Delegation Adaptive Quizzing
What is the ultimate goal of delegation?
To maximize patient care outcomes
The registered nurse (RN) is teaching a novice RN about delegating tasks to licensed practical nurses (LPN) and unlicensed assistive personnel (UAP). Which statement made by the novice RN indicates a need for further teaching?
"I will delegate the task of assisting the client with bathing to the LPN."
The registered nurse (RN) delegates a task to the licensed practical nurse (LPN). If the LPN fails to perform the task within acceptable standards, what would happen? Select all that apply.
A potential for nursing malpractice emerges. The institution remains legally responsible for the situation. The accountability for care remains with the registered nurse (RN).
The delegatee is performing a task and in the process loses confidence in what he or she is doing. Which delegator's action may have contributed to the delegatee's loss of confidence?
Intervening when the delegatee is performing the task
What is the role of unlicensed assistive personnel in intravenous (IV) therapy for a client?
Monitoring clinical manifestations
When delegating a task, the delegator says, "Please tell me how you are going to perform this procedure, and I will share my expectations regarding how we need to communicate with each other." What can be inferred about the delegatee?
The delegatee has willingness and ability, but the relationship is new.
While delegating a specific task, the registered nurse says to the delegatee, "It is important that you measure the client's blood pressure every 15 minutes." What does this situation indicate?
The delegator is providing more guidance.
The charge nurse is teaching the newly-hired registered nurse (RN) about delegating tasks to unlicensed nursing personnel (UNPs). Which statement made by the newly hired RN indicates the need for further teaching?
"I should assist the staff in sorting out and articulating values."
After assigning a specific work to the unlicensed nursing professional, the registered nurse does a critical analysis of the work to determine if the actions taken were appropriate and provides a detailed explanation of what occurred. Which action related to delegation is the nurse performing?
Accountability
Which members of the healthcare team are under dependent status when a task is delegated by the registered nurse (RN)? Select all that apply.
Client attendant Licensed vocational nurse (LVN)
The registered nurse (RN) is assessing the conditions of four different clients. Which client care should be delegated by the RN to unlicensed nursing personnel (UNP)?
Client D
Which questions should the delegator assess to determine the right task? Select all that apply.
"Is the task legally appropriate to delegate?" "Is the task appropriate to delegate based on institutional policies and procedures?"
Which characteristic of the nurse as a delegator is reflected in the statement, "Let me show you how this procedure is done; then you can do it yourself"?
Doing
The registered nurse in a hospice is working with a new assistant who has prior experience working in a physician's office. Which action made by the registered nurse will promote a healthy working environment?
Encouraging the assistant to adopt the philosophy of the organization
Which characteristics of the delegatee should be considered to determine that he or she is the "right person"? Select all that apply.
Experience Willingness Competence
A nurse delegator assigns work to a delegatee who has the ability and willingness to do the work but the relationship between the delegator and delegatee is relatively new. How is the delegator's behavior described according to Hersey's Model?
Participating
The registered nurse (RN) who delegates work to a newly hired licensed practical nurse (LPN) says, "Please tell me how you will go about performing this procedure, and I will share my expectations with you." Which behavior strategy of Hersey's model is being applied?
Participating
Which right does the question, "Do staffing ratios demand the use of high-level delegation strategies?" indicate?
The right circumstance
Why does a nurse manager assign a resource person in a healthcare organization?
To serve as a mentor
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?
"The delegation communication template should include only the work that is to be delegated."
The registered nurse is evaluating the statements of the student nurse after teaching about the span of control in a group of individuals working in a healthcare organization. Which statement made by the student nurse indicates a need for correction?
"The unit secretary in a healthcare organization has legal recognition."
What are the various challenges related to delegation? Select all that apply.
Providing clear direction to the delegatee Understanding the skill set of the delegatee Maintaining an open line of communication with the delegatee
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
A patient care associate (PCA) is delegated a task that can be completed in 2 hours. The PCA has limited knowledge and willingness regarding that particular task. Which leadership style should be implemented by the delegator in this situation?
Telling
Which task can be delegated to the licensed vocational nurse (LVN)? Select all that apply.
Administering oral hypoglycemic agents Administering intramuscular medications
The registered nurse (RN) assigns a task to a licensed practical nurse (LPN) to take care of a client admitted with severe burns. Which tasks are being performed by the LPN in this situation? Select all that apply.
Monitoring the heart rate Monitoring the blood pressure Administering the oral medication
A client with hypoglycemia is admitted to the hospital. Which duties can the registered nurse (RN) safely delegate to the licensed practical nurse (LPN)? Select all that apply.
Administering oral medications Administering intramuscular medication
Who would the registered nurse state is accountable for establishing systems to communicate competency requirements related to delegation?
Chief nursing officer (CNO)
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?
Providing constructive feedback about client care management
After assigning a specific task, the registered nurse observes that the delegatee is unable to perform the task accurately. What will be the appropriate statement of the registered nurse in this situation?
"Just follow my steps and you can do it."
The direct care nurse is delegated the task of reviewing the informed consent form after being completed by the client. Who should the direct care nurse consult regarding queries related to client rights?
Nurse manager
A registered nurse is planning to delegate various tasks. What does the registered nurse do to delegate appropriately? Select all that apply.
Select an experienced nurse as a delegatee. Ask open-ended questions to the delegatee. Provide constructive feedback to the delegatee.
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?
Charge nurse
A healthcare team is caring for a 68-year-old client with diabetes insipidus. Which task is most suitable to be delegated to licensed practical nurse (LPN) to provide effective client care? Select all that apply.
Monitoring urine output Administering oral rehydration medication
A registered nurse is teaching a group of newly hired licensed registered nurses, licensed practical nurses, and unlicensed nursing professionals. Which teaching strategies would be appropriate to develop competencies? Select all that apply.
Case studies Online learning Clinical nursing practice
Which health care professional is accountable for establishing systems to assess and communicate competency requirements related to delegation?
Chief nursing officers
The registered nurse (RN) is caring for four different post-surgical clients. Which activity delegated to the licensed practical nurse (LPN) would be appropriate to achieve a suitable care outcome? Select all that apply.
Client 1 Client 2 Client 5
Which of these clients is most appropriate for delegation to a cross-trained technician?
Client A
Which client is most appropriate to be delegated to unlicensed assistive personnel (UAP) based on the given data?
Client D
Which characteristics of a licensed practical nurse should be considered before delegation of tasks? Select all that apply.
Critical thinking Diagnostic reasoning Synthesizing information
A nurse manager delegates the task of phlebotomy to the members of a healthcare team who are caring for a client with diabetes. Which individual on the team can be delegated to perform the task of phlebotomy?
Cross-trained technician
A delegator is providing feedback to four delegatees. Which feedback is constructive feedback that can help the delegatee to improve quality of care?
D
The registered nurse finds information decay during the process of delegation. What possible causes may have contributed to this? Select all that apply.
Frequent changes in the heart rate of the client Rapid change in the blood pressure of the client Frequent changes in the client's perception of pain
A critically injured client was brought to the hospital following a car accident and the client should be immediately triaged for determining the nature and acuity of the injuries. Who is delegated to perform the task?
Registered nurse
A healthcare team is delegated the task of assisting a client with bathing. Which member of the healthcare team is responsible and accountable for this aspect of client care?
Registered nurse (RN)
Which description of accountability is correct?
Determination of appropriate actions and provide detailed explanations of the actions
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.
Effectiveness Meaningfulness Understandability
A registered nurse (RN) delegates the task of foot care for a client to an unlicensed nursing personnel (UNP). The UNP is skillful and willing to perform the given task, but was recently hired and is unfamiliar with the client's condition. What should the RN do in this situation?
Establish mutual expectations and conditions.
The registered nurse delegates the care of a client in the immediate postoperative period to the patient care associate (PCA). Which tasks performed are in the scope of practice of the PCA? Select all that apply.
Feeding the client Assisting the client with bathing
The registered nurse is delegating tasks for the care of a vulnerable population. Which healthcare team would be appropriate for the delegation of tasks?
Registered nurse (RN), licensed practical nurse (LPN), and unlicensed nursing professional (UNP)
The licensed practical nurse (LPN) has been asked to monitor the blood pressure of a client with hypertension. The LPN reports to the registered nurse (RN) that the blood pressure monitor is malfunctioning. Which component of the duty is the LPN practicing?
Responsibility
While caring for a client, the registered nurse (RN) needs the assistance of a licensed practical nurse (LPN). The RN feels that the LPN requires supervision as the LPN has previously only worked in a physician's office. Which action by the RN would help diminish any negative feelings the LPN might have about being supervised?
