NMNC 4320 - Collaboration

Which questions would the delegator assess to determine the right task? Select all that apply. One, some, or all responses may be correct. 1 "Is the task legally appropriate to delegate?" 2 "Is the environment conducive to completing the task safely?" 3 "Does the delegator provide clear and concise directions for the task?" 4 "Is the task appropriate to delegate based on institutional policies and procedures?" 5 "Does the delegatee have the knowledge and experience to perform the specific task safely?"

1 "Is the task legally appropriate to delegate?" 4 "Is the task appropriate to delegate based on institutional policies and procedures?"

Which component of delegation is the ability to perform duties in a specific role? 1 Authority 2 Responsibility 3 Accountability 4 Legal authority

1 Authority

The registered nurse is caring for a client in the medical unit. The registered nurse wants to transfer the responsibilities and accountability to another individual. Whom would the registered nurse use to accomplish this task? 1 Charge nurse 2 Nursing assistant 3 Licensed vocational nurse (LVN) 4 Unlicensed assistive personnel (UAP)

1 Charge nurse

How can the nurse evaluate the effectiveness of communication with a client? 1 Client feedback 2 Medical assessments 3 Health care team conferences 4 Client's physiological responses

1 Client feedback

Which failure is consistent with an improper follow-through on the part of a delegatee? 1 Failure to report results and findings 2 Failure to understand the skills and abilities 3 Failure to provide clear and concise directions 4 Failure to cooperate with the other team members

1 Failure to report results and findings

The registered nurse (RN) delegates a task to the licensed practical nurse (LPN). Which action would the RN take if the LPN executes the task improperly? 1 Provide constructive feedback. 2 Engage in a verbal attack on the delegatee. 3 Express satisfaction with the LPN's execution of the task. 4 Ignore the problem for now but stop considering the LPN for further delegation.

1 Provide constructive feedback.

Which strategy of the nurse leader regarding the quality improvement (QI) process requires revising? 1 The focus is on correcting errors. 2 The task includes staff development. 3 The leader involves the interprofessional team. 4 Outcomes are set with input from clients and staff.

1 The focus is on correcting errors.

Which quality is the most important tool the nurse brings to the therapeutic nurse-client relationship? 1 The self and a desire to help 2 Knowledge of psychopathology 3 Advanced communication skills 4 Years of experience in psychiatric nursing

1 The self and a desire to help

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. 1 The task is within the nurse's scope of practice. 2 The task may be performed with a predictable outcome. 3 Agency policies and protocols are available for the task or activity. 4 The task is performed according to an established sequence of steps. 5 NAP have the appropriate knowledge, skills, and abilities required to complete the task.

1 The task is within the nurse's scope of practice. 2 The task may be performed with a predictable outcome. 3 Agency policies and protocols are available for the task or activity. 4 The task is performed according to an established sequence of steps. 5 NAP have the appropriate knowledge, skills, and abilities required to complete the task.

Which is an example of an independent nursing intervention? 1 Preparing a client for endoscopy 2 Coordinating with an x-ray technician for imaging 3 Starting an intravenous line for a blood transfusion 4 Keeping edematous lower extremities elevated on pillows

4 Keeping edematous lower extremities elevated on pillows

The nurse is preparing to teach a client about self-injection of insulin. Which action by the nurse will increase the effectiveness of the teaching session? 1 Wait until a family member is also present. 2 Assess the client's barriers to learning self-injection techniques. 3 Begin with simple written instructions describing the technique. 4 Wait until the client has accepted the new diagnosis of type 1 diabetes mellitus.

2 Assess the client's barriers to learning self-injection techniques.

Which steps listed by the nursing student are accurate regarding discharge planning? Select all that apply. One, some, or all responses may be correct. 1 "Plan the client's discharge at the time of leaving the hospital." 2 "Teach the client the safe and effective use of medications and medical equipment." 3 "Remember that discharge planning is a centralized, coordinated, interdisciplinary process." 4 "Coordinate with the primary health care provider only when preparing discharge planning." 5 "Develop a care plan that moves the client from the hospital to another level of health care."

