Evolve Adaptive Quiz - Delegation

Arrange in order the series of tasks to be performed by the registered nurse (RN) to determine active delegation?

1. Assessing the situation 2. Determining the care plan 3. Directing the unlicensed assistive personnel (UAP) to perform the task 4.Monitoring the client In active delegation, the registered nurse (RN) assesses the situation, determines which condition is appropriate for client care, makes a care plan, and then directs an unlicensed assistive personnel (UAP) to perform required tasks. When the UAP has completed the task, the RN monitors the condition of the client once again.

What is an important consideration for delegation of care by the nurse when the delegatee has limited knowledge and ability to perform the task? 1. Guidance 2. Expectation 3. Explanation 4. Responsibility

1. Guidance Guidance is needed by the delegatee from the delegator to complete a task properly when the delegatee has limited knowledge and ability to perform the task. Communicating mutual expectations and conditions of performance should be given to a delegatee who has willingness and ability, but the relationship is new. The delegator should give an explanation of the task to a delegatee if they have an ongoing relationship but the task assigned is new. During the delegation process, the delegator assigns the work and gives the delegate the responsibility to perform the task.

The registered nurse (RN) is caring for a client who underwent ileostomy. Which activity performed by the nurse indicates following the principle of right circumstance of delegation? Select all that apply. 1. Assessing the willingness of the delegatee 2. Assessing the equipment to determine vital signs 3. Providing supervision of the delegatee during the task 4. Teaching institutional policies about caring for a client with ileostomy 5. Communicating with the delegatee about care management of the client

2. Assessing the equipment to determine vital signs 3. Providing supervision of the delegatee during the task Assessing the equipment and resources available to perform the task determines right circumstance of delegation. Supervising the delegatee during the task indicates right circumstance of delegation. Assessing the willingness of the delegatee determines the principle of right person of delegation. Determining if the task can be performed based on institutional policies indicates principle of right task of delegation. Communicating with the delegatee falls under right communication of delegation.

Which action in the delegation process represents accountability? 1. Providing open and honest feedback to the delegatee 2. Assisting other registered nurses with delegation decisions 3. Monitoring the client care given and determining outcomes 4. Assessing the ability of the delegatee and educating him or her about the task

3. Monitoring the client care given and determining outcomes Monitoring client care and determining outcomes represents accountability of the task in case of conflicts. Providing open and honest feedback to the delegatee improves work performance and client care outcomes. The nurse can assist other registered nurses with delegation decisions when there are safety issues, an urgent need to intervene, or potential negative client outcomes. Assessing the ability of the delegatee and educating him or her about the task indicates responsibility.

Which activity performed by the licensed practical nurse (LPN) would be appropriate while caring for a client based on the principle of right task of delegation? 1. Willing to perform the task 2. Providing feedback to the delegator 3. Performing the task based on institutional policies 4. Following appropriate supervision while performing the task

3. Performing the task based on institutional policies The principle of right task of delegation indicates if the task is appropriate to delegate based on institutional policies and procedures. Assessing whether the delegatee is willing to perform the task indicates the principle of right person. Providing feedback to the delegator and following supervision of the delegator indicates right supervision of delegation.

A registered nurse teaches a student nurse about delegation. Which statement made by the student nurse indicates appropriate learning? 1. "Licensed practical nurses are accountable for the tasks they perform." 2. "Complete client care can be delegated to the licensed practical nurse." 3. "Professional aspects of care can be carefully delegated to the licensed practical nurse." 4. "Licensed practical nurses can be expected to perform tasks with which they have experience."

4. "Licensed practical nurses can be expected to perform tasks with which they have experience." The delegator can safely delegate the task to the LPN if the task is within the scope of function or if the LPN is very experienced in performing the task. The LPN, being a delegatee, is not held accountable for the delegated work; the LPN is held responsible for the delegated task. The delegator is held accountable for the LPN's work. The delegator can never delegate complete client care to the LPN, but can only transfer functions and tasks. Basic skills such as activities of daily living and personal hygiene can be delegated by the delegator, but professional aspects of care should not be delegated.

What are the three strategies that the nurse can perform while assisting other nurses in making delegation decisions? Select all that apply. 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.

The registered nurse suggested that a newly hired registered nurse delegate tasks to nursing assistants. Which is an element that fosters effective delegation decisions by the newly hired registered nurse? 1. Skills 2. Stability 3. Practice 4. Environment

2. Stability Stability along with safety, critical thinking, and time for decision-making creates an integrative process, which fosters effective delegation decisions. Skills are important for making decisions based on critical thinking. Practice accomplishes safety in delegation. Environment with feedback about performance is the best strategy for shaping the future behavior of individuals.

The registered nurse is teaching a newly hired nurse about active delegation. Which statement made by the newly hired nurse indicates the need for further teaching? 1. "I will evaluate the client's pain status." 2. "I will assess the client's laboratory findings." 3. "I will instruct the unlicensed assistive personnel (UAP) to wash the client." 4. "I will instruct the licensed vocational nurse (LVN) to administer intravenous (IV) medications."

4. "I will instruct the licensed vocational nurse (LVN) to administer intravenous (IV) medications." In active delegation, the registered nurse (RN) assesses the client's situation, determines what is appropriate for client care, directs assistive personnel to perform certain tasks, and holds the individuals accountable. Instructing the LVN to administer intravenous (IV) medications is beyond the practice scope for an LVN. Evaluating the client's pain status is a part of active delegation. Assessing the client's laboratory findings is active delegation. Instructing the UAP to wash the client is an active delegation as the RN is directing a task that is to be performed by the UAP for the client.

Which component of delegation is defined as the ability to perform duties in a specific role? 1. Authority 2. Supervision 3. Responsibility 4. Accountability

1. Authority Authority is the ability to perform duties in a specific role. Supervision is the provision of guidance and oversight of a delegated task. Responsibility refers to reliability, dependability, and obligation to accomplish work. Accountability involves determining whether the actions are appropriate and providing a detailed explanation of what has occurred.

Which characteristics of a licensed practical nurse should be considered before delegation of tasks? Select all that apply. 1. Critical thinking 2. Effective client care 3. Diagnostic reasoning 4. Synthesizing information 5. Accountability of assigned task

1. Critical thinking 3. Diagnostic reasoning 4. Synthesizing information Critical thinking, diagnostic reasoning, and the ability to synthesize information from various sources are three factors that are characteristics of the licensed practical nurse that should be considered before delegating tasks. Planning effective client care is the role of a registered nurse. Accountability for an assigned task is the basic responsibility of a nurse.

Who is responsible for establishing systems to monitor and verify the competency requirements related to delegation in an organization? 1. Primary healthcare team 2. Chief nursing officers (CNOs) 3. American Nursing Association 4. National Council of State Boards of Nursing (NCSBN)

2. Chief nursing officers (CNOs) The chief nursing officers (CNOs) are accountable and responsible for establishing systems to assess, monitor, verify, and communicate competency requirements related to delegation. The primary healthcare team may not establish the principles of delegation. The American Nursing Association and National Council of State Boards of Nursing (NCSBN) mainly helped in outlining the principles of delegation to the registered nurse (RN).

The registered nurse assesses if an unlicensed assistive personnel (UAP) new to the unit is capable of carrying out a task. Which principle of delegation does this illustrate? 1. Right task 2. Right person 3. Right circumstance 4. Right communication

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

What is the ultimate goal of delegation? 1. To deliver client care as a team 2. To maximize client care outcomes 3. To improve the working ability of the nurse 4. To maintain open lines of communication between delegator and the delegatee

2. To maximize client care outcomes The ultimate goal of the delegation is to maximize client care outcomes. Delegation helps to 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 in delivering client care.

The registered nurse (RN) is teaching a newly hired nurse about delegating tasks to the healthcare team. When asked what the rights of delegation are, which right listed by the hired nurse indicates the need for further teaching? 1. Right task 2. Right direction 3. Right drug name 4. Right person

3. Right drug name The 5 rights of delegation are right task, right circumstance, right person, right directions and communication, right supervision and evaluation.

What does the nurse say is the advantage of an appropriate delegation? 1. Assistance 2. Accountability 3. Empowerment 4. Reduced stress

4. Reduced stress Appropriate delegation reduces stress and increases time efficiency by providing timely care to the client. Assistance or direction is asked by the delegatee to complete the task if the nurse provides limited information on an assigned task. The nurse is accountable and responsible for the task assigned to the delegatee if the delegation does not work properly. Delegation requires empowerment of the delegatee to accomplish a task.

The registered nurse (RN) administers intravenous fluids to a client who was in a motorcycle accident. Which assessments made by the nurse would be appropriate based on the principle of right task of delegation? 1. Environmental conditions 2. Resources required for drug administration 3. Institutional policies of drug administration 4. Client's condition prior to drug administration

3. Institutional policies of drug administration Right task of delegation includes information on whether the task performed would be appropriate based on institutional policies. Assessing if the environmental conditions are conducive for completing the task determines right circumstance of delegation. Right circumstance of delegation also includes the assessments of resources and equipment available for performing the task. Assessing the client's condition prior to drug administration may be an appropriate intervention of the nurse under right task of delegation.

Which right of delegation refers to the giving of clear, concise descriptions of a task to the delegatee? 1. Right task 2. Right person 3. Right supervision 4. Right communication

4. Right communication Right communication refers to the giving of clear and concise descriptions of a task, including its objectives, limits, and expectations while delegating a task. Right task refers to delegating a task that is repetitive, requires less supervision, and has predictable results. Right person is delegating a task to the correct person who has the ability to perform said task. Right supervision refers to providing appropriate monitoring, evaluation, and feedback of the delegated task.

What would the nurse describe as the challenges of delegation? Select all that apply. 1. Limited resources 2. More staff availability 3. Larger geographic area 4. Care for vulnerable populations 5. Deciding if delegating is time-saving

1. Limited resources 3. Larger geographic area 4. Care for vulnerable populations Delegation can be more challenging when the resources are limited, when the geographic area is greater, and when care is given for vulnerable populations. Availability of more staff is a benefit of delegation. Decisions for delegation should not be solely based on time-saving considerations; they should also be based on the abilities of the nursing staff to complete the tasks effectively and safely.

If the nurse is considering whether the right equipment and resources are available to complete a task, which delegation right is considered? 1. Task 2. Supervision 3. Circumstance 4. Communication

3. Circumstance If the right equipment and resources are available to complete a task, it is considered the right circumstance. Task is the delegation right that involves asking if the task is appropriate to delegate based on institutional policies and procedures. Supervision is the delegation right involving the provision of clear feedback related to completion of an assigned task. Communication is the right that involves asking the delegator and delegate to understand a common work-related language.

Which nursing process involves delegation and verbal discussion with the healthcare team? 1. Planning 2. Evaluation 3. Assessment 4. Implementation

4. Implementation The implementation process involves delegation and verbal discussion with the healthcare team. Planning involves interpersonal or small group healthcare team sessions. Evaluation involves the acquisition of verbal and nonverbal feedback. Assessment involves verbal interviewing and a history of talking with the clients.

After assigning a task, the delegator makes sure that the instructions are clear to provide feedback related to the task. Which delegation right is referred in this situation? 1. Task 2. Person 3. Direction 4. Supervision

4. Supervision Ensuring that the delegatee is clear to provide feedback related to the task refers to the right supervision. Knowing whether the task is appropriate to delegatee based on institutional policies and procedures refers to the right task. Knowing whether the delegatee has the knowledge and experience to perform the specific task safely refers to the right person. Knowing whether the delegatee understands the assignment and directions of the task refers to the delegation right direction.

The nurse manager is teaching newly assigned delegators about the limitations of delegation. Which statements made by the delegators indicate effective teaching? Select all that apply. 1. "Personal hygiene activities can be delegated to unlicensed assistive personnel (UAP)." 2. "Administration of oral medication can be delegated to the licensed practical nurse (LPN)." 3. "Administration of intravenous medication can be delegated to the licensed practical nurse (LPN)." 4. "Tasks related to caring for diabetic clients can be delegated to unlicensed assistive personnel (UAP)." 5. "Tasks related to caring for clients in a hospice care setting can be delegated to licensed vocational nurses (LVNs)."

1. "Personal hygiene activities can be delegated to unlicensed assistive personnel (UAP)." 2. "Administration of oral medication can be delegated to the licensed practical nurse (LPN)." 5. "Tasks related to caring for clients in a hospice care setting can be delegated to licensed vocational nurses (LVNs)." Activities related to client hygiene can be delegated to unlicensed assistive personnel (UAP). Administration of oral medication can be done by the licensed practical nurse (LPN). Licensed vocational nurses (LVNs) can care for the clients in a hospice care setting. Administration of intravenous medication cannot be done by LPNs as they are not eligible. Diabetic clients cannot be cared by UAP as this group does not have sufficient knowledge about how to care for clients with diabetes.

In a health care setting, there are a limited number of unlicensed nursing personnel. Who would take up the responsibility of delegation in place of the registered nurse? 1. Charge nurse 2. Chief nursing officer 3. Patient care associate 4. Licensed practical nurse

1. Charge nurse Charge nurses act as delegators as they also have knowledge and expertise in the clinical setting. In cases where there are a limited number of unlicensed nursing personnel, the registered nurse does not delegate tasks. In this instance the charge nurse usually becomes a delegator and delegates the tasks. The chief nursing officer is not the immediate person to delegate the tasks in such instances. Patient care associates and licensed practical nurses act as delegatees.

The registered nurse delegates the tasks related to caring for a client who has undergone surgery. What are the benefits of delegation in this situation? Select all that apply. 1. Increased efficiency 2. Improved quality of client care 3. Improved supervision by the licensed practical nurse 4. Increased delegation authority by the licensed vocational nurse 5. Increased professional skills of the unlicensed assistive personnel

1. Increased efficiency 2. Improved quality of client care 5. Increased professional skills of the unlicensed assistive personnel The benefits of the delegation include direct client care and professional benefits. Delegating the task of providing care to the other members of the health care team helps conserve time and improve the quality of client care. Increasing the professional skills of unlicensed assistive personnel is also a benefit of delegating tasks. "Right supervision" dictates that the authority to supervise and delegate is only conferred to the registered nurse or another qualified delegator, not to the licensed practical nurse or licensed vocational nurse.

The registered nurse (RN) assigned a task to the licensed practical nurse (LPN) to monitor the vital signs of the client. The LPN monitored and reported the information to the RN. Which characteristic of communication may interfere in this delegation process? 1. Information decay 2. Information quality 3. Information salience 4. Information of mutual trust

1. Information decay When the information is not properly reported and when there is a chance of missing information, then the characteristic of communication is information decay. When the information is reported with quality and clarity then the characteristic of communication in the delegation process is information salience. Information quality is giving the right message in a timely manner. Mutual trust improves the effectiveness of delegation.

Which description by the nurse is a correct explanation of delegation? 1. The transfer of responsibility for the performance of an activity 2. The person's responsibility and accountability for individual actions or omissions 3. The active process of directing, guiding, and influencing the outcome of an individual 4. The transfer of both the accountability and responsibility from one person to another

1. The transfer of responsibility for the performance of an activity Delegation is the transfer of responsibility for the performance of an activity. Personal liability defines each person's responsibility and accountability for individual actions or omissions. Supervision is defined as the active process of directing, guiding, and influencing the outcome of an individual. Assignment is the transfer of both the accountability and the responsibility from one person to another.

Who would the registered nurse state is accountable for establishing systems to communicate competency requirements related to delegation? 1. Registered nurse (RN) 2. Chief nursing officer (CNO) 3. Licensed practical nurse (LPN) 4. Unlicensed assistive personnel (UAP)

2. Chief nursing officer (CNO) CNOs are accountable for establishing systems to communicate competency related to delegation. The registered nurse delegates the task to LPN and UAP. In delegation, the RN implements in clinical practice to improve the safety and quality of client care. LPNs provide direct care to the client. UAP provide direct care to the client under the supervision of the registered nurse who retains accountability for client care outcomes.

Which health care professional is accountable for establishing systems to assess and communicate competency requirements related to delegation? 1. Registered nurses 2. Chief nursing officers 3. Licensed practical nurses 4. Unlicensed nursing personnel

2. Chief nursing officers Chief nursing officers are expected to establish the systems to assess and communicate the competencies required for delegation. Registered nurses are accountable for client care. The licensed practical nurse and unlicensed nursing personnel act as delegatees for various tasks.

The delegator explains the procedure of the task to the delegatee and asks to provide regular feedback on the events. Which delegation right is the delegator referring to in this situation? 1. The right person 2. The right supervision 3. The right circumstances 4. The right communication

2. The right supervision The delegator is supervising the task by asking the delegatee to provide regular feedback on the events of the specific assigned task. The delegator has to understand and assess the abilities and skills of the delegatee to determine that the right person is selected to perform the specified task. The right circumstance may be assessed by checking the environment, equipment, and resources to perform the task. The delegator has to develop and maintain open lines of communication to promote a positive work environment.

