NU 456 Delegation EAQ
Administering oral antiemetics Administering oral antiemetics is a task that can be safely performed by the LPN. Assessing the hemoglobin levels is the role of the RN; this task may not be delegated to the LPN. Evaluating the nutritional status is also the role of the RN. Intravenous fluids are only administered by an RN.
The registered nurse (RN) is caring for a pregnant client with malnutrition because of morning sickness. Which task can be safely performed by the licensed practical nurse (LPN) for this condition? Assessing hemoglobin levels Evaluating nutritional status Administering oral antiemetics Administering intravenous fluids
Charge nurse The charge nurse acts as a delegator based on his or her knowledge and experience in clinical settings. In the absence of an RN, the charge nurse usually delegates the tasks. A patient care associate assists and monitors vital signs. LPNs and UNP are considered delegatees due to insufficient experience and training.
Which health care team member acts as a delegator in the absence of the registered nurse (RN)? Charge nurse Patient care associate Licensed practical nurse (LPN) Unlicensed nursing personnel (UNP)
Nurse manager Span of control, the number of people for whom one is ultimately responsible, increases with the number of individuals under a person's control. The nurse manager is the person responsible for the tasks performed by registered nurses, patient care associates, licensed vocational nurses/licensed practical nurses, and other nursing professionals; therefore the nurse manager has the maximum span of control.
Which nursing professional has the maximum span of control? Nurse manager Registered nurse Patient care associate Licensed vocational nurse
Asking Offering Doing The nurse can assist other registered nurses with delegation decisions by using three strategies: asking, offering, and doing. Telling and participating are the strategies used by the nurse to communicate with the delegatee.
Which three strategies can the nurse perform while assisting other nurses in making delegation decisions? Select all that apply. One, some, or all answers may be correct. Doing Telling Asking Offering Participating
Delegation Delegation is the most effective strategy for nurse leaders and managers to implement to improve safety and quality of patient-centered care. Delegation requires knowing the level of competence of the individual delegatee and understanding the concepts of responsibility, authority, and accountability. Autonomy for the nurse is the ability to control one's practice. "Guidance" is a general term meaning providing direction or instruction. Accountability is assuming personal responsibility for actions.
Which is the most effective professional leadership and management strategy nurses implement to improve safety and quality of patient-centered care? Autonomy Guidance Delegation Accountability
"I will keep the information simple." "I will share the information using electronic media." "I will provide an opportunity to clarify the information." While communicating with the delegatee, the information would be simple to enable better understanding. Electronic media are used as a primary communication mechanism to share information. Providing an opportunity to clarify the information helps evaluate the ability of the delegatee. Giving more information than required may lead to confusion. The information would be repeated in different ways, if necessary, to ensure better understanding.
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. One, some, or all responses may be correct. "I will keep the information simple." "I will share more information than required." "I will share the information using electronic media." "I will provide an opportunity to clarify the information." "I will repeat the information in the same way until the new nurse understands it
Provide guidance. If the delegatee has limited knowledge and ability to perform a task, the delegator would provide guidance. The delegator is expected to observe and monitor the task performed by the delegatee to ensure he or she has the ability and willingness to establish a relationship and accomplish work. The registered nurse explains the task and how to execute it if the situation involves a new task and the relationship is ongoing. If the delegatee is new to the workplace but has the ability and willingness to perform a task, the delegator would establish mutual expectations and conditions of performance in order to establish a good relationship. Test-Taking Tip: You have at least a 25% chance of selecting the correct response in multiple-choice items. If you are uncertain about a question, eliminate the choices that you believe are wrong and then call on your knowledge, skills, and abilities to choose from the remaining responses.
Which duty would the nurse as delegator have if the delegatee has limited knowledge and ability to perform a task? Provide guidance. Observe and motivate. Explain what is to be done. Establish mutual expectations.
Nurse Manager Span of control, the number of people for whom a person is ultimately responsible, increases with the number of individuals under a person's authority. The nurse manager is the person responsible for the tasks performed by RNs, PCAs, LVNs/licensed practical nurses (LPNs), and other nursing professionals. Therefore, this person has the maximum span of control.
Which nursing professional has the maximum span of control? Nurse manager Registered nurse (RN) Patient care associate (PCA) Licensed vocational nurse (LVN)
Renewing Renewing is the task achieved by the delegator when he or she engages in self-care to enhance his or her ability to care for the health care team. Managing is achieved when the delegator assists the staff in planning, priority-setting, and decision-making. Explaining occurs when the delegator teaches and interprets information for client well-being. Motivating is achieved when the delegator inspires the staff to fulfill a mission.
