Question 1

What is an inappropriate reason for delegation?

Accepted Answer

A)  To empower subordinates by "stretching" them in their work assignment 
B)  To free the manager to address more complex, higher-level unit needs 
C)  When the task is not a challenge for the manager 
D)  Because someone else is better qualified to do the task that needs to be done 
A)  To empower subordinates by "stretching" them in their work assignment 
B)  To free the manager to address more complex, higher-level unit needs 
C)  When the task is not a challenge for the manager 
D)  Because someone else is better qualified to do the task that needs to be done C

Question 2

Which assessment must the RN do initially when assigning tasks to non-licensed personnel (NAP)?

Accepted Answer

A)  Evaluating the NAP's skills and knowledge level 
B)  Assessing which tasks the NAP is interested in assuming 
C)  Evaluating how patients rate the NAP's performance 
D)  Assessing how team members like working with the NAP 
A)  Evaluating the NAP's skills and knowledge level 
B)  Assessing which tasks the NAP is interested in assuming 
C)  Evaluating how patients rate the NAP's performance 
D)  Assessing how team members like working with the NAP A

Question 3

When a manager appropriately recognizes the successful completion of a delegated team task, what is the primary reward for the manager?

Accepted Answer

A)  Less involvement in uncomplicated tasks 
B)  A staff that is familiar with team-related delegated tasks 
C)  Professional recognition as a leader 
D)  Staff that is growing as professional caregivers 
A)  Less involvement in uncomplicated tasks 
B)  A staff that is familiar with team-related delegated tasks 
C)  Professional recognition as a leader 
D)  Staff that is growing as professional caregivers C

Question 4

What occurs when a manager has the false assumption that delegation may be interpreted as a lack of ability on the subordinate's part to do the job correctly or completely?

Accepted Answer

A)  Underdelegating 
B)  Overdelegating 
C)  Improper delegating 
D)  Inappropriate delegating 
A)  Underdelegating 
B)  Overdelegating 
C)  Improper delegating 
D)  Inappropriate delegating

Question 5

What statement concerning the delegating of tasks by the nurse to unlicensed assistive personnel (NAP) is true?

Accepted Answer

A)  One can safely assume that the NAP has at least a high school diploma as a minimum hiring criterion 
B)  All unlicensed assistive personnel have achieved at least minimum standardized training pursuant to the Omnibus Budget Reconciliation Act of 1987 
C)  No federal or community standards have been established for training the broad classification of NAP 
D)  The nurse is protected from liability when allowing the NAP to perform only those tasks the employee includes in the job description 
A)  One can safely assume that the NAP has at least a high school diploma as a minimum hiring criterion 
B)  All unlicensed assistive personnel have achieved at least minimum standardized training pursuant to the Omnibus Budget Reconciliation Act of 1987 
C)  No federal or community standards have been established for training the broad classification of NAP 
D)  The nurse is protected from liability when allowing the NAP to perform only those tasks the employee includes in the job description

Question 6

Who bears the ultimate responsibility for ensuring that the nursing care provided by team members meets or exceeds minimum safety standards?

Accepted Answer

A)  The patient's primary healthcare provider 
B)  The facility's Director of Nursing 
C)  The unit's nursing manager 
D)  The team's RN 
A)  The patient's primary healthcare provider 
B)  The facility's Director of Nursing 
C)  The unit's nursing manager 
D)  The team's RN

Question 7

Which task would the director of a home health agency not delegate another staff RN?

Accepted Answer

A)  Assigning home health aides to specific patient care 
B)  Serving on a diabetic study committee of community resources 
C)  Meeting with the agency's administration regarding budget cuts 
D)  Reviewing staff time cards for completion and accuracy 
A)  Assigning home health aides to specific patient care 
B)  Serving on a diabetic study committee of community resources 
C)  Meeting with the agency's administration regarding budget cuts 
D)  Reviewing staff time cards for completion and accuracy

Question 8

Which action on the part of a manager demonstrates the mark of a great leader?

Accepted Answer

A)  Acknowledging the accomplishment of staff members at the unit's staff meeting 
B)  Providing onsite in-services on new equipment for the staff 
C)  Including funds in the unit's budget of staff development 
D)  Stressing the importance of patient safety to all new employees 
A)  Acknowledging the accomplishment of staff members at the unit's staff meeting 
B)  Providing onsite in-services on new equipment for the staff 
C)  Including funds in the unit's budget of staff development 
D)  Stressing the importance of patient safety to all new employees

Question 9

What is the most important consideration for the manager when identifying the appropriate person to whom to delegate a specific task?

