EAQ 3 Supervising and Delegation

The RN and unlicensed assistive personnel (UAP) have been working together for 2 years. Which statement made by the RN would be appropriate after delegating a task to the UAP? A. "Let me tell you how to do this task" B. "You know what to do and when to report" C. "Please tell me how you are going to perform this procedure" D. "It is important that you check the client's temperature every hour"

B. "You know what to do and when to report"

The RN is teaching the student nurse about the concepts of delegation. Which response given by the student nurse indicates the need for further teaching? A. Delegation always involves two individuals B. Delegation is the transfer of accountability while retaining responsibility C. Delegation is an important strategy for client safety and quality of client care D. Delegation has five rights that should be followed in the process of delegation.

B. Delegation is the transfer of accountability while retaining responsibility

Which statement is true regarding delegation? A. The delegatees are accountable for effective client care B. Open lines of communication must occur between delegator and delegatee C. Delegation occurs only when at least two people are involved in a mutual work situation D. The delegation potentials are significantly lower when caregivers such as UNPs are partnered E. Delegation involves sharing activities with other appropriate authority to accomplish the work.

B. Open lines of communication must occur between delegator and delegatee C. Delegation occurs only when at least two people are involved in a mutual work situation E. Delegation involves sharing activities with other appropriate authority to accomplish the work

Which statement is true regarding delegation? A. The delegatees are accountable for effective client care. B. Open lines of communication must occur between delegator and delegatee. C. Delegation occurs only when at least two people are involved in a mutual work situation. D. The delegation potentials are significantly lower when caregivers such as UNPs are partnered E. Delegation involves sharing activities with other appropriate authority to accomplish the work.

B. Open lines of communication must occur between delegator and delegatee C. Delegation occurs only when at least two people are involved in a mutual work situation. E. Delegation involves sharing activities with other appropriate authority to accomplish the work.

The RN is caring for a client who underwent brain surgery. The RN delegated the task of assisting the client w/ ambulation to the LPN. Who is accountable for the client's care? A. Charge nurse B. RN C. LPN D. PCP

B. RN

The registered nurse (RN) is planning to delegate various tasks. Which actions would the RN take when delegating tasks appropriately? A. Avoid communication w/ the delegatee B. Select an experienced nurse as a delegatee C. Ask open-ended questions tp the delegatee D. Provide constructive feedback to the delegatee E. Select a delegatee with similar strengths as those of the delegator

B. Select an experienced nurse as a delegatee C. Ask open-ended questions to the delegatee D. Provide constructive feedback to the delegatee

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? A. "I should identify priorities." B. "I should specify deviations." C. "I should provide examples of each delegation." D. "I should specify any performance limitations to the delegatee."

C. "I should provide examples of each delegation."

The RN is evaluating the statements of the student nurse after teaching about delegation. Which statement made by the student nurse indicates a need for correction? A. "Delegation is merely sharing a set of functions." B. "Delegation ensures quality client care outcomes." C. "Professional aspects of care can also be delegated." D. "The final accountability of a task remains with the delegator."

C. "Professional aspects of care can also be delegated."

The RN is caring for a client admitted with leg paralysis and an inability to walk. Which intervention by the RN indicates correct active delegation? A. The RN assessing the client's diagnostic and laboratory findings B. The RN administering an intravenous (IV) calcium gluconate injection C. Instructing the licensed practical nurse (LPN) to report client's vital signs D. Delegating the LPN to administer vitamin B12 injection E. Asking unlicensed nursing personnel (UNP) to administer oral vitamin D3

C. Instructing the licensed practical nurse (LPN) to report client's vital signs D. Delegating the LPN to administer vitamin B12 injection

The RN delegates the task of caring for a client with a leg fracture to a licensed practical nurse (LPN) and asks the LPN to report back if any issues arise. Which approach is the RN taking as a delegator in this instance? A. Providing supervision B. Providing explanation C. Providing little guidance D. Establishing mutual expectations

C. Providing little guidance

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." Which explanation can be inferred about the delegatee? A. The delegatee has expertise and an established relationship with the delegator B. The delegatee has limited knowledge and ability to perform the task C. The delegatee has willingness and ability, but the relationship is new D. The delegatee has an established relationship with the delegator, but a new task has been delegated

C. The delegatee has willingness and ability, but the relationship is new

The registered nurse (RN) teaches the student nurse about delegation. Which statement made by the student nurse indicates appropriate learning? A. "Licensed practical nurses (LPNs) are accountable for the tasks they perform" B. "Complete client care can be delegated to the LPN" C. "Professional aspects of care can be carefully delegated to the LPN" D. "LPNs can be expected to perform tasks with which they have experience"

D. "LPNs can be expected to perform tasks with which they have experience"

The registered nurse is evaluating the statements made by a student nurse after teaching ways to make appropriate delegation decisions. Which statement made by the student nurse indicates a need for correction? A."The delegatee should report the findings back to the delegator." B. "The delegatee should understand the assigned task completely." C. "The delegator should trust the delegatee to accomplish the task." D. "The delegator should recheck and redo the work of the delegatee."

