EAQ Delegation

Which component of delegation is considered a "two-way process"? 1 Authority 2 Supervision Correct3 Responsibility 4 Accountability Responsibility is a two-way process. Authority is the ability to perform duties in a specific role. Supervision is defined as the "provision of guidance and oversight of a delegated nursing task." Accountability may not be a two-way process. It determines whether the actions were appropriate and provides a detailed explanation of what occurred.

Correct3 Responsibility Responsibility is a two-way process. Authority is the ability to perform duties in a specific role. Supervision is defined as the "provision of guidance and oversight of a delegated nursing task." Accountability may not be a two-way process. It determines whether the actions were appropriate and provides a detailed explanation of what occurred.

Which three strategies can the nurse perform while assisting other nurses in making delegation decisions? Select all that apply. One, some, or all answers may be correct. 1 Doing 2 Telling 3 Asking 4 Offering 5 Participating

1 Doing 3 Asking 4 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 indicates improper follow-through on the part of the delegatee? 1 Failure to report results in a timely manner 2 Ineffective communication 3 Performing a task in the absence of a delegator 4 Failure in following guidelines provided by a delegator

1 Failure to report results in a timely manner Failure to report the results and findings to the delegator indicates improper follow-through on the part of delegatee. Failure of effective communication is not considered improper follow-through on the part of the delegatee. Effective communication is required in leadership. The delegatee may perform the task in the absence of the delegator because the delegator may work elsewhere after delegating the task to the delegatee. It is the responsibility of the delegator to check if the delegatee is following proper guidelines; therefore it may not be considered improper follow-through.

The registered nurse (RN) distributes a task to 4 health care professionals. When are both accountability and responsibility transferred to the health care professional? 1 When the task is given to another RN 2 When the task is given to a licensed practical nurse (LPN) 3 When the task is given to a licensed vocational nurse (LVN) 4 When the task is given to an unlicensed nursing personnel (UNP)

1 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.

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). To evaluate the understanding of the UNP, the RN asks the UNP to describe which tasks have been allocated. Which responses by the UNP indicate effective understanding of the tasks? Select all that apply. One, some, or all responses may be correct. 1 "I must assist the client with oral care." 2 "I must assess the client's health status." 3 "I must administer intravenous medication in accordance with the schedule." 4 "I must give a sponge bath to the client every morning." 5 "I must record the blood pressure of the client at regular intervals."

1. I must assist the client with oral care. 4. I must give a sponge bath to the client every morning." 5. I must monitor the blood pressure of the client at regular intervals. The RN allocates the tasks to the UNP based on the capabilities and skills of the UNP. The UNP can perform tasks that involve basic hygiene and activities of daily living, such as oral care, toileting, bathing, and eating. The UNP can also perform tasks involving recording vital signs such as blood pressure readings and temperature measurement. Assessment of the client's health status and intravenous medication administration are within the scope of practice of RNs, not the UNP. Topics

Which health care team member is most accountable for an initial assessment and the ongoing evaluation of client care? 1 Client 2 Registered nurse (RN) 3 Licensed practical nurse (LPN) 4 Unlicensed nursing personnel (UNP)

2 Registered nurse (RN)

A client with asthma and depression is admitted to the hospital. Which tasks delegated by the delegator would be completed by the registered nurse? 1 "Administer oral antidepressants." 2 "Administer a pain killer intramuscularly." 3 "Teach the client how to use a metered-dose inhaler." 4 "Reinforce tips for stress management with the client."

3 "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 care settings are more suitable for unlicensed nursing personnel (UNP)? Select all that apply. One, some, or all responses may be correct. 1 Acute care 2 Surgical care 3 Extended care 4 Long-term care 5 Emergency care

3 Extended care 4 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.

Which description is correct in defining "accountability"? 1 Accomplishment of the task and fulfilling the requirements 2 Provision of guidance and oversight of a delegated nursing task 3 Obligation to accomplish work with reliability and dependability 4 Determination of appropriate actions and providing detailed explanations of the actions

Determination of appropriate actions and providing detailed explanations of the actions Accountability is the expectation that actions performed are appropriate and that a detailed explanation of what occurred is provided. Authority is the ability to perform duties in a specific role, such as accomplishment of the task and fulfillment of the expected outcomes. Provision of guidance and oversight of a delegated nursing task is supervision. Responsibility is reliability, dependability, and the obligation to accomplish work.

The registered nurse (RN) is delegating various client care activities to 4 unlicensed nursing personnel (UNP). Which UNP needs more education and monitoring?

