Name: Rou’z Ven E.

Semilla BSN -A1 Date: 08-19-2021

Nursing Leadership and Management
SAS 20
CHECK FOR UNDERSTANDING
You will answer and rationalize this by yourself. This will be recorded as your quiz. One (1) point will be given to correct
answer and another one (1) point for the correct ratio. Superimpositions or erasures in you answer/ratio is not allowed.
You are given 20 minutes for this activity:

Multiple Choice
1. The following are potential environmental obstacles to delegation, except.
a. Standards
b. Job descriptions
c. Insecurity
d. Norms
ANSWER: C
RATIO: Standards, job descriptions and norms all belong to the environmental obstacles to delegation. Insecurity is not
included.

2. Which of the following is a potential obstacle on the delegator?

a. Management styles
b. Lack of trust
c. Fear of failure and reprisal
d. Fear of failure and reprisal
ANSWER: B
RATIO: The potential obstacle on the delegator in the lack of trust. Management Styles belong to the environmental
classification while failure or rather fear of reprisal belong to the delegate.

3. The following are the possible obstacles on the delegate. Select all that apply:
a. Inexperience
b. Fear of failure and reprisal
c. Lack of confidence
d. Overdependence on others
ANSWER: A, B, C, D
RATIO: Possible obstacles on the delegate include Inexperience, Fear of failure and reprisal, Lack of confidence,
Overdependence on others and the Avoidance of responsibility.

4. Which of the following statements if made by the delegator indicates her/his fear of
criticism?

a. Will the job be done right?

b. They already have so much to do; how can I suggest more?
c. Will I be kept informed?
d. What will others think?
ANSWER: D
RATIO: What will others think? This question elicits irrationally fearful of criticism and rejection while the remaining options
do not.

5. RNs often fear blame from management if something goes wrong when a task has been delegated to an LPN or UAP,
to avoid this, the following should be followed. Except.
a. State law
b. Organizational policies
c. Job descriptions
d. None of the above
ANSWER: D
RATIO: RNs often fear blame from management if something goes wrong when a task has been delegated to an LPN or
UAP, but those fears can be relieved if state law, organizational policies, and job descriptions are followed.

6. Which of the following questions will least likely to prevent work duplication?
a. Is the delegate willing to accept the task?
b. How often does staff duplicate an activity that someone else has recently performed?
c. Why does this duplication occur and is it necessary?
d. How could nurses delegate to prevent duplication?
 ANSWER: B
RATIO: To prevent work duplication, Barter (2002, p. 57) suggests that you ask, How often does staff duplicate an activity
that someone else has recently performed? Why does this duplication occur and is it necessary? and How could nurses
delegate to prevent duplication?

7. The following are the reason uderdelegation occurs, except.

a. The delegator fails to transfer full authority to the delegate;
b. The delegator takes back responsibility for aspects of the task; or
c. The delegator fails to equip and direct the delegate.
d. None of the above
ANSWER: D
RATIO: Underdelegation occurs when the delegator fails to transfer full authority to the delegate; the delegator takes back
responsibility for aspects of the task; or the delegator fails to equip and direct the delegate.

8. Reverse delegation means

a. Someone with a higher rank delegates to someone with lesser authority
b. Someone with a lower rank delegates to someone with more authority
c. Delegation with same ranks
d. Delegation with a different medical professional
ANSWER: B
RATIO: In reverse delegation, someone with a lower rank delegates to someone with more authority.

9. The following are the five rights of delegation. Select all that apply:
a. Right task
b. Right circumstances
c. Right person
d. Right direction and communication
e. Right time
ANSWER: A, B, C, D
RATIO: Also several guidelines can help. The National Council of State Boards of Nursing (2007) identified the five
rights of delegation include Right task (task is one that can be delegated for specific patient) , Right circumstances (setting
is appropriate and resources are available) , Right person (give the right task to the right delegate for the right patient),
Right direction and communication (describe objectives, limits, and expectations) and Right supervision (monitor,
evaluate, give feedback, and intervene if necessary)

10. Who among the following identified the five rights of delegation?
a. American Nurses Association
b. World Health Organization
c. National Council of State Boards of Nursing
d. Association of Nursing Service Administrators of the Philippines
ANSWER: C
RATIO: The National Council of State Boards of Nursing (2007) identified the five rights of delegation