Accepted Answer

A)  Whose turn it is to delegate a task 
B)  The qualifications of the person regarding the task 
C)  The fiscal cost of delegating the task 
D)  Whether the person has experience with similar tasks 
A)  Whose turn it is to delegate a task 
B)  The qualifications of the person regarding the task 
C)  The fiscal cost of delegating the task 
D)  Whether the person has experience with similar tasks

Question 10

Which organization is actively engaged in clarifying the delegation parameters for RNs?

Accepted Answer

A)  American Hospital Association (AM
A)  
B)  The federal government 
C)  National League for Nursing (NLN) 
D)  State Boards of Nursing Licensure 
A)  American Hospital Association (AM
A)  
B)  The federal government 
C)  National League for Nursing (NLN) 
D)  State Boards of Nursing Licensure

Question 11

What cultural phenomena must be considered for the biopsychosocial differences between racial and ethnic groups that have susceptibility to disease and physiologic differences?

Accepted Answer

A)  Space 
B)  Social organization 
C)  Environmental control 
D)  Biologic variations 
A)  Space 
B)  Social organization 
C)  Environmental control 
D)  Biologic variations

Question 12

Which statement is true regarding the general delegation liability of the registered nurse (RN)?

Accepted Answer

A)  It is minimal because subordinates alone are held accountable for practicing within the accepted scope of practice for their job classification 
B)  It is great because the RN is automatically held liable for the tasks delegated to all recognized subordinates 
C)  It is reduced when the RN appropriately assesses what and to whom delegation is appropriate and supervises the completion of the tasks 
D)  It is avoided entirely by delegating tasks to only other licensed personnel 
A)  It is minimal because subordinates alone are held accountable for practicing within the accepted scope of practice for their job classification 
B)  It is great because the RN is automatically held liable for the tasks delegated to all recognized subordinates 
C)  It is reduced when the RN appropriately assesses what and to whom delegation is appropriate and supervises the completion of the tasks 
D)  It is avoided entirely by delegating tasks to only other licensed personnel

Question 13

What must managers delegate to another RN in order to assure completion of a task?

Accepted Answer

A)  Time and space 
B)  Leadership and creativity 
C)  Authority and responsibility 
D)  Personnel and knowledge 
A)  Time and space 
B)  Leadership and creativity 
C)  Authority and responsibility 
D)  Personnel and knowledge

Question 14

Which statement by the nurse-manager demonstrates an understanding of the need to provide effective guidance to those a project has been delegated?

Accepted Answer

A)  "Don't be afraid to let me know if you feel the project is overwhelming you." 
B)  "What do you suggest we do to address the problems that exist with the project?" 
C)  "I can give you a few solutions for the issues you have been having with the project." 
D)  "Do you want more time to complete the project?" 
A)  "Don't be afraid to let me know if you feel the project is overwhelming you." 
B)  "What do you suggest we do to address the problems that exist with the project?" 
C)  "I can give you a few solutions for the issues you have been having with the project." 
D)  "Do you want more time to complete the project?"

Question 15

A member of the team reports that they have been given too much to do and are not going to be able to complete the work on time. What action will the RN take to effectively manage this situation?

Accepted Answer

A)  Assign the work to another team member 
B)  Take on the responsibility of the tasks 
C)  Have the team member perform only the necessary tasks 
D)  Examine the workload and assist the individual in reprioritizing 
A)  Assign the work to another team member 
B)  Take on the responsibility of the tasks 
C)  Have the team member perform only the necessary tasks 
D)  Examine the workload and assist the individual in reprioritizing

Question 16

Which restraining force occurs when a subordinate "tests the water" to determine what the consequences are of not completing a delegated task?

Accepted Answer

A)  Failure of delegator to see subordinate perspective 
B)  Subordinate incapable of completing the task 
C)  Subordinate inherent resistance to authority 
D)  Overdelegation of specificity of the task 
A)  Failure of delegator to see subordinate perspective 
B)  Subordinate incapable of completing the task 
C)  Subordinate inherent resistance to authority 
D)  Overdelegation of specificity of the task

Question 17

What is a common cause of a manager to underdelegation?

