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Quiz 2 Delegation, Conflict Management and Supervision Orem

1 point
1. The interaction between two supervisors, this best describes which
type of communication?

Upward communication

Horizontal Communication

Downward communication

Diagonal communication

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2. The nurse says to the UAP, "I am worried about Ms. Smith's blood
pressure. Check it throughout the afternoon." What critical factors have
the nurse left out of this delegation instruction? Select all that apply.

How often the blood pressure should be taken.

What are reportable parameters.

Nothing, the UAP should understand what the nurse means.

If this assignment has priority over other jobs.

How the nurse wants the blood pressure measured.


Time remaining: 00:29

1 point
3. A nursing instructor is teaching a class on conflict and conflict
resolution.She relates to the class that conflict in an organization is
important and that an optimal level of conflict will generate which of the
following?

Creativity,a problem-solving atmosphere,a weak team spirit,and


motivation of its workers.

Creativity,a staid atmosphere,a weak team spirit,and motivation of its


workers.

Creativity,a problem-solving atmosphere,growth,and motivation for its


workers.

A bureaucratic atmosphere,a strong team spirit,and motivation for its


workers.

1 point
4. The nursing student has developed a poster presentation regarding
delegation. Which statement, made by this student, would be evaluated
as correct?

There is a sharing of authority between the person delegating the work


and the person who accepts the delegation.

The nurse retains accountability for nursing work assigned to others.

Employers decide which work the nurse can delegate and should
document this list in the nurse's job description.

The nurse who delegates work should dictate exactly how the work
should be accomplished.

1 point
5. Which activities are appropriate for the nurse to delegate to
unlicensed assistive personnel (UAP)? Select all that apply.

Diabetic diet teaching

Postoperative wound care

Sterile dressing change

Routine vital signs

Hygienic care

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6. What action should be taken by the nurse who is preparing to
delegate a task?

Assess the documentation that will need to be completed regarding


the task.

Review of all the patients' charts on the team.

Review the complexity and skill required to perform the task.

Ask the patient if having someone other than the nurse provide care is
acceptable.

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7. The nurse determines that one of the unlicensed assistive
personnel (UAP) working with her patients does not follow safety
precautions when ambulating patients. What should the nurse consider
before acting on this knowledge? Select all that apply.

The tasks performed by UAPs must conform to hospital policy and


procedure.

The nurse must act as a patient advocate.

The nurse should follow the UAP job description as written by the
hospital's administration.

If the nurse's supervisor tells the nurse to delegate this task to the UAP,
the nurse is still accountable for errors made by the UAP.

The nurse is accountable only for the work personally performed.

1 point
8. You are a new nurse on an orthopedic unit, and you are learning
how to integrate delegation into your daily work. What might be important
for you to consider to improve your delegation?

Organize your work and consider who is best to do what tasks and
when.

When you delegate, do not overburden UAPs as they will work harder
if they like you.

Recognize that your performance appraisal will depend on


demonstrating that you are able to do the entire job

After you delegate to UAPs, you will have minimal contact with patients
UAPs are caring for.

1 point
9. Successful resolution of conflict yields constructive outcomes and
leads to:

Inhibition of movement.

Improved team functioning.

Diminished resolutions.

Lower employee satisfaction levels.

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10. What is often the newly licensed nurse's greatest barrier to
delegation?

Not knowing what can be delegated

Not wanting to overburden staff members who are already busy

Fear of loss of control

Denying that delegation is possible

1 point
11. What are the five rights of delegation? Select all that apply.

Right person

Right time span

Right task

Right supervision

Right location

1 point
12. Two staff nurses are arguing about working on holidays.In trying to
resolve this conflict,the nurse manager understands that interpersonal
conflict arises when:

Risk taking seems to be unavoidable.

Personal and professional priorities do not match.

The ways in which people should act do not match the ways in which
they do act.

People see events differently

1 point
13. One of the patients on a nurse's team has become very ill and is
requiring more of the nurse's time than was anticipated. The nurse must
delegate some patient care activities in order to have time to care for this
critically ill patient. Which activity can this nurse only delegate to another
nurse?

Assessment of a newly admitted patient.

Checking the blood pressure of a patient who had blood pressure


elevation yesterday.

Helping a patient with a shower.

Delivering a specimen to the lab.

1 point
14. Select the options that illustrate guidelines for consistency in
effective delegation. Select all that apply.

Be fair about unpleasant activities.

Give only indirect care tasks.

Indicate priorities.

Be sure directions are clear.

Be positive about assignments.

1 point
15. Choose the unlicensed assistive personnel tasks that are
considered indirect patient care activities. Select all that apply.

Stocking a dressing cart.

Talking with a patient's family.

Reporting intake and output to the nurse.

Cleaning an IV pump

Taking a defective blood pressure machine to maintenance.

1 point
16. Which activity illustrates the nurse manager's effective supervision
of an assignment?

The manager communicates the assignment to the staff.

The nurse understands the UAP's scope of practice.

The nurse manager visits the patients on the team.

The nurse is told to care for a team of patients.

1 point
17. Head nurse Joey is physically available to guide and to assist the
new staff while she inserts a nasogastric tube ( NGT). The type of
supervision is classified as:

Direct supervision

Indirect supervision

off-site supervision

democratic supervision

1 point
18. Which of the following statements best describe effective
delegation?

Nursing education programs prepare new nurses to effectively use


delegation.

Delegation is something experienced nurses do, and new nurses do


not do.

Reimbursement is not related to delegation.

Delegation is difficult and takes time to learn how to do it effectively.

1 point
19. Which option reflects a barrier to effective delegation by the nurse?

Trying to do everything for the patients

Trying to empower staff

Providing feedback to staff

Little need to delegate

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20. Which issues should the nurse manager consider related to
delegation? Select all that apply.

Delegation is a simple task assignment.

The manager retains accountability for the project.

Someone else will have the responsibility and authority to do the task.

The employee has the appropriate authority to act alone.

The manager must supervise every portion of the task.

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