SPC Level 2 Exam 2- Delegation Adaptive Quiz

Which right of delegation is the nurse addressing when considering a patient's current needs? -Right task -Right circumstances -Right supervision and evaluation -Right directions and communication

-Right circumstances The nurse is addressing the right circumstances in the five rights of delegation by asking about the patient's current needs. Right supervision and evaluation addresses supervision and evaluation of the patient's care. Right task allows for evaluation of the person's training and the legality of having him or her carry out the task. Questioning the right directions and communication allows for evaluation of whether clear communication and understanding of the task to be carried out has been achieved.

The nurse delegating the task of bathing a stable patient to an unlicensed assistive personnel (UAP) is following which of the five rights of delegation? Select all that apply. -Right task -Right person -Right plan of care -Right circumstance -Right directions and communication

-Right task -Right person -Right circumstance -Right directions and communication The nurse delegating the task of bathing a stable patient to a UAP is following the right task, circumstance, and person. The right task is one that can be delegated for a specific patient. The right person is delegating the right task to be performed on the right person. The right circumstance includes the right setting and the patient's stability. Right directions and communication refer to a clear and concise description of the task. The right plan of care is not one of the five rights of delegation.

The nurse delegating the task of passing medication to the unlicensed assistive personnel (UAP) has violated which rights of delegation? Select all that apply. -Right task -Right person -Right patient -Right circumstances -Right supervision and evaluation -Right directions and communication

-Right task -Right person -Right circumstances -Right supervision and evaluation -Right directions and communication Professional nurses delegate nursing care and supervise others who are qualified to deliver care. It is not appropriate to delegate activities that are outside of the scope of practice for the role. Unlicensed personnel are not permitted to pass medications. The five rights of delegation are the right task, under the right circumstance, to the right person, with the right directions and communication, under the right supervision and evaluation. In this situation, the nurse did not follow any of the five rights. In this case, the patient is correct, though this is not one of the five rights of delegation.

Which rights are included in the five rights of delegation? Select all that apply. -Right task -Right time -Right person -Right directions -Right medication -Right supervision -Right circumstances

-Right task -Right person -Right directions -Right supervision -Right circumstances The five rights of delegation include the right task, right supervision, right circumstances, right person, and right directions. The right time and the right medication are rights of medication administration, not rights of delegation.

Which statement correctly describes delegation? -The registered nurse (RN) is still accountable for the quality of care and the procedures that the patient receives. -The RN delegates nursing care to those who are not qualified to deliver care. -Ultimate responsibility for the execution of the task now lies with the unlicensed assistive personnel (UAP). -Nursing interventions that require independent nursing knowledge, skill, or judgment are now the responsibility of the licensed practical nurse (LPN).

-The registered nurse (RN) is still accountable for the quality of care and the procedures that the patient receives. Delegation entails a redistribution of nursing work, but the RN remains ultimately responsible and accountable for the execution of the task. It would be inappropriate to delegate nursing care to unqualified personnel. The ultimate responsibility for the execution of the task still lies with the RN. Nursing interventions that require independent nursing knowledge, skill, or judgment are the responsibility of the RN and cannot be delegated.

Which rights of delegation will the nurse follow when delegating tasks to nursing assistive personnel? Select all that apply. -The right task -In the right way -To the right person -Under right supervision -With the right colleague

-The right task -To the right person -Under right supervision The five rights of nursing delegation are the right task, to the right person, under right circumstances, with right direction, and under the right supervision. The right task should be delegated based on assessment and planning of patient care. The task should be delegated to a person who is trained or experienced in carrying out the task. Because the nurse is accountable for the patient's health, the nursing assistants should be supervised to ensure the patient's comfort and safety. "In the right way" and "with the right colleague" are not included in the five rights of delegation.

Which action is considered delegation? -Supervising tasks assigned to unlicensed assistive personnel (UAP) -Transferring authority to a competent individual to complete a selected task -Moving responsibility for completing a task from the registered nurse (RN) to the UAP -Distributing workload among subordinates to create a fair working environment

-Transferring authority to a competent individual to complete a selected task Delegation is defined as transferring authority to a competent individual to complete a selected task in a selected situation. When done appropriately, delegation can result in safe, effective, and efficient patient care. Supervising tasks assigned to the UAP is part of the work each RN staff member is to accomplish during a given shift; this is not an example of delegation. Responsibility for completing a task falls on the RN even when the task is delegated. RNs are responsible for monitoring patient outcomes. Distributing workload among subordinates to create a fair working environment is referred to as patient care assignments.