored vest that says, "Do not disturb! Medication administration in process." Which delegatee is appropriate to follow the advice of legal authority? Nursing aide Registered nurse Patient care associate Licensed vocational nurse Which client care can be safely delegated to the unlicensed nursing personnel (UNP) to provide oral hygiene? Client A Dental caries Client B Client C Client D The registered nurse (RN) is delegating tasks to licensed practical nurses (LPNs) regarding client care. Which factors should be considered when delegating a task to the LPN? Client’s condition Complexity of the task Number of LPNs available Predictability of outcomes Relationship status between the delegatee and delegator The registered nurse (RN) is caring for a client with severe diarrhea. Which task of the client care plan can be safely delegated to the unlicensed assistive personnel (UAP) by the registered nurse? Administration of oral antidiarrheal Administration of intravenous antibiotics Administration of oral replacement fluids Administration of intravenous antiemetics A client underwent extraction of a tooth due to an underlying tumor one day ago. Which healthcare professional is appropriately involved in caring for the postoperative oral hygiene needs of this client? Registered nurse (RN) Licensed practical nurse (LPN) Licensed vocational nurse (LVN) Unlicensed nursing practitioner (UNP) Which activity performed by the registered nurse (RN) indicates effective supervision of the delegatee? Assigning the task to the delegatee Taking responsibility of the delegated task Guiding the delegatee while he or she is performing the task Understanding the nurse practice of the state A client with hypoglycemia is admitted to the hospital. Which duties can the registered nurse (RN) safely delegate to the licensed practical nurse (LPN)? Intravenous fluid intervention Administering oral medications Monitoring the fluctuating vitals Analyzing the case history of the client Administering intramuscular medication How should a student nurse be trained for implementing delegation in practice? By reinforcing delegation to the student nurse only during academics By interacting with highly qualified, clinically experienced nursing mentors By improving didactic content by theoretically educating the student nurse By considering the student nurse’s opinions for the master delegation decisions The behavior of four nurses in different situations is given below. Which nurse exhibits a behavior that can be characterized as delegation according to Hersey’s model? Nurse A Nurse B Observing and monitoring Nurse C Nurse D While caring for a client with diabetes, the registered nurse delegates the task of administering oral medications to the licensed practitioner nurse (LPN), but the LPN is reluctant to take the assignment. What should be the most appropriate response of the registered nurse in this situation? Evaluate the reason for the behavior. Engage more actively in the delegated task. Require the delegatee to complete the task. Report the LPN’s reluctance to higher authorities. The nurse is caring for a pregnant client with hypertension. Which client care tasks are most suitable to be delegated to the patient care associate (PCA)? Recording the vital signs Monitoring the blood pressure Administering intravenous fluids Administering antihypertensive medications Which right does the question, "Do staffing ratios demand the use of high-level delegation strategies?" indicate? The right task The right person The right supervision The right circumstance A registered nurse delegates the task of administering oral antibiotics for a client with diabetes. Which statements are true in this scenario? The registered nurse (RN) is accountable for the delegatee’s work. The licensed practical nurse (LPN) should report to the RN once the task is completed. The unlicensed nursing practitioner (UNP) can also be delegated the task of administering oral antibiotics. The licensed practical nurse (LPN) can be held responsible for any failure in administration of oral medication. The licensed practical nurse (LPN) can change the medication dosage according to the client’s physiological needs in the absence of the RN. The registered nurse (RN) who was caring for a postsurgical client went out for a break. The RN assigns the work to a healthcare professional who is also an RN. Which is the correct statement regarding this situation? The situation describes delegation. The situation describes assignment. The second nurse holds accountability rather than responsibility for the client. The second nurse holds responsibility rather than accountability for the client. The legal authority wants a record of the tasks performed by the delegatees and asks the delegatees to maintain a record of completed tasks. Which task is marked by the licensed practical nurse (LPN)? Task A Administered oral antiemitics to the client in bed no. 4 Task B Task C Task D After delegating a task to the unlicensed assistive personnel (UAP), the registered nurse (RN) provides clear and concise directions to the delegate, to whom she assigned the task. Which right of delegation is the RN following? Task Supervision Circumstance Communication The delegator explains the procedure of the task to the delegatee and asks to provide regular feedback on the events. Which delegation right is the delegator referring to in this situation? The right person The right supervision The right circumstances The right communication A delegator working in a rural setting has to handle a task of managing care for clients in that area. Which crucial step should the delegator take to develop a productive strategy in delegating tasks to a delegatee? Assigning the task to the delegatee Providing feedback to the delegatee Supervising the task at regular intervals Understanding the capabilities of the delegate 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? Nursing aide Registered nurse (RN) Patient care associate (PCA) Licensed vocational nurse (LVN) After assigning a task, the delegator makes sure that the instructions are clear to provide feedback related to the task. Which delegation right is referred in this situation? Task Person Direction Supervision Which client is most appropriate to be delegated to unlicensed assistive personnel (UAP) based on the given data? Client A Client B Client C Client D Dementia While delegating a specific task, the registered nurse says to the delegatee, "It is important that you measure the client’s blood pressure every 15 minutes." What does this situation indicate? The delegatee requires little guidance. The delegator is providing explanation. The delegator is providing more guidance. The delegator and delegatee are creating mutual expectations. The registered nurse (RN) is planning to provide feedback to the licensed practical nurse(LPN). Which questions asked by the RN help in eliciting the LPN’s work quality? "Are you feeling well today?" "How did the patient respond?" "Has the task been completed?" "Are you willing to perform the task?" "What changes were observed in the client?" While delegating a task, the registered nurse says to the delegatee, "Please tell me how you go about performing this procedure, and I will share with you my perspective about how frequently and under what conditions we need to communicate with and report to each other." What does this indicate? The delegatee requires explanation. The delegatee has limited knowledge. The delegatee and delegator relationship is established. The delegatee and delegator are creating mutual expectations. A client is brought to the emergency department following ingestion of pesticides. The primary health care provider orders gastric suction. Which task can be delegated to the unlicensed assistive personnel (UAP) in this situation? Monitoring the vital signs Evaluating the client response Gastric suctioning through vented tube Emptying and measuring the gastric drainage The registered nurse (RN) delegates a task to a licensed practical nurse (LPN). Which client task can be assigned to the LPN? Client A Client B wound care Client C Client D Which aspects of organizations does the nurse consider during the decision-making process? Laws Policies Standards Environment Relationships 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? Providing care to group of clients Providing care to clients in ambulatory clinics Delegating tasks to licensed practical nurse (LPN) Weighing the expenses of a registered nurse (RN) vs. LPNs Deciding the type of care provided by nursing assistive personnel 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? Provide little guidance to the delegatee Evaluate the ability and willingness of the delegate. Understand the delegatee’s motivation in the situation. Understand the kind of support needed to accomplish the task. What does Hersey’s situational leadership model describe about ability and willingness? Willingness relates to knowledge and skills in a specific situation. An individual’s ability does not change from one moment to the next. An individual’s willingness can fluctuate from one moment to another. Ability relates to the individual’s attitude and commitment towards a specific situation. Ability and willingness need to be assessed to determine the level of the follower’s readiness. The registered nurse (RN) is delegating a task to an unlicensed nursing professional (UNP). Which client care is appropriate for the UNP to achieve a proper outcome in the care? Client A neutropenia Client B Client C Client D The registered nurse (RN) is communicating with a healthcare team regarding the delegation of tasks. Which factors can determine the quality of communication between the RN and healthcare team? Accuracy Effectiveness Responsiveness Meaningfulness Understandability Which behavior does the delegator adopt when communicating with the delegatee if the relationship between them is new, the delegatee has limited knowledge, and the delegator does not expect the relationship to be ongoing? Telling Selling Delegating Participating A client with pulmonary edema is provided care according to the functional model of nursing. The