The RN must select carefully the eligible staff to complete a given task in a productive manner. The RN must educate, guide, and monitor the UNP who measures the blood glucose levels immediately after meals. The food takes time to be digested and nutrients absorbed into the blood; therefore, blood glucose levels should be checked an hour after a meal. The RN would provide motivational feedback about the working performance to the respective UNP. An RN would be accountable for the delegated task; UNP B would be responsible for providing proper client care. UNP C would document the blood pressure and other information related to client care for future accountability. UNP D may provide simple, straightforward information to the client.

Which health care team member functions as a liaison between team leaders and other health care providers? 1 Charge nurse 2 Registered nurse (RN) 3 Nursing manager 4 Chief nursing officer

1 Charge nurse The charge nurse functions as a liaison between team leaders and other health care providers. RNs function as accountable and responsible people for delegated tasks. Nursing managers are responsible for more than 1 unit and have other managerial responsibilities. Chief nursing officers are accountable for establishing systems to assess, monitor, verify, and communicate competency requirements related to delegation.

Which characteristic would the nurse use during the nursing process as a guide for delegation? 1 Leadership 2 Critical analysis 3 Psychomotor task 4 Time management

2 Critical analysis

Which task can be delegated to a cross-trained technician when paired with a registered nurse (RN)? 1 Monitoring vital signs 2 Drawing blood samples 3 Teaching clients directly 4 Administering intravenous medication

2 Drawing blood samples Drawing the blood samples, or phlebotomy, can be delegated to cross-trained technicians when paired with the RN. The cross-trained technician can only record the vital signs; monitoring the vital signs is outside the scope of practice for a cross-trained technician. Intravenous medication can only be administered by the RN. The cross-trained technician is an assistive personnel who can reinforce the teaching, but he or she cannot teach the client directly.

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? 1 Managing 2 Renewing 3 Explaining 4 Motivating

2 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 (RN) is caring for a client with renal calculi. To which health care professional will the RN delegate the task of administering oral medications to this client? 1 Certified technician 2 Patient care associate 3 Licensed practical nurse (LPN) 4 Unlicensed assistive personnel

3 Licensed practical nurse (LPN) Administering oral medications can be safely delegated to an LPN or a licensed vocational nurse (LVN) as per guidelines. Certified technicians are licensed assistive personnel whose scope of practice is limited for administering medications. The scope of practice of the patient care associate and unlicensed assistive personnel is limited to performing basic care, feeding, and hygiene.

The nurse manager transfers the task of caring for a client who has had an appendectomy to the registered nurse (RN). Which element of the health care system is the RN practicing? 1 Delegation 2 Leadership 3 Supervision 4 Assignment

4 Assignment Both accountability and responsibility are transferred from 1 person to the other in assignment. When the nurse manager delegates the task of client care to an RN, responsibility is transferred to the RN. The nurse manager shares accountability with the RN in delegation. The nurse manager, as leader, manages the health care team and delegates tasks to members of the team. In supervision, the nurse manager oversees the RN in completing the task.

Which function is part of is Hersey's 2006 model related to delegation? 1 Five rights of delegation 2 Legal authorities for delegation 3 Characteristics of communication 4 Core competencies of a situational leader

4 Core competencies of a situational leader Hersey's model describes situational leadership, which includes the core competencies of a situational leader. Anthony and Vidal described the five rights of delegation. Hersey's model does not include legal authorities for delegation. Anthony and Vidal described characteristics of communication such as information decay and information salience.

Which nursing process includes tasks that can be delegated? 1 Planning 2 Evaluation 3 Assessment 4 Implementation

4 Implementation Implementation of certain tasks can be delegated by the registered nurse (RN) based on the ability and willingness of the delegatee. The pervasive functions of assessment, planning, evaluation, and nursing judgment cannot be delegated by the RN. These nursing processes should be performed by the RN only.

Which health care professional would the nurse know is held accountable for the tasks performed by the patient care associate (PCA)? 1 Registered nurse (RN) 2 Licensed vocational nurse (LVN) 3 Unlicensed assistive personnel (UAP) 4 Unlicensed nursing practitioner (UNP)

Registered nurse (RN) The delegator is held accountable for tasks performed by the delegatee. In this situation, the delegator is the RN; therefore the RN is held accountable for the tasks performed by the PCA. The RN is also accountable for delegation to LVNs, UAPs, and UNPs as delegatees.