The registered nurse is evaluating the statements of the student nurse after teaching about delegation. Which statement made by the student nurse indicates a need for correction? 1. "Delegation is merely sharing a set of functions." 2. "Delegation ensures quality client care outcomes." 3. "Professional aspects of care can also be delegated." 4. "The final accountability of a task remains with the delegator."

3. "Professional aspects of care can also be delegated." Basic activities of daily living and personal hygiene can be delegated but professional aspects of care cannot be delegated and should be performed by the registered nurse only. Delegation is a process of merely sharing a set of functions in which the delegator shares functions with the delegatee. Because delegation involves sharing of functions, it ensures quality client-care outcomes. Though the delegator assigns work, the final accountability of a task remains with the delegator.

Which delegation actions may be performed by unlicensed nursing personnel while caring for a client? Select all that apply. 1. Teaching the care plan to the client 2. Infusing intravenous fluids into the client 3. Asking the client to wash the hands before meals 4. Instructing the client to take specific medications 5. Instructing the client to wear footwear while walking

3. Asking the client to wash the hands before meals 5. Instructing the client to wear footwear while walking Unlicensed nursing personnel (UNP) can delegate simple and straightforward client teaching, such as asking the client to wash his or her hands before meals and wear footwear while walking. Complex and multifaceted teaching, such as detailing the care plan to the client, cannot be delegated to a UNP. The UNP has less knowledge and professional skills with which to perform complex procedures such as infusing intravenous fluids into the client and does not have a complete knowledge of medications with which to coach the client about medications.

How can the lines of communication be improved in a healthcare organization during the process of delegation? 1. By considering all aspects of client care 2. By selecting experienced nursing assistants as delegatees 3. By appreciating and valuing each other's cultural perspectives 4. By selecting a delegatee having similar strengths as that of the delegator

3. By appreciating and valuing each other's cultural perspectives The lines of communication in a healthcare organization can be improved by appreciating and valuing each other's cultural perspectives, which balances strengths between the delegator and delegatee and improves client care outcomes. Considering all aspects of client care ensures that all of the client care needs are addressed. Selecting experienced nursing assistants as delegatees increases the chances of the delegatee to adapt to changing situations. Selecting a delegatee having similar strengths as that of the delegator may decrease the lines of communication because the delegatee might do the task of the delegator.

Which condition may lead to delegation failure due to malpractice? 1. Adapting to changing situations by the nursing assistant 2. Educating and monitoring the nursing staff incompetent to perform a task 3. Employing more unlicensed nursing personal (UNP) in the emergency department 4. Assigning the more unlicensed nursing personal (UNP) for long-term care facilities

3. Employing more unlicensed nursing personal (UNP) in the emergency department The greater the stability of a client, the more likely an unlicensed nursing personal (UNP) can provide safe client care. It is not ideal to increase the numbers of UNPs in the emergency department due to client instability. The nursing assistant has to adapt to changing situations to deliver proper client care. The delegator must train and monitor the performance of the nursing staff, who are responsible for completing tasks in a specified time. This helps in improving the performance of any incompetent nursing staff. The intensity and length of the interactions with the client are also significant factors to consider in planning client care. The UNP can provide efficient client care in long-term care facilities because the clients are stable.

The registered nurse is caring for a client admitted with sudden paralysis in the legs and an inability to walk. Which interventions made by the registered nurse (RN) indicates correct active delegation? Select all that apply. 1. The RN assessing the client's diagnostic and laboratory findings 2. The RN administering an intravenous (IV) calcium gluconate injection 3. Instructing the licensed practical nurse (LPN) to report client's vital signs 4. Instructing the licensed practical nurse (LPN) to administer vitamin B12 injection 5. Instructing the unlicensed nursing personnel (UNP) to administer oral vitamin D3

3. Instructing the licensed practical nurse (LPN) to report client's vital signs 4. Instructing the licensed practical nurse (LPN) to administer vitamin B12 injection In active delegation, the RN assesses the situation, determines what is appropriate for client care, directs assistive personnel to perform certain tasks, and holds the individual accountable. Instructing the LPN to report the client's vital signs is an active delegation that includes directing the assistive personnel to perform the task. Instructing the unlicensed nursing personnel to administer oral vitamin D3 is beyond their scope of practice. The RN assessing the client's diagnostic and laboratory findings does not involve delegation. The RN administering an intravenous calcium gluconate injection does not involve delegation. Instructing the LPN to administer a vitamin B12 injection is within the scope of practice for the LPN.

Which statement is true regarding the framework of delegation related to the Hersey's Situational Leadership Model? Select all that apply. 1. Single factor influences the effectiveness of a leader 2. Ability relates to the individual's attitude and commitment 3. Willingness relates to the individual's attitude towards the task 4. Ability to diagnose performance is a core competency of a situational leader 5. Willingness is the sole factor that must be assessed to determine the readiness of the follower

3. Willingness relates to the individual's attitude towards the task 4. Ability to diagnose performance is a core competency of a situational leader Hersey's Situational Leadership Model serves as a foundation for delegation decision making. Willingness is the individual's attitude and commitment towards the task. The ability to diagnose the performance and commitment of others is a core competency of Hersey's Situational Leadership Model. Multiple factors such as assessment of personality characteristics and readiness level of an individual influence the effectiveness of a leader. Willingness, not ability, relates to attitude and commitment. Willingness and ability are the two factors that are assessed when determining the level of follower's readiness.

What does the decision strategy of "offering" include in delegation? 1. Allowing the delegator to examine the situation differently 2. Demonstrating the specific task or behavior to improve client care 3. Asking questions related to the problem or issue regarding client care 4. Making a suggestion to facilitate the achievement of a desirable client care outcome

4. Making a suggestion to facilitate the achievement of a desirable client care outcome The decision strategy of offering involves making a suggestion to facilitate the achievement of a desirable client care outcome. The decision strategy of asking allows the delegator to examine the situation differently. The decision strategy of doing includes demonstrating the specific task or behavior to improve client care. The decision strategy of asking includes questioning issues related to the problem regarding client care.

The nurse is assisting the registered nurse with delegation decisions regarding management of a client with shortness of breath. Which action by the nurse indicates a need for correction? 1. Asking questions about the client's respiratory rate 2. Asking the client to perform breathing exercises regularly 3. Administering oxygen to the client with shortness of breath 4. Providing constructive feedback about client care management

4. Providing constructive feedback about client care management The nurse may not provide constructive feedback about the client care management during delegation decisions. The nurse may, however, provide constructive feedback to the delegatee to maximize the efficiency of the client care. The nurse may assist other registered nurses with delegation decisions by using three strategies: asking, offering, and doing. Asking involves inquiring about the client care problems and issues such as the respiratory rate. Offering involves suggesting ways to achieve desirable client care outcomes, such as asking the client to perform breathing exercises regularly. Doing involves demonstrating the specific task to improve client care—for instance, administering oxygen to the client.

Which right does the question, "Do staffing ratios demand the use of high-level delegation strategies?" indicate? 1. The right task 2. The right person 3. The right supervision 4. The right circumstance

4. The right circumstance The right circumstance can be assessed by asking, "Do staffing ratios demand the use of high-level delegation strategies?" The right task is assessed by the legally appropriate delegate, using institutional policies and procedures. The right person is selected when the delegatee has the knowledge and experience to perform the specific task safely. Providing feedback related to the task and monitoring the client promote right supervision.

Which activity performed by the registered nurse (RN) indicates effective delegation? 1. Following one-way communication with the delegatee 2. Assigning a task to a new licensed practical nurse(LPN) 3. Providing feedback to the delegatee while performing the task 4. Supervising and monitoring the licensed practical nurse (LPN) about the different activities

4. Supervising and monitoring the licensed practical nurse (LPN) about the different activities The delegator should supervise and monitor the delegatee when the work is being assigned to the delegatee. The communication between delegatee and delegator should always be two-way to get the expected outcome. The delegator should evaluate the ability of the delegatee and should supervise the different tasks before assigning the work to the new delegatee. The delegator should always provide feedback at the end of the task.