registered nurse (RN) who is in charge of providing intravenous medication every hour went on a break. Which activity performed by the RN would be most appropriate in this situation? Delegating the work to the nursing manager Informing the associate nurse before taking a break Delegating the work to the licensed practical nurse (LPN) Reporting the client’s condition to a charge nurse before taking a break Which primary task is achieved by a delegator when delegating a task to a delegatee for an effective outcome? Managing Renewing Explaining Motivating What are the purposes of applying the four elements of safety, critical thinking, stability, and time in delegation? Encouraging effective delegation decisions Ensuring effectiveness in performing elements of care Determining the level of readiness according to Hersey Developing the expectations of individuals to accomplish safety Assessing the ability of unlicensed nursing personnel (UNP) to perform the task A healthcare team is caring for a client who underwent kidney transplantation. Which task is most suitable to be delegated to a licensed practical nurse (LPN) to provide effective client care? Emptying urinary drainage bag Recording vital signs Assessing of urine output Placing the urinary catheter Administering intravenous fluids The registered nurse delegates different tasks to four different healthcare professionals while caring for a client with severe diarrhea. Which healthcare professional would be most appropriate for the nurse to implement the selling style of Hersey’s Situational Leadership Model? Unit secretary Patient Care Associate Licensed Practical Nurse Unlicensed Assistive Personnel Which colors are often included in an organizational disaster plan for use during triage? Red Black Green White Yellow Which health care team member is a first responder when an emergency or mass casualty incident (MCI) occurs? Medical unit nurse Police officer Critical care nurse Unlicensed assistive personnel Which hospital department plays a primary role in disaster preparedness? Medical department Surgical department Emergency department Mental health department A client receives a prescription for morphine via patient-controlled analgesia (PCA). Before beginning administration of this medication, what should the nurse assess first? Temperature Blood pressure Respirations Urinary output The registered nurse delegates the tasks related to caring for a client who has undergone surgery. What are the benefits of delegation in this situation? Increased efficiency Improved quality of client care Improved supervision by the licensed practical nurse Increased delegation authority by the licensed vocational nurse Increased professional skills of the unlicensed assistive personnel Clients with which tag are referred to as "walking wounded" clients while managing a disaster? Red Black Green Yellow A visitor in the waiting room of the emergency department has a syncopal episode and collapses on the floor. The event is witnessed by a nurse on her way into the hospital for her shift, who provides initial care. The nurse assessed the client, maintained safety of the environment, and gave a report to the emergency department nurse, who will provide ongoing care. What should the nurse who witnessed the event do next? Contact the family. Document the incident. Report the incident to the nurse manager. Escort the client to the radiology department. What does the A of the mnemonic "ABCDE" of primary nursing survey stand for? Airway Exposure Disability Circulation What aspect of total client care needs to be taken into consideration if used on a 24-bed care area? Cost of nurses Training needs Documentation Time commitment Which method of delivering client care works well in disaster situations? Team nursing Primary nursing Functional nursing Total patient care nursing 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? Client A Client B Severe malarial fever Client C Client D What should the associate nurse use to provide client care within the primary nursing delivery model? Plan of care Nurse’s notes Physician’s orders Direction from the charge nurse The registered nurse (RN) is caring for a client who underwent knee surgery. Which activity delegated to the novice unlicensed assistive personnel (UAP) in the immediate postoperative period would be most appropriate to achieve an effective care outcome? Feeding the client with fluids Dressing the client’s surgical site Monitoring temperature of the client Administering oral medication to the client The nurse is caring for different clients in a mass casualty event. Which client is assigned the lowest priority for care? Client with red tag Client with black tag Client with green tag Client with yellow tag The nurse finds a green triage tag on a client. What does the nurse infer from this finding? The client belongs to class I. The client belongs to class II. The client belongs to class III. The client belongs to class IV. Which action in the delegation process represents accountability? Providing open and honest feedback to the delegatee Assisting other registered nurses with delegation decisions Monitoring the client care given and determining outcomes Assessing the ability of the delegatee and educating him or her about the task Which would the nurse state is an example of a natural disaster? Floods Terrorism Fire explosion Building collapse Which would the nurse consider to be an example of a potential internal disaster? Hospital fire Fertilizer plant explosion Nuclear reactor explosion Terrorist device explosion The nurse with limited clinical experience is preparing a delegation communication template. Which action by the nurse indicates the need for correction? Identifying the priorities Specifying the performance limitations Emphasizing what may not be delegated Specifying that no extra time is allotted to report data Which two factors would the nurse state influence the effectiveness of the leader? Ability Attitude Readiness Willingness Assessment Which color tag is used for a client who is expected to die after a disaster with mass casualties? Red tag Black tag Green tag Yellow tag The nurse is reviewing the amount of drainage on the dressing of a client after discharge from the postanesthesia care unit (PACU). On which area should the nurse focus for this assessment? Foley catheter Nasogastric tube Intravenous fluids Surgical incision site 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? Charge nurse Associate nurse Registered nurse Licensed practical nurse The registered nurse assigns a task to a newly hired licensed practical nurse (LPN) to monitor a client’s blood pressure. Which is relevant to the delegator in this situation? Requires explanation Requires little guidance Requires more guidance Requires creating mutual expectations A nurse receives a shift report on four adult clients who are between the ages of 25 and 55. Which client should the nurse assess first? Male client with a hemoglobin of 15.9 (160 mmol/L) Female client on warfarin (Coumadin) with an international normalized ratio (INR) of 7.5 Female client taking daily calcium supplements with a serum calcium level of 9.4 (2.35 mmol/L) Male client with a blood urea nitrogen (BUN) of 20 (7.1 mmol/L) and a creatinine of 1 (96 mcmol/L) The registered nurse delegates a task to a new team member for an ongoing process. Which style implemented by the delegator would be most appropriate in this situation? Selling Telling Delegating Participating Which is essential for ensuring disaster readiness in a community? Trauma system State government Federal government Emergency response system Which are examples of internal disasters that must be accounted for when formulating a disaster response plan? Fire Hurricane Earthquake Power outage Act of terrorism Which color tag will be given by the triage nurse to a client assigned to class IV, during a mass casualty situation? Red Black Green Yellow The registered nurse (RN) is delegating tasks to several health care team members caring for a client with a bacterial infection and high fever. Which statements by the registered nurse would be most appropriate for the licensed practical nurse (LPN)? "You should administer an antipyretic after the meal." "You should assess the client’s condition." "You should change the bed sheets and dress the client every day." "You should administer prescribed antibiotics to the client twice a day." "You should collect data that can be used in the assessment of client’s condition." Which questions should the nurse consider to assess and ensure delegation to the right person? Is the prospective delegatee a willing and able employee? Does the delegatee understand the directions and expected results of the task? Does the delegatee understand how, what, and when to report to the delegator? Is it clear that the delegatee will provide feedback related to the task when appropriate? Does the delegatee have the knowledge and experience to perform the specific task safely? 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? Proficiency in delegation Application of theory to delegation Professional self-confidence in delegation Development of clinical judgment in delegation Which statement is true regarding the framework of delegation related to the Hersey’s Situational Leadership Model? Single factor influences the effectiveness of a leader Ability relates to the individual’s attitude and commitment Willingness relates to the individual’s attitude towards the task Ability to diagnose performance is a core competency of a situational leader Willingness is the sole factor that must be assessed to determine the readiness of the follower What points should the nurse consider when delegating a task? Checking the skill set of the delegatee Selecting the delegatee based on his or her competence levels Being certain that the delegatee is capable of completing the task Checking for the willingness of the delegatee to perform the task Selecting the delegatee based on that employee’s length of tenure What are the various challenges related to delegation? Providing clear direction to the delegatee Understanding the skill set of the delegatee Providing verbal attack feedback to the delegatee Maintaining an open line of communication with the delegatee Creating a working environment in collaboration with the delegatee An emergency department consists of five nurses who take care of 30 clients. Which responsibility of the registered nurse is most helpful in overcoming this overwhelming situation? Task behavior Span of control Sharing activities Situational leadership The registered nurse (RN) and unlicensed assistive personnel (UAP) are caring for a client with diarrhea. After 2 hours, the RN communicates with the UAP and decides that the client needs immediate assessment. Which statements by the UAP led the nurse to this conclusion? "I have changed the client’s clothes." "Temperature of the client is 105° C." "I have cleaned the client’s hands and legs." "The client ate pizza brought by in by relatives." "I have administered intravenous fluids to the client." Which client’s care can the registered nurse (RN) safely delegate to unlicensed nursing personnel (UNP) based on the given data? Client A, with chronic hypertension and stable vitals Client B, with drainage from diabetic foot Client C, with myocardial infarction due to atherosclerosis Client D, with foot ulcers from peripheral vascular disease 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? "Did you check the client’s blood pressure this morning?" "You can use this stethoscope and sphygmomanometer to take the blood pressure." "Would you fetch me the client’s laboratory reports? I’ll record the blood pressure." "How is the client doing this morning? Let me look at yesterday’s blood pressure report." The charge nurse is communicating with the registered nurse about caring for a client with a respiratory disorder. Which instructions are delegated to the registered nurse to provide effective care to the client? "Feed the client three times a day." "Change the client’s clothes every 6 hours." "Assess the client’s respirations after 1 hour." "Provide intravenous medication every 3 hours." "Inform the licensed practical nurse if the respiration rate changes." 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? Right person Right supervision Right circumstance Right Communication Which beliefs may be associated with a registered nurse’s failure to delegate tasks? Delegation is too time consuming. More energy is required to delegate others. The registered nurse will not receive credit for total client care. Delegation minimizes the contribution of the delegator for client care. Delegation requires complete transfer of accountability for final client care. The registered nurse (RN) assigned a task to the licensed practical nurse (LPN) to monitor the vital signs of the client. The LPN monitored and reported the information to the RN. Which characteristic of communication may interfere in this delegation process? Information decay Information quality Information salience Information of mutual trust The Joint Commission is surveying an organization’s nursing care. Which question is the surveyor most likely to ask regarding right supervision when delegating? "Do you inform the delegatee the proper way of providing results?" "Do you monitor and evaluate the client’s condition appropriately?" "Do you maintain open lines of communication with the delegatee?" "Do you provide clear and concise directions to the delegatee before delegating the task?" The registered nurse delegates care of a client with hyperpyrexia to a licensed practical nurse. How would the registered nurse achieve workable unity for an effective outcome? Assisting the staff with planning Assisting the staff to achieve optimal functioning Assisting the staff in interpreting organizational value Assisting other organizational leaders in the expression of community The registered nurse (RN) is caring for a client who has severe abdominal pain. The RN plans to work with the assistance of an unlicensed nursing personnel (UNP). The RN starts the client care. What should the RN consider during the process of active delegation? Assessing the level of the client’s abdominal pain Directing the UNP to assist the client while toileting Advising the client to take pain medication when needed Ensuring that the UNP is accountable for successful completion of the task Explaining to the client about the reason and cause of abdominal pain A delegator, working in collaboration with a delegatee, allots responsibilities and explains the various procedures and techniques needed to accomplish the task. Which action is the delegator performing, according to the Hersey model? Guiding and directing Observing or monitoring Explaining and persuading Encouraging or problem solving The registered nurse is assigning a task to an unlicensed nursing personnel (UNP). Which key elements are considered while assessing the UNP’s ability to perform work? Safety Attitude Stability Ethnicity Critical thinking A client is admitted to the medical unit with pulmonary edema. The registered nurse admits the client, writes a plan, and assigns the work to another registered nurse (RN). Which factors are transferable in this case? Authority Supervision Responsibility Accountability Communication The registered nurse is assigned to delegate a task. Which action by the registered nurse indicates the need for correction? Communicating and guiding the delegatee Supervising while the delegatee is performing the task Providing a brief description of the task to the delegatee Asking the delegatee questions related to the issue of client care Which feedback given by the registered nurse to the delegatee is constructive? "Well done. Nice job." "I expected you to do better." "You can do better when you concentrate." "You performed that procedure safely and professionally." "Let me demonstrate a more effective way to perform the task." 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? Telling Selling Delegating Participating 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? Asking questions about the client’s respiratory rate Asking the client to perform breathing exercises regularly Administering oxygen to the client with shortness of breath Providing constructive feedback about client care management 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? "Record the client’s blood glucose level each morning." "You may approach me for further assistance and questions. Thank you." "I will guide and assist you while you learn how to check the client’s blood glucose." "You will take complete care of the client with diabetes and make sure to record the blood glucose level." A client with pulmonary edema is provided care according to the functional model of nursing. The registered nurse (RN) who is in charge of providing intravenous medication every hour went on a break. Which activity performed by the RN would be most appropriate in this situation? Delegating the work to the nursing manager Informing the associate nurse before taking a break Delegating the work to the licensed practical nurse (LPN) Reporting the client’s condition to a charge nurse before taking a break Which primary task is achieved by a delegator when delegating a task to a delegatee for an effective outcome? Managing Renewing Explaining Motivating The registered nurse delegates different tasks to four different healthcare professionals while caring for a client with severe diarrhea. Which healthcare professional would be most appropriate for the nurse to implement the selling style of Hersey’s Situational Leadership Model? Unit secretary Patient Care Associate Licensed Practical Nurse Unlicensed Assistive Personnel The registered nurse assigns a task to a newly hired licensed practical nurse (LPN) to monitor a client’s blood pressure. Which is relevant to the delegator in this situation? Requires explanation Requires little guidance Requires more guidance Requires creating mutual expectations The registered nurse delegates a task to a new team member for an ongoing process. Which style implemented by the delegator would be most appropriate in this situation? Selling Telling Delegating Participating A client is on a nasogastric tube. Which healthcare team member is suitable to provide medications to the client through the nasogastric tube? Charge nurse Nursing manager Licensed practical nurse Unlicensed assistive personnel The legal authority has delegated the tasks according to the model of analysis type of care. Which statements are true regarding the model analysis? Model analysis improves client satisfaction. Model analysis is a cost-effective idea for client care. Quality control is better in the model analysis type of care. Model analysis promotes organizational decision-making at lower levels. Model analysis promotes adequate communication among the staff members. The registered nurse is caring for a client with peptic ulcers and dysphagia. Which task does the RN exclude while delegating the care of a client with peptic ulcers and dysphagia to an unlicensed assistive personnel (UAP)? Assisting the client with feeding Assisting the client with bathing Assisting the client in oral hygiene Assisting the client in administering the medications The charge nurse delegates the task to the healthcare team to provide an IV medication to a group of people who were diagnosed with gastroenteritis due to food poisoning. Which healthcare team member is suitable to provide medication in this situation? Registered nurse Healthcare provider Licensed practical nurse Unlicensed assistive personnel When delegating a task, the delegator says, "Please tell me how you are going to perform this procedure, and I will share my expectations regarding how we need to communicate with each other." What can be inferred about the delegatee? The delegatee has expertise and an established relationship with the delegator. The delegatee has limited knowledge and ability to perform the task. The delegatee has willingness and ability, but the relationship is new. The delegatee has an established relationship with the delegator, but a new task has been delegated. The charge nurse is delegating tasks for the nursing assistants regarding the postpartum care of