Delegation

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

The registered nurse is caring for a client admitted to the hospital with chronic obstructive pulmonary disease. Which assessment by the registered nurse before delegating would help to determine the principle of "right person"?

"Does the nursing assistive personnel (NAP) have the knowledge and expertise to perform the task?"

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."

A nurse is assisting another registered nurse in the intensive care unit who is caring for a client with uncontrolled blood pressure. Which action on the part of the nurse indicates "offering" during delegation decisions?

"You can use this stethoscope and sphygmomanometer to take the blood pressure."

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 component of delegation is suitable to all the members on the healthcare team?

Authority

Which members of the health care team have dependent status under the registered nurse? Select all that apply.

Certified nursing aide Licensed practical nurse Licensed vocational nurse Unlicensed nursing personnel

The registered nurse is caring for an elderly client in the medical unit. The registered nurse wants to transfer the responsibilities and accountability to someone. Who should the registered nurse utilize to fulfill the condition?

Charge nurse

While teaching a nursing student about delegation, the registered nurse instructs the student to determine whether the delegation process is appropriate to the situation before delegating a task. Which right of delegation is the registered nurse referring to?

Circumstance

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)

Which important consideration of the delegator is applicable to the "selling" in Hersey's model?

Delegatee requiring explanation

Which activity performed by the registered nurse (RN) indicates effective supervision of the delegatee?

Guiding the delegatee while he or she is performing the task

An elderly client with periods of confusion underwent surgery and requires assistance for feeding. To which healthcare professional should the registered nurse delegate the task?

Licensed practical nurse

Which action in the delegation process represents accountability?

Monitoring the client care given and determining outcomes

Which strategy should be implemented by the registered nurse (RN) to achieve desirable client outcomes?

Offering

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

The nurse manager is planning to delegate tasks to Unlicensed Assistive Personnel (UAPs). What care can be delegated on a medical-surgical unit to a UAP? Select all that apply.

Performing a bed bath for a client on bed rest Assisting a client who has patient-controlled analgesia (PCA) to the bathroom

The registered nurse is assigned to delegate a task. Which action by the registered nurse indicates the need for correction?

Providing a brief description of the task to the delegatee

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

The registered nurse (RN) delegates a task to a licensed practical nurse (LPN) to take care of the client who underwent a tracheostomy. Which task should be performed by the LPN in this situation?

Providing tracheostomy care using sterile techniques

A client is admitted to the emergency department following a motor vehicle accident. The client's wounds are extensive. Which healthcare team member is best suited to care for this client in the emergency ward?

Registered nurse

The registered nurse is assigning a task to an unlicensed nursing personnel (UNP). Which key elements are considered while assessing the UNP's ability to perform work? Select all that apply.

Safety Stability Critical thinking

Which statements are true regarding the primary nursing care developed by Marie Manthey as a method for organizing client care? Select all that apply.

The associate nurse provides input into the client's plan of care. If the client develops complications, the associate nurse should notify the primary nurse. The registered nurse functions autonomously as the primary nurse throughout the client's hospital stay.

While delegating a task, the registered nurse says to the delegatee, "Please tell me how you go about performing this procedure, and I will share with you my perspective about how frequently and under what conditions we need to communicate with and report to each other." What does this indicate?

The delegatee and delegator are creating mutual expectations.

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 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.

Which statement of the nurse is true regarding Hersey's Situational Leadership Model?

The situational leadership model provides a solid foundation for delegation decisions.

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 client is admitted to the medical unit with a diagnosis of pulmonary edema. The client care is assigned to the registered nurse (RN) by the charge nurse. The RN admits and provides a written plan and assigns the client to a licensed practical nurse. Which healthcare personnel is accountable and responsible for the client if there is development of any complications in the client?

Registered nurse

A registered nurse teaches a student nurse about delegation. Which statement made by the student nurse indicates appropriate learning?

"Licensed practical nurses can be expected to perform tasks with which they have experience."

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 nursing assistant is working with a delegator. Which action of the nursing assistant may negatively affect client care management?

Performing the same tasks as the delegator

The registered nurse orders unlicensed nursing personnel (UNP) to check blood oxygen saturation levels every 6 hours and to report the results regularly. Which activity is the registered nurse performing in this situation?

Active delegation

The registered nurse (RN) is caring for a client with severe diarrhea. Which task of the client care plan can be safely delegated to the unlicensed assistive personnel (UAP) by the registered nurse?

Administration of oral replacement fluids

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

The registered nurse is caring for a client with peptic ulcers and dysphagia. Which task does the RN exclude while delegating the care of a client with peptic ulcers and dysphagia to an unlicensed assistive personnel (UAP)?

Assisting the client in administering the medications

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

Correct1.Assessing the situation Correct2.Determining the care plan Correct3.Directing the unlicensed assistive personnel (UAP) to perform the task Correct4.Monitoring the client

Which beliefs may be associated with a registered nurse's failure to delegate tasks? Select all that apply.

Delegation is too time consuming. More energy is required to delegate others. The registered nurse will not receive credit for total client care.

Which intervention should the charge nurse perform to manage a task when the unlicensed nursing personal (UNP) is lacking competence?

Provide additional support and temporarily lower expectations.

Which activity performed by the registered nurse (RN) indicates following the "participating" leadership style in Hersey's model?

Establishing mutual expectations with the delegatee

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