Deck 13: Delegation of Nursing Care

Question 1

What is the most important consideration for nurses in any delegation situation?

A) client safety
B) accomplishing all necessary tasks
C) ensuring clients receive treatments on time
D) ensuring support staff capabilities are carefully assessed

Answer 1

client safety

Question 2

Transcultural delegation in workplace settings is important because it allows

A) clients to keep their cultural identity.
B) clients to have a choice related to their cultural needs.
C) nursing supervisors to assign staff according to the cultural needs of clients.
D) nursing supervisors to treat each client uniquely.

Answer 2

nursing supervisors to assign staff according to the cultural needs of clients.

Question 3

Which of the following refers to verbal directions by the delegator?

A) appropriate delegation
B) direct delegation
C) timely delegation
D) indirect delegation

Answer 3

direct delegation

Question 4

The beginning of delegation in nursing is associated with which one of the following?

A) Jane Victoria
B) Anne-Marie Clayton
C) Victoria Schmidt
D) Florence Nightingale

Question 5

What is the only phase of the nursing process that may be delegated to an unregulated care provider (UCP)?

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

Question 6

Which one of the following factors is critical to consider prior to delegation?

A) simplicity of task
B) the predictability of the task
C) the level of staff interaction
D) the potential for harm

Question 7

Which of these factors is a key early factor for the nurse to consider when determining the appropriate utilization of unregulated care providers (UCPs) for client care?

A) the simplicity of the nursing task
B) the amount of direct care the registered nurse will be able to provide
C) the education of the unlicensed assistive personnel
D) the client's condition and complexity of required care

Question 8

What is the fundamental purpose of delegation?

A) to prevent personnel from becoming bored, non-productive, and ineffective
B) to have the job done in the most efficient way utilizing appropriate resources
C) to assign tasks to personnel who can handle and understand the goal to be met
D) to encourage staff to feel that they are part of the team and making a difference

Question 9

Which "right of delegation" focuses on the registered nurse describing the delegated task and the expected outcomes?

A) right person
B) right supervision
C) right direction
D) right circumstance

Question 10

Which one of these feelings may be experienced by the novice nurse unable to delegate due to lack of knowledge about delegation?

A) control
B) high self-esteem
C) frustration
D) higher energy levels

Question 11

According to most definitions of the term delegation, which of these elements is always involved in delegation?

A) at least two individuals and instructions
B) tasks and the time frame for accomplishing them
C) at least two individuals and a transfer of authority for specific duties
D) tasks and directions for reporting back

Question 12

Which of these factors is most important for a registered nurse to consider when delegating?

A) evaluating the effectiveness of the delegation of duties at the end of the shift
B) removing duties periodically
C) accepting major variations in the style in which the duties are performed
D) communicating the duty to be performed and the expected outcomes

Question 13

How do health care organizations benefit by using unregulated care providers (UCPs)?

A) The UCP can perform nursing duties.
B) The UCP can complete assessments of clients.
C) The UCP can evaluate responses to treatments.
D) The UCP can help to reduce health care costs.

Question 14

A nurse is legally liable for her/his actions and is answerable for the overall nursing care of their clients. Which of these terms is defined by that statement?

A) displaying responsibility
B) displaying authority
C) participating in delegation
D) showing accountability

Question 15

Which of the following is one of the five rights of delegation?

A) right group
B) right concept
C) right committee
D) under the right circumstance

Question 16

New nurses not aware of the delegation process may be uncomfortable and not do it out of lack of knowledge or fear, resulting in an increased workload for the nurse. This type of delegation or lack of delegation is called

A) inappropriate delegation.
B) underdelegation.
C) transcultural delegation.
D) regulated delegation.

Question 17

You have delegated a task to a UCP who appears unwilling to accept a delegated task. What is the likely reason for this?

A) being overqualified
B) being unfamiliar with the delegated task
C) not in their job description
D) lack of cooperation

Question 18

Which one of these personnel is an unregulated care provider (UCP)?

A) registered nurse
B) physician
C) personal support worker
D) registered practical nurse

Question 19

According to the Canadian Nurses Association, which of the following responsibilities are included when nurses delegate to an unregulated health care provider?

A) accountability for their decisions, assessing expertise and education/knowledge, and evaluation of outcomes
B) knowledge of staff preferences and usual roles
C) awareness of determining skills and evaluating outcomes
D) assigning regular breaks and determining progress on delegated tasks

Question 20

Which of the following is one of the main benefits nurses gain from developing effective delegation skills?

A) become more efficient
B) develop better working relationships
C) will receive a good performance review
D) will become more productive and enjoy their work more

Question 21

A co-worker who believes strongly in fate or chance is expressing their sense of which of the following?

A) environmental control
B) physical closeness
C) time
D) social organization
Indicate one or more answer choices that best complete the statement or answer the question.

Question 22

List 4 (four) tasks or activities performed by Registered Nurses (RN) or Licensed Practical Nurses (LPN) that are NOT within the scope of practice for the Personal Support Worker when working with clients in the various workplace settings.

Question 23

List 6 (six) checks the nurse must make for client safety before delegating a task to an unregulated worker, such as a personal support worker.

Question 24

Delegating procedures to unregulated care providers (UCP) who lack the knowledge, skill, and judgement to perform a task that is outside their scope of practice will result in unsafe situations and put clients at risk. This type of delegation is called

A) transcultural delegation.
B) inappropriate delegation.
C) underdelegation.
D) regulated delegation.

Question 25

The personal support worker (UCP) has been assigned to support Mrs. Yee with her activities of daily living, which are within the scope of practice for a PSW. Today, the PSW will assist Mrs. Yee with her shower and getting dressed. What reporting expectations would the nurse require of the PSW during their shift together? The PSW should report: (Select all that apply.)

A) the client's tolerance of the activity.
B) any concerns or special needs.
C) the client's needs or wishes.
D) the specific care given, at the end of the shift.

Question 26

As a new graduate nurse, which of these statements best describes how you are likely to react to the necessity of delegation?

A) ready to delegate to others
B) shocked to learn you are expected to delegate
C) refuse to assign tasks to others

Question 27

List 6 (six) tasks or activities of daily living (ADL) that are within the scope of practice for the personal support worker when working with clients in the various workplace settings.

Question 28

Describe the five (5) Rights of Delegation that should be performed when considering delegation by a nurse to an unregulated care provider, such as a personal support worker.

Question 29

The assigning nurse has responsibilities after assigning a task to an unregulated care provider (UCP). What are those responsibilities? (Select all that apply.)

A) follow-up with UCP about the task outcome
B) follow-up and provide ongoing supervision of activities performance
C) wait until the UCP reports to her
D) evaluation of the task, including review of information collected

Question 30

The nurse must take accountability for the delegated task when assigning it to the personal support worker. In order to do this, the nurse has to make sure the unregulated care provider is equipped to do the task safely. What should the nurse check before allowing an unregulated care professional (UCP) to perform a task? (Select all that apply.)

A) that the UCP has been adequately trained with the proper knowledge and skills to perform the task
B) that this is right client for whom to delegate care, because his status is stable and appropriate supervision is available
C) that the task is established with proper policy and procedures to guide it
D) that the UCP's likes and dislikes related to the task assigned have been taken into account