Nursing Leadership Ch 14: Delegation in the Clinical Setting

Which of the following task can the nurse safely delegate to the nursing assistant?

Help a patient select food according to their diet

Which statement(s) will help the nurse give feedback to a coworker? (Select all that apply.)

"Can you tell me what happened?" "You did a great job positioning the postoperative patient." "What do you think can be done to ensure that the blood pressures are charted?"

The nurse manager understands the causes of performance weaknesses when making which of the following statements? (Select all that apply.)

"The employee does not know what is expected." "The employee requires additional education." "The employee lacks motivation." "The employee needs additional supervision."

A nurse is reviewing delegation with a graduate nurse. The nurse knows that the teaching has been successful when the graduate nurse states which of the following?

"The nurse must create the care plan based on assessment findings."

Which of the following represents appropriate feedback for an assignment to an LPN?

"The patient in Room 430 looks much better, and you did a good job of making the patient comfortable."

The charge nurse is assigning patients for care. There are two nurses, a LPN, and a certified nursing assistant (CNA). The charge nurse would assign which of the following patients to the LPN?

An adult patient diagnosed with insulin-dependent diabetes who will need dressing changes on several stasis ulcers on the lower extremities

What should the nurse do to assess competence before delegating a task to an LPN?

Ask if the LPN has previous experience performing the task.

The nurse is preparing to delegate work to the nurse aide. What can be done to ensure that work is delegated in a manner that is understood by the nurse aide? (Select all that apply.)

Determine if the nurse aide understands what is being asked Ensure that the directions giving are in accordance with policy Ask the nurse aide if he or she has the info needed to complete the task

Which task could a staff nurse delegate to a certified nursing assistant (CNA)?

Feeding a stroke patient who has minimal dysphagia

The Delegation Decision Tree, which was prepared and adopted by ANA and NCSBN, has specific steps. Identify the steps in this Decision Tree. (Select all that apply.)

Surveillance and supervision Assessment and planning Evaluation Communication

Which of the following statements made by the charge nurse indicates appropriate delegation? (Select all that apply.)

The LPN can administer a DPT immunization to a child. The nursing assistant can transfer a paraplegic patient from a wheelchair to the bed using a lift, as long as the nursing assistant has received training and demonstrated competency.

A nurse manager is discussing the "five rights of clinical delegation?" Which statement indicates understanding? (Select all that apply.)

The nurse should determine if the task can safely be delegated." "The nurse should delegate the task to the right person." "The nurse should provide feedback to the delegate."

What are potential causes of performance inadequacies?

The person to whom the task was assigned did not understand what the task involved.

What would be the best example of delegation?

Transferring to another nurse the responsibility of caring for a patient requiring a blood transfusion

A nurse is feeling overwhelmed and has determined to delegate some of the tasks to the LPN he//she is working with. Which of the following would be most appropriate for the nurse to delegate?

Updating the care plan for a patient who is postop day 2

Determine how the nurse's role is different from that of the LPN in assessment of the patient.

Uses findings from the assessment to create a care plan

The nurse needs to discuss a problem with the nursing assistant. The nursing assistant has left several rooms cluttered with trash and not cleaned appropriately. Which comment by the nurse would be the best way to approach the problem?

"Have you had a problem completing your work assignment today?"

A day shift nurse has come into work and notices that the glucometers were not tested overnight as they typically are. What is the best way for the nurse to question the nurse assistant, in order to give feedback?

"How was your night? I noticed the glucometers weren't tested."

Which of the following statements indicate the nurses understanding of accountability in the delegation process?

"I am accountable for assessing the delegatee's competency before delegation."

The nurse is preparing assignments in a pediatric unit for the night shift. Which of the following would be appropriate to assign the LPN/LVN?

A 5-year-old child who had an appendectomy about 6 hours ago

The nurse is making assignments for the team. There are 2 LPNs and a nursing assistant on the team. Which of the following assignments would the nurse choose for themself?

A patient receiving chemotherapy for bone cancer

The nurse has a full assignment. The charge nurse adds a newly admitted patient who will require close monitoring. Which task can the nurse delegate to the CNA who is co-assigned to the same patients?

Bathing Miss X, an unconscious patient

An experienced nursing assistant could be assigned by the nurse to do which of the following?

Assist the client to obtain a clean-catch urine specimen.

Based on the goal of making optimal use of the level of preparation of the licensed practical nurse (LPN), which task should the nurse (RN) delegate to the LPN?

Assisting with a lumbar puncture

To optimally use the level of preparation of the LPN, which task should the nurse delegate to the LPN?

Assisting with a thoracentesis

There is a temporary agency registered nurse assigned to the nursing unit. You have no knowledge of this nurse's skills, and you want to assign the nurse to a patient who has a fresh tracheostomy. How should you handle this situation?

Ask the nurse about his or her competency to care for the patient with the tracheostomy.

Which actions by the nurse show an understanding of what the nurse is accountable for? (Select all that apply.)

Assessing patients according to priority Determining the need to delegate a task to a nursing assistant Deciding that the nursing assistant is competent to perform the task delegated Following up to determine completion of the task that was delegated

What would be the best example of supervision?

Following up with a CNA on the assigned task of ambulation and feeding of two patients

The nurse has just given a patient a narcotic for pain relief. Because the nurse must leave the unit for lunch and a 1-hour meeting, the task of evaluating the patient's response to the pain medication must be delegated. To whom should the nurse delegate this responsibility?

Nurse manager

A female patient in the medical-surgical unit is diagnosed with anemia and complains of weakness. Which of the following assignments could be given to the nursing assistant?

Organize the patient's meal tray for dinner.

The charge nurse is determining tasks that can be delegated to keep the unit running smoothly. What factors should the charge nurse consider before delegating? (Select all that apply.)

Staff who are working Acuity of patients Community needs Teaching obligations of the nurses