4/8 Delegation

Which of these is not one of the cultural elements to consider when delegating to a culturally diverse staff? a) time b) space c) religion d) social organization

c) religion

Elements that affect the nurse leader's ability to properly delegate to members of the diverse work force include which of the following? a) social benefits b) socializing c) social organization d) social responsibility

c) social organization

T/F: The nurse leader should respond to resistance of authority in a calm but firm fashion.

T

T/F: Delegation by a licensed professional such as an RN to a UAP can assist with time management if done correctly.

True

T/F: The nurse leader understand when delegating, subordinate resistance should never occur among staff members.

F

A patient on a neuro unit just returned from surgery, requires neuro checks q1h. The nurse is too busy and delegates it to a UAP. What error is this? a) delegating the wrong time b) improper delegating c) over-delegating d) under-delegating

b) improper delegating

A new nurse leader delegates to staff. What criteria should be followed? (SATA). a) right circumstance b) right person c) right communication d) right time e)right level of supervision f)right task

a) right circumstance b) right person c) right communication e)right level of supervision f)right task

T/F: It is not imperative for nurse leaders to understand how to delegate to a diverse workforce because all health care workers receive similar training

F

T/F. It is the charge nurses responsibility to effectively delegate to provide the right direction and communication for the delegated task for the staff nurses.

False

A nurse leader identifies that a competent RN is incapable of completing a task that falls within the RN scope of practice. The RN's inability is due to lack of training. Which of the following actions should the nurse leader take next? a) assign a mentor or coach to the RN to achieve competence b) delegate a different task to the RN C) cease delegating to this particular RN d) suggest the RN transfer to another place of work

a) assign a mentor or coach to the RN to achieve competence

The diversity in current health care work force affects how each member approach specific assigned goals which influences completion of delegated tasks. This is thought to be related to the a) differences in approach to task relation to priority setting b) differences in approach to task relation to day or night shift preferences c) differences in approach to task relation to gender differences D) differences in approach to task relation to religious preferences

a) differences in approach to task relation to priority setting

Which are delegation errors (SATA)? a) failure to provide clear directions b) failure to release control of the task c) failure to delegate d) failure to provide adequate directions e)failure to follow up

a) failure to provide clear directions b) failure to release control of the task c) failure to delegate d) failure to provide adequate directions e)failure to follow up

A GN who was new to a unit was caring for an elderly client. The physician on call ordered a treatment that the nurse had not heard of. The nurse should a) inform the physician of the nurse's lack of education and experience and refuse to do the treatment without supervision b) inform the physician of the nurse's lack of education and experience and then proceed to perform the treatment c) refuse to perform the treatment d) carry out the treatment to the best of the nurse's ability

a) inform the physician of the nurse's lack of education and experience and refuse to do the treatment without supervision

A nurse manager is considering delegating an important task. What steps in delegation process should the manager take? (SATA) a) monitor person until task is done b) train person delegated for task c) ask for volunteers d) communicate time frame e) communicate what task is

a) monitor person until task is done b) train person delegated for task d) communicate time frame e) communicate what task is

What action can a nurse take to ensure that when delegating to UAP, creativity and independent thinking is encouraged for task completion? a) provide consistent and constructive feedback b) assign the same routine tasks c) be sure the task is completed the nurses way d) have the UAP report to the nurse several times

a) provide consistent and constructive feedback

A nurse is to provide an in service training on cultural factors that influence delegation and enhance nursing care. Which step to acquiring cultural competence does the nurse determine will involve learning how to read verbal and nonverbal messages? a) identifying biases in ones own self b) becoming culturally aware c) learning specific communication strategies d) interacting with different cultures

c) learning specific communication strategies

A nurse is planning to delegate tasks to members of a transcultural team. Which tasks would the nurse consider environmental control when delegating to these members? (SATA) a) routine tasks that are done every day b) tasks with a degree of predictability requiring independent thinking to accomplish c) tasks that require direct supervision d) tasks that are ambiguous e) tasks that require imagination, vision, and strategic planning

a) routine tasks that are done every day b) tasks with a degree of predictability requiring independent thinking to accomplish e) tasks that require imagination, vision, and strategic planning

A nurse is struggling with time management and thinks it might help alleviate stress and strengthen leadership skills if some tasks were delegated to a UAP. What would be important for the nurse to consider? (SATA) a) what can and cant be delegated safely b) if the UAP wants to c) qualifications d) money e) whose turn it is

a) what can and cant be delegated safely c) qualifications

A nurse manager has high turnover rates of the assistant manager position. The current AM states "I may not be the right fit. I can't keep up with the amount of work and delegated task." What error is the manager making? a) not delegating b) improper delegating c) over-delegating d) under-delegating

c) over-delegating

A charge nurse is delegating to an LPN. What would be improper delegation for a charge nurse to delegate? a) the CN and person to whom the task is delegated exchange regular updates on task b) employee is given highly detailed exact instructions to complete the task c) momentary authority is given to support completion of the delegated task d) the person to whom the task is delegated considers it a challenge

b) employee is given highly detailed exact instructions to complete the task

The nurse delegates to a UAP. After, the UAP informs the nurse that the task is complete. What is the appropriate action taken by the nurse? a) redo the task if not acceptable b) evaluate the outcome of task c) inform UAP that you will confirm that work is complete d) no further action