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? 1 "The delegatee would report the findings back to the delegator." 2 "The delegatee would understand the assigned task completely." 3 "The delegator would trust the delegatee to accomplish the task." Correct4 "The delegator would recheck and redo the work of the delegatee."

Time management is an important part of an appropriate delegation process. If the delegator rechecks and redoes the work of the delegatee, it increases the time to accomplish the task and results in inappropriate delegation. Reporting the findings back to the delegator helps the delegator understand the progress of the task. The delegatee would understand the task completely to perform as desired by the delegator. Trusting the delegatee reduces time to do the task and builds a healthy working environment.

During the delegation process, which health care professional acts as a liaison between the team leader and health care provider? 1 Charge nurse 2 Nurse manager 3 Nursing supervisor 4 Chief nursing officer

1 Charge nurse The charge nurse is responsible for acting as a liaison between team leaders and health care providers. Nurse managers cannot act as a liaison between the team leader and other health care providers because they are often responsible for more than 1 unit and have 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 systems for assessment.

Which type of relationship between the nurse delegator and delegatee causes the nurse delegator to use the leadership behavior of "telling?" 1 Limited 2 Established 3 New or developing 4 Developing or ongoing

1 Limited When the delegator and delegatee are unlikely to work together again, the relationship is limited and the delegator uses the leadership behavior of "telling." When the relationship between delegator and delegatee is established, the delegator uses the leadership behavior of "delegating." When the relationship between delegator and delegatee is new or developing, the delegator uses the leadership behavior of "participating." When the relationship between delegator and delegatee is developing or ongoing, the delegator uses the leadership behavior of "selling."

Which nursing professional has the maximum span of control? 1 Nurse manager 2 Registered nurse 3 Patient care associate 4 Licensed vocational nurse

1 Nurse manager Span of control, the number of people for whom one is ultimately responsible, increases with the number of individuals under a person's control. The nurse manager is the person responsible for the tasks performed by registered nurses, patient care associates, licensed vocational nurses/licensed practical nurses, and other nursing professionals; therefore the nurse manager has the maximum span of control.

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? Select all that apply. One, some, or all responses may be correct. 1 Recording vital signs 2 Assisting the client with bathing 3 Administering oral medications 4 Preparing the care plan for the client 5 Administering intravenous antibiotics

1 Recording vital signs 2 Assisting the client with bathing The tasks within the scope of UAP include recording vital signs and providing basic hygiene, such as assisting the client with activities of daily life such as bathing. Administering oral medications is under the scope of licensed practical nurse (LPN) or licensed vocational nurse (LVN), but not the UAP. Depending on the state, administering intravenous antibiotics can be performed by either the RN or an LPN/LVN. Preparing the care plan for the client should be performed by the registered nurse only.

Appropriate delegation in a health care organization achieves which outcomes? Select all that apply. One, some, or all responses may be correct. 1 Reduces stress 2 Decreases trust 3 Reduces client care 4 Decreases time efficiency 5 Improves treatment outcomes

1 Reduces stress 5 Improves treatment outcomes Delegation requires empowerment of the delegatee to accomplish the task, and sharing functions reduces stress. As functions are distributed, treatment outcomes improve. Appropriate delegation builds trust between the delegator and delegatees, increases client care, and improves time efficiency.

Which health care professional is authorized to delegate work to other health care members? 1 Registered nurse (RN) 2 Licensed practical nurse (LPN) 3 Unlicensed nursing personnel (UNP) 4 Unlicensed assistive personnel (UAP)

1 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.

Which health care team member is accountable for the ongoing evaluation of a client's care? 1 Registered nurse (RN) 2 Chief nursing officer (CNO) 3 Licensed practical nurse (LPN) 4 Unlicensed nursing personnel (UNP)

1 Registered nurse (RN) RNs are accountable for the initial assessment and the ongoing evaluation of a client's care. CNOs are accountable for establishing systems to communicate competency requirements related to delegation. The LPN directly provides care to the client. UNPs provide client care under the supervision of an RN.

Which interventions are in the scope of a licensed practical nurse (LPN)? Select all that apply. One, some, or all responses may be correct. 1 Client teaching 2 Ambulating the client 3 Interpreting laboratory data 4 Assisting the client with bathing 5 Administering intramuscular medications

2 Ambulating the client 4 Assisting the client with bathing 5 Administering intramuscular medications Ambulating the client and assisting with bathing are within the scope of unlicensed assistive personnel (UAPs), registered nurses (RNs), and LPNs. The LPNs may administer intramuscular injections per their scope of practice as well. Although each state has its own nurse practice acts, the RN is always ultimately responsible for assessment, interpretation of data, and client teaching.