Which statement is true related to the role of the registered nurse in active delegation? 1. To provide direct care to a client 2. To perform the task on behalf of a delegatee 3. To perform certain functions as the healthcare provider 4. To direct an unlicensed practical nurse (UNP) to perform certain tasks

4. To direct an unlicensed practical nurse (UNP) to perform certain tasks In active delegation, the registered nurse assesses the situation to direct a UNP to perform certain tasks. The registered nurse assigns and supervises work to the LPN and the LPN directly provides care to a client. The delegate performs the task on behalf of the registered nurse, rather than the registered nurse providing direct care to the client. The registered nurse does not perform the task on behalf of delegatee; rather the delegatee performs the tasks on behalf of delegator. The registered nurse has the appropriate authority to perform certain functions as the healthcare provider.

The registered nurse is teaching the student nurse about the concepts of delegation. Which response given by the student nurse indicates the need for further teaching? 1. Delegation always involves two individuals. 2. Delegation is the transfer of accountability while retaining responsibility. 3. Delegation is an important strategy for client safety and quality of client care. 4. Delegation has five rights that should be followed in the process of delegation.

2. Delegation is the transfer of accountability while retaining responsibility. Delegation is the transfer of the responsibility for the task, while the final accountability is always retained with the delegator. Delegation involves the delegator and the delegatee. Delegation is an important strategy for ensuring client safety and quality of client care. Delegation has five rights that are to be followed throughout the delegation process: right task, right person, right circumstance, right direction/communication, and right supervision.

When assigning a task, the delegator should understand the delegatee's personal values and align them with the organizational values. Which task can be achieved from this delegation? 1. Affirming 2. Managing 3. Renewing 4. Motivating

1. Affirming In the task of affirming values, sharing the personal values of the delegatee and aligning them with organizational values enables the delegatee to achieve an outcome. In managing, the delegator assists the delegatee with planning. In renewing, the outcome is achieved by enhancing the ability to care for the delegatee. In motivating, the delegatee is inspired to achieve the outcome.

Which component of delegation is suitable to all the members on the healthcare team? 1. Authority 2. Supervision 3. Accountability 4. Communication

1. Authority Authority is the component of delegation that is suitable for all the members on the healthcare team. Supervision is a right of delegation in which the delegator supervises the other assistive personnel to perform the task. Accountability is the component of delegation that is suitable for delegators such as registered nurses (RNs). Communication is the right of delegation in which the delegator gives the directions to perform the task.

During the delegation process, which healthcare professional acts as a liaison between the team leader and healthcare 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 the team leaders and healthcare providers. Nurse managers cannot act as a liaison between the team leader and other healthcare providers because they are often responsible for more than one 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 the systems for assessment.

What are the purposes of applying the four elements of safety, critical thinking, stability, and time in delegation? Select all that apply. 1. Encouraging effective delegation decisions 2. Ensuring effectiveness in performing elements of care 3. Determining the level of readiness according to Hersey 4. Developing the expectations of individuals to accomplish safety 5. Assessing the ability of unlicensed nursing personnel (UNP) to perform the task

1. Encouraging effective delegation decisions 2. Ensuring effectiveness in performing elements of care 5. Assessing the ability of unlicensed nursing personnel (UNP) to perform the task Applying the four elements of safety, critical thinking, stability, 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.

What are the various challenges related to delegation? Select all that apply. 1. Providing clear direction to the delegatee 2. Understanding the skill set of the delegatee 3. Providing verbal attack feedback to the delegatee 4. Maintaining an open line of communication with the delegatee 5. Creating a working environment in collaboration with the delegatee

1. Providing clear direction to the delegatee 2. Understanding the skill set of the delegatee 4. Maintaining an open line of communication with the delegatee Providing clear direction to the delegatee aids accomplishment of the specified task in the given time. Understanding the specific skill set and capabilities of the delegatee is a crucial element in the delegation process. Selecting a delegatee with the specific skill set for the particular task is more productive than just selecting a competent individual. Maintaining an open line of communication with the delegatee, without any derogatory or offensive comments, yields a collaborative and productive work environment. Providing verbal attack feedback may not produce effective change and could undermine any long-term working relationship. Creating a working environment is an essential and easy delegation task that is essential to promoting positive work output.

A nurse is assisting another registered nurse in the intensive care unit who is caring for a client with uncontrolled blood pressure. Which action on the part of the nurse indicates "offering" during delegation decisions? 1. "Did you check the client's blood pressure this morning?" 2. "You can use this stethoscope and sphygmomanometer to take the blood pressure." 3. "Would you fetch me the client's laboratory reports? I'll record the blood pressure." 4. "How is the client doing this morning? Let me look at yesterday's blood pressure report."

2. "You can use this stethoscope and sphygmomanometer to take the blood pressure." Offering involves making a suggestion to facilitate the achievement of a desirable client care outcome. The statement, "You can use this stethoscope and sphygmomanometer to take the blood pressure," is an example of offering. Asking begins with questions related to the problem or issue regarding client care. "Did you check the client's blood pressure this morning?" is an example of asking. Doing involves demonstrating the specific task or behavior needed to improve client care. "Would you fetch me the client's laboratory reports? I'll record the blood pressure," is an example of doing. "How is the client doing this morning? Let me look at yesterday's blood pressure report," is an example of supervision.

What is a high-level cognitive process that the nurse recognizes can be improved with practice in delegation? 1. Creativity 2. Critical thinking 3. Problem solving 4. Decision making

2. Critical thinking Critical thinking is a high-level cognitive process that can be improved by practice. Creativity is essential for the generation of options or solutions. Problem solving mainly focuses on resolving an issue. Decision making is a purposeful and goal-directed effort that uses a systematic process to choose among options.

The registered nurse (RN) is communicating with a healthcare team regarding the delegation of tasks. Which factors can determine the quality of communication between the RN and healthcare team? Select all that apply. 1. Accuracy 2. Effectiveness 3. Responsiveness 4. Meaningfulness 5. Understandability

2. Effectiveness 4. Meaningfulness 5. Understandability Effectiveness is a factor that determines the quality of the communication in delivering the appropriate information. The communication should be meaningful to improve the quality of the information. The communication should be understood by all the team members to perform a task properly. Accuracy of the assigned task can be known only after the result. Response to the communication reveals the ability of the healthcare team to understand the task.

Which characteristic should 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 Critical analysis by the registered nurse serves as a guide for delegation in the nursing process. It is applied in assessment, planning, implementation, and evaluation for safe and effective client care. Leadership is a role in which a nurse has charge of the personnel as they perform their tasks. Psychomotor tasks are the common characteristics and essential components that a nurse should possess to provide client care. Time management is essential in performing tasks within specified deadlines during delegacy.

During the process of delegation, the delegator's behavior is noted to be observing and monitoring. How is the relationship between the delegator and delagatee in this situation? 1. Limited 2. Established 3. New or developing 4. Developing or ongoing

2. Established Observing and monitoring behavior of the delegator indicates delegating, which is done when the relationship between the delegator and delegatee is established. The delegator's behavior is guiding or directing when the relationship between the delegator and delegatee is limited. The delegator's behavior is encouraging or problem solving when the relationship between the delegator and delegatee is new or developing. The delegator's behavior is explaining or persuading when the relationship between the delegator and delegatee is developing or ongoing.

A newly promoted registered nurse (RN) is about to start delegation for the first time in her career. Which experiences foster professional self-confidence in the early career stage for an RN? Select all that apply. 1. Inability to comprehend 2. Experience in clinical delegation 3. Application of theory to practice 4. Development of clinical judgment 5. Engagement with a nursing mentor

2. Experience in clinical delegation 3. Application of theory to practice 4. Development of clinical judgment 5. Engagement with a nursing mentor Clinical delegation experiences foster professional self-confidence in the early career of an RN. The nursing practicum experiences of applying theory to practice and developing clinical judgment will also advance the RN's ability to become a successful delegator and foster professional self-confidence. Engagement with a nursing mentor fosters professional self-confidence in the early career of an RN. The RN must have the ability to comprehend the legal authority of delegation decisions.