Which task is achieved by the delegator when he or she engages in self-care to enhance his or her ability to care for the health care team? Managing Renewing Explaining Motivating
Changing the dressing Administration of oral analgesics Reinforcing leg exercise instructions The LPN scope of practice includes changing the dressing of the surgical site and administration of oral analgesics. Reinforcing leg exercise instructions may also be performed by the LPN. Ambulating the client who underwent knee surgery is usually performed by a physical therapist. Instructing the LPN to administer intravenous medication may not be appropriate according to guidelines.
A health care 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. One, some, or all responses may be correct. Changing the dressing Ambulating the client Administration of oral analgesics Reinforcing leg exercise instructions Administering intravenous antibiotics
Reduces stress Improves treatment outcomes Delegation requires empowerment of the delegatee to accomplish the task, and sharing functions reduces stress. As functions are distributed, treatment outcomes improve. Appropriate delegation builds trust between the delegator and delegatees, increases client care, and improves time efficiency. Test-Taking Tip: Be alert for details about what you are being asked to do. In this question type, you are asked to select all options that apply to a given situation or client. All options likely relate to the situation, but only some of the options may relate directly to the situation.
Appropriate delegation in a health care organization achieves which outcomes? Select all that apply. One, some, or all responses may be correct. Reduces stress Decreases trust Reduces client care Decreases time efficiency Improves treatment outcomes
Documenting vital signs Recording urine output Repositioning the client every 1 or 2 hours PCAs are unlicensed assistive personnel (UAP) whose scope of practice includes documenting vital signs and urine output and repositioning the client every 1 or 2 hours. Assessing the laboratory findings should be carried out by the registered nurse (RN) only. Intravenous medications should be administered by the RN. Administration of oral and topical medications can be delegated to the licensed practical nurse (LPN) or licensed vocational nurse (LVN). Test-Taking Tip: Be alert for details about what you are being asked to do. In this Question Type you are asked to select all options that apply to a given situation or client. All options likely relate to the situation, but only some of the options may relate directly to the situation.
The nurse is caring for a client admitted with fluid overload. Which tasks are most appropriate to be delegated to the patient care associate (PCA)? Select all that apply. One, some, or all responses may be correct. Documenting vital signs Recording urine output Assessing the laboratory findings Administering diuretic intravenously Repositioning the client every 1 or 2 hours
Administration of oral analgesics The scope of practice of the LPN is limited to the administration of oral, topical, and parenteral medications with the exception of intravenous ones. Evaluating the pain status of the client after administration of medication is the role of the registered nurse (RN). Intravenous administration of fluids or medications or blood products should be performed only by the RN. These interventions are outside of the scope of practice of the LPN. Laboratory reports should be assessed by the RN; this task is not within the scope of practice of the LPN. STUDY TIP: A helpful method for decreasing test stress is to practice self-affirmation. After you have adequately studied and really know the material, start looking in the mirror each time you pass one and say to yourself—preferably out loud—"I know this material, and I will do well on the test." After several times of watching and hearing yourself reaffirm your knowledge, you will gain inner confidence and be able to perform much better during the test period. This technique really works for students who are adventurous enough to use it. It may feel silly at first, but if it works, who cares? It will work for performing skills in clinical as well, as long as you have practiced the skill sufficiently.
The nurse is caring for a client with severe menstrual bleeding and abdominal cramps. Which task is appropriate to be delegated to the licensed practical nurse (LPN)? Evaluation of the pain status Administration of oral analgesics Administration of intravenous replacement fluids Assessment of blood reports for hemoglobin levels
Licensed practical nurse (LPN) Licensed vocational nurse (LVN) Delegation of tasks is different for different health care team members, based on their position, skills, and capabilities. Provision of prescribed treatments, such as administering oral medications, are tasks delegated to licensed professionals, such as LPNs and LVNs. A certified technician is a UNP and therefore should not be delegated tasks such as administering oral medications. Likewise, a PCA should not be delegated tasks such as administering oral medications. Assisting with feeding and hygiene are examples of tasks delegated to a patient care associate. Test-Taking Tip: Be alert for details about what you are being asked to do. In this Question Type you are asked to select all options that apply to a given situation or client. All options likely relate to the situation, but only some of the options may relate directly to the situation.