The health care 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 (RN)? 1 Placing a Foley catheter 2 Assessing the respirations 3 Placing an intravenous (IV) catheter 4 Administering patient-controlled analgesia

2 Assessing the respirations Respiratory therapy is needed in clients who undergo surgery for lung cancer. Assessing respiration can be safely delegated to the respiratory therapist. Placing a Foley catheter, an IV catheter, or administering patient-controlled analgesia is within the scope of an RN's practice.

Which entity outlines the principles of delegation for registered nurses (RNs)? 1 Nurse Practice Act 2 Multilevel nursing model 3 American Nurses Association (ANA) 4 National Council of State Boards of Nursing (NCSBN)

3 American Nurses Association (ANA) The ANA outlines the principles of delegation for RNs. The Nurse Practice Act of each state examines the value of unlicensed personnel in client care delivery and declares that the importance of delegation decisions is the safety and welfare of the public. The multilevel nursing model consists of RNs, licensed practical nurses, and unlicensed nursing professionals. The NCSBN stated that the state boards of nursing should regulate nursing assistive personnel across multiple settings.

Which task can be delegated to the licensed vocational nurse (LVN)? Select all that apply. One, some, or all responses may be correct. 1 Analyzing vital signs 2 Maintaining oral hygiene 3 Administering intravenous medications 4 Administering oral hypoglycemic agents 5 Administering intramuscular medications

4 Administering oral hypoglycemic agents 5 Administering intramuscular medications LVNs and licensed practical nurses (LPNs) are authorized to administer medications through oral and intramuscular routes. Analyzing vital signs should be performed by the registered nurse (RN). Hygiene maintenance can be delegated to unlicensed nursing personnel (UNP). Administering intravenous medications should be done by the RN.

Which elements are integrated into delegacy decisions? Select all that apply. One, some, or all answers may be correct. 1 Stability 2 Leadership 3 Clinical practice 4 Critical thinking 5 Communication

1 Stability 4 Critical thinking 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.

In a health care organization, which role would a resource person assigned by the nurse manager have? 1 Delegates tasks 2 Supervises actions 3 Serves as a mentor 4 Reassigns duties to workers

3 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.

Which nursing action is essential when delegating tasks to nursing assistive personnel? Select all that apply. One, some, or all responses may be correct. 1 Matching tasks to the delegatee's skills 2 Assessing knowledge and skills of delegatee 3 Clearly communicating the task, time frame, and outcome 4 Listening attentively to delegatee's response to the task request 5 Providing feedback on performance to delegatee after task completion

1 Matching tasks to the delegatee's skills 2 Assessing knowledge and skills of delegatee 3 Clearly communicating the task, time frame, and outcome 4 Listening attentively to delegatee's response to the task request 5 Providing feedback on performance to delegatee after task completion To appropriately delegate, the nurse must ensure that tasks are matched to a delegatee's skills; assess the knowledge and skills of the delegatee; clearly communicate the task, the time frame for it to be done, and the expected outcome; listen attentively to how the delegatee responds to the request to complete the task; and provide feedback to the delegatee after completion, regardless of outcome.

Which health care team members began to increase in number during World War II and are trained to provide care to clients at home? Select all that apply. One, some, or all responses may be correct. 1 Nursing manager 2 Registered nurse (RN) 3 Licensed practical nurse (LPN) 4 Licensed vocational nurse (LVN) 5 Unlicensed nursing personnel (UNP)

3 Licensed practical nurse (LPN) 4 Licensed vocational nurse (LVN) 5 Unlicensed nursing personnel (UNP) During World War II there was a severe shortage of nurses in the United States because many had joined the armed forces to care for soldiers. To provide care to clients at home, hospitals began to increase the number of LPNs, LVNs, and UNP. The number of nursing managers and RNs remained stable. These health care team members typically are not involved in providing home care to clients.

During the delegation process, which health care professional acts as a liaison between the team leader and health care providers? 1 Charge nurse 2 Nurse manager 3 Nursing supervisor 4 Chief nursing officer

1 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 delegates. The chief nursing officer is responsible for establishing the systems for assessment.

