Chapter 12 Practice (Leadership) Delegating Effectively

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Which statement best reflects a difference between patient as-
signment and patient supervision?

1)Assignment can be handled at the patient level, whereas super-

vision is handled at the management level.

2)Assignment refers to how work is distributed among staff,

whereas supervision refers to evaluating complexity of care. 4

3)Assignment focuses on complexity of care, whereas supervision

focuses on delivery of care.

4)Assignment is based on care delivered by participant members,

whereas supervision is based on monitoring and follow-through of
all provided care to patients.
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?

1)Environmental issues should be taken into consideration before

delegating tasks.
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2)Client assessment does not impact the ability to delegate tasks.

3)The focus is on maintaining competency throughout the dele-

gation process.

4)Delegation should never be done in the presence of an unsafe

observation.
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?

1)Admitting a new patient to the unit who is scheduled for elective

surgery in the morning
2
2)Titrating anticoagulant therapy for a patient who is being treated
for thrombosis

3)Inserting a Foley catheter.

4)Performing a pain assessment in order to administer prn pain

medication
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 secre-
taries.Which observation if noted by the nurse manager would
indicate a concern relative to effective delegation?

1)Staff is openly discussing frustrations about occasional staffing

issues on the unit. 3

2)Delivery of quality care is a major focus of staff members.

3)Nursing staff and CNAs have a different view of what needs to

be done and by whom.

4)Understanding of policies and procedures should be consistent

among all staff members.

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 Chapter 12 Practice (Leadership) Delegating Effectively
Study online at https://quizlet.com/_9agwx3
Which factor would be considered to be most critical for its poten-
tial impact on leadership- and management-related barriers on
delegation in the clinical setting?

1)Policies and procedures manual is up to date on unit.

2
2)Job description was updated 2 years ago.

3)Credentials of nurses on unit are verified.

4)All nursing positions are currently filled on the unit.

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?

1)Performing oral hygiene

2
2)Feeding a patient with dysphagia

3)Collecting a urine specimen

4)Obtaining daily weight

Which activity should only be performed by a registered nurse
(RN)even if there are additional staff members present on a med-
ical-surgical unit,such as licensed practical nurses (LPNs)and un-
licensed assistive personnel (UAPs)? 1)Initiation of blood trans-
fusions 2)Tracheostomy care 3)Vital signs on a new patient to be
admitted to the unit 4)Insertion of a Foley catheter
Multiple Choice
1
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.

1)Knowledge of state's practice act

2)Number of patient beds in the clinical facility

1, 3, 5
3)Assessment of patient acuity

4)Whether or not the health-care providers belong to a health

maintenance organization (HMO)

5)Number and type of staff scheduled to work on the unit for that
shift

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