Exam 26: Delegation An Art of Professional Nursing Practice

You ask Evelyn,a new UNP,to check what is left in Mrs.N.'s inhaler when Evelyn makes visits to Mrs.N.and also to check whether Mrs.N.is receiving any positive effect from the medication.Evelyn reports for 3 weeks that Mrs.N.is using the inhaler and that there is enough medication left in the device.The day of her last visit to Mrs.N. ,Mrs.N.is admitted to the hospital in severe respiratory distress.When she is admitted,she tells the physician that she has not been using the inhaler for 4 weeks.Determination of Evelyn's educational preparation and certification is related to the concept of:

An example of a care activity that would likely not be delegated by an RN to a UNP is (select all that apply):

Which of the following exemplifies accountability? Karen,the nurse manager on 5E:

The day shift nurse asks an LPN/LVN to complete a component of care for a client.The day shift nurse is engaging in what function?

Which of the following would be most in line with Hersey and Blanchard's concepts?

Leslie,a UNP,transfers a patient while using improper technique.The patient is injured,and as a result,a suit is launched in which both Sarah (the delegator)and Leslie (the delegatee)are named.Sarah is named in the suit because she:

During a fire drill,the nurse manager becomes very assertive and directive in her communications with staff.This type of situational leadership depends on:

An RN colleague,who is a long-standing and collaborative member of your team,is performing a complex and novel dressing for the first time for the patient to whom she has been assigned.Which of the following would be the most appropriate communication with her?

-Which of the following indicates safe delegation?

County Hospital has position descriptions for all staff,including RN Team Leaders.Sarah,a team leader on the rehab unit,assesses the needs of the patients in her area,assesses the skills and backgrounds of each of the individuals on her team,and then assigns and delegates the appropriate care provider to each patient and task.Sarah's activity in the example described is termed:

Functions such as "delegates tasks to assistive personnel" that are outlined in a position description for an RN Team Leader would be considered:

The unit manager is working in a large metropolitan facility and is told that two UNPs are to be assigned to work with her.Delegation begins with:

In delegating to a UNP in a home health setting,which of the following represents the most appropriate delegation communication?

Ali,an RN on your unit,is consistently late to work and makes remarks such as "Do you really want me to do that?" when patients and care are assigned to her.You have spoken with her frequently about her:

The night nurse understands that certain factors need to be considered before delegating tasks to others.These factors include the:

You are a member of a team assigned to care for 15 general medical/surgical clients.You have all worked well together in the past in this same type of care.If you are assigned to coordinate this team's work,your best strategy,based on the Hersey and Blanchard model,would be to:

You ask Evelyn,a new UNP,to check what is left in Mrs.N.'s inhaler when Evelyn makes visits to Mrs.N.and also to check whether Mrs.N.is receiving any positive effect from the medication.Evelyn reports for 3 weeks that Mrs.N.is using the inhaler and that there is enough medication left in the device.The day of her last visit to Mrs.N. ,Mrs.N.is admitted to the hospital in severe respiratory distress.When she is admitted,she tells the physician that she has not been using the inhaler for 4 weeks.Before assigning Evelyn to Mrs.N.'s care,the most appropriate action of the care coordinator would have been to:

You ask Evelyn,a new UNP,to check what is left in Mrs.N.'s inhaler when Evelyn makes visits to Mrs.N.and also to check whether Mrs.N.is receiving any positive effect from the medication.Evelyn reports for 3 weeks that Mrs.N.is using the inhaler and that there is enough medication left in the device.The day of her last visit to Mrs.N. ,Mrs.N.is admitted to the hospital in severe respiratory distress.When she is admitted,she tells the physician that she has not been using the inhaler for 4 weeks.This incident is an example of:

The nurse on the 7-7 shift is assigning a component of care to an unlicensed nursing personnel (UNP)employee.The night nurse should remain:

County Hospital has position descriptions for all staff,including RN Team Leaders.Sarah,a team leader on the rehab unit,assesses the needs of the patients in her area,assesses the skills and backgrounds of each of the individuals on her team,and then assigns and delegates the appropriate care provider to each patient and task.Sarah provides Colleen,her RN colleague with details regarding the patients to whom Colleen has been assigned on the day shift.This is an example of: