Deck 8: Delegation of Patient Care

Question 1

Three types of supervision identified are:

A)unsupervised, supervised, and periodic inspection
B)unsupervised, initial direction, and assessment
C)continuous supervision, periodic inspection, and initial assessment
D)initial direction and periodic supervision, unsupervised, and continuous supervision

Answer 1

initial direction and periodic supervision, unsupervised, and continuous supervision

Question 2

The act of being responsible for the actions or inactions of yourself and others in nursing is called:

A)accountability
B)authority
C)assignment
D)delegation

Answer 2

accountability

Question 3

Five factors to consider when _____ are: potential for harm,complexity of the task,amount of problem solving and innovation required,predictability of outcome,and level of patient interaction.

A)supervising
B)delegating
C)directing
D)staffing

Answer 3

delegating

Question 4

Delegation is:

A)the transfer of responsibility for the performance of an activity from one individual to another without transfer of the accountability for the outcome
B)a legal and managerial concept and process that involves assessment, planning, action, intervention, and evaluation
C)trust, empowerment, responsibility, and authority to perform a task
D)the responsibility for the completion of tasks is given to others as a means of saving time, energy, and leader blame

Question 5

What is the one phase of the nursing process that may be delegated to the NAP?

A)assessment
B)planning
C)implementation
D)evaluation

Question 6

People who have an external locus of control have a strong:

A)belief in fate, luck, and chance
B)belief in taking action and not waiting for luck or fate to intervene
C)need to invest their time in traditional activities
D)need to invest their time in nontraditional activities

Question 7

Patient X is a 64-year-old male cardiac patient in the telemetry unit post-CABG.He is very demanding and expects his needs to be met immediately if not sooner.He refuses to have any female staff members care for him.It is the end of shift and he appears to be stable in normal sinus rhythm.He has removed his telemetry electrodes,is sitting up on the side of the bed,has thrown an empty tissue box across the room,and seems to be trying to get out of bed and walk.He is now coughing loudly and is demanding his pain medication in a loud booming voice that carries across the unit.The type of care that he requires now is:

A)direct patient care
B)indirect patient care
C)team work
D)transcultural care

Question 8

A new graduate nurse assigns a NAP to provide basic ADL (activities of daily living)to several patients on the unit.The NAP obtains vital signs and helps to bathe and feed patients assigned.The nurse is:

A)accountable only for the actions performed by herself
B)accountable for all of her own actions plus those of the NAP
C)accountable only for the basic ADL provided by the NAP
D)not accountable for anything the NAP does outside of the NAP's scope of practice

Question 9

People with an internal locus of control have a strong:

A)belief in fate, luck, and chance
B)belief in taking action and not waiting for luck or fate to intervene
C)need to invest their time in traditional activities
D)need to invest their time in nontraditional activities

Question 10

The degree to which people perceive they have control over their environment is called:

A)control
B)transcultural delegation
C)fate and luck
D)environmental control

Question 11

Who has the legal authority for nursing practice/action according to each state?

A)The Joint Commission
B)State Boards of Nursing
C)Nurse Practice Act
D)National Council Licensure Examination (NCLEX)

Question 12

Which of the following is not part of the five steps in the NCSBN decision-making tree used for delegation?

A)assessment, planning, and communication
B)intervention and supervision
C)surveillance and supervision
D)evaluation and feedback

Question 13

NAP competence is built upon a number of factors.Which of the following is not one of these factors?

A)formal training and assessment
B)orientation to specific settings and patient types
C)experience in implementing nursing care
D)communication

Question 14

The obligation to correctly perform one's assigned duties is called:

A)accountability
B)delegation
C)assignment
D)responsibility

Question 15

It has been stated that the only purpose of _____ is to get the job done in the most efficient manner using the appropriate resources.

A)assignment
B)teamwork
C)supervision
D)delegation

Question 16

The use of interpersonal decision making,psychomotor skills,and the application of knowledge expected in the role of a licensed health care professional in the context of public health welfare and safety is an example of:

A)responsibility
B)supervision
C)delegation
D)competence

Question 17

When making patient assignments,it is important to consider:

A)staff education levels, skill sets, cultural traditions, and willingness to be a team player
B)staff education levels, scope of practice, experience, and patient acuity
C)staff skill sets, education levels, timeliness, and patient acuity
D)patient acuity, staff experience, staff education, and ethnicity

Question 18

The provision of guidance,direction,evaluation,and follow-up by a licensed nurse for tasks provided by an NAP (nursing assistive personnel)is called:

A)delegation
B)accountability
C)authority
D)supervision

Question 19

Delegation is important for which reason?

A)It is a means to organize patient care needs according to acuity, desired outcomes, and staff levels.
B)It provides a way to assign difficult patients to uncooperative nurses.
C)It enables new nurses to gain experience with difficult patients by themselves.
D)It is a means to organize patient care needs according to acuity, desired outcomes, and staff levels, and provides a way to assign difficult patients to uncooperative nurses.

Question 20

Poole,Davidhizar,and Giger (1995)noted several cultural phenomena to be considered when working with culturally diverse staff.They are:

A)communication, space, social organization, time, environmental control, biological variations, cultural expectations, and traditional barriers
B)space, social organization, biological variations, communication, environmental factors, and cultural norms
C)biological variations, traditional barriers, time, environmental control, space, communication, and social organization
D)social organization, time, space, environmental control, biological variations, and communication

Question 21

For a nurse to practice safely and ethically in a designated role the nurse must display___________.

A)knowledge
B)competence
C)willingness
D)leadership

Question 22

Step two of the Decision-Making Tree involves:

A)supervision
B)evaluation
C)communication
D)planning

Question 23

Communication is essential when delegating to an NAP patient care tasks.In which of the following patient care tasks is the communication inappropriate or not complete?

A)retake the BP
B)measure all urine output
C)force fluids
D)get the patient up to the chair

Question 24

Which of the following are part of the five rights of delegation? Select all that apply.

A)right task
B)right circumstance
C)right evaluation
D)right route

Question 25

A number of obstacles to delegation have been identified.Which of the following are some of these known obstacles? Select all that apply.

A)tendency to delegate all tasks to assistive personnel
B)fear of being disliked
C)inability to communicate effectively
D)lack of administrative support for delegation to LVN and NAP

Question 26

When the nurse considers the effectiveness of the delegation,the nurse should evaluate all except:

A)was the task performed properly
B)was the outcome optimal
C)were there any problems
D)the availability of resources

Question 27

Some of the reasons for overdelegation are listed below.What are they? Select all that apply.

A)seek approval from others
B)depend too much on others
C)unorganized
D)tendency to immerse oneself in trivia

Question 28

A number of factors have been identified in the tendency for new nurse graduates to underdelegate.Which of the following are some of these factors? Select all that apply.

A)fear of resentment from older personnel
B)need for approval
C)lack of understanding of clinical principles
D)confusion regarding their scope of duties

Question 29

High-risk delegation can lead to problems for the nurse.One concern to avoid this is to evaluate:

A)if the delegated task could cause harm to the patient
B)only tasks in the implementation phase of the nursing process
C)if the NAP has completed the task before
D)how well the licensed vocational nurse (LVN) functions in their role