Which employee would be competent in critical thinking, leadership, communication, and time management skills? Select all that apply. One, some, or all responses may be correct. 1 Charge nurse 2 Student nurse 3 Registered nurse (RN) 4 Unlicensed personnel 5 Licensed practical nurse (LPN)

1 Charge nurse 3 Registered nurse (RN) The charge nurse and RN would each have a sophisticated level of competency in critical thinking, leadership, communication, time management, clinical practice, and organizational skills. These skills are helpful for the charge nurse or the RN when serving as a delegator. The student nurse, unlicensed personnel, and LPN do not delegate because they are less skilled than the charge nurse is.

Which statement reflects a pairing approach to delegation of registered nurse (RN) and nursing assistive personnel (NAP) assignments? Select all that apply. One, some, or all responses may be correct. 1 NAP serves the unit and has minimal RN direction. 2 RN and NAP are consistently scheduled to work together. 3 NAP works from a task list as outlined in the job description. 4 RN is recognized as having the authority to make the delegation decisions. 5 RN and NAP only provide care together for a given set of clients during a given shift.

RN and NAP only provide care together for a given set of clients during a given shift. A pairing approach involves the RN and NAP working together only during a given shift; they are not intentionally scheduled together consistently. In a unit-based scenario, NAP serve the unit overall and interact minimally with the RN. Assignment of a RN and NAP to the same schedule reflects a partnering approach. Having NAPs work from a specific task list as outlined in the job description is characteristic of a unit-based approach. In the partnering approach, the RN is recognized as having the authority to make the delegation decisions.

Which health care team member is responsible for analyzing the knowledge and work of newly hired unlicensed assistive personnel before delegating a task? 1 Charge nurse 2 Associate nurse 3 Registered nurse (RN) 4 Nursing manager

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.

In which client situations does the process of delegation become more challenging? Select all that apply. One, some, or all answers may be correct. 1 When the client is stable 2 When the client is pregnant 3 When the geographical area is small 4 When the resources are abundant 5 When school children are receiving care

.. When the client is pregnant When school children are receiving care The delegation process becomes more challenging when vulnerable populations such as pregnant women and school children are receiving care. Delegation can be safely and successfully carried out in the stable client. Delegation can be accomplished successfully when the geographical area is small and resources are abundant.

Which quality of the nursing assistant would be known by the delegator when assigning a task? 1 Ability 2 Willingness 3 Interaction 4 Relationship

1 Ability The ability of the nursing assistant to perform a task should be known by the delegator before assigning a task. The willingness of the delegatee to work on a task can be understood by the delegator while communicating with the delegatee. Interaction is the quality of a delegatee, which can determine the effectiveness of the delegatee to perform a task. Relationship between the delegator and delegatee is not an aspect that should be known by the delegator before assigning a task.

Which duty would the nurse as delegator have if the delegatee has limited knowledge and ability to perform a task? 1 Provide guidance. 2 Observe and motivate. 3 Explain what is to be done. 4 Establish mutual expectations.

1 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 component of delegation is retained while the delegator is delegating the client's care task to the nursing aide? 1 Authority 2 Supervision 3 Responsibility 4 Accountability

4 Accountability Accountability is retained by the delegator while delegating a client's care task to the nursing aide. Every individual on the health care team has authority for the delegated task. The nursing aide is only responsible for the delegated task, so the delegator retains the accountability. Supervision is a right of delegation.

Which response indicates improper follow-through on the part of a delegatee? 1 Failure to report results and findings 2 Failure to understand skills and abilities 3 Failure to provide clear and concise directions 4 Failure to cooperate with other team members

Correct 1 Failure to report results and findings Improper follow-through on the part of a delegatee is failure to report results and findings. Improper follow-through occurs when the delegator does not understand the skills and abilities of the delegatee and does not provide clear and concise directions. The lack of cooperation with team members may be improved by educating, guiding, and monitoring the delegatee.

Which member of the health care team is accountable for initial assessment and ongoing evaluation of client care? Correct1 Registered nurse (RN) 2 Licensed practical nurse (LPN) 3 Primary health care provider 4 Unlicensed nursing personnel (UNP)

Correct1 Registered nurse (RN) The RN is accountable for the initial assessment and ongoing evaluation of the client. An LPN is not accountable for the initial assessment and ongoing evaluation of the client. The primary health care provider is accountable for diagnosing the problem and reviewing the client responses. The UNP perform the tasks delegated by the RN or other delegators.

Which definition of delegation given by the nurse is correct? 1 Delegation refers to activities undertaken by a group of people who have common interests. 2 Delegation refers to transfer of both accountability and task responsibility from one person to another. 3 Delegation refers to an organized and innovative plan that helps an organization achieve its objectives. 4 Delegation refers to process for the nurse to direct another person to perform nursing tasks and activities.

