Question 1

A specific decision made by the RN about who can perform what tasks is referred to as which of the following?

Accepted Answer

Direct delegation refers to the specific decisions made by the RN (Registered Nurse) about who can perform certain tasks, ensuring that tasks are assigned to appropriate personnel based on their qualifications and the needs of the patient.

Question 2

Reviewing the medication sheet to make sure the LPN was giving medications on time is an example of which process?

Accepted Answer

Indirect observation involves reviewing records or documentation to ensure tasks are being completed correctly, such as checking a medication sheet for timely administration.

Question 3

The obligation or willingness to be answerable for one's own actions and/or the actions of another, particularly when there is assignment or delegation of tasks, is referred to as which of the following?

Accepted Answer

Accountability refers to the obligation or willingness to be answerable for one's own actions and/or the actions of another, especially when tasks are assigned or delegated.

Question 4

Which process includes the concept of a person being able to or authorized to take actions or make decisions independently, particularly when he or she is in charge of other individuals, by assuring that what the other individuals are doing is correct and safe?

Accepted Answer

The answer of Which process includes the concept of a...

Question 5

Which of the following is a skill that may be performed by LPNs and LVNs?

Accepted Answer

LPNs and LVNs are trained to provide care for clients with chronic conditions, under the supervision of registered nurses or physicians. They monitor the patient's condition, administer medications, and provide basic patient care.

Question 6

The art of which process requires that the supervising RN use direct and indirect observations of how well the member is providing safe, high-quality, and timely patient care?

Accepted Answer

The answer of The art of which process requires that...

Question 7

The consensus among many experts is that which of the following is really a form of covert institutional licensure?

Accepted Answer

Indirect delegation is often considered a form of covert institutional licensure because it involves assigning responsibilities or tasks to individuals or entities without direct oversight, effectively granting them a license to operate within certain parameters set by the delegating institution. This can bypass more formal licensure processes, making it a subtle way of granting operational permissions.

Question 8

Which of the following refers to the duty of a person, as a reasonable and prudent member of a particular group by training or licensure, to complete tasks and assignments that are within his or her power, control, and authority?

Accepted Answer

Responsibility refers to the duty of a person to complete tasks and assignments within their power, control, and authority, especially as it pertains to roles defined by training or licensure. This concept emphasizes the obligation to perform duties and tasks that one is expected to handle based on their position or role within a specific group or profession.

Question 9

Which process takes away almost all of the authority of the RN to delegate personnel tasks yet holds the RN still accountable for the safe completion of the task under the doctrines of respondeat superior and vicarious liability?

Accepted Answer

Indirect delegation involves assigning tasks to someone who then delegates those tasks to others. In this process, the RN has minimal control over who ultimately performs the task, yet remains legally responsible for its outcome due to the principles of respondeat superior (an employer is responsible for the actions of employees performed within the course of their employment) and vicarious liability (a party can be held liable for the negligent actions of another). This significantly reduces the RN's authority to delegate tasks directly.

Question 10

Ensuring that an LPN is changing a dressing properly is an example of which process?

Accepted Answer

Direct observation involves watching a task being performed to ensure it is done correctly, which applies to ensuring an LPN changes a dressing properly.

Question 11

Which of the following actions can never be delegated?

Accepted Answer

Accountability cannot be delegated because it involves being answerable for the outcomes of tasks or assignments. While tasks and responsibilities can be assigned to others, the ultimate accountability for the results remains with the person who delegated the work.

Question 12

Which legislative act began a major movement in the United States away from a disease-based health-care system and toward a health and wellness model of care?

Accepted Answer

The Affordable Care Act (ACA), enacted in 2010, significantly shifted the focus of the U.S. healthcare system towards a more holistic approach, emphasizing prevention, wellness, and the management of chronic diseases, rather than solely treating illnesses as they occur.

Question 13

The allocation of tasks that each staff member is already authorized to perform during a given shift is referred to as which of the following?

Accepted Answer

Assignment refers to the allocation of specific tasks or duties to staff members that they are already authorized to perform during their shift. This process involves distributing work among team members based on their qualifications, skills, and availability.

Question 14

Which health-care professionals are held to the same standards as RNs when it comes to delegating and making assignments?

Accepted Answer

Advanced practice nurses (APRNs) are held to the same standards as registered nurses (RNs) when it comes to delegating and making assignments, as they have advanced education and training.

Question 15

The process whereby a nurse directs another health-care team member to perform specific nursing tasks, procedures, and activities that are beyond the person's traditional role and are not routinely performed by that person is referred to as which of the following?

Accepted Answer

Delegation involves directing another team member to perform tasks that are beyond their traditional roles, which they do not routinely perform, and which the delegator remains accountable for.

Quiz 15: Delegation in Nursing