The registered nurse (RN) is caring for a client with epilepsy. Which tasks delegated by the registered nurse (RN) to the assistive personnel indicates active delegation? Select all that apply. 1. Instructing the licensed practical nurse (LPN) to administer diazepam 2. Instructing the licensed practical nurse (LPN) to monitor the vital signs 3. Instructing the licensed vocational nurse (LVN) to administer sedatives 4. Instructing the unlicensed assistive personnel (UAP) to reposition the client 5. Instructing the unlicensed assistive personnel (UAP) to place the oxygen mask

2. Instructing the licensed practical nurse (LPN) to monitor the vital signs 4. Instructing the unlicensed assistive personnel (UAP) to reposition the client 5. Instructing the unlicensed assistive personnel (UAP) to place the oxygen mask Passive delegation includes performing the tasks based on the position description such as physician or pharmacist. The individual functioning in this role performs these tasks through passive delegation. Instructing the LPN to administer diazepam, medication that was already prescribed by the primary healthcare provider, is passive delegation. Instructing the LVN to administer sedatives that were already prescribed by the primary healthcare provider is passive delegation. Instructing the LPN to monitor vital signs is active delegation as the RN directs assistive personnel to perform certain tasks and holds the individual accountable. Instructing the UAP to reposition the client is also an active delegation as the UAP is carrying out certain tasks that are directed by the RN. Instructing the UAP to place the oxygen mask is an active delegation as the RN directs assistive personnel to perform certain tasks.

The nurse manager is delegating tasks to the healthcare team to care for a client who underwent brain surgery. Which individuals on the team share accountability during delegation? Select all that apply. 1. Attendant 2. Nurse manager 3. Certified technician 4. Healthcare provider 5. Unlicensed nursing personnel (UNP)

2. Nurse manager 4. Healthcare provider The nurse manager and healthcare provider share accountability during delegation. An attendant is responsible for the delegated task but may not share accountability with the nurse manager as the attendant has little knowledge. Similarly, a certified technician and unlicensed nursing personnel (UNP) are also responsible for the delegated task but they do not share accountability with the nurse manager.

The registered nurse delegates a task to the unlicensed assistive personnel (UAP). After the UAP starts the task, the registered nurse (RN) asks for feedback related to the task. Which right of delegation is the RN following? 1. Task 2. Supervision 3. Circumstance 4. Communication

2. Supervision The delegation right of supervision refers to obtaining feedback, monitoring, and evaluating the delegatee appropriately. Right task refers to the delegation of an appropriate task based on institutional policies and procedures. Right circumstance refers to evaluation of the working environment and ensuring adequate supervision of delegatees. To ensure right communication, the RN should communicate properly and accurately to the delegatee and provide clear and concise directions for the task.

Which questions related to decision making for delegation are appropriate according to the delegation right of "right circumstance"? Select all that apply. 1. Is the task legally appropriate to delegate? 2. Is the prospective delegatee a willing and able employee? 3. Are the equipment and resources available to complete the task? 4. Does the delegatee have appropriate supervision to complete the task? 5. Is the task appropriate to delegate based on the institutional policies and procedures?

3. Are the equipment and resources available to complete the task? 4. Does the delegatee have appropriate supervision to complete the task? There are Five Rights of Delegation. Questions related to the equipment and resources available for carrying out the task allotted are appropriate for the delegation right "right circumstance." Asking about the required supervision needed for the delegatee to complete the task is appropriate for the delegation right "right circumstance." Questioning whether the task allotted is legal is appropriate for delegation right "right task." Checking whether the delegatee is an able person to perform the task would come under delegation right "right person." Checking whether the task is based on the policies and procedures of the institution comes under the delegation right "right task."

A healthcare team is caring for a population according to the functional model of nursing. Which healthcare team member is most appropriate for the delegation of hygiene care? 1. Unit secretary 2. Registered nurse 3. Nursing assistant 4. Licensed practical nurse

3. Nursing assistant The nursing assistant is eligible for performing activities such as providing hygiene care and determining vital signs. Unit secretaries are not delegated to provide hygienic care because they do not have formal preparation and legal recognition. The registered nurse performs other activities such as treatment, admissions, and administering intravenous medications. The licensed practical nurse performs activities such as providing oral medications.

Which component of delegation is considered a "two way process"? 1. Authority 2. Supervision 3. Responsibility 4. Accountability

3. 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 if the actions were appropriate and provides a detailed explanation of what occurred.

When evaluating a task performed by a delegatee, the registered nurse finds that the delegatee fails to provide appropriate feedback. Which right of delegation is compromised in this situation? 1. Right task 2. Right person 3. Right supervision 4. Right communication

3. Right supervision The "right supervision" includes assessing whether the delegatee can provide feedback related to the task when appropriate. "Right task" involves providing tasks to the delegatee in accordance with legal and institutional policies. "Right person" involves delegating tasks to team members who are competent and show willingness towards the task. "Right communication" involves the delegator providing clear, concise instructions and the delegate understanding those instructions.

The registered nurse is evaluating the statements made by a student nurse after teaching about the delegation communication template. Which statement made by the student nurse indicates a need for correction? 1. "The delegation communication template should identify the priorities." 2. "The delegation communication template should specify the deviations." 3. "The delegation communication template should identify the appropriate resources." 4. "The delegation communication template should include only the work that is to be delegated."

4. "The delegation communication template should include only the work that is to be delegated." The delegation communication template should emphasize the work that is not to be delegated. The delegation communication template should identify the priorities such as what is to be done first. The delegation communication template should specify deviations such as when to take an immediate action. The delegation communication template should identify the appropriate resources including the individual consultants

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 healthcare team has authority for the delegated task. The nursing aide is just responsible for the delegated task, so the delegator retains the accountability. Supervision is a right of delegation.

After delegating a task to the unlicensed assistive personnel (UAP), the registered nurse (RN) provides clear and concise directions to the delegate, to whom she assigned the task. Which right of delegation is the RN following? 1. Task 2. Supervision 3. Circumstance 4. Communication

4. Communication To ensure right communication, the RN should communicate properly and accurately to the delegatee. Right task refers to the delegation of an appropriate task based on institutional policies and procedures. Right supervision refers to obtaining feedback, monitoring, and evaluating the client appropriately. Circumstances such as the equipment and resources available should be evaluated to meet right circumstance.

The registered nurse is delegating tasks for nursing assistants caring for a client who requires more attention. Which element should be considered when selecting the suitable nursing assistant for delegation of a task? 1. Time 2. Safety 3. Stability 4. Critical thinking

4. Critical thinking Critical thinking is of utmost importance for selecting a suitable nursing assistant for delegation of a task in a situation where a client requires more attention, as the delegatee should be able to perform the task effectively. Time, safety, and stability are also the elements for effective delegation, but these are suitable depending on the situation for assigning a task and delegation.

While assigning a task, the registered nurse finds that one of the delegatees is not competent to hold the current position. Which strategy does the nurse follow for managing this issue during delegation? 1. Attacking the delegate verbally 2. Doing the task himself or herself 3. Adjusting the quality of client care 4. Lowering the expectations temporarily

4. Lowering the expectations temporarily When the delegatee is not competent to hold the current position, the registered nurse temporarily lowers expectations. Temporarily lowering the expectations helps the delegatee to build strengths, minimize weaknesses, and gain confidence. Verbal attacking does not help in the situation but will only undermine the relationship between the delegatee and the registered nurse. If the registered nurse does the task herself or himself, the delegatee will not improve. Delegation is a process meant to improve the quality of client care but it is not a strategy to overcome the situation.

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

4. Process for the nurse to direct another person to perform nursing tasks and activities The American Nurses Association (ANA) and National Council of State Boards of Nursing (NCSBN) 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 one 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 actions in the delegation process represent accountability? Select all that apply. 1. Monitoring client care 2. Seeking the outcome report 3. Assessing the ability of the delegatee 4. Providing honest feedback to the delegatee 5. Assisting registered nurses with delegation decisions

1. Monitoring client care 2. Seeking the outcome report Monitoring client care and seeking the outcome report represents accountability of the task in case of conflicts. Assessing the ability of the delegatee and educating about the task indicates responsibility. Providing open and honest feedback to the delegatee improves work performance and client care outcomes. The nurse can assist other registered nurses with delegation decisions regarding safety issues, urgency to intervene, or potential negative client outcomes.

Before assigning a task, the registered nurse makes sure that the prospective delegatee is willing to complete the task. Which delegation right does this situation reference? 1. Person 2. Supervision 3. Circumstance 4. Communication

1. Person Ensuring that the prospective delegatee is willing to complete the task refers to the delegation right person. Knowing whether the delegator is able to monitor and evaluate the client appropriately refers to the delegation right supervision. Ensuring whether the equipment and resources are available to complete the delegation process refers to circumstance. Ensuring whether the delegator and delegatee understand a common work-related language refers to the delegation right communication.