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. One, some, or all responses may be correct. Certified technician Patient care associate (PCA) Licensed practical nurse (LPN) Licensed vocational nurse (LVN) Unlicensed nursing personnel (UNP)
"Please show me how you determine respiration rate." The participation style of leadership is implemented when the delegator has the willingness and ability to perform the activity and the relationship is new. In the participation style, the delegator needs to communicate with the delegatee by asking questions about how the activity is performed and by sharing expectations. When the delegator has limited knowledge and no willingness to perform the activity, the style should be telling, where the delegator informs the delegatee what to do: "Monitor the respiration rate every half hour." In the selling style, the delegator provides supervision by telling how the activity is performed: "Let me show you which activity is necessary to perform." When the relationship is established, the delegator implements the delegation style of leadership: "I am sure you know what to do when the respiration rate is abnormal."
The registered nurse (RN) and newly hired licensed vocational nurse are caring for a client with chronic obstructive pulmonary disease. Which statement by the RN would be appropriate according to the participation style of Hersey's model of leadership? "Monitor the respiration rate every half hour." "Please show me how you determine respiration rate." "Let me show you which activity is necessary to perform." "I am sure you know what to do when the respiration rate is abnormal."
Inform the RN immediately. The UNP should immediately inform the RN about the client's condition, because the RN is accountable and responsible for the client. The UNP is not eligible to administer medication to the client. Informing the LPN is not beneficial because the LPN is not directly responsible for client care. The LPN can give client care only under the supervision of the RN. Discussing the problem with other UNPs is not appropriate.
The registered nurse (RN) assigned a task to unlicensed nursing personnel (UNP). The UNP observed a change when measuring a client's blood pressure. Which action should the UNP take in this situation? Administer medication. Inform the licensed practical nurse (LPN). Inform the RN immediately. Discuss the problem with other UNPs.
Delegatee D Delegatee D is best suited for delegation of the task because he or she has an established relationship and expertise and can perform the task with little guidance from the delegator. Delegatee A has limited knowledge, and ability to perform the task may require more guidance and explanation. Delegatee B has an established relationship; however, the task is new and the delegatee may require explanation. Delegatee C is willing and able, but the relationship is new, which may require the delegator and delegatee to create mutual expectations and conditions for performing the task. Test-Taking Tip: Read every word of each question and option before responding to the item. Glossing over the questions just to get through the examination quickly can cause you to misread or misinterpret the real intent of the question.
The registered nurse (RN) is assessing four members of the health care team before assigning a task. Which person is best suited for delegation of the task? Delegatee A Delegatee B Delegatee C Delegatee D
Recording vital signs Assisting the client with bathing The tasks within the scope of UAP include recording vital signs and providing basic hygiene, such as assisting the client with activities of daily life such as bathing. Administering oral medications is under the scope of licensed practical nurse (LPN) or licensed vocational nurse (LVN), but not the UAP. Depending on the state, administering intravenous antibiotics can be performed by either the RN or an LPN/LVN. Preparing the care plan for the client should be performed by the registered nurse only. Test-Taking Tip: Be alert for details about what you are being asked to do. In this Question Type you are asked to select all options that apply to a given situation or client. All options likely relate to the situation, but only some of the options may relate directly to the situation.
The registered nurse (RN) is caring for a client who underwent a hysterectomy. Which tasks can be delegated to the unlicensed assistive personnel (UAP) to provide quality care to the client? Select all that apply. One, some, or all responses may be correct. Recording vital signs Assisting the client with bathing Administering oral medications Preparing the care plan for the client Administering intravenous antibiotics
Client B The LPN is able to monitor client B's condition because the LPN can understand the condition of the client and is able to monitor the changes in the wound and the discharge from the operative site. Client A requires administration of intravenous fluids during dialysis, which the LPN is not eligible to do. In client C, the condition is severe and monitoring needs to be done by the RN. In client D, the unlicensed nursing personnel (UNP) can assist with food and fluid intake, which allows the LPN to take care of other clients who require assistance in wound care and monitoring. Test-Taking Tip: Try to recollect the eligibility and knowledge levels of the LPN to answer this question. The LPN can perform only some tasks. Identify the conditions which the LPN can handle.
