Delegation
A registered nurse is caring for a client according to the total client care model of nursing. Which activity performed by the nurse manager would be appropriate in this situation? Select all that apply. 1 Providing care to group of clients 2 Providing care to clients in ambulatory clinics Incorrect3 Delegating tasks to licensed practical nurse (LPN) Correct4 Weighing the expenses of a registered nurse (RN) vs. LPNs Correct5 Deciding the type of care provided by nursing assistive personnel
Weighing the expenses of RNs versus LPNs and unlicensed assistive personnel (UNP) are performed by the nurse manager in the total client care model of nursing. Providing care to the group of clients is the responsibility of a direct care nurse in the functional nursing model. Providing care to a client in an ambulatory clinic is the responsibility of the nurse manger in the functional nursing model. Delegating a task to an LPN is not the responsibility of the nurse manager; it is the responsibility of the RN.
The registered nurse is delegating a task for unlicensed assistive personnel l (UAP). Which client's care would be suitable for delegation to the UAP? 1 Client A Correct2 Client B 3 Client C 4 Client D
The unlicensed assistive personnel (UAP) can monitor the temperature of client B every hour. Discharges from the surgical site of client A should be monitored, but the UAP may not have appropriate knowledge. Abdominal pain should be monitored in client C, but the UAP is not qualified to understand the condition of the client. Respiratory rate cannot be monitored by the UAP as it is the responsibility of the more qualified UNP.
The 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? 1 Requires explanation 2 Requires little guidance Correct3 Requires more guidance Incorrect4 Requires creating mutual expectations
When the task is assigned to a newly hired LPN, the registered nurse should provide more guidance to the LPN. The LPN requires explanation when there is an ongoing process and the task is already assigned. The LPN requires little guidance when the LPN has expertise in work and performs in a correct way. The delegator and the delegatee should have mutual expectations when there is ability and willingness but the relationship is new.
The nurse with limited clinical experience is preparing a delegation communication template. Which action by the nurse indicates the need for correction? 1 Identifying the priorities 2 Specifying the performance limitations 3 Emphasizing what may not be delegated Correct4 Specifying that no extra time is allotted to report data
A delegation communication template is used for the delegation of tasks. It is beneficial to provide greater positive outcomes within specified dates. The template should contain the report time frames and when data is expected. It should specify deadlines, including the allowable deviations and exact timelines. Identifying priorities aids in overcoming challenging and overwhelming situations. Specifying the performance limitations aids in tracking and managing the task updates. It is important to make the delegatee understand what is to be delegated and what is not to be discussed to produce expected data.
What points should the nurse consider when delegating a task? Select all that apply. Correct1 Checking the skill set of the delegatee Correct2 Selecting the delegatee based on his or her competence levels Correct3 Being certain that the delegatee is capable of completing the task 4 Checking for the willingness of the delegatee to perform the task 5 Selecting the delegatee based on that employee's length of tenure
Before selecting a delegatee for any particular task, it is important to understand the skill set and capabilities of the delegatee because selection of delegatees is based on specific skill sets. Selecting a delegatee based on his or her competency is an important aspect of delegation. Being certain about the capabilities is a crucial element of delegation. Willingness is not a crucial element for selecting a delegatee. In a rural setting the generally longer tenures of employees may make the delegation process easier.
The registered nurse is assessing the conditions of four different clients. Which client's care should the registered nurse delegate to an unlicensed assistive personnel (UAP)? 1 Client A Correct2 Client B 3 Client C 4 Client D
Client B is delegated to the UAP since they are assigned to perform hygienic tasks and diarrhea is a sub-acute condition. Brain injury is a serious condition and care cannot be performed by the UAP. Uncontrolled diabetes is a chronic condition, so client C is not delegated to UAP. Hypertension is an acute condition, and client D is not delegated to the UAP.
Which primary task is achieved by a delegator when delegating a task to a delegatee for an effective outcome? 1 Managing 2 Renewing 3 Explaining Correct4 Motivating
Inspiring the delegatee by motivation is the primary task to be achieved by the delegator to reach an effective outcome.
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? Correct1 Selling 2 Telling 3 Delegating 4 Participating
The delegator's style should be selling in this situation because there is an ongoing relationship. When the new team member has limited knowledge to perform a task and when there is no ongoing relationship, the leader's style is telling. When the new team has expertise, there is an established relationship, and there is need of only little guidance, then the delegator's style is delegating. When the new team has the willingness and ability to do a task and has a new relationship, then the delegator's style is participating.
How would the nurse arrange the healthcare members in the ranking order based on their profession? Correct 1. Nurse Director Correct 2. Nurse Manager Correct 3. Registered nurse Correct 4. Licensed vocational nurse
The nurse director has the ability to transfer selected nursing activities in a given situation to competent individuals. The nurse manager is the designated individual to whom all the nursing professionals should answer regarding a given task. The registered nurse is the healthcare professional who is mainly involved in the task of delegation while caring for different clients. The licensed vocational nurse performs the activities delegated by the registered nurse.
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? Select all that apply. 1 "Feed the client three times a day." 2 "Change the client's clothes every 6 hours." Correct3 "Assess the client's respirations after 1 hour." Correct4 "Provide intravenous medication every 3 hours." 5 "Inform the licensed practical nurse if the respiration rate changes."
The registered nurse can perform activities such as assessing vital signs such as the respiration rate and administering intravenous medications. Feeding and changing the client's clothes are usually performed by unlicensed assistive personnel. The registered nurse will not inform the licensed practical nurse (LPN) if the vital signs are abnormal because the LPNs do not have enough knowledge to identify abnormal changes.
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? 1 Task behavior Correct2 Span of control 3 Sharing activities Incorrect4 Situational leadership
The registered nurse has to handle five nurses who take care of 30 clients, meaning that each nurse will be caring for six clients. Managing 30 clients in stable condition is easy; whereas, managing clients in critical condition requires span of control to make the overwhelming situation less challenging. The nursing staff should render a portion of the care to reduce the client care workload. Task behavior is the amount of guidance given to an individual in a specific situation. The delegator shares activities among the individuals to ensure quality client care outcomes. Situational leadership is the ability to diagnose the performance, competence, and commitment of others to be flexible and efficient in performing an activity.
What are the purposes of applying the four elements of safety, critical thinking, stability, and time in delegation? Select all that apply. Correct1 Encouraging effective delegation decisions Correct2 Ensuring effectiveness in performing elements of care 3 Determining the level of readiness according to Hersey Incorrect4 Developing the expectations of individuals to accomplish safety Correct5 Assessing the ability of unlicensed nursing personnel (UNP) to perform the task
and time creates an integrative process that encourages effective delegation decisions. Elements of implementation should be understood to ensure effectiveness in performing elements of care. These elements must be considered while assessing the ability of unlicensed nursing personnel (UNP) to perform the task. To determine the readiness of a delegate, factors such as ability and willingness should be assessed according to Hersey's model of leadership. Practice acts, position descriptions, and policies are the elements required to form the expectations for which the individuals in certain conditions are expected to be able to accomplish safety.