Which member of the healthcare team would the nurse claim performs functions through passive delegation? 1. Pharmacist 2. Unit secretary 3. Licensed practical nurse 4. Unlicensed assistive personnel

1. Pharmacist A pharmacist performs functions through passive delegation. Unit secretaries may not be eligible to perform any activity because they do not have formal preparation and legal recognition. The licensed practical nurse does not delegate, but rather acts as a delegatee. The unlicensed assistive personnel are also delegatees.

The registered nurse finds information decay during the process of delegation. What possible causes may have contributed to this? Select all that apply. 1. Frequent changes in the heart rate of the client 2. Rapid change in the blood pressure of the client 3. Frequent changes in the client's perception of pain 4. Diverse cultural background of the delegator and delegatee 5. Different educational background of the delegator and delegatee

1. Frequent changes in the heart rate of the client 2. Rapid change in the blood pressure of the client 3. Frequent changes in the client's perception of pain Information decay is a characteristic of communication that occurs when the client's health status changes rapidly and specific information loses its value or becomes irrelevant to the client's condition. Rapid change in the blood pressure, frequent changes in the heart rate, and frequent changes in the client's perception to pain can all cause rapid changes in information and lead to information decay. Diverse cultural backgrounds of the delegator and delegatee refer to another characteristic of communication, "information salience." Different educational backgrounds of the delegator and delegatee refer to another characteristic of communication, "information salience."

What are the overall purposes of delegation? Select all that apply. 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 decision in clinical nursing practice

1. To achieve nursing goals 2. To improve client outcomes The overall purpose of delegation is to achieve nursing goals and to improve client outcomes. The delegation process involves decision-making, which involves developing critical judgment skills, understanding the art of delegation, and applying this delegation in a clinical nursing practice.

When does delegation become more challenging? Select all that apply. 1. When the client is stable 2. When the client is pregnant 3. When the geographic area is small 4. When the resources are abundant 5. When school children are receiving care

2. When the client is pregnant 5. 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.

How should a student nurse be trained for implementing delegation in practice? 1. By reinforcing delegation to the student nurse only during academics 2. By interacting with highly qualified, clinically experienced nursing mentors 3. By improving didactic content by theoretically educating the student nurse 4. By considering the student nurse's opinions for the master delegation decisions

2. By interacting with highly qualified, clinically experienced nursing mentors Interaction with highly qualified, clinically experienced nursing mentors fosters professional self-confidence in the student nurse. These experiences allow student nurses to build up their ability to be successful delegators. Delegation knowledge should also be reinforced in nursing continuing education programs. Didactic content about delegacy can be improved by pairing the education and the clinical experience from the healthcare practice site. The student nurse does not have enough knowledge to make master delegation decisions without adequate training.

The registered nurse considers the qualification of the unlicensed nursing personnel (UNP) before delegating a task. Which right of delegation is followed by the nurse? 1. Task 2. Person 3. Direction 4. Supervision

2. Person The knowledge and experience to perform the specific task safely by the delegatee is assessed by the qualification of the delegatee, which determines whether he or she is the right person. The right task involves assessing whether the task is legally appropriate to delegate or whether it is appropriate under institutional policies. The right direction involves the delegator providing clear and concise directions to perform the task. The right supervision is determined by whether the delegator is able to monitor and evaluate the client appropriately.

Before assigning a task, the registered nurse makes sure that the delegation process is appropriate to the situation. To which delegation right does this situation refer? 1. Person 2. Supervision 3. Circumstance 4. Communication

3. Circumstance Ensuring that the delegation process is appropriate to the situation refers to right circumstance. Knowing whether the delegatee has the knowledge and experience to perform the specific task safely refers to the right person. Knowing whether the delegator is able to monitor and evaluate the client appropriately refers to the right supervision. Ensuring whether the delegator and delegatee understand a common work-related language refers to the right communication.

Which element creates an integrative process that fosters effective delegation decisions by the registered nurse? 1. Ability 2. Liability 3. Stability 4. Ethnicity

3. Stability Stability is the element that creates an integrative process that fosters effective delegation decisions. Ability is the factor that needs to be assessed to determine the level the leaders determine. Liability is the person's responsibility and accountability for individual actions. Ethnicity does not play a role in the process of delegation.

What are some challenges faced in the process of delegation? Select all that apply. 1. Limited resources 2. Large geographic area 3. Time-saving considerations 4. Vulnerable populations receiving care 5. Provision of assistance with activities of daily living

1. Limited resources 2. Large geographic area 4. Vulnerable populations receiving care Delegation is a complex process. Delegating a task when resources are limited is a great challenge. Delegation is also more challenging the larger the geographic area is where the task should be performed. The process of delegation also becomes more challenging when care is being delivered to vulnerable populations. Time conservation is a benefit of the delegation process even if the decision to delegate may not be based on time-saving considerations. Providing assistance with the client's activities of daily living is a benefit rather than a challenge of delegation.

Which conditions make a delegation more challenging for the registered nurses, delegatees, and clients? Select all that apply. 1. Limited resources 2. More staff availability 3. More client care time 4. Greater geographical area 5. Vulnerable populations receiving care

1. Limited resources 4. Greater geographical area 5. Vulnerable populations receiving care Delegation is a multifaceted decision-making process which involves a nurse directing another person to perform nursing tasks and activities. Delegation is more challenging when other resources are limited because it is difficult to care for all clients when resources are limited. Delegation is more challenging when the geographic area is greater because of more population. Delegation is more challenging when vulnerable populations are receiving care because they are economically uninsured. Delegation is better when more staff is available and when more time is allotted to care for clients.

What does appropriate delegation do to a healthcare organization? Select all that apply. 1. Reduces stress 2. Decreases trust 3. Reduces client care 4. Decrease time efficiency 5. Improves treatment outcomes

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

While caring for a client with asthma, the delegator assigns the client to a registered nurse (RN) and to a licensed practical nurse (LPN). Which component of delegation is transferable to the RN? Select all that apply. 1. Authority 2. Supervision 3. Responsibility 4. Accountability 5. Communication

1. Authority 3. Responsibility 4. Accountability Authority, a component of delegation, is transferred to the registered nurse (RN) by the delegator. Responsibility is the component of delegation that is transferable to the RN. Accountability is also a component of delegation that is transferable to the RN. Supervision and communication are rights of delegation.

How can registered nurses develop delegation and supervisory strategies to adapt to their changing roles? Select all that apply. 1. Engage a nurse mentor for guidance. 2. Practice the nursing care process in various clinical settings. 3. Reinforce delegation knowledge through continuing education. 4. Become familiar with the hierarchy of authority in the health care organization. 5. Seek high-quality clinical delegation experience early in their career.

1. Engage a nurse mentor for guidance. 3. Reinforce delegation knowledge through continuing education. 5. Seek high-quality clinical delegation experience early in their career. Engaging a nurse mentor helps provide guidance and facilitate problem-solving related to delegation and supervision. Reinforcing delegation knowledge through continuing education helps nurses become familiar with the changing trends in health care delivery in context of delegation. Seeking high-quality clinical delegation experience early in a nurse's career helps nurses gain confidence in delegation skills. Practicing the nursing care process in various clinical settings helps the nurses to improve client outcomes, but would not specifically help develop delegation and supervisory strategies. Becoming familiar with the hierarchy of authority in the health care organization may help nurses understand management-related issues. However, this knowledge would not directly help nurses develop delegation and supervisory strategies.

Which questions should the nurse consider to assess and ensure delegation to the right person? Select all that apply. 1. Is the prospective delegatee a willing and able employee? 2. Does the delegatee understand the directions and expected results of the task? 3. Does the delegatee understand how, what, and when to report to the delegator? 4. Is it clear that the delegatee will provide feedback related to the task when appropriate? 5. Does the delegatee have the knowledge and experience to perform the specific task safely?

1. Is the prospective delegatee a willing and able employee? 5. Does the delegatee have the knowledge and experience to perform the specific task safely? The right delegatee is chosen on the basis of the person's willingness and ability. The nurse should assess the knowledge and experience of the prospective delegatee to perform the specific task safely and fulfill the expected outcomes. Right direction and documentation are assessed by the delegatee's ability to understand the directions and expected results of the task. It can also be assessed on the basis of the delegatee's understanding of how, what, and when to report to the delegator. The right supervision is providing feedback to the delegatee, related to the task, when appropriate.

Which statement is true regarding delegation? Select all that apply. 1. The delegatees are accountable for effective client care. 2. Open lines of communication must occur between delegator and delegatee. 3. Delegation occurs only when at least two people are involved in a mutual work situation. 4. The delegation potentials are significantly lower when caregivers such as UNPs are partnered. 5. Delegation involves sharing activities with other appropriate authority to accomplish the work.