a client. Which task is appropriate to be delegated to an unlicensed assistive personnel (UAP) to provide effective client care? Feeding the client Providing basic hygiene Teaching care of the infant Encouraging breastfeeding Administering intravenous fluids The registered nurse is evaluating the statements made by a student nurse after teaching Hersey’s situational leadership model regarding core competencies of a situational leader. Which statement made by the student nurse indicates a need for correction? "A situational leader partners for performance." "A situational leader is inflexible towards the work." "A situational leader is able to identify the commitment of delegatee." "A situational leader is able to diagnose the performance of a delegatee." The registered nurse (RN) is teaching a newly hired nurse about delegating tasks to the healthcare team. When asked what the rights of delegation are, which right listed by the hired nurse indicates the need for further teaching? Right task Right direction Right drug name Right person The registered nurse is assigning tasks to a healthcare team to provide care for a group of clients in hospice care. How should the registered nurse help the healthcare team attain an effective outcome in the hospice care? Assisting the healthcare team in planning Assisting the healthcare team in interpreting Assisting the healthcare team to enhance the ability Assisting the healthcare team to achieve optimal functioning Which characteristic of the nurse as a delegator is reflected in the statement, "Let me show you how this procedure is done; then you can do it yourself"? Doing Asking Offering Delegating The registered nurse in a hospice is working with a new assistant who has prior experience working in a physician’s office. Which action made by the registered nurse will promote a healthy working environment? Encouraging the assistant to perform the registered nurse functions Encouraging the assistant to adopt the philosophy of the organization Asking open-ended questions and supervising the work by the assistant Allowing the assistant to tackle various procedures and take accountability for the task performed Which hospital care setting is most appropriate for a case manager to perform tasks as a delegatee? Hospice care Extended care Long-term care Rehabilitative care A client is hospitalized with pressure ulcers. Which task could be delegated to an unlicensed nursing professional (UNP)? Empty wound drainage containers. Report changes in wound appearance. Apply prescribed dressings and medications. Assess and record data about wound appearance. Choose dressings and therapies for wound treatment. A registered nurse (RN) diagnosed with chemical impairment issues is transferred to work at a rehabilitation center as a part of treatment. Which actions performed by the nurse manager at the new work place result in effective outcome of treatment for chemical impairment? Restricting the RN from working near the abused chemical Delegating other staff to assist the RN in providing client care Restricting the RN from administering any controlled substances Requiring the RN to share what he or she is doing to control the problem Permitting the RN to share the problem with other members of the healthcare team A healthcare team is caring for a client who is hospitalized with severe diarrhea. According to the principle of right of supervision of delegation, what does the RN do in this situation? Feed the client every 2 hours. Monitor the hemodynamic status. Assess the resources required in the client’s care. Follow the institutional procedures for administering fluids. A newly promoted registered nurse (RN) is about to start delegation for the first time in her career. Which experiences foster professional self-confidence in the early career stage for an RN? Inability to comprehend Experience in clinical delegation Application of theory to practice Development of clinical judgment Engagement with a nursing mentor Which statement is true regarding delegation? The delegatees are accountable for effective client care. Open lines of communication must occur between delegator and delegatee. Delegation occurs only when at least two people are involved in a mutual work situation. The delegation potentials are significantly lower when caregivers such as UNPs are partnered. Delegation involves sharing activities with other appropriate authority to accomplish the work. How can registered nurses develop delegation and supervisory strategies to adapt to their changing roles? Engage a nurse mentor for guidance. Practice the nursing care process in various clinical settings. Reinforce delegation knowledge through continuing education. Become familiar with the hierarchy of authority in the health care organization. Seek high-quality clinical delegation experience early in their career. In a long-term care facility, the care tasks for a client who is suffering with liver disease are being delegated. Which statement made by the delegator indicates the responsibility for the tasks is with the registered nurse? "You will be responsible for the whole nursing unit." "You will provide the treatment that is prescribed." "You will assess alleviation of the client’s symptoms." "You will be monitoring the client care on an hourly basis." "You will admit the client to the intensive care unit (ICU) if her condition deteriorates." The registered nurse is delegating tasks for the care of a vulnerable population. Which healthcare team would be appropriate for the delegation of tasks? Charge nurse (CN), chief nursing officer (CNO), and registered nurse (RN) Licensed practical nurse (LPN), unlicensed nursing professional (UNP), and charge nurse (CN) Chief nursing officer (CNO), Registered nurse (RN), and unlicensed nursing professional (UNP) Registered nurse (RN), licensed practical nurse (LPN), and unlicensed nursing professional (UNP) The registered nurse (RN) is assessing the conditions of four different clients. Which client care should be delegated by the RN to unlicensed nursing personnel (UNP)? Client A Client B Client C Client D Diarrhea (Viral) The charge nurse is teaching the newly-hired registered nurse (RN) about delegating tasks to unlicensed nursing personnel (UNPs). Which statement made by the newly hired RN indicates the need for further teaching? "I should assist the staff in interpreting." "I should assist the staff in decision-making." "I should assist the staff in achieving optimal functioning." "I should assist the staff in sorting out and articulating values." The registered nurse (RN) is teaching a newly hired nurse how to communicate with a delegatee while delegating a task. Which statements made by the newly hired nurse indicate effective learning? "I will keep the information simple." "I will share more information than required." "I will share the information using electronic media." "I will provide an opportunity to clarify the information." "I will repeat the information in the same way until the new nurse understands it." A healthcare team is caring for a client with food poisoning. Which task is most suitable to be delegated to licensed practical nurse (LPN)? Collecting vital signs Performing a stomach wash Administering oral antiemetic medication Administering intravenous replacement fluids The registered nurse (RN) delegates the tasks of caring for a client with pressure ulcers. The client suffers further tissue necrosis during treatment. What could be the reason for this condition? Cleaning of the wound by the registered nurse (RN) Performing irrigation of the wound by the patient care associate (PCA) Administering of oral analgesics by the licensed practical nurse (LPN) Repositioning the client every 1-2 hours by the licensed practical nurse (LPN) While caring for a client with asthma, the delegator assigns the client to a registered nurse (RN) and to a licensed practical nurse (LPN). Which component of delegation is transferable to the RN? Authority Supervision Responsibility Accountability Communication An elderly client with periods of confusion underwent surgery and requires assistance for feeding. To which healthcare professional should the registered nurse delegate the task? Charge nurse Nurse manager Licensed practical nurse Unlicensed assistive personnel (UAP) The registered nurse is delegating work to four delegatees. Which delegatee has an established relationship with the delegator? Delegatee A Delegatee B “Your way of doing it is right; continue to do it in the same way.” Delegatee C Delegatee D 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? Selling Telling Delegating Participating The registered nurse is assigning work to four delegatees. Which delegatee most likely has a limited relationship with the delegator? Delegatee A Delegatee B “Check the client’s blood pressure every morning.” Delegatee C Delegatee D The registered nurse is teaching a newly hired nurse about communicating with delegatees during delegation. Which statement made by the newly hired nurse indicates the need for further learning? "I should identify priorities." "I should specify deviations." "I should provide examples of each delegation." "I should specify any performance limitations to the delegatee." The registered nurse (RN) is caring for a client with epilepsy. Which tasks delegated by the registered nurse (RN) to the assistive personnel indicates active delegation? Instructing the licensed practical nurse (LPN) to administer diazepam Instructing the licensed practical nurse (LPN) to monitor the vital signs Instructing the licensed vocational nurse (LVN) to administer sedatives Instructing the unlicensed assistive personnel (UAP) to reposition the client Instructing the unlicensed assistive personnel (UAP) to place the oxygen mask Which right of delegation would the nurse describe as most instrumental in shaping quality and safety outcomes according to Anthony and Vidal? Right task Right person Right supervision Right communication and direction The registered nurse is evaluating the statements of the student nurse after teaching about the span of control in a group of individuals working in a healthcare organization. Which