Question 1

Which statement best reflects a difference between patient assignment and patient supervision?

Accepted Answer

A) Assignment can be handled at the patient level,whereas supervision is handled at the management level. 
B) Assignment refers to how work is distributed among staff,whereas supervision refers to evaluating complexity of care. 
C) Assignment focuses on complexity of care,whereas supervision focuses on delivery of care. 
D) Assignment is based on care delivered by participant members,whereas supervision is based on monitoring and follow-through of all provided care to patients. D

Question 2

A nurse manager is educating a staff nurse with regard to the five rights of delegation.Which statement by the staff nurse indicates that additional training is needed?

Accepted Answer

A) Environmental issues should be taken into consideration before delegating tasks. 
B) Client assessment does not impact the ability to delegate tasks. 
C) The focus is on maintaining competency throughout the delegation process. 
D) Delegation should never be done in the presence of an unsafe observation. B

Question 3

The nurse manager is having a staff meeting so as to improve patient outcomes in terms of delegation of care.Staffing includes four registered nurses (RNs),three licensed vocational nurses (LVNs),two certified nurse's aides (CNAs),and two unit secretaries.Which observation if noted by the nurse manager would indicate a concern relative to effective delegation?

Accepted Answer

A) Staff is openly discussing frustrations about occasional staffing issues on the unit. 
B) Delivery of quality care is a major focus of staff members. 
C) Nursing staff and CNAs have a different view of what needs to be done and by whom. 
D) Understanding of policies and procedures should be consistent among all staff members. C

Question 4

Which elements are critical for a nurse to consider with regard to using delegation in the clinical setting on a medical-surgical unit within a clinical facility? Select all that apply.

Accepted Answer

A) Knowledge of state's practice act 
B) Number of patient beds in the clinical facility 
C) Assessment of patient acuity 
D) Whether or not the health-care providers belong to a health maintenance organization (HMO) 
E) Number and type of staff scheduled to work on the unit for that shift

Question 5

Which activity should only be performed by a registered nurse (RN)even if there are additional staff members present on a medical-surgical unit,such as licensed practical nurses (LPNs)and unlicensed assistive personnel (UAPs)?

Accepted Answer

A) Initiation of blood transfusions 
B) Tracheostomy care 
C) Vital signs on a new patient to be admitted to the unit 
D) Insertion of a Foley catheter

Question 6

A registered staff nurse is working with an experienced registered nurse who has transferred from an ambulatory surgical care unit to a medical-surgical unit as a preceptor.Which activity is not appropriate to be delegated by the preceptor?

Accepted Answer

A) Admitting a new patient to the unit who is scheduled for elective surgery in the morning 
B) Titrating anticoagulant therapy for a patient who is being treated for thrombosis 
C) Inserting a Foley catheter. 
D) Performing a pain assessment in order to administer prn pain medication

Question 7

Which task could be delegated to a licensed vocational nurse (LVN)by a registered nurse (RN)who is working with a LVN and unlicensed assistive personal (UAP)as part of the team?

Accepted Answer

A) Performing oral hygiene 
B) Feeding a patient with dysphagia 
C) Collecting a urine specimen 
D) Obtaining daily weight

Question 8

Which factor would be considered to be most critical for its potential impact on leadership- and management-related barriers on delegation in the clinical setting?

Accepted Answer

A) Policies and procedures manual is up to date on unit. 
B) Job description was updated 2 years ago. 
C) Credentials of nurses on unit are verified. 
D) All nursing positions are currently filled on the unit.

Exam 12: Delegating Effectively

Which statement best reflects a difference between patient assignment and patient supervision?

A nurse manager is educating a staff nurse with regard to the five rights of delegation.Which statement by the staff nurse indicates that additional training is needed?

Which elements are critical for a nurse to consider with regard to using delegation in the clinical setting on a medical-surgical unit within a clinical facility? Select all that apply.

Which activity should only be performed by a registered nurse (RN) even if there are additional staff members present on a medical-surgical unit,such as licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) ?

A registered staff nurse is working with an experienced registered nurse who has transferred from an ambulatory surgical care unit to a medical-surgical unit as a preceptor.Which activity is not appropriate to be delegated by the preceptor?

Which task could be delegated to a licensed vocational nurse (LVN) by a registered nurse (RN) who is working with a LVN and unlicensed assistive personal (UAP) as part of the team?

Which factor would be considered to be most critical for its potential impact on leadership- and management-related barriers on delegation in the clinical setting?