Initiating a conversation about the new role and functions of the LPN
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.
Instructing the licensed practical nurse (LPN) to monitor the vital signs Instructing the unlicensed assistive personnel (UAP) to reposition the client Instructing the unlicensed assistive personnel (UAP) to place the oxygen mask
Which statement is correct regarding delegation? Select all that apply.
It involves transfer of authority. The delegator retains accountability for the outcome. Principles of delegation outline what nurses need to know about the task.
The registered nurse is caring for an older client who is admitted with gastric ulcer and joint pains and is unable to perform activities of daily life (ADL). The legal authority has stated, "Provide the treatment according to the client's care sheet." Which delegatee should take up the task?
Licensed practical nurse
The registered nurse is delegating tasks to the healthcare team. Which team member is most suitable for achieving an effective outcome in the care of a client who is bedridden for long periods with seizures?
Licensed practical nurse
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.
Nurse manager Healthcare provider
Which behavior of the nurse leader is characterized as delegating according to the Hersey's model?
Observing or monitoring
Which strategy should be implemented by the registered nurse (RN) to achieve desirable client outcomes?
Offering
Which statement is true regarding delegation? Select all that apply.
Open lines of communication must occur between delegator and delegatee. Delegation occurs only when at least two people are involved in a mutual work situation. Delegation involves sharing activities with other appropriate authority to accomplish the work.
Which factors does the registered nurse consider in the decision to delegate process? Select all that apply.
Predictability of outcomes Complexity of the task to be performed
Total client care is delegated to a registered nurse. Which member of the healthcare team is responsible for consulting other healthcare professionals in planning and delivering client care?
Primary nurse
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?
Professional self-confidence in delegation
The registered nurse (RN) delegates the task of caring for a client with a leg fracture to a licensed practical nurse (LPN) and asks the LPN to alert her if any issues arise. What approach is the RN taking as delegator in this instance?
Providing little guidance
The nurse manager appointed a registered nurse (RN) to provide hospice care for a client and explained the tasks to be performed. Which tasks has the nurse manager delegated to the RN? Select all that apply.
Providing total client care Teaching the client and family members Teaching the client about personal hygiene
Which activity performed by the registered nurse (RN) indicates effective delegation?
Supervising and monitoring the licensed practical nurse (LPN) about the different activities
The registered nurse finds that the delegatee is only working for half a day in the healthcare unit. Which is the most appropriate leadership style in this situation?
Telling
After assessing the delegatee's inability to perform an assigned task, the delegator explains the procedure and demonstrates the task to the delegatee. What can be inferred about the delegatee?
The delegatee may have an ongoing relationship with the delegator, but a new task is assigned.
The charge nurse is assigning client care to oncoming staff. The new nurse on the unit expresses an inability to care for the assigned client and is requesting to be reassigned. What should the delegator do in this situation?
Understand the delegatee's motivation in the situation.
A registered nurse is caring for a client according to the total client care model of nursing. Which activity performed by the nurse manager would be appropriate in this situation? Select all that apply.
Weighing the expenses of a registered nurse (RN) vs. LPNs Deciding the type of care provided by nursing assistive personnel
A registered nurse (RN) and newly hired licensed vocational nurse (LVN) are caring for a client with chronic obstructive pulmonary disease (COPD). Which statement made by the RN would be appropriate according to the participation style of Hersey's model of leadership?
"Please show me how you determine respiration rate."
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?
"Professional aspects of care can also be delegated."
Which among the Five Rights of Delegation is the cornerstone of delegation?
"Right communication and direction"
While caring for a client with severe fever, the registered nurse (RN) delegated the task to a new delegatee to assist the RN in recording the temperature. Which instruction given by the RN indicates that the delegatee is new to working with that RN?
"Tell me how you record the temperature."
A registered nurse delegated a task to the unlicensed nursing personnel (UNP) and is supervising the UNP. Which statements made by the nurse after the UNP completes the task can yield a positive outcome from the UNP? Select all that apply.
"You performed that task safely and professionally." "The task was well done, but there is room for improvement."
The registered nurse (RN) is planning to provide feedback to the licensed practical nurse(LPN). Which questions asked by the RN help in eliciting the LPN's work quality? Select all that apply.
"How did the patient respond?" "What changes were observed in the client?"