The registered nurse (RN) is delegating care for several clients to the licensed practical nurse (LPN). Which client is suitable for delegation? Client A Client B Client C Client D
UNP A The RN must select carefully the eligible staff to complete a given task in a productive manner. The RN must educate, guide, and monitor the UNP who measures the blood glucose levels immediately after meals. The food takes time to be digested and nutrients absorbed into the blood; therefore, blood glucose levels should be checked an hour after a meal. The RN would provide motivational feedback about the working performance to the respective UNP. An RN would be accountable for the delegated task; UNP B would be responsible for providing proper client care. UNP C would document the blood pressure and other information related to client care for future accountability. UNP D may provide simple, straightforward information to the client.
The registered nurse (RN) is delegating various client care activities to 4 unlicensed nursing personnel (UNP). Which UNP needs more education and monitoring? UNP A UNP B UNP C UNP D
Client A The licensed practical nurse (LPN) has a scope of practice that includes administering oral, topical, intramuscular, and subcutaneous medications, except for intravenous medications. Client A is prescribed nonsteroidal anti-inflammatory drugs for dental pain that can be either administered orally or intramuscularly. This client care falls under the scope of an LPN. Client B is prescribed replacement fluids for severe dehydration, which must be given intravenously. This intervention is out of scope for the LPN. Blood products transfusion should be made only by the RN. Client C care is out of scope for the LPN. Dextran is administered intravenously to maintain the volume of blood during hemorrhage. This intervention in client D is out of scope for the LPN.
The registered nurse (RN) is reviewing the clinical data of four clients. Which client's care can be delegated to the licensed practical nurse (LPN)? Client A Client B Client C Client D
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 the nurse has charge of the personnel as they perform their tasks. Psychomotor tasks are the common characteristics and essential components that the nurse should possess to provide client care. Time management is essential in performing tasks within specified deadlines during delegacy.
Which characteristic would the nurse use during the nursing process as a guide for delegation? Leadership Critical analysis Psychomotor task Time management
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.
Which description by the nurse is a correct explanation of delegation? The transfer of responsibility for the performance of an activity The person's responsibility and accountability for individual actions or omissions The active process of directing, guiding, and influencing the outcome of an individual The transfer of both the accountability and responsibility from one person to another
Charge nurse Registered nurse (RN) The charge nurse and RN would each have a sophisticated level of competency in critical thinking, leadership, communication, time management, clinical practice, and organizational skills. These skills are helpful for the charge nurse or the RN when serving as a delegator. The student nurse, unlicensed personnel, and LPN do not delegate because they are less skilled than the charge nurse is.
Which employee would be competent in critical thinking, leadership, communication, and time management skills? Select all that apply. One, some, or all responses may be correct. Charge nurse Student nurse Registered nurse (RN) Unlicensed personnel Licensed practical nurse (LPN)
The task is within the nurse's scope of practice. The task may be performed with a predictable outcome. Agency policies and protocols are available for the task or activity. The task is performed according to an established sequence of steps. NAP have the appropriate knowledge, skills, and abilities required to complete the task. According to the NCSBN Decision Tree, for a task to be delegated it must be within the nurse's scope of practice and have a predictable outcome. Agency policies and procedures must be available for the task, and it must have an established sequence of steps. The NAP to whom the task is assigned must have the appropriate knowledge, skills, and abilities to perform the task.
Which factor supports task delegation to nursing assistive personnel (NAP) according to the National Council of State Boards of Nursing (NCSBN) Decision Tree? Select all that apply. One, some, or all responses may be correct. The task is within the nurse's scope of practice. The task may be performed with a predictable outcome. Agency policies and protocols are available for the task or activity. The task is performed according to an established sequence of steps. NAP have the appropriate knowledge, skills, and abilities required to complete the task.
Core competencies of a situational leader Hersey's model describes situational leadership, which includes the core competencies of a situational leader. Anthony and Vidal described the five rights of delegation. Hersey's model does not include legal authorities for delegation. Anthony and Vidal described characteristics of communication such as information decay and information salience.
Which function is part of is Hersey's 2006 model related to delegation? Five rights of delegation Legal authorities for delegation Characteristics of communication Core competencies of a situational leader
Licensed practical nurse (LPN) Licensed vocational nurse (LVN) Unlicensed nursing personnel (UNP) During World War II there was a severe shortage of nurses in the United States because many had joined the armed forces to care for soldiers. To provide care to clients at home, hospitals began to increase the number of LPNs, LVNs, and UNP. The number of nursing managers and RNs remained stable. These health care team members typically are not involved in providing home care to clients.
