BIOLOGY 265 Deleg.pdf
The registered nurse assigned a task to unlicensed nursing personnel (UNP). The UNP observed a
change when measuring a client’s
... [Show More] blood pressure. What is the responsibility of the UNP in this situation?
1
Which description by the nurse is a correct explanation of delegation?
1
Which right is applicable when the delegator and delegatee understand a common workrelated
language?
4
Which of these clients can be provided care safely by unlicensed nursing personnel? Select all that
apply.
34
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?
4
Which description by the nurse is a correct explanation of delegation?
The transfer of responsibility for the performance of an activity
Delegation is the transfer of responsibility for the performance of an activity.
Personal liability defines each person's responsibility and accountability for
individual actions or omissions. Supervision is defined as the active process
of directing, guiding, and influencing the outcome of an individual.
Assignment is the transfer of both the accountability and the responsibility
from one person to another.
When does a delegator identify that the delegatee is less able to perform in a
given situation?
When the delegatee is knowledge deficient
A delegatee is identified as less able to perform a specific work when he or
she has a knowledge deficit. When the delegatee is upset, bored, or anxious,
the delegator will identify that the delegatee is unwilling to perform a
specific task.
Who is most accountable for an initial assessment and the ongoing
evaluation of client care?
Registered nurse
Registered nurses are accountable for initial assessment and the ongoing
evaluation of client care. The client is not responsible for assessment and
evaluation. The licensed practical nurse has a responsibility to assess and
report client care. Unlicensed nursing personnel perform tasks as delegated
by the registered nurse.
Who acts as a delegator in the absence of the registered nurse?
Charge nurse
The charge nurses act as a delegator on the basis of knowledge and
experience in clinical settings. In the absence of a registered nurse, the
charge nurse usually delegates the tasks. A patient care associate assists
and monitors vital signs. Licensed practical nurses and unlicensed nursing
personnel are considered delegatees due to insufficient experience and
training.
What is the main motto of the Hersey's 2006 model?
Situational leadership
Hersey's 2006 model provides a solid foundation for delegation decisions.
The main motto of this model is situational leadership. The core
competencies of a situational leader are the ability to diagnose the
performance, competence, and commitment of others; to be flexible; and to
partner for performance. Anthony and Vidal describe characteristics of
communication that interfere with the delegation process, such as
information decay. They also describe information salience, or the quality,
meaning, and clarity of the information. Ana mentioned individual
accountability, the expectation of accountability and responsibility in 2011,
specifically referencing delegation.
The healthcare team is caring for a client who has undergone surgery for
lung cancer. The client needs respiratory therapy. Which task can be safely
delegated to a respiratory therapist paired with a registered nurse?
Assessing the respirations
Respiratory therapy is needed in clients who undergo surgery for lung
cancer. Assessing respiration can be safely delegated to the respiratory
therapist. Placing a Foley catheter, an IV catheter, or administering patientcontrolled analgesia is within the scope of a registered nurse's practice.
Which healthcare professional does the nurse know is authorized to delegate
work to other healthcare members?
Registered nurse (RN)
Delegating work is the most effective professional management strategy that
an RN can implement in clinical practice to improve the safety and quality of
client care. RNs can delegate work to LPNs, UNP, or UAP.
The registered nurse is organizing a community health care program for
administering tetanus vaccinations. Which member of the health care team
is most suitable for delegating the task of administering vaccinations?
Licensed practical nurse
Tetanus vaccination is administered through the intramuscular route. The
licensed practical nurse can administer oral, topical, and intramuscular
medications, except for intravenous. The nursing aide, certified technician,
and patient care associate are unlicensed assistive personnel whose scope of
practice is limited for administering medications [Show Less]