NU471 Week 2 EAQ Evolve Elsevier: Delegation

A client with asthma and depression is admitted to the hospital. Which tasks delegated by the delegator would be completed by the registered nurse? o "Administer oral antidepressants." o "Administer a pain killer intramuscularly." o "Teach the client how to use a metered-dose inhaler." o "Reinforce tips for stress management with the client."

o "Teach the client how to use a metered-dose inhaler." · The registered nurse is delegated to teach the client about using a metered-dose inhaler for asthma. Oral administration of medications is under the scope of practice of a licensed practical nurse (LPN) and a licensed vocational nurse (LVN). Administration of intramuscular medications will also be tasks delegated to an LPN or LVN. Reinforcing teachings is the task of an LPN, LVN, or unlicensed assistive personnel (UAP).

Which entity outlines the principles of delegation for registered nurses (RNs)? o Nurse Practice Act o Multilevel nursing model o American Nurses Association (ANA) o National Council of State Boards of Nursing (NCSBN)

o American Nurses Association (ANA)

Which component of delegation is the ability to perform duties in a specific role? o Authority o Responsibility o Accountability o Legal authority

o Authority · Authority is the ability to perform duties in a specific role. Responsibility refers to reliability, dependability, and obligation to accomplish work. Accountability determines whether a person's actions are appropriate and provides a detailed explanation of what occurred. Legal authority is the ability to transfer selected nursing activities in a given situation to a competent individual.

Which important consideration of the delegator is applicable to the "selling" in Hersey's model? o Delegatee requires explanation. o Delegatee requires more guidance. o Delegatee requires mutual expectations. o Delegatee requires conditions for performance.

o Delegatee requires explanation.

Which motto is the main focus of Hersey's 006 model? o Information decay o Information salience o Situational leadership o Individual accountability

o Situational leadership · Hersey's 006 model provides a solid foundation for delegation decisions. The main focus of this model is situational leadership. The core competencies of a situational leader are the ability to diagnose the performance, competence, and commitment of others; to be flexible; and to partner for performance. Anthony and Vidal describe characteristics of communication that interfere with the delegation process, such as information decay. They also describe information salience, or the quality, meaning, and clarity of the information. Ana mentioned individual accountability, the expectation of accountability and responsibility in 0, specifically referencing delegation.

The delegator working in a rural setting has the task of managing care for a group of clients. Which crucial step would the delegator take to develop a productive strategy in delegating tasks to a delegatee? o Assigning the task to the delegatee o Providing feedback to the delegatee o Supervising the task at regular intervals o Understanding the capabilities of the delegatee

o Understanding the capabilities of the delegate · The delegator, before handling a task, should understand the specific capabilities and skill set of the delegatee. Selecting a delegatee who has the specific skill set for the particular task is a more productive strategy than just selecting a competent individual. The delegator has to assess the delegatee competence and then assign the task based on the delegatee's skills. Providing feedback during and after the task may enhance the working capabilities of the delegatee. Supervising a task is an ultimate essential element for the delegator because the delegator is accountable for the completion of the task.

The registered nurse (RN) distributes a task to health care professionals. When are both accountability and responsibility transferred to the health care professional? o When the task is given to another RN o When the task is given to a licensed practical nurse (LPN) o When the task is given to a licensed vocational nurse (LVN) o When the task is given to an unlicensed nursing personnel (UNP)

o When the task is given to another RN · When the RN gives a task to another RN, the task can be assigned, but cannot be delegated. When any work is being assigned, the recipient is accountable and responsible for the work. LPNs, LVNs and UNPs can be delegated work for which they can be responsible, but only the delegator is accountable.

Which component of delegation is suitable to all members of the health care team? o Authority o Supervision o Accountability o Communication

o Authority · Authority is the component of delegation that is suitable for all members of the health care team. Supervision is a right of delegation in which the delegator supervises assistive personnel to perform the task. Accountability is the component of delegation that is suitable for delegators such as registered nurses. Communication is the right of delegation in which the delegator gives directions to perform the task.

Which health care team member acts as a delegator in the absence of the registered nurse (RN)? o Charge nurse o Patient care associate o Licensed practical nurse (LPN) o Unlicensed nursing personnel (UNP)

o Charge nurse · The charge nurse acts as a delegator based on his or her knowledge and experience in clinical settings. In the absence of an RN, the charge nurse usually delegates the tasks. A patient care associate assists and monitors vital signs. LPNs and UNP are considered delegatees due to insufficient experience and training.