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

After assessing the delegatee's inability to perform an assigned task, the delegator explains the procedure and demonstrates the task to the delegatee. Which response can be inferred about the delegatee? A. The delegatee may have limited knowledge and ability to perform the task B. The delegatee has an established relationship with the dlegator and expertise C. The delegatee has the willingness and ability, but the relationship with the delegator is new D. The delegatee may have an ongoing relationship with the delegator, but a new task is assigned

D. The delegatee may have an ongoing relationship with the delegator, but a new task is assigned

Which questions would the delegator assess to determine the right task? A. "Is the task legally appropriate to delegate?" B. "Is the environment conducive to completing the task safely?" C. "Does the delegator provide clear and concise directions for the task?" D. "Is the task appropriate to delegate based on institutional polices and procedures?" E. "Does the delegatee have the knowledge and experience to perform the specific task safetly?"

A. "Is the task legally appropriate to delegate?" D. "Is the task appropriate to delegate based on institutional policies and procedures?"

Which conditions can be met through the process of delegation? A. Achievement of nursing goals B. Improvement in client outcomes C. Development of critical judgement skills D. Understanding the art of delegation E. Application of delegation decision-making in clinical nursing practice

A. Achievement of nursing goals B. Improvement in client outcomes

Which of the nurse's statements are true regarding delegation? A. Delegation is a complex process B. Delegation involves a single individual to achieve goals C. Delegation involves transfer of responsibility and accountability D. Delegation improves client care outcomes E. Delegation includes delegatees who allocate a portion of work to others

A. Delegation is a complex process D. Delegation improves client care

Which beliefs may be associated with a RN's failure to delegate tasks? A. Delegation is too time consuming B. More energy is required to delegate others C. The RN will not receive credit for total client care D. Delegation minimizes the contribution of the delegator for client care E. Delegation requires complete transfer of accountability for final client care

A. Delegation is too time consuming B. More energy is required to delegate others C. The RN will not receive credit for total client care

The delegatee is performing a task and in the process loses confidence during the task. Which delegator's action may have contributed to the delegatee's loss of confidence? A. Intervening when the delegatee is performing the task B. Providing feedback about the work performed C. Communicating with the delegatee about the work being performed D. Stating that the task should be completed by a specified time

A. Intervening when the delegatee is performing the task

Which statement is correct regarding delegation? A. It involves transfer of authority B. The delegator retains accountability for the outcome C. The delegatee retains accountability for the outcome. D. It is the transfer of both responsibility and accountability. E. Principles of delegation outline what nurses need to know about the task.

A. It involves transfer of authority B. The delegator retains accountability for the outcome E. Principles of delegation outline what nurses need to know about the task.

Which conditions make a delegation more challenging for the registered nurses, delegatees, and clients? A. Limited resources B. More staff availability C. More client care time D. Greater geographical area E. Vulnerable populations receiving care

A. Limited resources D. Greater geographical area E. Vulnerable populations receiving care

Before assigning a task, the registered nurse makes sure that the prospective delegatee is willing to complete the task. Which delegation right does this situation reference? A. Person B. Supervision C. Circumstance D. Communication

A. Person

Which beliefs or situations are barriers to effective delegation by the RN? A. The nurse believes delegation is too time-consuming B. The nurse lacks confidence in the delegatee's abilities C. The nurse overburdens the delegatee with too many tasks D. The nurse understands the delegatee's level of competence E. The nurse determines delegation is appropriate for the situation

A. The nurse believes delegation is too time-consuming B. The nurse lacks confidence in the delegatee's abilities C. The nurse overburdens the delegatee with too many tasks

Which challenges are faced by a healthcare team member in the process of delegation? a. Limited resources b. Large geographical area c. Time-saving considerations d. Vulnerable populations receiving care e. Provision of assistance with activities of daily living

a. Limited resources b. Large geographical area d. Vulnerable populations receiving care

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? A. Task B. Person C. Supervision D. Circumstance

d. Circumstance