2. Open lines of communication must occur between delegator and delegatee. 3. Delegation occurs only when at least two people are involved in a mutual work situation. 5. Delegation involves sharing activities with other appropriate authority to accomplish the work. Open lines of communication between delegator and delegatee helps to eliminate any misunderstanding regarding delegated tasks. Delegation occurs only when at least two people are involved in a mutual work situation; one who has the authority to perform specific tasks and other who holds accountability for the task being performed. Delegation involves sharing activities with other appropriate authority to accomplish the work. When delegating a task to delegatee, the delegator retains accountability for effective client care by ensuring that the task is completed by the right person and that the person is supervised appropriately. The delegation potentials are significantly higher when caregivers such as UNPs are partnered.

What entity outlined the principles of delegation for registered nurses? 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 outlined the principles of delegation for registered nurses. 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 registered nurses, licensed practical nurses, and unlicensed nursing professionals. The National Council of State Boards of Nursing (NCSBN) stated that the state boards of nursing should regulate nursing assistive personnel across multiple settings.

Which right of delegation would the nurse describe as most instrumental in shaping quality and safety outcomes according to Anthony and Vidal? 1. Right task 2. Right person 3. Right supervision 4. Right communication and direction

4. Right communication and direction Right communication and direction is most instrumental in shaping quality and safety outcomes because timely and effective communication enhances the safety and quality of client care. Right task is important to prevent legal issues. Right person is important for ensuring the delegatee has the knowledge and experience to perform the specific task safely. Right supervision is important for monitoring and evaluating appropriately.

A healthcare team is caring for a client who is hospitalized with severe diarrhea. According to the principle of right of supervision of delegation, what does the RN do in this situation? 1. Feed the client every 2 hours. 2. Monitor the hemodynamic status. 3. Assess the resources required in the client's care. 4. Follow the institutional procedures for administering fluids.

2. Monitor the hemodynamic status The RN should monitor the hemodynamic status of the client according to the right of supervision of delegation. It is the responsibility of the RN to supervise the delegated task. Feeding the client is usually performed by a licensed practical nurse, unlicensed nursing professional, or any member of the healthcare team. Assessment of resources is monitored before assigning tasks to the healthcare team. Following institutional procedures for administration of fluids is actually done by the RN, so it is not supervised by the RN.

The registered nurse is teaching a newly hired nurse about communicating with delegatees during delegation. Which statement made by the newly hired nurse indicates the need for further learning? 1. "I should identify priorities." 2. "I should specify deviations." 3. "I should provide examples of each delegation." 4. "I should specify any performance limitations to the delegatee."

3. "I should provide examples of each delegation." The delegator should ask the delegatee to provide examples of each delegation in order to understand his or her knowledge level. The delegator should identify priorities before delegating the task to the delegatee. The delegator should specify deviations, such as when the delegatee must take an immediate action while performing the task. The delegator should specify the performance limitations to the delegatee, which can help in performing the task effectively.

The registered nurse is teaching a novice nurse about the rights of delegation. Which statement by the novice nurse indicates a need for further teaching? 1. "I will refer to the guidelines before delegating the task." 2. "I will check for the competence of the delegatee for the assigned task." 3. "I will instruct the delegatee to monitor and evaluate the client appropriately." 4. "I will check whether the environment is conducive to completing the task safely."

3. "I will instruct the delegatee to monitor and evaluate the client appropriately." Monitoring and evaluating the client's condition is the role of the registered nurse, not a delegatee. Referring to the guidelines before delegating the task is included under the delegation right, "right task." Checking for the competence of the delegatee for the assigned task is included under the delegation right, "right person." Checking whether the environment is conducive to completing the task safely is included under the delegation right, "right circumstance."

As a part of the nursing curriculum, the nursing faculty is teaching nursing students about high-quality clinical delegation experiences and has also chosen to engage the students with nursing mentors. Which skill does the nursing faculty expect the nursing students to develop via this approach? 1. Proficiency in delegation 2. Application of theory to delegation 3. Professional self-confidence in delegation 4. Development of clinical judgment in delegation

3. Professional self-confidence in delegation Because of the ever-changing health care system, the faculty in nursing schools should teach and mentor the nursing students regarding advances in the health care system. Teaching and exposing the students to high-quality clinical delegation experiences and engaging the student nurses with nursing mentors is helpful for fostering students' professional self-confidence. These experiences advance the nurse's ability to become a successful delegator. The student's proficiency in delegation is improved with the study and practical application of teaching and learning. The nursing practicum develops the student's ability to apply theoretical knowledge to the process of delegation and also develops the student's clinical judgment skills related to delegation.

Which among the Five Rights of Delegation is the cornerstone of delegation? 1. "Right person" 2. "Right supervision" 3. "Right circumstance" 4. "Right communication and direction"

4. "Right communication and direction" Among the Five Rights of Delegation, "right communication and direction" is the most important right of delegation. It is the most useful in maintaining the quality and safety outcomes, as it involves communication and direction. "Right person" is useful for understanding which person has the appropriate skills to perform the task. "Right supervision" involves monitoring the tasks that are performed with the goal of improving outcomes. "Right circumstance" seeks to ensure that the appropriate equipment and resources are available for the delegatee.

How does a nurse adopt the element of right circumstances during a task delegation? 1. By giving a clear and concise description of the task 2. By providing appropriate monitoring, evaluation, and intervention as needed 3. By delegating right tasks to the right person to be performed on the right person 4. By considering the appropriate client setting, available resources, and other relevant factors

4. By considering the appropriate client setting, available resources, and other relevant factors The nurse adopts the element of right circumstance by considering the appropriate client setting, available resources, and other relevant factors during task delegation. By giving a clear and concise description of the task, the nurse adopts the element of right direction/communication. By providing appropriate monitoring, evaluation, and intervention as needed, the nurse adopts the element of right supervision/evaluation during task delegation. By giving the right tasks to the right person to be performed on a client, the nurse adopts the element of right person.

What is discussed in 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 include the core competencies of a situational leader. Anthony and Vidal described the five rights of delegation. Hersey's model does not include the legal authorities for delegation. Anthony and Vidal described characteristics of communication, such as information decay and information salience.

Which healthcare professionals would the nurse say work under active delegation? Select all that apply. 1. Physician examining clients in the outpatient ward 2. Nurse giving medication to a client as prescribed by the physician 3. Pharmacist dispensing medicines prescribed by the physician to the client 4. Licensed practical nurse (LPN) administering oral medications as delegated by the registered nurse (RN) 5. Unlicensed nursing practitioner (UNP) maintaining oral hygiene of the clients as delegated by the registered nurse

4. Licensed practical nurse (LPN) administering oral medications as delegated by the registered nurse (RN) 5. Unlicensed nursing practitioner (UNP) maintaining oral hygiene of the clients as delegated by the registered nurse If tasks are delegated to a delegatee after a thorough assessment by the delegator who remains accountable for the delegated tasks, it is called active delegation. Delegation to LPNs, UNPs, and other nursing personnel by the registered nurse are examples of active delegation, such as administering oral medications and maintaining oral hygiene. Any task performed normally, or as an essential part of practice by licensed individuals such as physicians, nurses, and pharmacists form a part of passive delegation.

The registered nurse is delegating tasks for the care of a vulnerable population. Which healthcare team would be appropriate for the delegation of tasks? 1. Charge nurse (CN), chief nursing officer (CNO), and registered nurse (RN) 2. Licensed practical nurse (LPN), unlicensed nursing professional (UNP), and charge nurse (CN) 3. Chief nursing officer (CNO), Registered nurse (RN), and unlicensed nursing professional (UNP) 4. Registered nurse (RN), licensed practical nurse (LPN), and unlicensed nursing professional (UNP)

4. Registered nurse (RN), licensed practical nurse (LPN), and unlicensed nursing professional (UNP) The appropriate healthcare team for delegation of tasks for the care of vulnerable populations consists of the RN, LPN, and UNP. Proper care and assistance can be provided by this team. The CN, CNO, and RN are all licensed health professionals and there are team members to provide assistance on this team. In the team consisting of the LPN, UNP, and CN, there is no person who can take responsibility and accountability of the client care. In the CNO, RN and UNP team, the UNP may not be eligible to carry all the activities and the CNO and RN are responsible for carrying out delegation.