Accepted Answer

A)  A high degree of trust in subordinates 
B)  A democratic leadership style 
C)  A need for perfectionism 
D)  Sufficient time to accomplish unit goals alone 
A)  A high degree of trust in subordinates 
B)  A democratic leadership style 
C)  A need for perfectionism 
D)  Sufficient time to accomplish unit goals alone

Question 18

What is the first step the manager takes when a subordinate is having difficulty carrying out a delegated task?

Accepted Answer

A)  Take over the task so the employee will not become demoralized 
B)  Be available to the employee as a role model and resource for the task 
C)  Assign another more experienced employee to help with the task 
D)  Re-assign the employee a different, less complex task 
A)  Take over the task so the employee will not become demoralized 
B)  Be available to the employee as a role model and resource for the task 
C)  Assign another more experienced employee to help with the task 
D)  Re-assign the employee a different, less complex task

Question 19

What managerial action is important when supporting the delegation of a task to a subordinate?

Accepted Answer

A)  Always requiring a maximizing quality outcome 
B)  Frequently reassuring the employee that if they are incapable of completing a delegated task, it will be reassigned 
C)  Drafting a preliminary plan of how the task will be redone if the outcome does not meet stated expectations 
D)  Occasionally providing learning or "stretching" opportunities for employees 
A)  Always requiring a maximizing quality outcome 
B)  Frequently reassuring the employee that if they are incapable of completing a delegated task, it will be reassigned 
C)  Drafting a preliminary plan of how the task will be redone if the outcome does not meet stated expectations 
D)  Occasionally providing learning or "stretching" opportunities for employees

Question 20

The Omnibus Budget Reconciliation Act of 1987 established regulations for the education and certification of which health-care worker?

Accepted Answer

A)  Nurse aide (N
A)  
B)  NAP 
C)  Licensed practical nurse (LPN) 
D)  RN 
A)  Nurse aide (N
A)  
B)  NAP 
C)  Licensed practical nurse (LPN) 
D)  RN

Exam 20: Delegation

What is an inappropriate reason for delegation?

Which assessment must the RN do initially when assigning tasks to non-licensed personnel (NAP)?

When a manager appropriately recognizes the successful completion of a delegated team task, what is the primary reward for the manager?

What occurs when a manager has the false assumption that delegation may be interpreted as a lack of ability on the subordinate's part to do the job correctly or completely?

What statement concerning the delegating of tasks by the nurse to unlicensed assistive personnel (NAP) is true?

Who bears the ultimate responsibility for ensuring that the nursing care provided by team members meets or exceeds minimum safety standards?

Which task would the director of a home health agency not delegate another staff RN?

Which action on the part of a manager demonstrates the mark of a great leader?

What is the most important consideration for the manager when identifying the appropriate person to whom to delegate a specific task?

Which organization is actively engaged in clarifying the delegation parameters for RNs?

What cultural phenomena must be considered for the biopsychosocial differences between racial and ethnic groups that have susceptibility to disease and physiologic differences?

Which statement is true regarding the general delegation liability of the registered nurse (RN)?

What must managers delegate to another RN in order to assure completion of a task?

Which statement by the nurse-manager demonstrates an understanding of the need to provide effective guidance to those a project has been delegated?

A member of the team reports that they have been given too much to do and are not going to be able to complete the work on time. What action will the RN take to effectively manage this situation?

Which restraining force occurs when a subordinate "tests the water" to determine what the consequences are of not completing a delegated task?

What is a common cause of a manager to underdelegation?

What is the first step the manager takes when a subordinate is having difficulty carrying out a delegated task?

What managerial action is important when supporting the delegation of a task to a subordinate?

The Omnibus Budget Reconciliation Act of 1987 established regulations for the education and certification of which health-care worker?

Decision Making, Problem Solving Critical Thinking, and Clinical Reasoning: Requisites for Successful Leadership and Management

Classical Vierws of Leadership and Management

Twenty-First-Century Thinking About Leadership and Management

Ethical Issues

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Patient, Sübordinate, Worklace, and Professional Advocacy

Organicational Planning

Planned Change

Time Management

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Career Planning and Development in Nursing

Organizational Structure

Organizational, Politicil, Ane Personal Power

Organizing Pationt Care

Employec Recruitment, Selection, Placement, and Indoctrination

Socializing and Educating Staff in a Learning Organization

Staffing Needs and Soheduling

Creating a Motivating Climate

Organizational, Interpersonal, and Group Communication

Effective Conflict Resolution and Negotiation

Collective Bargaining, Unionization, and Employment Laws

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Problem Employees: Rule Breakers, Marginal Employees, and the Chemically or Psychologically Impaired

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