Which health care team members began to increase in number during World War II and are trained to provide care to clients at home? Select all that apply. One, some, or all responses may be correct. Nursing manager Registered nurse (RN) Licensed practical nurse (LPN) Licensed vocational nurse (LVN) Unlicensed nursing personnel (UNP)
Pharmacist The pharmacist performs functions through passive delegation. Unit secretaries may not be eligible to perform any activity because they do not have either formal medical preparation or legal recognition. The LPN does not delegate, but rather acts as a delegatee. The UAP are also delegatees.
Which member of the health care team would the nurse claim performs functions through passive delegation? Pharmacist Unit secretary Licensed practical nurse (LPN) Unlicensed assistive personnel (UAP)
Situational leadership Hersey's 2006 model provides a solid foundation for delegation decisions. The main focus of this model is situational leadership. The core competencies of a situational leader are the ability to diagnose the performance, competence, and commitment of others; to be flexible; and to partner for performance. Anthony and Vidal describe characteristics of communication that interfere with the delegation process, such as information decay. They also describe information salience, or the quality, meaning, and clarity of the information. Ana mentioned individual accountability, the expectation of accountability and responsibility in 2011, specifically referencing delegation.
Which motto is the main focus of Hersey's 2006 model? Information decay Information salience Situational leadership Individual accountability
Matching tasks to the delegatee's skills Assessing knowledge and skills of delegatee Clearly communicating the task, time frame, and outcome Listening attentively to delegatee's response to the task request Providing feedback on performance to delegatee after task completion To appropriately delegate, the nurse must ensure that tasks are matched to a delegatee's skills; assess the knowledge and skills of the delegatee; clearly communicate the task, the time frame for it to be done, and the expected outcome; listen attentively to how the delegatee responds to the request to complete the task; and provide feedback to the delegatee after completion, regardless of outcome.
Which nursing action is essential when delegating tasks to nursing assistive personnel? Select all that apply. One, some, or all responses may be correct. Matching tasks to the delegatee's skills Assessing knowledge and skills of delegatee Clearly communicating the task, time frame, and outcome Listening attentively to delegatee's response to the task request Providing feedback on performance to delegatee after task completion
Motivating Inspiring the delegatee by motivation is the primary task to be achieved by the delegator to reach an effective outcome. Managing helps in assisting the staff with planning, priority setting, and decision-making. Renewing provides self-care to enhance the ability to care for staff. Explaining helps in teaching and interpreting information to promote client well-being.
Which primary task is achieved by a delegator when delegating a task to a delegatee for an effective outcome? Managing Renewing Explaining Motivating
Delegation Delegation is a process of sharing the responsibility of client care. It involves the transfer of responsibility for the performance of an activity from one individual to another, with the delegator retaining accountability for the outcome. Leadership is the use of individual traits and abilities in relationship with others, the ability to interpret the context where a situation is emerging, and entering that situation in the absence of a script or defined plan that could have been projected. Supervision is defined as the active process of directing, guiding, and influencing the outcome of an individual's performance of an activity. Assignment is the transfer of both the accountability and the responsibility from one person to another.
Which process involves transferring responsibility to multiple individuals, usually with varying degrees of education and experience, while retaining the ultimate accountability for providing the client care? Leadership Delegation Supervision Assignment
Is the task legally appropriate to delegate? Is the environment conducive to completing the task safely? Is the delegator able to monitor and evaluate the client appropriately? Is it appropriate to delegate the task based on the delegate's job description? Does the delegate understand the assignment, directions, and instructions for the task? According to the five rights of delegation, the nurse must consider whether the environment is right (that is, conducive to completing the task safely) before delegating a task to NAP. The nurse would consider if the task is legally appropriate to delegate when determining if it is the right task to delegate to NAP. Considering if the delegator can monitor and evaluate the client appropriately refers to determining if the right supervision is present. Consideration of whether the task is appropriate based on the delegatee's job description addresses whether it is the right task to delegate. Determination of the delegatee's understanding of the assignment, directions, and instructions for the task addresses whether the right direction/communication is present.
Which question using the five rights of delegation would the nurse consider before delegating a task to nursing assistive personnel (NAP)? Select all that apply. One, some, or all responses may be correct. Is the task legally appropriate to delegate? Is the environment conducive to completing the task safely? Is the delegator able to monitor and evaluate the client appropriately? Is it appropriate to delegate the task based on the delegate's job description? Does the delegate understand the assignment, directions, and instructions for the task?
Monitoring clinical manifestations In IV therapy the role of the registered nurse (RN) is to collect the data that can be used in the assessment of the IV site. Monitoring clinical manifestations is performed by the unlicensed assistive personnel and the data are reported to the RN. Administering IV fluids and medications is done by an RN or licensed practical nurse (LPN). Evaluating the client for clinical manifestations is performed by the RN.
Which role would the unlicensed assistive personnel (UAP) have when caring for a client receiving intravenous (IV) therapy? Monitoring clinical manifestations Collecting the data to be used in the assessment of the IV site Administering IV fluids and medications Evaluating the client for clinical manifestations
RN and NAP only provide care together for a given set of clients during a given shift. A pairing approach involves the RN and NAP working together only during a given shift; they are not intentionally scheduled together consistently. In a unit-based scenario, NAP serve the unit overall and interact minimally with the RN. Assignment of a RN and NAP to the same schedule reflects a partnering approach. Having NAPs work from a specific task list as outlined in the job description is characteristic of a unit-based approach. In the partnering approach, the RN is recognized as having the authority to make the delegation decisions.
Which statement reflects a pairing approach to delegation of registered nurse (RN) and nursing assistive personnel (NAP) assignments? Select all that apply. One, some, or all responses may be correct. NAP serves the unit and has minimal RN direction. RN and NAP are consistently scheduled to work together. NAP works from a task list as outlined in the job description. RN is recognized as having the authority to make the delegation decisions. RN and NAP only provide care together for a given set of clients during a given shift.
Registered nurse (RN) The RN on the health care team is most accountable when delegating a task to the team. The certified technician is responsible for assigned tasks, as are the LPN and UAP.
Which team member is most accountable when delegating a task to the health care team?' Certified technician Registered nurse (RN) Licensed practical nurse (LPN) Unlicensed assistive personnel (UAP)
Long-term care A client with a permanent disability is often cared for in a long-term care setting. Disease-restorative care is provided to clients with a temporary disability and/or illness. First-access care is the primary care provided to a client with acute illness. Rehabilitative care is provided to clients with chronic illness such as chronic obstructive pulmonary disease.
While caring for a client with a permanent disability, the delegator delegated a task to the unlicensed assistive personnel. Which type of care is being provided to this client? Long-term care Disease-restorative care First-access care Rehabilitative care
Serves as a mentor The nurse manager assigns a resource person in a health care organization to serve as a mentor for the agency nurse to prevent potential problems that could arise if the staff member does not know the institutional routine. The nurse manager also delegates a task, supervises actions, and reassigns duties to workers.
In a health care organization, which role would a resource person assigned by the nurse manager have? Delegates tasks Supervises actions Serves as a mentor Reassigns duties to workers
"You will assess alleviation of the client's symptoms." "You will be monitoring client care on an hourly basis." "You will admit the client to the intensive care unit [ICU] if his or her condition deteriorates." In a long-term care facility, the RN will be responsible for supervising licensed nursing professionals who are performing delegated tasks. The RN takes the responsibility of assessing alleviation of symptoms and monitoring the client on an hourly basis. Admission of the client to the ICU is the responsibility of the RN. The licensed practical nurse (LPN) or licensed vocational nurse (LVN) takes responsibility for the whole nursing unit. The LPN or LVN will be delegated the task of providing treatments that are prescribed by the primary health care provider.
In a long-term care facility, the care tasks for a client with liver disease are being delegated. Which statement made by the delegator indicates that responsibility for the tasks lies with the registered nurse (RN)? Select all that apply. One, some, or all responses may be correct. "You will be responsible for the whole nursing unit." "You will provide the treatment that is prescribed." "You will assess alleviation of the client's symptoms." "You will be monitoring client care on an hourly basis." "You will admit the client to the intensive care unit [ICU] if his or her condition deteriorates."
Extended care Long-term care Extended care and long-term care settings are more suitable for UNP. Acute care, surgical care, and emergency care settings require highly qualified and licensed nursing professionals. Acute care, surgical care, and emergency care are not suitable for UNPs because the clients are less stable compared with those in extended care and long-term care. Because acute care, surgical care, and emergency care settings require highly qualified and licensed nursing professionals, the UNP's role is very limited.