statement made by the student nurse indicates a need for correction? "The unit secretary in a healthcare organization has legal recognition." "The nurse manager in a healthcare organization is a designated delegator." "The licensed practical nurse working under a physician has a dependent status." "The registered nurse is designated as being answerable to a designated delegator." The registered nurse finds information decay during the process of delegation. What possible causes may have contributed to this? Frequent changes in the heart rate of the client Rapid change in the blood pressure of the client Frequent changes in the client’s perception of pain Diverse cultural background of the delegator and delegatee Different educational background of the delegator and delegatee Which assets of the nurse as a licensed health care professional help in planning effective nursing care? Critical thinking Diagnostic reasoning Ability to synthesize information Establishment of assessment system for the organization Communication of competency requirements The nurse manager delegates client-care tasks to members of the health care team in the intensive care unit. Which element of the delegation may extend to direct corporate liability for the institution? Failure of the delegatee to provide client education Accountability of the delegator for the task performed Delegatee not performing the task within acceptable standards Failure of the nurse manager to delegate and supervise the task within acceptable standards When assigning a task, the delegator should understand the delegatee’s personal values and align them with the organizational values. Which task can be achieved from this delegation? Affirming Managing Renewing Motivating Which intervention should the charge nurse perform to manage a task when the unlicensed nursing personal (UNP) is lacking competence? Provide constructive feedback and assign another task. Provide open vocal feedback and withdraw the UNP from task. Provide additional support and temporarily lower expectations. Provide accountability to the organization and undergo training again. A registered nurse (RN) and newly hired licensed vocational nurse (LVN) are caring for a client with chronic obstructive pulmonary disease (COPD). Which statement made by the RN would be appropriate according to the participation style of Hersey’s model of leadership? "Monitor the respiration rate every half-hour." "Please show me how you determine respiration rate." "Let me show you which activity is necessary to perform." "I am sure you know what to do when the respiration rate is abnormal." 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? "The delegation communication template should identify the priorities." "The delegation communication template should specify the deviations." "The delegation communication template should identify the appropriate resources." "The delegation communication template should include only the work that is to be delegated." The registered nurse assists other registered nurses when there are no safety issues. While assisting, the registered nurse uses the strategy of asking. What is the benefit of this strategy? Allows the registered nurse to reassess Allows the delegator to examine the situation differently Demonstrates a specific task or behavior to improve client care Opens lines of communication between delegator and the delegatee Helps to make a suggestion to facilitate the achievement of a desirable client care outcome A registered nurse is planning to delegate various tasks. What does the registered nurse do to delegate appropriately? Avoid communication with the delegatee. Select an experienced nurse as a delegatee. Ask open-ended questions to the delegatee. Provide constructive feedback to the delegatee. Select a delegatee with similar strengths as that of the delegator. Which care settings are more suitable for unlicensed nursing personnel (UNP)? Acute care Surgical care Extended care Long-term care Emergency care The registered nurse delegates the care of a client in the immediate postoperative period to the patient care associate (PCA). Which tasks performed are in the scope of practice of the PCA? Feeding the client Ambulating the client for the first time Monitoring the vital signs Assisting the client with bathing Teaching leg exercises to the client The registered nurse is caring for a client admitted with sudden paralysis in the legs and an inability to walk. Which interventions made by the registered nurse (RN) indicates correct active delegation? The RN assessing the client’s diagnostic and laboratory findings The RN administering an intravenous (IV) calcium gluconate injection Instructing the licensed practical nurse (LPN) to report client’s vital signs Instructing the licensed practical nurse (LPN) to administer vitamin B12 injection Instructing the unlicensed nursing personnel (UNP) to administer oral vitamin D3 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)? Administering vitamin supplements Asking for urine samples for analysis Collecting the client’s medical history Teaching the client to be hopeful about the treatment Providing emotional support to the client’s family members 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)? "I have severe nausea." "I developed rashes after therapy." "I am unable to bear the pain of chemotherapy." "I am unable to eat by myself due to the intravenous (IV) catheter." "I am unable to get out of bed because I am so weak from the therapy." The registered nurse is caring for an elderly client who is admitted with severe asthma. Which task delegated by the nurse is most suitable to be performed by the client attendant? Assessing the vital signs Monitoring respiratory rate Administering inhalational medications Assisting the client during nebulization A registered nurse teaches a student nurse about delegation. Which statement made by the student nurse indicates appropriate learning? "Licensed practical nurses are accountable for the tasks they perform." "Complete client care can be delegated to the licensed practical nurse." "Professional aspects of care can be carefully delegated to the licensed practical nurse." "Licensed practical nurses can be expected to perform tasks with which they have experience." The registered nurse (RN) is caring for a client who underwent brain surgery. The registered nurse delegated the task of reinforcing ambulation to the licensed practical nurse (LPN). Who is accountable for the client’ scare? Charge nurse Registered nurse Licensed practical nurse Primary healthcare provider Which healthcare professionals would the nurse say work under active delegation? Physician examining clients in the outpatient ward Nurse giving medication to a client as prescribed by the physician Pharmacist dispensing medicines prescribed by the physician to the client Licensed practical nurse (LPN) administering oral medications as delegated by the registered nurse (RN) Unlicensed nursing practitioner (UNP) maintaining oral hygiene of the clients as delegated by the registered nurse While working with a delegatee, the registered nurse says to the delegate, "It’s easy; you can do the procedure tomorrow after watching me do it today. Just follow the steps I have demonstrated." What is the behavior of the registered nurse in this situation? Telling Selling Delegating Participating - Telling the delegatee that the procedure is easy and he or she can do it by following the demonstrated steps utilizes persuasion. According to Hersey’s model, persuading statements of a delegator indicates selling behavior. According to Hersey’s model, directing statements indicate telling behavior. According to Hersey’s model, monitoring statements indicate delegating behavior. According to Hersey’s model, problem-solving statements indicate participating behavior. A healthcare team is caring for a population according to the functional model of nursing. Which healthcare team member is most appropriate for the delegation of hygiene care? Unit secretary Registered nurse Nursing assistant Licensed practical nurse A nursing assistant is working with a delegator. Which action of the nursing assistant may negatively affect client care management? Addressing challenges together Performing the same tasks as the delegator Initiating conversation about the new roles and functions Communicating the cultural perspectives with the delegator A registered nurse (RN) delegates the task of foot care for a client to an unlicensed nursing personnel (UNP). The UNP is skillful and willing to perform the given task, but was recently hired and is unfamiliar with the client’s condition. What should the RN do in this situation? Provide guidance to the UNP. Observe and motivate the UNP. Establish mutual expectations and conditions. Explain what to do and how to perform the task. The newly hired nurse is delegated the task of preparing the client care plan for a diabetic client who underwent amputation. Which task in the care plan is inappropriate according to guidelines? The registered nurse (RN) administering antidiabetic medications Instructing the licensed practical nurse (LPN) to monitor vital signs The RN assessing the client’s blood glucose levels at regular intervals Instructing the licensed practical nurse (LPN) to change the dressing at the amputation site After assessing the conditions of four clients, the nursing manager is planning to delegate tasks to the members of the healthcare team. Which client care should be delegated to an unlicensed assistive personnel (UAP) to achieve effective outcomes in care? Client A Client B Client C Client D Orthopedic surgery A registered nurse is teaching a group of newly hired licensed registered nurses, licensed practical nurses, and unlicensed nursing professionals. Which teaching strategies would be appropriate to develop competencies? Case studies Online learning Teaching experience Clinical nursing practice Demographics of learning group What does "information salience," a characteristic of communication, refer to according to Anthony and Vidal? Decay of information Clarity of information Change in client’s health status Change