b) evaluate the outcome of task

A nurse is planning to delegate tasks to the transcultural team. What situation would be considered appropriate delegation to the team members? (SATA) a) delegating a task that requires educating a hard of hearing patient to a nurse who is shy and reserved as a result of her cultural tradition b) holding a negative performance eval in private for a nurse whose cultural tradition puts emphasis on avoiding "losing face" c) giving a task that requires independent thinking to a nurse who believes in an internal locus of control a a result of her cultural tradition d) delegating a task that requires calming a hysterical patient and family to a nurse who is uncomfortable with touch as a result of her culture e) delegating the interviewing of a reticent patient to a nurse who is outgoing and inquisitive as a result of her cultural tradition

b) holding a negative performance eval in private for a nurse whose cultural tradition puts emphasis on avoiding "losing face" c) giving a task that requires independent thinking to a nurse who believes in an internal locus of control a a result of her cultural tradition e) delegating the interviewing of a reticent patient to a nurse who is outgoing and inquisitive as a result of her cultural tradition

The nurse informs the nurse leader that it is beneficial to delegate more to a UAP but the nurse leader is reluctant, stating "whenever I do, they always come back with so many questions. I need them to just do it!" What delegation error is this a) delegating the wrong task b) improper delegating c) over-delegating d) under-delegating

b) improper delegating

A charge nurse has delegated specific tasks to the team and feels as though one of the nurse is resistant to the task delegated. What might be reasons that the nurse is resistant? (SATA) a) the task is well communicated b) the nurse feels overloaded c) the nurse feels incapable d) the task has a specific time frame e) the nurse has an inherent resistance to authority

b) the nurse feels overloaded c) the nurse feels incapable e) the nurse has an inherent resistance to authority

A nurse manager determines that a nurse on the team comes from a future oriented culture . What task may be best delegated to this nurse? a) overseeing the daily stocking of supplies b) working on a strategic team plan for the unit c) making assignments for the unit for the day d) performing a retrospective study on infection rates on the unit

b) working on a strategic team plan for the unit

The nurse is making the assignments for the floor. There is one LPN and three RNs. Which should be assigned to the LPN? a) a client intubated and a newly diagnosed diabetic b) a recent ICU transfer and a person with AIDS c) a client awaiting a nursing home bed and a client with one-day post hernia repair d) a new admission for cholecystectomy and a client one-day post-op mastectomy

c) a client awaiting a nursing home bed and a client with one-day post hernia repair

A new nurse from a foreign country is training in the surgical unit. After working and meeting with the nurse, the charge nurse observes that there is a discomfort in making eye contact while speaking. What task would the charge nurse avoid delegating to this nurse? a) obtaining blood for transfusion b) inserting an indwelling catheter c) educating a patient and ensuring full understanding d) starting an IV prior to a patient going to surgery

c) educating a patient and ensuring full understanding

In order to determine what not to delegate, the nurse needs an in depth understand of a) patient privacy act b) legal issues c) informed consent d) NPA

d) NPA

The charge nurse is preparing to delegate to a UAP. What is the first action before delegating? a) ask which UAP is interested b) determine if enough time to supervise c) determine who would be best person for the task d) determine whether the task is within the scope of a UAP

d) determine whether the task is within the scope of a UAP

Which creates potential for successful delegation emphasized by NCSBN? a) monitoring difficult task very closely b) determining how to monitor and supervise c) evaluating different tasks very closely d) effective communication

d) effective communication

A charge nurse is delegating to a staff member who is resistant to authority. After delegating a task to the staff member, what action should she have the staff member do to ensure completion? a) submit a progress report b) decide the best time to complete the task c) follow the directions exactly d) ensure the staff member has a voice in how the task is completed

d) ensure the staff member has a voice in how the task is completed

A member of a nursing team reports that being given too much to do, and that the member will not be able to complete the work on time. What action will the RN take to effectively manage this situation? a) have the team member perform only the necessary tasks b) assign the work to another team member c) take on the responsibility of the tasks d) examine the workload and assist the individual in reprioritizing

d) examine the workload and assist the individual in reprioritizing

A charge nurse has delegated a task to a UAP. When the nurse is met with resistance, what is the best action? a) ask someone else to do it b) report the staff member to the NM c) just complete the task d) meet with the person to find out why the task was not completed

d) meet with the person to find out why the task was not completed

The RN arrives at work and is told to report to the ICU for the day because the ICU is understaffed and needs additional nurses. The nurse has never worked in the ICU. The nurse should take which action first? a) call the hospital lawyer b) refuse to float to the ICU c) call the nursing supervisor d) report to the ICU and identify tasks that can be performed safely​

d) report to the ICU and identify tasks that can be performed safely​

The nurse is supervising a newly trained CNA. An adult patient has just arrived on the unit after surgery. Which of the following is the most appropriate task for the nurse to assign to the CNA and under what type of supervision? a) taking the client VS while the nurse watches b) suctioning the trach and reporting back to the nurse c) changing the client's post-op surgical dressing then describing it to the nurse d) testing the urine with a reacting strip and recording and reporting the results

d) testing the urine with a reacting strip and recording and reporting the results

The nurse delegates a task to an incompetent individual. Who is held accountable? a) it depends on the situation b) the individual who was delegated to c) both d) the nurse delegator

d) the nurse delegator

A new clinical nurse is leaving work feeling overwhelmed and not completing tasks. What delegation error? a) not delegating b) improper delegating c) over-delegating d) under-delegating

d) under-delegating