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 4. Specifying that no extra time is allotted to report data

4. 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.

After delegating the task of administering oral medications to a licensed practical nurse (LPN), the registered nurse (RN) ensures that the LPN is supervised until the task is accomplished. Which right of delegation does the scenario reflect? 1. The right task 2. The right person 3. The right direction 4. The right circumstance

4. The right circumstance The right circumstance is indicated by the appropriate supervision, availability of equipment and resources, and appropriateness of the given situation. If the task is appropriate to the delegate based on institutional policies and is legal then it represents the right task of delegation. If the delegatee has adequate knowledge and experience to perform a task safely and effectively, it represents the right person of delegation. The right direction is indicated by the clear and concise directions provided for the task.

A registered nurse delegates a task to a licensed practical nurse (LPN). The nurse manager asks the registered nurse, "Are the equipment and resources available for the LPN to complete the task?" Which right of delegation is the nurse manager preserving? 1. Right task 2. Right direction 3. Right supervision 4. Right circumstance

4. Right circumstance Questions such as, "Is the environment conducive to completing the task safely?" and, "Are the equipment and resources available to complete the task?" ensure the right circumstance for delegation. Right task is ensured with a question such as, "Is the task appropriate to the delegate, according to institutional policies and procedures?" Delegation is taking the right direction if the answer to a question such as, "Do the delegator and delegatee understand a common work-related language?" is positive. Right supervision is evaluated with a question such as, "Is the delegator able to monitor and evaluate the client appropriately?"

The RN caring for a postoperative hysterectomy client is delegating tasks to the licensed practical nurse (LPN). Which statement made by the RN indicates the principle of right communication of delegation? 1. "Does the LPN understand when to report the vital signs?" 2. "Can the LPN monitor blood pressure of the client effectively?" 3. "Can the LPN provide effective feedback regarding the client's condition?" 4. "Does the LPN have enough knowledge regarding administration of intravenous (IV) fluids to the client?"

1. "Does the LPN understand when to report the vital signs?" The principle of right communication of delegation includes the qualities of the delegatee understanding when and how to report to the delegator. Monitoring and evaluating the client's condition falls under right supervision of delegation. Assessing the delegatee's ability to provide feedback in right situation indicates right supervision of delegation. Right task of delegation includes assessment of delegatee's knowledge and experience about performing the task.

Which care activities would be involved in a correct delegation process? Select all that apply. 1. Licensed practical nurse (LPN) cleans the client's body. 2. Unlicensed assistive personnel (UAP) provides medication to the client. 3. Unlicensed assistive personnel (UAP) assist the client with oral feedings. 4. Licensed practical nurse(LPN) evaluates the client's temperature condition. 5. Registered nurse (RN) guides the unlicensed assistive personnel (UAP) while recording client's temperature.

1. Licensed practical nurse (LPN) cleans the client's body. 3. Unlicensed assistive personnel (UAP) assist the client with oral feedings. 5. Registered nurse (RN) guides the unlicensed assistive personnel (UAP) while recording client's temperature. Activities such as cleaning the client's body and assisting the client with oral feeding can be performed by the licensed practical nurse (LPN) and unlicensed assistive personnel (UAP). It is always the responsibility of the registered nurse (RN) to guide the UAP while performing any activity. The UAP is not allowed to perform activities such as providing medication. The LPN should not evaluate the client condition; it is the responsibility of the RN.

While teaching a nursing student about delegation, the registered nurse instructs the student to determine whether the delegation process is appropriate to the situation before delegating a task. Which right of delegation is the registered nurse referring to? 1. Task 2. Person 3. Supervision 4. Circumstance

4. Circumstance There are five rights in delegation. Before delegating a task, the delegator should know whether the process is appropriate to the situation, thus assessing that it is the right circumstance. The delegator should know whether the task is appropriate to delegate based on institutional policies and procedures to determine if it is the right task. Selecting a knowledgeable and experienced delegatee to perform the task ensures that the right person is chosen. Supervision is the last right of delegation which is performed by the delegator in which the delegator monitors and evaluates the delegatee and elicits feedback whenever appropriate.

Which of the nurse's statements are true regarding delegation? Select all that apply. 1. Delegation is a complex process. 2. Delegation involves a single individual to achieve the goals. 3. Delegation involves transfer of responsibility and accountability. 4. Delegation improves client care outcomes when used effectively. 5. Delegation includes delegatees who allocate a portion of work to others.

1. Delegation is a complex process. 4. Delegation improves client care outcomes when used effectively. Delegation is a complex decision-making strategy implemented to the work-related performance of the staff employed in healthcare organizations. Therefore, when used effectively, delegation improves client care outcomes. Delegation always involves at least two individuals such as the delegator and the delegatee, who engage in open communication to achieve a goal. Delegation involves the transfer of responsibility for the performance of a task from one individual to another while retaining the accountability for the outcome. Delegation includes delegators who allocate a portion of work to others.

Which statement is correct regarding delegation? Select all that apply. 1. It involves transfer of authority. 2. The delegator retains accountability for the outcome. 3. The delegatee retains accountability for the outcome. 4. It is the transfer of both responsibility and accountability. 5. Principles of delegation outline what nurses need to know about the task.

1. It involves transfer of authority. 2. The delegator retains accountability for the outcome. 5. Principles of delegation outline what nurses need to know about the task. Delegation involves two people—delegator and delegatee—with the transfer of authority to perform the task. The delegator retains accountability for the outcome of the task delegated. The delegatee holds responsibility but not accountability for the task. Assignment involves the transfer of both responsibility and accountability of the work to the delegatee. Principles of delegation outline what nurses need to know and do in relation to completing the task.

The registered nurse is teaching a student nurse about delegating tasks to the unlicensed assistive personnel (UAP) while caring for a client with a skin disease. Which delegation statement made by the student nurse requires a need for further teaching? 1. "I will ask the UAP to assist the client with bathing." 2. "I will advise the UAP to reinforce the client teaching." 3. "I will instruct the UAP to apply wet dressings to the client's skin." 4. "I will instruct the UAP to report if the client complains of discomfort."

2. "I will advise the UAP to reinforce the client teaching." Reinforcement of client teaching is a task to be performed by licensed practical nurses and licensed vocational nurses. This task should not be delegated to the UAP. The tasks to be performed by the UAP include assisting the client with bathing. The UAP can apply wet dressings to the client's skin. The UAP should report changes in skin appearance or if the client complains of discomfort.

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 should report the findings back to the delegator." 2. "The delegatee should understand the assigned task completely." 3. "The delegator should trust the delegatee to accomplish the task." 4. "The delegator should recheck and redo the work of the delegatee."

4. "The delegator should 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 to understand the progress of the task. The delegatee should understand the task completely to perform as desired by the delegator. Trusting the delegatee reduces time to do the task and build a healthy working environment.

Which activity performed by the registered nurse in a healthcare organization is considered active delegation? 1. A pharmacist giving medications upon prescription 2. A primary healthcare provider assessing and prescribing medication 3. A registered nurse administering medication and fluids upon prescription 4. A registered nurse directing an unlicensed nursing professional to perform certain task

4. A registered nurse directing an unlicensed nursing professional to perform certain task Active delegation by a registered nurse is the process of assessing a situation and determining what is appropriate for client care such as directing an unlicensed nursing professional to perform certain tasks and holding the individual accountable. Passive delegation contains functions that are normally performed or are an essential part of the practice of a licensed individual. A pharmacist giving medications upon prescription is passive delegation since it is a part of practice. A primary healthcare provider assessing and prescribing medication is passive delegation since it is a part of practice for a primary healthcare provider. A registered nurse administering medication and fluids upon prescription is passive delegation since it is a part of practice for a registered nurse.

The nurse manager delegates client-care tasks to members of the health care team in the intensive care unit. Which element of the delegation may extend to direct corporate liability for the institution? 1. Failure of the delegatee to provide client education 2. Accountability of the delegator for the task performed 3. Delegatee not performing the task within acceptable standards 4. Failure of the nurse manager to delegate and supervise the task within acceptable standards

4. Failure of the nurse manager to delegate and supervise the task within acceptable standards Legally, delegation is a complex process. Failure of the nurse manager (delegator) to delegate and supervise the task performed by the delegatee may extend to direct corporate liability for the institution. Failure of the delegatee to provide client education is an element of nursing malpractice. The nurse manager (delegator) is legally accountable and thus liable for his or her actions and those of the delegatee. The delegatee not performing the task within acceptable standards may lead to nursing malpractice.