in client’s health information Which statement about the delegatee condition is true regarding "selling"? The delegatee has established relationships and expertise. The delegatee has ongoing relationships; however, the task is new. The delegatee has limited knowledge and ability to perform the task. The delegatee has willingness and ability, but the relationship is new. Which activity performed by the registered nurse (RN) indicates effective delegation? Following one-way communication with the delegatee Assigning a task to a new licensed practical nurse(LPN) Providing feedback to the delegatee while performing the task Supervising and monitoring the licensed practical nurse (LPN) about the different activities In a healthcare unit, there are 30 clients and the charge nurse delegates the healthcare team for providing client care. Which statements made by the delegator would indicate care responsibilities are assigned to unlicensed assistive personnel (UAP)? "Note the oxygen saturation reading." "Administer oral antibiotic medications." "Check whether the client is taking fluids." "Admit the client to the intensive care unit." "Ensure that the client has time for uninterrupted sleep." The registered nurse (RN) delegates the task of caring for a client with a leg fracture to a licensed practical nurse (LPN) and asks the LPN to alert her if any issues arise. What approach is the RN taking as delegator in this instance? Providing supervision Providing explanation Providing little guidance Establishing mutual expectations The registered nurse (RN) delegates a task to the licensed practical nurse (LPN). If the LPN fails to perform the task within acceptable standards, what would happen? A potential for nursing malpractice emerges. The institution remains legally responsible for the situation. The accountability for care remains with the registered nurse (RN). The licensure of the licensed practical nurse (LPN) would be revoked. The accountability for care remains with the licensed practical nurse (LPN). The registered nurse is delegating tasks to the healthcare team. Which team member is most suitable for achieving an effective outcome in the care of a client who is bedridden for long periods with seizures? Healthcare provider Licensed practical nurse Newly hired registered nurse Unlicensed assistive personnel A registered nurse (RN) delegates the task of oral care of a client with stomatitis, to an unlicensed assistive personnel (UAP). Which instruction should be given by the RN to the UAP? "Use a mouthwash containing alcohol with the client." "Teach the client to rinse the mouth once every 4 to 5 hours." "Avoid using toothpaste containing sodium lauryl sulfate with the client." "Be certain to use mouthwash containing sodium bicarbonate with the client." Total client care is delegated to a registered nurse. Which member of the healthcare team is responsible for consulting other healthcare professionals in planning and delivering client care? Charge nurse Primary nurse Associate nurse Nurse navigator The registered nurse is teaching the student nurse about the concepts of delegation. Which response given by the student nurse indicates the need for further teaching? Delegation always involves two individuals. Delegation is the transfer of accountability while retaining responsibility. Delegation is an important strategy for client safety and quality of client care. Delegation has five rights that should be followed in the process of delegation. The registered nurse (RN) is caring for a client who is currently hospitalized for a stroke. What is the most effective professional management strategy for the RN to improve the safety and quality of client care? Delegation Leadership Supervision Assignment What does the nurse say is the advantage of an appropriate delegation? Assistance Accountability Empowerment Reduced stress Which of the nurse’s statements are true regarding delegation? Delegation is a complex process. Delegation involves a single individual to achieve the goals. Delegation involves transfer of responsibility and accountability. Delegation improves client care outcomes when used effectively. Delegation includes delegatees who allocate a portion of work to others. The nurse manager is teaching newly assigned delegators about the limitations of delegation. Which statements made by the delegators indicate effective teaching? "Personal hygiene activities can be delegated to unlicensed assistive personnel (UAP)." "Administration of oral medication can be delegated to the licensed practical nurse (LPN)." "Administration of intravenous medication can be delegated to the licensed practical nurse (LPN)." "Tasks related to caring for diabetic clients can be delegated to unlicensed assistive personnel (UAP)." "Tasks related to caring for clients in a hospice care setting can be delegated to licensed vocational nurses (LVNs)." A registered nurse (RN) is sent to a rehabilitation center because of chemical impairment issues. Which member of the healthcare team will be asked to provide feedback about the RN’s progress? Nurse manager Healthcare provider Patient care associate Cross-trained technician After delegating the task of administering oral medications to a licensed practical nurse (LPN), the registered nurse (RN) ensures that the LPN is supervised until the task is accomplished. Which right of delegation does the scenario reflect? The right task The right person The right direction The right circumstance 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? Limited delegation Information salience Decayed information Ineffective supervision Which questions related to decision making for delegation are appropriate according to the delegation right of "right circumstance"? Is the task legally appropriate to delegate? Is the prospective delegatee a willing and able employee? Are the equipment and resources available to complete the task? Does the delegatee have appropriate supervision to complete the task? Is the task appropriate to delegate based on the institutional policies and procedures? A client underwent angioplasty and is hospitalized for several days for observation. Which task can be delegated by the registered nurse (RN) to a licensed practical nurse (LPN)? Assisting Assessing Evaluating Monitoring A registered nurse delegated a task to the unlicensed nursing personnel (UNP) and is supervising the UNP. Which statements made by the nurse after the UNP completes the task can yield a positive outcome from the UNP? "Nice job." "What is wrong with you?" "You performed that task safely and professionally." "Did the client respond positively to the nursing care?" "The task was well done, but there is room for improvement." Which of these clients is most appropriate for delegation to a cross-trained technician? Client A Providing respiratory therapy Client B Client C Client D After assessing the delegatee's inability to perform an assigned task, the delegator explains the procedure and demonstrates the task to the delegatee. What can be inferred about the delegatee? The delegatee may have limited knowledge and ability to perform the task. The delegatee has an established relationship with the delegator and expertise. The delegatee has the willingness and ability, but the relationship with the delegator is new. The delegatee may have an ongoing relationship with the delegator, but a new task is assigned. The registered nurse suggested that a newly hired registered nurse delegate tasks to nursing assistants. Which is an element that fosters effective delegation decisions by the newly hired registered nurse? Skills Stability Practice Environment The registered nurse (RN) is delegating care for several clients to the licensed practical nurse (LPN). Which client is suitable for delegation? Client A Client B ulcerative colitis status post (s/p) hemicolectomy Client C Client D The direct care nurse is delegated the task of reviewing the informed consent form after being completed by the client. Who should the direct care nurse consult regarding queries related to client rights? Charge nurse Nurse manager Licensed practical nurse Primary healthcare provider Which statements are true regarding the primary nursing care developed by Marie Manthey as a method for organizing client care? The associate nurse provides input into the client’s plan of care. The charge nurse will be accountable for the care from admission to discharge. If the client develops complications, the associate nurse should notify the primary nurse. According to the associate nurse’s care specifications, the primary nurse should provide care. The registered nurse functions autonomously as the primary nurse throughout the client’s hospital stay. The registered nurse is caring for an older client who is admitted with gastric ulcer and joint pains and is unable to perform activities of daily life (ADL). The legal authority has stated, "Provide the treatment according to the client’s care sheet." Which delegatee should take up the task? Orderlies Certified nursing aide Patient care associate Licensed practical nurse What would the nurse describe as the challenges of delegation? Limited resources More staff availability Larger geographic area Care for vulnerable populations Deciding if delegating is time-saving A healthcare team is caring for a postsurgical client who underwent knee surgery. Which task is most suitable to be delegated to a licensed practical nurse (LPN) to provide effective client care? Changing the dressing Ambulating the client Administration of oral analgesics Reinforcing leg exercise instructions Administering intravenous antibiotics The registered nurse (RN) has delegated a task to an unlicensed nursing personnel (UNP). After performing the task, the UNP reports to the RN for appraisal. Which statement by the UNP is related to individual accountability? "I take full responsibility for the action performed." "I have ensured that the action has achieved the desired outcome." "I have ensured that there is a ventilator placed in every intensive care unit." "I have established systems for assessing and monitoring the tasks assigned." "I have evaluated whether the work