Question 1

Which task could be delegated to a licensed vocational nurse (LVN)by a registered nurse (RN)who is working with a LVN and unlicensed assistive personal (UAP)as part of the team?

Accepted Answer

Feeding a patient with dysphagia requires more skill and knowledge about potential complications like aspiration, which an LVN is trained to handle, unlike a UAP.

Question 2

Which statement best reflects a difference between patient assignment and patient supervision?

Accepted Answer

Assignment involves distributing specific tasks or responsibilities to healthcare staff members, focusing on who will deliver particular aspects of patient care. Supervision, on the other hand, encompasses overseeing the entire process of care delivery, ensuring that all aspects of patient care are appropriately managed, monitored, and followed through by the healthcare team.

Question 3

A nurse manager is educating a staff nurse with regard to the five rights of delegation.Which statement by the staff nurse indicates that additional training is needed?

Accepted Answer

The correct delegation of tasks is impacted by client assessment, as the nurse must consider the client's needs and condition before delegating tasks. The other options demonstrate correct understanding of the five rights of delegation.

Question 4

Which factor would be considered to be most critical for its potential impact on leadership- and management-related barriers on delegation in the clinical setting?

Accepted Answer

The answer of Which factor would be considered to be...

Question 5

A registered staff nurse is working with an experienced registered nurse who has transferred from an ambulatory surgical care unit to a medical-surgical unit as a preceptor.Which activity is not appropriate to be delegated by the preceptor?

Accepted Answer

Titration of anticoagulant therapy is a complex nursing activity that requires advanced knowledge and skill. It should not be delegated to a beginner-level nurse. The other activities can be delegated to a registered nurse who has the required competency to perform them.

Question 6

Which elements are critical for a nurse to consider with regard to using delegation in the clinical setting on a medical-surgical unit within a clinical facility? Select all that apply.

Accepted Answer

A nurse must consider the following critical elements when using delegation in the clinical setting on a medical-surgical unit within a clinical facility:

A) Knowledge of state's practice act: It is important for the nurse to know the state's practice act in order to understand the nurse's scope of practice and the parameters within which delegation can occur. The state's practice act defines what tasks and responsibilities can be delegated to other healthcare providers.

C) Assessment of patient acuity: The acuity of a patient determines the level of care that is required. The nurse should delegate tasks based on the patient's level of acuity to ensure that care is provided safely and effectively.

E) Number and type of staff scheduled to work on the unit for that shift: Delegation should be based on the staff's qualifications, availability, and workload. The nurse should consider the number and type of staff available to determine the appropriate tasks to delegate.

B) Number of patient beds in the clinical facility: The number of patient beds is not a critical element for delegation. The nurse should focus on the patient's acuity and the availability and qualifications of the staff for delegation.

D) Whether or not the health-care providers belong to a health maintenance organization (HMO): Whether or not the healthcare providers belong to an HMO is not a critical element for delegation. The nurse should focus on the patient's acuity and the availability and qualifications of the staff for delegation.

Question 7

Which activity should only be performed by a registered nurse (RN)even if there are additional staff members present on a medical-surgical unit,such as licensed practical nurses (LPNs)and unlicensed assistive personnel (UAPs)?

Accepted Answer

The initiation of blood transfusions is a high-risk procedure that requires the knowledge and skills of an RN to assess the patient, select appropriate blood products, and monitor the patient's response during and after the transfusion. LPNs and UAPs may assist with the procedure, but the RN must be responsible for initiating and supervising the transfusion. Tracheostomy care, vital signs, and Foley catheter insertion can be performed by LPNs and UAPs under the supervision of an RN.

Question 8

The nurse manager is having a staff meeting so as to improve patient outcomes in terms of delegation of care.Staffing includes four registered nurses (RNs),three licensed vocational nurses (LVNs),two certified nurse's aides (CNAs),and two unit secretaries.Which observation if noted by the nurse manager would indicate a concern relative to effective delegation?

Accepted Answer

Different views on what needs to be done and by whom can lead to confusion and inefficiency in delegation, ultimately affecting patient outcomes. It is important for all staff to have a clear understanding and agreement on roles, responsibilities, and tasks to ensure effective delegation. The other options, such as openly discussing staffing issues, focusing on quality care, and consistent understanding of policies and procedures, are positive observations and can provide opportunities for improvement.

Quiz 12: Delegating Effectively

Which task could be delegated to a licensed vocational nurse (LVN) by a registered nurse (RN) who is working with a LVN and unlicensed assistive personal (UAP) as part of the team?

Which statement best reflects a difference between patient assignment and patient supervision?

A nurse manager is educating a staff nurse with regard to the five rights of delegation.Which statement by the staff nurse indicates that additional training is needed?

Which factor would be considered to be most critical for its potential impact on leadership- and management-related barriers on delegation in the clinical setting?

A registered staff nurse is working with an experienced registered nurse who has transferred from an ambulatory surgical care unit to a medical-surgical unit as a preceptor.Which activity is not appropriate to be delegated by the preceptor?

Which elements are critical for a nurse to consider with regard to using delegation in the clinical setting on a medical-surgical unit within a clinical facility? Select all that apply.

Which activity should only be performed by a registered nurse (RN) even if there are additional staff members present on a medical-surgical unit,such as licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) ?