Delegation refers to process for the nurse to direct another person to perform nursing tasks and activities. The American Nurses Association and National Council of State Boards of Nursing collaboratively defined delegation as the "process for the nurse to direct another person to perform nursing tasks and activities." Collective actions are the "activities that are undertaken by a group of people who have common interests." Transferring both accountability and responsibility from 1 person to another is referred to as an assignment. Strategy is an "organized and innovative plan that assists an organization to achieve the objectives."

Which individual would be given "dependent status"? 1 Unit secretary 2 Nurse manager 3 Registered nurse (RN) 4 Licensed practical nurse (LPN)

LPN LPNs who work under the direction of a RN or primary health care provider have dependent status. The unit secretary does not have legal recognition. The nurse manager is answerable to the designated delegator. The RN as a delegator assigns the work to LPNs.

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? 1 Patient care associate (PCA) 2 Licensed practical nurse (LPN) 3 Unlicensed assistive personnel (UAP) 4 Unlicensed nursing personnel (UNP)

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 role would the unlicensed assistive personnel (UAP) have when caring for a client receiving intravenous (IV) therapy? 1 Monitoring clinical manifestations 2 Collecting the data to be used in the assessment of the IV site 3 Administering IV fluids and medications 4 Evaluating the client for clinical manifestations

Monitoring clinical manifestations In IV therapy the role of the registered nurse (RN) is to collect the data that can be used in the assessment of the IV site. Monitoring clinical manifestations is performed by the unlicensed assistive personnel and the data are reported to the RN. Administering IV fluids and medications is done by an RN or licensed practical nurse (LPN). Evaluating the client for clinical manifestations is performed by the RN.

A group of individuals is working as a team in a rehabilitation program. Which nursing team member has the responsibility for acting as the team leader? 1 Unit secretary 2 Registered nurse (RN) 3 Licensed practical nurse (LPN) 4 Unlicensed nursing personnel (UNP)

Registered nurse (RN) The RN has responsibility for a group of individuals who work on a team. The unit secretary is an individual with no medical training and cannot accept any responsibilities of the team. The LPN and UNP are individuals who work under the directions of a RN.

Which client's plan of care cannot be delegated? Change clients position Assist Client Walking Teach client about Diabetic care measures Bathing Client

Teach client about Diabetic care measures Teaching care measures for a diabetic client (client C) is complex and multifaceted; therefore it cannot be delegated. Changing the client's position, assisting the client in walking, and helping the client while bathing are simple and can be delegated to unlicensed nursing personnel (UNP).

The health care team is caring for a client with dental pain. Which task is most suitable to delegate to unlicensed assistive personnel (UAP) for effective client care? 1 Administering analgesics 2 Administering intravenous antibiotics 3 Administering nerve block anesthesia 4 Administering mouthwash for oral hygiene

The UAP scope of practice includes administering mouthwash to the client. Instructing the UAP to administer medications such as antibiotics and anesthetics is inappropriate because the UAP is not eligible to do so and may not have the knowledge to administer medications. Administering nerve block anesthesia should be performed by the anesthesiologist.

Which of these clients can be provided care safely by unlicensed nursing personnel (UNP)? Select all that apply. One, some, or all answers may be correct. 1 A client with pain 2 A client who is upset 3 A client who is stable 4 A client who is recovering 5 A client with suicidal intentions

The greater the stability of a client, the more likely it is that UNP can provide safe client care. It is also easy for a UNP to care for a client who is recovering. A client with pain is anxious and agitated, and it will take the UNP time to calm the client. Client care may be affected when the client is psychologically upset and has suicidal intentions.

Which purposes support the process of delegation? Select all that apply. One, some, or all responses may be correct. 1 To achieve nursing goals 2 To improve client outcomes 3 To develop critical judgment skills 4 To understand the art of delegation 5 To apply delegation decisions in clinical nursing practice

To achieve nursing goals To improve client outcomes The overall purpose of delegation is to achieve nursing goals and improve client outcomes. The delegation process requires decision-making, which involves developing critical judgment skills, understanding the art of delegation, and applying delegation in a clinical nursing practice. Topics

Which health care team member acts as a delegator in the absence of the registered nurse (RN)? 1 Charge nurse 2 Patient care associate 3 Licensed practical nurse (LPN) 4 Unlicensed nursing personnel (UNP)

1 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? 1 Charge nurse 2 Nurse manager 3 Chief nursing officer 4 Patient care associate (PCA)

1 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.