Which care settings are more suitable for unlicensed nursing personnel (UNP)? Select all that apply. One, some, or all responses may be correct. Acute care Surgical care Extended care Long-term care Emergency care
Recording vital signs Placing the urinary catheter The LPN is eligible to record the vital signs of a client. The LPN can place a urinary catheter for a client who underwent kidney transplantation. Emptying the drainage is performed by an unlicensed nursing personnel (UNP). The LPN cannot assess urine output of the client; this is performed by a registered nurse (RN). Administering intravenous fluids is performed by RNs. Test-Taking Tip: Tasks can be performed only by eligible persons. Look at the options carefully and correlate with the function of an LPN to answer this question.
The health care team is caring for a client who underwent kidney transplantation. Which task is most suitable to be delegated to a licensed practical nurse (LPN) to provide effective client care? Select all that apply. One, some, or all answers may be correct. Emptying urinary drainage bag Recording vital signs Assessing of urine output Placing the urinary catheter Administering intravenous fluids
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.
The nurse with limited clinical experience is preparing a delegation communication template. Which action by the nurse indicates the need for correction? Identifying the priorities Specifying the performance limitations Emphasizing what may not be delegated Specifying that no extra time is allotted to report data
Licensed Practical Nurse (LPN) The registered nurse will delegate the task of providing medication to the client to the licensed practical nurse (LPN). The LPN's scope of practice is to administer oral medications and to provide the treatment that is prescribed in the client's care sheet. Orderlies are unlicensed assistive personnel who are delegated with tasks such as providing basic care, hygiene care, and assisting the clients in ADLs. Certified nursing aides are also unlicensed assistive personnel whose scope of practice does not allow them to perform tasks such as administering medications. Patient care associates are unlicensed assistive personnel who can care for the client with basic needs such as ADLs.
The registered nurse is caring for an older client who is admitted with gastric ulcer and joint pain and is unable to perform activities of daily living (ADLs). The legal authority has stated, "Provide the treatment according to the client's care sheet." Which delegatee would take up the task? Orderlies Certified nursing aide Patient care associate Licensed practical nurse
Failure to report results in a timely manner Failure to report the results and findings to the delegator indicates improper follow-through on the part of delegatee. Failure of effective communication is not considered improper follow-through on the part of the delegatee. Effective communication is required in leadership. The delegatee may perform the task in the absence of the delegator because the delegator may work elsewhere after delegating the task to the delegatee. It is the responsibility of the delegator to check if the delegatee is following proper guidelines; therefore it may not be considered improper follow-through. Test-Taking Tip: Many times the correct answer is the longest alternative given, but do not count on it. Item writers (those who write the questions) are also aware of this and attempt to avoid offering you such "helpful hints."
Which activity indicates improper follow-through on the part of the delegatee? Failure to report results in a timely manner Ineffective communication Performing a task in the absence of a delegator Failure in following guidelines provided by a delegator
Registered nurses Registered nurses are professionals in a health care organization who can be delegators. The registered nurses allocate a portion of work related to client care to other individuals. Assistants, technicians, and client care associates in a health care organization can be delegatees. Test-Taking Tip: You have at least a 25% chance of selecting the correct response in multiple-choice items. If you are uncertain about a question, eliminate the choices that you believe are wrong and then call on your knowledge, skills, and abilities to choose from the remaining responses.
Which professionals in a health care organization can be delegators? Assistants Technicians Registered nurses Client care associates
To achieve nursing goals To improve client outcomes The overall purpose of delegation is to achieve nursing goals and improve client outcomes. The delegation process requires decision-making, which involves developing critical judgment skills, understanding the art of delegation, and applying delegation in a clinical nursing practice.
Which purposes support the process of delegation? Select all that apply. One, some, or all responses may be correct. To achieve nursing goals To improve client outcomes To develop critical judgment skills To understand the art of delegation To apply delegation decisions in clinical nursing practice
Licensed practical nurse (LPN) The LPN can be delegated the task of administering oral medications or vaccines. Technicians, PCAs, and certified nursing aides are unlicensed assistive personnel (UAP) who are not appropriate for delegation of tasks such as administering medication or vaccines as per the delegation rights. The scope of practice for UAP providing client care is limited to providing basic care, comfort, and hygiene.
While organizing a community health care program for polio vaccinations, the registered nurse (RN) delegates the task of administering vaccines to members of the health care team. Which health care team member is most suitable to carry out the task? Technician Patient care associate (PCA) Certified nursing aide Licensed practical nurse (LPN)