environment is conducive to work or not." The registered nurse is delegating a task to a newly hired unlicensed nursing personnel (UNP) and feels that the UNP requires explanation. Why does the RN feel the need to provide explanation? The UNP has an established professional relationship with the RN and required expertise. The UNP has the willingness but is new to the professional relationship with the RN. The UNP has limited knowledge and ability to perform the task. The UNP is familiar with the ongoing process but the task is new. Which delegatee requires little guidance from the delegator? Delegatee who is familiar with the task but not the client Delegatee who has experience but is unfamiliar with the task Delegatee who has little experience but has willingness to do the task Delegatee who is very familiar with the client but has a lack of ability to do the task While caring for a post-operative client, the delegator has assigned a task to a delegatee. Which statements made by the delegator indicates that the delegatee has the experience to perform the task? "I am available to you at any time for report." "I am aware of your technical competencies." "I will tell you what is necessary to perform the task." "I will share my expectations about your performance." "I will tell you what conditions are important to notify each other." The nurse is caring for four different clients with different health conditions. Which client care task delegated to the licensed vocational nurse (LVN) would be appropriate to develop a suitable care outcome? Client 1 Client 2 Client 3 Client 4 Providing oral medication twice a day A client is hospitalized with a brain injury and a skull fracture. The registered nurse is delegating tasks to the healthcare team. Which member of the healthcare team is suitable to provide client care? Charge nurse Chief nursing officer Licensed practical nurse Newly hired registered nurse Unlicensed nursing professional The registered nurse is teaching a novice nurse about the rights of delegation. Which statement by the novice nurse indicates a need for further teaching? "I will refer to the guidelines before delegating the task." "I will check for the competence of the delegatee for the assigned task." "I will instruct the delegatee to monitor and evaluate the client appropriately." "I will check whether the environment is conducive to completing the task safely." The nurse manager has delegated tasks to a registered nurse (RN) and unlicensed assistive personnel (UAP) who are paired to provide care for a client with substance abuse. Which hospital care setting uses this model to deliver care to the clients? Hospice care Extended care Long term care Rehabilitative care A licensed practical nurse (LPN) was hired recently. Which strategy should be applied by the registered nurse (RN) to open lines of communication between them? Telling Selling Asking Offering - Asking is the first strategy and begins with questions that open lines of communication between the newly hired LPN and RN. Telling is helpful when the delegatee and delegator have a new relationship. Selling is the supervision by the delegator when the delegator and delegatee have a long relationship and have been working together for a while. Offering is also a strategy that can be followed after using the asking strategy by making a suggestion. 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? Feeding Administrating oral medication Initiating intravenous (IV) antibiotic therapy Changing the dressing of a postoperative wound A client is hospitalized with dehydration and dysphagia. Which tasks are appropriate to delegate to a licensed practical nurse? Administer medications Perform initial swallow screen Assist UAP with ambulating client Complete admission skin assessment Record vital signs on electronic health record Which statement of the nurse is true regarding Hersey’s Situational Leadership Model? The situational leadership model cannot be applied to real work-related situations. The situational leadership model provides a solid foundation for delegation decisions. The situational leadership model does not relate to the behavior of the delegatee during delegation. The situational leadership model contends that managers should not behave differently on different occasions. 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? Selling Telling Monitoring Participating - 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. What does the decision strategy of "offering" include in delegation? Allowing the delegator to examine the situation differently Demonstrating the specific task or behavior to improve client care Asking questions related to the problem or issue regarding client care Making a suggestion to facilitate the achievement of a desirable client care outcome - The decision strategy of offering involves making a suggestion to facilitate the achievement of a desirable client care outcome. The decision strategy of asking allows the delegator to examine the situation differently. The decision strategy of doing includes demonstrating the specific task or behavior to improve client care. The decision strategy of asking includes questioning issues related to the problem regarding client care. Which behavior of the delegator with respect to the work delegated to a delegatee is characterized as "selling" according to the Hershey's Model? Guiding or directing Explaining or persuading Observing or monitoring Encouraging or problem solving - The delegator's behavior when explaining or persuading the delegatee is characterized as " selling" according to Hershey's Model. The delegator's behavior when guiding or directing the delegatee is characterized as "telling." The delegator's behavior when observing or monitoring the delegatee is characterized as "delegating." The delegator's behavior when encouraging or problem solving is characterized as "participating." Which task can be safely delegated by a registered nurse (RN) to unlicensed nursing personnel (UNP) for a client with thrombocytopenia? Shaving the client Positioning the client Maintaining oral hygiene Giving intravenous platelet infusions While caring for a client with severe fever, the registered nurse (RN) delegated the task to a new delegatee to assist the RN in recording the temperature. Which instruction given by the RN indicates that the delegatee is new to working with that RN? "Note the temperature every hour." "Tell me how you record the temperature." "You can approach me at any time to report any of the client’s issues." "Let me show you what is necessary while recording the temperature." After caring for a client who underwent a cesarean section, the delegatee failed to report results and findings of vital signs to the delegator due to improper understanding. Which action of the delegator is the reason for the delegatee’s failure? Unclear directions to the delegatee Inappropriate selection of delegatee Inappropriate feedback related to task Inappropriate supervision by the delegator The registered nurse (RN) is caring for a client who underwent ileostomy. Which activity performed by the nurse indicates following the principle of right circumstance of delegation? Assessing the willingness of the delegatee Assessing the equipment to determine vital signs Providing supervision of the delegatee during the task Teaching institutional policies about caring for a client with ileostomy Communicating with the delegatee about care management of the client Which component of delegation is suitable to all the members on the healthcare team? Authority Supervision Accountability Communication The RN caring for a postoperative hysterectomy client is delegating tasks to the licensed practical nurse (LPN). Which statement made by the RN indicates the principle of right communication of delegation? "Does the LPN understand when to report the vital signs?" "Can the LPN monitor blood pressure of the client effectively?" "Can the LPN provide effective feedback regarding the client’s condition?" "Does the LPN have enough knowledge regarding administration of intravenous (IV) fluids to the client?" - The principle of right communication of delegation includes the qualities of the delegatee understanding when and how to report to the delegator. Monitoring and evaluating the client’s condition falls under right supervision of delegation. Assessing the delegatee’s ability to provide feedback in right situation indicates right supervision of delegation. Right task of delegation includes assessment of delegatee’s knowledge and experience about performing the task. The registered nurse (RN) delegates the collection of respiratory rate data to a licensed practical nurse (LPN) for a client who is experiencing severe dehydration and whose condition is unstable. The LPN reports the data to the RN. The RN rechecks the data and finds that the report no longer reflects the patient’s current condition. Which characteristic of communication has interfered with the delegation process? Information decay Information salience Confidence in abilities Synergy between team members A client is admitted to the hospital with severe backache and chest discomfort. After reviewing the client’s condition, there is a need for 24-hour client care by the registered nurse (RN). Which healthcare professional is responsible for assigning the task to a registered nurse when 24-hour client care is needed? Nurse manager Nursing supervisor Chief nursing officer Primary healthcare provider After assigning a specific work to the unlicensed nursing professional, the registered nurse does a critical analysis of the work to determine if the actions taken were appropriate and provides a detailed explanation of what occurred. Which action related to delegation is the nurse performing? Supervision Responsibility Accountability Legal authority The registered nurse is caring for a client suffering from skin infections. The nurse delegates the client care tasks to the health care team. Which task delegated is correct as per guidelines? Daily changing of wet dressings by the unlicensed assistive personnel (UAP) Topical administration of medication by the licensed practical