While caring for a post-operative client, the delegator has assigned a task to a delegatee. Which statements made by the delegator indicates that the delegatee has the experience to perform the task? Select all that apply.
"I am available to you at any time for report." "I am aware of your technical competencies."
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?
"I should provide examples of each delegation."
The registered nurse (RN) has delegated a task to an unlicensed nursing personnel (UNP). After performing the task, the UNP reports to the RN for appraisal. Which statement by the UNP is related to individual accountability? Select all that apply.
"I take full responsibility for the action performed." "I have ensured that the action has achieved the desired outcome."
What happens when a registered nurse does not trust other individuals in the healthcare organization? Select all that apply.
Altered client care Compromised healthcare Limited career opportunity
What is the status of the primary healthcare provider as a member of the healthcare team that is in the span of control of a registered nurse (RN)?
Answerable to the nurse manager
Which questions related to decision making for delegation are appropriate according to the delegation right of "right circumstance"? Select all that apply.
Are the equipment and resources available to complete the task? Does the delegatee have appropriate supervision to complete the task?
The registered nurse (RN) is caring for a client who has severe abdominal pain. The RN plans to work with the assistance of an unlicensed nursing personnel (UNP). The RN starts the client care. What should the RN consider during the process of active delegation? Select all that apply.
Assessing the level of the client's abdominal pain Directing the UNP to assist the client while toileting Ensuring that the UNP is accountable for successful completion of the task
Which component of delegation is defined as the ability to perform duties in a specific role?
Authority
Which component of delegation is suitable to all the members on the healthcare team?
Authority
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?
Critical thinking
The registered nurse (RN) delegates obtaining and recording a client's pulse every 30 minutes. During the last hour, the licensed practical nurse (LPN) fails to report the client's elevated heart rate to the RN. Which factor best explains the situation?
Decayed information
Which important consideration of the delegator is applicable to the "selling" in Hersey's model?
Delegatee requiring explanation
Which of the nurse's statements are true regarding delegation? Select all that apply.
Delegation is a complex process. Delegation improves client care outcomes when used effectively.
The registered nurse (RN) delegates the collection of respiratory rate data to a licensed practical nurse (LPN) for a client who is experiencing severe dehydration and whose condition is unstable. The LPN reports the data to the RN. The RN rechecks the data and finds that the report no longer reflects the patient's current condition. Which characteristic of communication has interfered with the delegation process?
Information decay
While caring for a client with urinary tract infection, the nurse manager delegated the work of administering oral medications. Which delegatee would be appropriate for this task? Select all that apply.
Licensed practical nurse (LPN) Licensed vocational nurse (LVN)
A client is admitted to the hospital with severe backache and chest discomfort. After reviewing the client's condition, there is a need for 24-hour client care by the registered nurse (RN). Which healthcare professional is responsible for assigning the task to a registered nurse when 24-hour client care is needed?
Nurse manager
A registered nurse (RN) is sent to a rehabilitation center because of chemical impairment issues. Which member of the healthcare team will be asked to provide feedback about the RN's progress?
Nurse manager
A client is admitted to the medical unit with pulmonary edema. The registered nurse admits the client, writes a plan, and assigns the work to another registered nurse (RN). Which factors are transferable in this case? Select all that apply.
Responsibility Accountability
A registered nurse (RN) diagnosed with chemical impairment issues is transferred to work at a rehabilitation center as a part of treatment. Which actions performed by the nurse manager at the new work place result in effective outcome of treatment for chemical impairment? Select all that apply.
Restricting the RN from working near the abused chemical Restricting the RN from administering any controlled substances
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?
Right supervision
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?
Supervision
Which statement is true regarding the framework of delegation related to the Hersey's Situational Leadership Model? Select all that apply.
Willingness relates to the individual's attitude towards the task Ability to diagnose performance is a core competency of a situational leader
The Joint Commission is surveying an organization's nursing care. Which question is the surveyor most likely to ask regarding right supervision when delegating?
"Do you monitor and evaluate the client's condition appropriately?"
What are the elements integrated into delegacy? Select all that apply.
Stability Critical thinking
What is a high-level cognitive process that the nurse recognizes can be improved with practice in delegation?
Critical thinking
The registered nurse is assigning work to four delegatees. Which delegatee most likely has a limited relationship with the delegator?
