Leadership EAQ's

Which of these clients can be provided care safely by unlicensed nursing personnel? Select all that apply.

A client who is stable A client who is recovering

A nurse is preparing to administer an intravenous piggyback medication to a client who is receiving a continuous infusion of intravenous (IV) fluids. What is the priority nursing intervention?

check the compatibility of the medication and the continuous IV solution.

Who is responsible for client outcomes in the functional model of care?

nurse manager

Influenza epidemic take orders from

state officials

The nurse is caring for four clients in an emergency department. Which client should be given least priority by the primary healthcare provider based on his/her condition?

Client with closed extremity trauma

Which is the priority nursing action to include in a disaster plan for the radioactive dust and smoke that can cause illness from a radiologic dispersal device (RDD)?

Covering the nose

Which characteristic should the nurse use during the nursing process as a guide for delegation?

Critical analysis

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?

"The delegator should recheck and redo the work of the delegatee."

The registered nurse (RN) and unlicensed assistive personnel (UAP) have been working together for two years. Which statement made by the RN would be appropriate after delegating a task to the UAP?

"You know what to do and when to report"

Which description by the nurse is a correct explanation of delegation?

***not accountability*** The transfer of responsibility for the performance of an activity

Which component of delegation is retained while the delegator is delegating the client's care task to the nursing aide?

Accountability

Which task can be delegated to the licensed vocational nurse (LVN)? Select all that apply.

Administering oral hypoglycemic agents administering intramuscular injections

Which delegation actions may be performed by unlicensed nursing personnel while caring for a client? Select all that apply.

Asking the client to wash hands before meals Instructing the client to wear footwear while walking

A nurse manager transfers the task of caring for a client who has undergone appendectomy to a registered nurse (RN). Which element of the healthcare system is the RN practicing?

Assignment

Which component is the ability to perform duties in a specific role?

Authority

A client with foot ulcers is admitted to the hospital. The nurse manager should delegate the task of maintaining hygiene to which staff members to maximize efficient use of human resources? Select all that apply.

Patient care associate (PCA) Unlicensed nursing practitioner (UNP)

According to the Model for Differentiated Nursing Practice, which entry-level nurse is most prepared for prioritization of client care?

Bachelor's degree registered nurse

Type of care for a nurse providing care to one patient the entire shift

Case management

During the delegation process, which healthcare professional acts as a liaison between the team leader and healthcare provider?

Charge nurse

Which healthcare team member is responsible for the coordination and assignments of client care?

Charge nurse

Which employee should be competent in critical thinking, leadership, communication, and time management skills? Select all that apply.

Charge nurse, registered nurse

Who would the registered nurse state is accountable for establishing systems to communicate competency requirements related to delegation?

Chief Nursing officer (CNO)

A client with severe burns and injuries from a bomb blast is admitted in the emergency unit. Which triaging priority is preferable for the client?

Class I

A student nurse is learning Gardner's Tasks of Leading and Managing. Which position of the health care team has the managing function of priority setting, according to Gardner?

Clinical position

Which nursing model includes a registered nurse (RN) paired with technical assistance?

Co-primary nursing model

Which are considered as nurse competencies within the synergy model of care delivery? Select all that apply.

Collaboration clinical judgement cultural competency

Which process involves transferring responsibility to multiple players, usually with varying degrees of education and experience, while retaining the ultimate accountability for providing the client care?

Delegation

Which description of accountability is correct?

Determination of appropriate actions and provide detailed explanations of the actions

What is the status of the unit secretary as a member of the healthcare team, which is in the span of control of a registered nurse (RN)?

Devoid of legal authority

The nurse is caring for a client admitted with fluid overload. Which tasks are most appropriate to be delegated to the patient care associate? Select all that apply.

Documenting vital signs, documenting urine output Repositioning the client every one or two hours

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

Doing Asking Offering

What should the team leader identify as a priority when assigning clients to team members?

Each team member's strengths

A case manager telephones a client with lung disease to evaluate respiratory function with home oxygen use and then contacts the primary care provider. What is the purpose of this communication?

Evaluate expected outcomes

Which statement best describes a fundamental aspect of the clinical nurse leader (CNL)?

Evaluates care for evidence-based approaches

Which activity indicates improper follow-through on the part of the delegatee?

Failure to report results

Clients that can delay treatment for more than 3 hours and remain stable

Green tag. Yellow tag 30min-2hr

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?

Institutional policies of drug administration

The registered nurse is organizing a community health care program for administering tetanus vaccinations. Which member of the health care team is most suitable for delegating the task of administering vaccinations

Licensed practical nurse

The nursing manager is preparing a schedule for delegating appropriate tasks to different health care team members. Which health care team member can be delegated the task of administering oral medications? Select all that apply.

Licensed practical nurse Licensed vocational nurse

Who is the designated delegator?

Nurse manager

The nurse is caring for a client who underwent a hysterectomy and who is admitted to a general medical-surgical unit. Which tasks can be delegated to the unlicensed assistive personnel (UAP)? Select all that apply.

Oral hygeine; assistance with bathing

Which member of the healthcare team would the nurse claim performs functions through passive delegation?

Pharmacist

Which are disadvantages to the functional system of care delivery? Select all that apply.

Poor communication Fragmentation of care changes in client status go unnoticed

Which task is achieved by the delegator when he or she engages in self-care to enhance his or her ability to care for the healthcare team?

Renewing

What would the nurse state is the primary priority for decreasing a client's risk of morbidity and mortality?

Prevention

What is the duty of the nurse as delegator if the delegatee has limited knowledge and ability to perform a task?

Provide guidance

The student nurse is performing a rapid baseline assessment using a disability mnemonic (AVPU) in a client with drug abuse. Which parameters should the student nurse consider for proper assessment? Select all that apply.

Reaction to pain Response to voice

Who is accountable for the ongoing evaluation of a client's care?

Registered Nurse (RN)

A client with dehydration is prescribed an intravenous (IV) fluid infusion. Which healthcare professional would the nurse expect to be delegated this task?

Registered nurse

The client is experiencing postoperative pain and requests a pain shot. Which of the following healthcare providers are legally permitted to administer an intramuscular (IM) injection to the client? Select all that apply.

Registered nurse (RN) Licensed practical nurse (LPN) Licensed vocational nurse (LVN)

What is the emergency care for a drowning client?

Safely rescuing the patient

A group of clients who were in a bus accident is admitted to the emergency department with injuries. Which group is considered urgent according to the three-tier triage system?

Severe abdominal pain

What is the main motto of the Hersey's 2006 model?

Situational leadership

Which work is automatically increased for the delegator when there is a decrease in direct client care?

Supervision

A client with asthma and depression is admitted to the hospital. Which tasks delegated by the delegator would indicate the task is applicable for the registered nurse?

Teach the client how to use a metered-dose inhaler

Which delivery system was developed to provide care through others as an adaptation to functional nursing?

Team

What is the ultimate goal of delegation?

To maximize patient care outcomes

The nurse is advising a client to carry a prescription of epinephrine autoinjector. Which insect bite or sting is responsible for the nurse providing this advice?

Wasp