nurse (LPN) Administering intravenous antibiotics by the licensed practical nurse (LPN) Teaching the client to minimize sun exposure by the unlicensed assistive personnel (UAP) A nurse delegator assigns work to a delegatee who has the ability and willingness to do the work but the relationship between the delegator and delegatee is relatively new. How is the delegator’s behavior described according to Hersey’s Model? Selling Telling Delegating Participating - According to Hersey’s Model, if the delegatee has the ability and willingness, but the relationship between the delegator and delegatee is relatively new, they need to establish mutual expectations and conditions of performance. Hersey’s model describes this behavior of the leader as participating. If a situation involves a new task and the relationship is ongoing, Hersey’s model describes this behavior of the leader as selling. If the delegatee has limited knowledge and ability to perform a task, the delegator needs to provide more guidance. Hersey’s model describes this behavior of the leader as telling. If the delegatee has the ability and willingness, the expertise to accomplish the work, and an established relationship, Hersey’s model describes this behavior of the leader as delegating. What are the elements integrated into delegacy? Stability Leadership Clinical practice Critical thinking Communication - The four elements that foster effective delegation decisions are safety, critical thinking, stability, and time. Leadership, critical thinking, communication, and clinical practice are the competency skills of a charge nurse. While caring for a client with urinary tract infection, the nurse manager delegated the work of administering oral medications. Which delegatee would be appropriate for this task? Registered nurse (RN) Patient care associate (PCA) Licensed practical nurse (LPN) Licensed vocational nurse (LVN) Unlicensed assistive personnel (UAP) Which condition may lead to delegation failure due to malpractice? Adapting to changing situations by the nursing assistant Educating and monitoring the nursing staff incompetent to perform a task Employing more unlicensed nursing personal (UNP) in the emergency department Assigning the more unlicensed nursing personal (UNP) for long-term care facilities The nursing team is involved in effective pain management. Which task would be performed by a registered nurse (RN) in this case? Performing hygiene tasks Taking and reporting vital signs Administering oral pain medications Developing a treatment plan for client’s pain The primary healthcare provider prescribes a rectal suppository for a client with severe constipation. Which healthcare professional would be delegated the task of administering the suppository? Patient care associate Licensed practical nurse Unlicensed assistive personnel Unlicensed nursing personnel The registered nurse (RN) is caring for four different post-surgical clients. Which activity delegated to the licensed practical nurse (LPN) would be appropriate to achieve a suitable care outcome? Client 1 ileostomy Client 2 knee surgery Client 3 Client 4 Client 5 bypass surgery The registered nurse (RN) delegates a task to a licensed practical nurse (LPN) to take care of the client who underwent a tracheostomy. Which task should be performed by the LPN in this situation? Developing a plan to avoid aspiration Assessing the client’s condition after tracheostomy Providing tracheostomy care using sterile techniques Teaching a client and caregiver about home tracheostomy care What is discussed in Hersey’s 2006 model related to delegation? Five rights of delegation Legal authorities for delegation Characteristics of communication Core competencies of a situational leader Which healthcare settings are appropriate for delegating care according to the functional model of nursing? Hospice units Emergency units Inpatient facilities Ambulatory clinics Acute care agencies The nurse manager is delegating tasks to the healthcare team to care for a client who underwent brain surgery. Which individuals on the team share accountability during delegation? Attendant Nurse manager Certified technician Healthcare provider Unlicensed nursing personnel (UNP) The nurse is managing a client who underwent cardiac bypass surgery. Which healthcare member can be safely delegated the task of monitoring electrocardiography? Nurse aide Certified technician Cross-trained technician Licensed vocational nurse (LVN) The registered nurse is evaluating the statements of the student nurse after teaching about delegation. Which statement made by the student nurse indicates a need for correction? "Delegation is merely sharing a set of functions." "Delegation ensures quality client care outcomes." "Professional aspects of care can also be delegated." "The final accountability of a task remains with the delegator." Which activity performed by the registered nurse in a healthcare organization is considered active delegation? A pharmacist giving medications upon prescription A primary healthcare provider assessing and prescribing medication A registered nurse administering medication and fluids upon prescription A registered nurse directing an unlicensed nursing professional to perform certain task Which important consideration of the delegator is applicable to the "selling" in Hersey’s model? Delegatee requiring explanation Delegatee requiring more guidance Delegatee requiring mutual expectations Delegatee requiring conditions for performance What should the delegator do when he or she finds that a delegatee is unable to perform the given task? Assign another task to the delegatee Remove the delegatee form the task Make an effort to complete the task on his or her own Make sure to educate and provide feedback to the delegatee The registered nurse (RN) is caring for an older client who has been admitted to the hospital. The RN allocates several tasks to the unlicensed nursing personnel (UNP). In order to evaluate the understanding of the UNP, the RN asks the UNP to describe which tasks have been allocated. Which responses given by the UNP indicate effective understanding of the tasks? "I must assist the client with oral care." "I must assess the client’s health status." "I must administer intravenous drug in accordance with the schedule." "I must give a sponge bath to the client every morning." "I must record the blood pressure of the client at regular intervals." The registered nurse (RN) administers intravenous fluids to a client who was in a motorcycle accident. Which assessments made by the nurse would be appropriate based on the principle of right task of delegation? Environmental conditions Resources required for drug administration Institutional policies of drug administration Client’s condition prior to drug administration 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 Client B Client C Client D Who is most accountable for an initial assessment and the ongoing evaluation of client care? Client Registered nurse Licensed practical nurse Unlicensed nursing personnel Which nursing model includes a registered nurse (RN) paired with technical assistance? Team nursing model Co-primary nursing model Patient-focused care model Functional model of nursing A client with foot ulcers is admitted to the hospital. The nurse manager should delegate the task of maintaining hygiene to which staff members to maximize efficient use of human resources? Registered nurse (RN) Patient care associate (PCA) Licensed practical nurse (LPN) Licensed vocational nurse (LVN) Unlicensed nursing practitioner (UNP) A registered nurse who has limited clinical experience must delegate in collaboration with a nursing assistant. Which communication method used by the registered nurse while supervising may affect the working performance of the nursing assistant? Asking open-ended questions Providing feedback on behavior Maintaining an open line of communication Occasionally offering derogatory comments Evolve Which characteristic should the nurse use during the nursing process as a guide for delegation? Leadership Critical analysis Psychomotor task Time management The nurse is caring for a client with severe menstrual bleeding and abdominal cramps. Which task is appropriate to be delegated to the licensed practical nurse (LPN)? Evaluation of the pain status Administration of oral analgesics Administration of intravenous replacement fluids Assessment of blood reports for hemoglobin levels Which task can the registered nurse safely delegate to the unlicensed assistive personnel (UAP) while caring for a client with gastroesophageal reflex disease? Positioning the bed Evaluating the vitals Tube feeding the client Determining calorie needs Which of these clients is most appropriate for delegation to a crossWhich of these clients is most appropriate for delegation to a cross-trained technician? A cross-trained technician, when paired with a registered nurse (RN), may perform respiratory therapy, phlebotomy, and electrocardiography. Care of client A can be safely delegated to a cross-trained technician.
Which nursing model includes a registered nurse paired with technical assistance quizlet?In the co-primary nursing model or practice partnership model, the registered nurse (RN) is paired with technical assistance. The team nursing model is a modification of the functional nursing model. The focused care model is the care delivered in client-focused care.
What nursing tasks can be delegated?In general, simple, routine tasks such as making unoccupied beds, supervising patient ambulation, assisting with hygiene, and feeding meals can be delegated.
What 2 tasks Cannot be delegated by the RN?The licensed nurse cannot delegate any activity that requires clinical reasoning, nursing judgment or critical decision making. The licensed nurse must ultimately make the final decision whether an activity is appropriate to delegate to the delegatee based on the Five Rights of Delegation (NCSBN, 1995, 1996).
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Which task can be delegated to a cross-trained technician when paired with a registered nurse
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