Delegation Decisions
This is the supportive statement an RN might make at shift change to encourage an LPN to speak up about concerns.
What is, “What can I do to support you in carrying out today’s responsibilities?”
Two nurses threaten to quit if scheduled together. The manager demonstrates avoidance by making this scheduling change.
What is placing them on different shifts?
A nurse dictates client notes at home, and their spouse overhears and calls the patient. This violates this federal law.
What is HIPAA?
When a client requests to leave AMA, the nurse respects their autonomy after doing this.
What is explaining the risks of leaving?
This generation of nurses often values teamwork, humor, and positive feedback as motivators.
What are millennial nurses?
A UAP resists a task, saying “You can’t boss me around.” This is the RN’s best response to emphasize collaboration.
What is, “Our teamwork is important — let’s focus on what benefits the patient most.”
A preceptor refuses to teach a new nurse, saying they’ll “figure it out in six months.” The supervisor should remind them of this professional expectation.
What is treating new staff with dignity and respect?
Copy-pasting charting or failing to ID a patient before giving meds are violations of this.
What is the Nurse Practice Act?
A nurse observes a coworker using unsafe practices. The best advocacy action is to do this.
What is document and report it?
Journal clubs and workshops are strategies to promote decision-making based on this type of practice.
What is evidence-based practice (EBP)?
The safest delegation to a UAP involves measuring and recording this vital sign for a stable client.
What is blood pressure?
To reduce staff turnover, managers should collect insights through this type of interview.
What is an exit interview?
Threatening a client with an injection if they don’t behave is an example of this type of tort.
What is an intentional tort?
Staffing ratios that risk patient safety should prompt the nurse to organize this.
What is a meeting with management to advocate for safer staffing?
Adult learners are most engaged when education is delivered in this format.
What is interactive discussion with real-life application?
One effective delegation strategy is to match the assignment to this aspect of the staff member.
What is their competency or skill level?
When applying Herzberg’s two-factor theory, this factor promotes job satisfaction.
What is providing opportunities for growth and recognition?
False documentation or leaving medications in a patient’s room are actions that may result in this consequence from the board.
What is disciplinary action or license sanction?
A terminally ill client wishes for hospice, but their family wants aggressive care. The nurse supports autonomy by doing this.
What is providing information about hospice and supporting the client’s choice?
After a staff training pilot, managers should evaluate success by looking at these two outcomes.
What are improved clinical practice and better patient outcomes?
The RN divides tasks between an LPN and UAP for a client with fluctuating blood glucose. The LPN does this, while the UAP helps with meals.
What is the LPN monitors blood glucose and the UAP provides mealtime assistance?
During a pandemic, this systems-thinking approach ensures all departments understand new protocols.
What is holding an interdepartmental team meeting?
A coworker congratulates a patient on social media for a newborn. The RN should remind them that only this group should make announcements.
What is the patient or their family?
When a nurse witnesses workplace violence, the manager should respond with this type of program.
What is a comprehensive workplace violence prevention program with staff training?
Recognizing a nurse publicly for excellent care is an example of this type of reinforcement.
What is positive reinforcement?