Delegatee B
Which healthcare team members began to increase in number during World War II and are delegated for providing care to clients at home? Select all that apply.
Licensed practical nurse Licensed vocational nurse Unlicensed nursing personnel
The registered nurse (RN) is teaching a newly hired nurse how to communicate with a delegatee while delegating a task. Which statements made by the newly hired nurse indicate effective learning? Select all that apply.
"I will keep the information simple." "I will share the information using electronic media." "I will provide an opportunity to clarify the information."
The registered nurse (RN) and unlicensed assistive personnel (UAP) are caring for a client with diarrhea. After 2 hours, the RN communicates with the UAP and decides that the client needs immediate assessment. Which statements by the UAP led the nurse to this conclusion? Select all that apply.
"Temperature of the client is 105° C." "I have administered intravenous fluids to the client."
Which factors should be assessed to determine the level of followers' readiness according to Hersey's model? Select all that apply.
Ability Willingness
The registered nurse delegates a task to the unlicensed nursing personnel (UNP). Which client care is suitable for UNP?
Client C
The nurse says to the licensed practical nurse (LPN), "I know that you can accomplish the task with dedication. Report to me the expected outcomes and approach me for further assistance if needed." Which relationship is the nurse maintaining with the LPN?
Delegating
Which element of the healthcare system is the registered nurse (RN) practicing when the delegator shares accountability with the RN?
Delegation
Which condition may lead to delegation failure due to malpractice?
Employing more unlicensed nursing personal (UNP) in the emergency department
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?
Established
Which activity performed by the registered nurse (RN) indicates following the "participating" leadership style in Hersey's model?
Establishing mutual expectations with the delegatee
The charge nurse is delegating tasks for the nursing assistants regarding the postpartum care of a client. Which task is appropriate to be delegated to an unlicensed assistive personnel (UAP) to provide effective client care? Select all that apply.
Feeding the client Providing basic hygiene Encouraging breastfeeding
The nurse is teaching breathing exercises to a client who underwent surgery. Which member of the healthcare team is most suitable for reinforcement of teaching in the client?
Licensed vocational nurse (LVN)
What type of relationship between the nurse delegator and delegatee causes the nurse delegator to use the leadership behavior of telling?
Limited
The legal authority has delegated the tasks according to the model of analysis type of care. Which statements are true regarding the model analysis? Select all that apply.
Model analysis improves client satisfaction. Model analysis is a cost-effective idea for client care. Model analysis promotes organizational decision-making at lower levels.
The registered nurse (RN) who was caring for a postsurgical client went out for a break. The RN assigns the work to a healthcare professional who is also an RN. Which is the correct statement regarding this situation?
The situation describes assignment.
The registered nurse assists other registered nurses when there are no safety issues. While assisting, the registered nurse uses the strategy of asking. What is the benefit of this strategy? Select all that apply.
Allows the registered nurse to reassess Allows the delegator to examine the situation differently Opens lines of communication between delegator and the delegatee
A healthcare team is caring for a client with food poisoning. Which task is most suitable to be delegated to licensed practical nurse (LPN)?
Administering oral antiemetic medication
The registered nurse is caring for an elderly client who is admitted with severe asthma. Which task delegated by the nurse is most suitable to be performed by the client attendant?
Assisting the client during nebulization
A healthcare team is caring for a postsurgical client who underwent knee surgery. Which task is most suitable to be delegated to a licensed practical nurse (LPN) to provide effective client care? Select all that apply.
Changing the dressing Administration of oral analgesics Reinforcing leg exercise instructions
While working with a delegatee, the registered nurse says to the delegate, "It's easy; you can do the procedure tomorrow after watching me do it today. Just follow the steps I have demonstrated." What is the behavior of the registered nurse in this situation?
Selling
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?
Stability
The registered nurse is delegating a task to a newly hired unlicensed nursing personnel (UNP) and feels that the UNP requires explanation. Why does the RN feel the need to provide explanation?
The UNP is familiar with the ongoing process but the task is new.
The registered nurse (RN) is delegating tasks to licensed practical nurses (LPNs) regarding client care. Which factors should be considered when delegating a task to the LPN? Select all that apply.
Client's condition Complexity of the task Predictability of outcomes
Which assets of the nurse as a licensed health care professional help in planning effective nursing care? Select all that apply.
Critical thinking Diagnostic reasoning Ability to synthesize information