Which health care team member is responsible for the coordination and assignments of client care? o Charge nurse o Nurse manager o Chief nursing officer o Patient care associate (PCA)

o Charge nurse · The charge nurse coordinates care and assignments and will ultimately be the only person who is familiar with all the needs of any individual client. The nurse manager is responsible for managing the staffing and delegating tasks to the health care team. The chief nursing officer is responsible for establishing the systems for assessment and checking the requirements for competent work of the team members. The PCA is responsible for providing basic care to the client.

During the delegation process, which health care professional acts as a liaison between the team leader and health care providers? o Charge nurse o Nurse manager o Nursing supervisor o Chief nursing officer

o Charge nurse · The charge nurse is responsible for acting as a liaison between the team leader and health care providers. The nurse manager cannot act as a liaison between the team leader and other health care providers because the nurse manager is often responsible for more than one unit and has other managerial responsibilities. The nursing supervisor will be delegated to supervise and ensure effective outcomes for the tasks delegated to the delegatees. The chief nursing officer is responsible for establishing the systems for assessment.

Which is the most effective professional leadership and management strategy nurses implement to improve safety and quality of patient-centered care? o Autonomy o Guidance o Delegation o Accountability

o Delegation · Delegation is the most effective strategy for nurse leaders and managers to implement to improve safety and quality of patient-centered care. Delegation requires knowing the level of competence of the individual delegatee and understanding the concepts of responsibility, authority, and accountability. Autonomy for the nurse is the ability to control one's practice. "Guidance" is a general term meaning providing direction or instruction. Accountability is assuming personal responsibility for actions.

Which three strategies can the nurse perform while assisting other nurses in making delegation decisions? Select all that apply. o Doing o Telling o Asking o Offering o Participating

o Doing o Asking o Offering · The nurse can assist other registered nurses with delegation decisions by using three strategies: asking, offering, and doing. Telling and participating are the strategies used by the nurse to communicate with the delegatee.

Which activity performed by the registered nurse (RN) indicates following the "participating" leadership style in Hersey's model? o Delegating the work to the delegatee o Evaluating the ability of the delegatee o Providing little guidance to the delegatee o Establishing mutual expectations with the delegatee

o Establishing mutual expectations with the delegatee · The participating style of leader behavior indicates establishing mutual expectations and conditions of performance when the relationship between the delegatee and the delegator is relatively new. Delegating the work to the delegatee indicates that the delegator is performing the delegating style of leadership. Evaluating the ability of the delegatee is done when the delegator wants to know about the work to be assigned to the delegatee. The delegator provides little guidance when the delegator knows that the delegatee is willing and familiar enough to perform the task.

Which care settings are more suitable for unlicensed nursing personnel (UNP)? Select all that apply. o Acute care o Surgical care o Extended care o Long-term care o Emergency care

o Extended care o Long-term care · Extended care and long-term care settings are more suitable for UNP. Acute care, surgical care, and emergency care settings require highly qualified and licensed nursing professionals. Acute care, surgical care, and emergency care are not suitable for UNPs because the clients are less stable compared with those in extended care and long-term care. Because acute care, surgical care, and emergency care settings require highly qualified and licensed nursing professionals, the UNP's role is very limited.

A newly hired nurse is delegated the task of developing a care plan for a diabetic client who just returned from surgery after undergoing amputation of the leg. Which task in the care plan is inappropriate according to guidelines? o The registered nurse (RN) administering antidiabetic medications o Instructing the licensed practical nurse (LPN) to monitor vital signs o The RN assessing the client's blood glucose levels at regular intervals o Instructing the licensed practical nurse (LPN) to change the dressing at the amputation site

o Instructing the licensed practical nurse (LPN) to monitor vital signs · The LPN's scope of practice includes monitoring vital signs in clients with a stable condition. Instructing the LPN to monitor the vital signs of a client in an acute condition is inappropriate according to the guidelines. Administering antidiabetic medications to a diabetic client who underwent amputation should be done by the RN because the condition of the client is acute. The RN is responsible for assessing the blood glucose levels of the client who underwent amputation. The LPN is instructed to change the dressing at the amputation site.

The primary health care provider prescribes a rectal suppository for a client with severe constipation. Which health care professional would be delegated the task of administering the suppository? o Patient care associate (PCA) o Licensed practical nurse (LPN) o Unlicensed assistive personnel (UAP) o Unlicensed nursing personnel (UNP)

o Licensed practical nurse (LPN) · LPNs may be delegated the task of administering rectal suppositories to the client. PCAs, UAP, and UNP may do all hygiene tasks and basic care for clients. However, administering suppositories is not in their scope of practice.