2 "Teach the client the safe and effective use of medications and medical equipment." 3 "Remember that discharge planning is a centralized, coordinated, interdisciplinary process." 5 "Develop a care plan that moves the client from the hospital to another level of health care."

Which psychophysiological factors influence communication between the nurse and a client? Select all that apply. One, some, or all responses may be correct. 1 Privacy level 2 Emotional status 3 Information exchange 4 Level of caring expressed 5 Growth and development

2 Emotional status 5 Growth and development

Which statement(s) are true regarding delegation? Select all that apply. One, some, or all responses may be correct. 1 The delegatees are accountable for effective client care. 2 Open lines of communication must occur between delegator and delegatee. 3 Delegation occurs only when at least two people are involved in a mutual work situation. 4 The delegation potentials are significantly lower when caregivers such as unlicensed nursing personnel (UNP) are partnered. 5 Delegation involves sharing activities with other health team members who have the authority to accomplish the work.

2 Open lines of communication must occur between delegator and delegatee. 3 Delegation occurs only when at least two people are involved in a mutual work situation. 5 Delegation involves sharing activities with other health team members who have the authority to accomplish the work.

To minimize error during intravenous (IV) administration of antibiotics, the legal authority advises the delegatee to wear a colored vest that says, "Do not disturb! Medication administration in process." Which delegatee is appropriate to follow the advice of the legal authority? 1 Nursing aide 2 Registered nurse (RN) 3 Patient care associate (PCA) 4 Licensed vocational nurse (LVN)

2 Registered nurse (RN)

The delegator explains the procedure of the task to the delegatee and asks the delegatee to provide feedback after the task has been completed. Which delegation "right" is the delegator referring to in this situation? 1 The right person 2 The right supervision 3 The right circumstances 4 The right communication

2 The right supervision

Which is the role of a case manager in a health care organization? 1 To delegate work on the unit suitably 2 To follow up with the client after discharge 3 To provide direct care for the client at the bedside 4 To unite the strategic direction of the organization

2 To follow up with the client after discharge

The nurse realizes that a double dose of insulin was administered to the client by mistake and informs the primary health care provider. Which element of the decision-making process is reflected in the nurse's action? 1 Authority 2 Autonomy 3 Accountability 4 Responsibility

3 Accountability

Which is the most effective professional leadership and management strategy nurses implement to improve safety and quality of patient-centered care? 1 Autonomy 2 Guidance 3 Delegation 4 Accountability

3 Delegation

Which distinguishes evidence-based practice from quality improvement? 1 Evidence-based practice is a part of a regular clinical practice. 2 Evidence-based practice aims to improve client care and outcomes. 3 Evidence-based practice focuses on the implementation of evidence already known into practice. 4 Evidence-based practice consists of internal funding and can be conducted by practicing nurses.

3 Evidence-based practice focuses on the implementation of evidence already known into practice.

The registered nurse (RN) is teaching the newly hired nurse about active delegation. Which statement made by the newly hired nurse indicates the need for further teaching? 1 "I will evaluate the client's pain status." 2 "I will assess the client's laboratory findings." 3 "I will instruct unlicensed assistive personnel [UAP] to wash the client." 4 "I will instruct the licensed vocational nurse [LVN] to administer intravenous [IV] medications."

4 "I will instruct the licensed vocational nurse [LVN] to administer intravenous [IV] medications."

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? 1 "The delegatee would report the findings back to the delegator." 2 "The delegatee would understand the assigned task completely." 3 "The delegator would trust the delegatee to accomplish the task." 4 "The delegator would recheck and redo the work of the delegatee."

4 "The delegator would recheck and redo the work of the delegatee."

Which intervention related to restraint use is appropriate to delegate to nursing assistive personnel (NAP)? Select all that apply. One, some, or all responses may be correct. 1 Appropriate use of restraints 2 Determination of the need for restraints 3 Assessment of the client's behavior 4 Routine checks of the client while in restraints 5 Orientation of the client to the environment

4 Routine checks of the client while in restraints