Which goal can be achieved with delegation? o Delivering client care as a team o Maximizing client care outcomes o Improving the working ability of the nurse o Maintaining open lines of communication between delegator and the delegatee

o Maximizing client care outcomes · The ultimate goal of the delegation is to maximize client care outcomes. Delegation helps deliver client care as a team and improves the working ability of the nurse but these are not the ultimate goals of delegation. Maintaining open lines of communication between delegator and the delegatee creates a productive work environment when delivering client care.

Which duty would the nurse as delegator have if the delegatee has limited knowledge and ability to perform a task? o Provide guidance. o Observe and motivate. o Explain what is to be done. o Establish mutual expectations.

o Provide guidance. · If the delegatee has limited knowledge and ability to perform a task, the delegator would provide guidance. The delegator is expected to observe and monitor the task performed by the delegatee to ensure he or she has the ability and willingness to establish a relationship and accomplish work. The registered nurse explains the task and how to execute it if the situation involves a new task and the relationship is ongoing. If the delegatee is new to the workplace but has the ability and willingness to perform a task, the delegator would establish mutual expectations and conditions of performance in order to establish a good relationship.

Which health care professional is authorized to delegate work to other health care members? o Registered nurse (RN) o Licensed practical nurse (LPN) o Unlicensed nursing personnel (UNP) o Unlicensed assistive personnel (UAP)

o Registered nurse (RN) · Delegating work is the most effective professional management strategy that an RN can implement in clinical practice to improve the safety and quality of client care. RNs can delegate work to LPNs, UNP, or UAP.

A client with an acute exacerbation of asthma has been admitted to the hospital. Which health care team member would be delegated to perform an initial assessment on this client? o Charge nurse o Registered nurse (RN) o Patient care associate o Licensed practical nurse

o Registered nurse (RN) · The RN is a licensed nursing professional and is responsible for assessing the asthmatic symptoms of the client for providing care. The charge nurse is responsible for the coordination and assignment of tasks for the client's care. Patient care associates are unlicensed assistive personnel whose scope of practice does not include assessment of clients. The licensed practical nurse does not assess the client's condition, but rather is responsible for providing treatment prescribed by the health care provider and delegated by the RN.

Which health care team member is responsible for analyzing the knowledge and work of newly hired unlicensed assistive personnel before delegating a task? o Charge nurse o Associate nurse o Registered nurse (RN) o Nursing manager

o Registered nurse (RN) · The RN must analyze any individual's knowledge before delegating a task. The charge nurse mainly functions as a liaison between team leaders and other health care providers. The associate nurse follows the care plan in the absence of a RN. The nursing manager is responsible for more than 1 unit and has other managerial responsibilities.

Which team member is most accountable when delegating a task to the health care team? o Certified technician o Registered nurse (RN) o Licensed practical nurse (LPN) o Unlicensed assistive personnel (UAP)

o Registered nurse (RN) · The RN on the health care team is most accountable when delegating a task to the team. The certified technician on the health care team is responsible for the assigned task. Similarly, the LPN and UAP are also responsible for the assigned task.

Which professionals in a health care organization can be delegators? o Assistants o Technicians o Registered nurses (RNs) o Client care associates

o Registered nurses (RNs) · RNs are professionals in a health care organization who can be delegators. They allocate a portion of work related to client care to other individuals. Assistants, technicians, and client care associates in a health care organization can be delegatees.

Which task is achieved by the delegator when he or she engages in self-care to enhance his or her ability to care for the health care team? o Managing o Renewing o Explaining o Motivating

o Renewing · Renewing is the task achieved by the delegator when he or she engages in self-care to enhance his or her ability to care for the health care team. Managing is achieved when the delegator assists the staff in planning, priority-setting, and decision-making. Explaining occurs when the delegator teaches and interprets information for client well-being. Motivating is achieved when the delegator inspires the staff to fulfill a mission.

The registered nurse assesses if an unlicensed assistive personnel new to the unit is capable of carrying out a task. Which principle of delegation would this illustrate? o Right task o Right person o Right circumstance o Right communication

o Right person · The "right person" is selecting a person with appropriate expertise to complete the task. The "right task" is the right based on institutional polices. The "right communication" is knowing whether the delegator and delegatee can understand a common work-related language. The "right circumstance" is knowing which delegation process is appropriate to the situation.

In a health care organization, which role would a resource person assigned by the nurse manager have? o Delegates tasks o Supervises actions o Serves as a mentor o Reassigns duties to workers

o Serves as a mentor · The nurse manager assigns a resource person in a health care organization to serve as a mentor for the agency nurse to prevent potential problems that could arise if the staff member does not know the institutional routine. The nurse manager also delegates a task, supervises actions, and reassigns duties to workers.