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Delegation Process
Effective Delegation
Practicing Delegation
Transfer Responsibility
Delegate it!
100
This is the first step on the delegation process?
What is define the task?
100
After a nurse has delegated a task to another staff member and the work is in process, which of the following would not be part of the supervisory role of the task's performance?

A) periodically check in to see that the procedure is done according to the unit’s established procedure
B) ask the staff member if the directions were clear enough and be willing to provide more
C) if the staff member is having problems completing the task, assist the staff member
D) assume that documentation has occurred
What is D)assume that documentation has occurred
100
Which of the following factors would not be so critical to consider when deciding if a particular task should be delegated?

A) amount of technology required to do the task
B) number of RNs on staff that day
C) infection control and safety precautions
D) outcome is unknown
What is B) number of RNs on staff that day
100
A client admitted for a myocardial infarction is now stable. Appropriate activities to assign to unlicensed personnel would include all the following EXCEPT:

A) Teaching about what foods are high in sodium
B) Recording intake and output (I/O)
C) Assisting with ambulation to the restroom
D) Reporting to the nurse that the patient complained of chest pain
What is A) Teaching about what foods are high in sodium
100
A nurse preceptor is working with a new nurse and notes that the new nurse is reluctant to delegate tasks to members of the care team. The nurse preceptor recognizes that this reluctance most likely is due to:

A) role modeling behaviors of the preceptor
B) the philosophy of the new nurse's school of nursing
C) the orientation provided to the new nurse
D) lack of trust in the team members
What is D) lack of trust in the team members
200
This is the most forgotten step of delegation?
What is supervision?
200
Which of the following is not one of the five rights of delegation?

A) right person
B) right time
C) right circumstance
D) right direction
What is B) right time
200
The best approach for a home health agency to make to help RNs with delegation is to make a list of tasks and activities that can be delegated.

A) True
B) False
What is B) False
200
Two clients have orders for blood transfusions. The first client is dehydrated and anemic secondary to pneumonia. The second client is postoperative with a blood pressure change from 134/62 preoperatively to 102/48 currently. The nurse should:

A) Request both clients’ blood transfusions at the same time
B) Request a coworker to verify the compatibility of both units
C) Ask another nurse to hang the first client’s blood transfusion
D) Call for and hang the second client’s transfusion now
What is D) Call for and hang the second client’s transfusion now
200
A nurse is working on the night shift with a nursing assistant. The nursing assistant comes to the nurse stating that the other nurse working on the unit is not assessing a client with abdominal pain despite multiple requests. Which of the following actions by the nurse is best?

A) ask the other nurse if she needs any help
B) assess the client, and let the other nurse know what should be done
C) ask the client if he is satisfied with his care
D) contact the nursing supervisor to address the situation
What is D) contact the nursing supervisor to address the situation
300
This is the second step of the delegation process?
What is who can you delegate the task to?
300
A nurse who delegates a task is not responsible for the performance of the delegatee but is accountable for how the delegation was done.

A) True
B) False
What is A) True
300
The fact that there are universal hiring guidelines, training program descriptions, and job descriptions for UAPs has done much to improve delegation.

A) True
B) False
What is B) False
300
A nurse from medical-surgical unit is asked to work on the orthopedic unit. The medical-surgical nurse has no orthopedic nursing experience. Which client should be assigned to the medical-surgical nurse?

A) a client with a cast for a fractured femur and who has numbness and discoloration of the toes
B) a client with balanced skeletal traction and who needs assistance with morning care
C) a client who had an above-the-knee amputation yesterday and has a temperature of 101.4F
D) a client who had a total hip replacement 2 days ago and needs blood glucose monitoring
What is D) a client who had a total hip replacement 2 days ago and needs blood glucose monitoring
300
The RN is planning the client assignments for the day. Which of the following is the most appropriate assignment for the nursing assistant?

A) a client requiring colostomy irrigation
B) a client receiving continuous tube feedings
C) a client who requires urine specimen collections
D) a client with difficulty swallowing foods and fluids
What is C) a client who requires urine specimen collections
400
This is the third step of the delegation process
What is How, when and where- Determine the task/communicate expectations
400
The nurse has delegated to the UAP the task of taking vital signs on six of the nurse’s patients. She tells the UAP, “Please take blood pressures, pulse, and temps on these six patients. I will do the other two as I will be doing some other procedures with them. Document the vital signs but tell me if there are any abnormal findings.” What should be the next action the nurse should take?

A) tell the UAP that she expects this work to be done in an hour
B) Ask the UAP about the results of the vital signs on the other six patients
C) Proceed to care for the two patients
D) ask the UAP if she has any questions
What is D) ask the UAP if she has any questions
400
The nurse is giving a bed bath to a pt when a nursing assistant enters the pt's room and tells the nurse that another pt is in pain and needs pain medication. The appropriate nursing action is which of the following?

a) ask the nursing assistant to administer the pain medication
b) ask the nursing assistant to find out when the last pain medication was given to the pt
c) ask the nursing assistant to tell the pt in pain that medication will be administered as soon as the bed bath is complete
d) cover the client, raise the side rails, tell the pt that you will return shortly, and administer the pain medication to the other pt
What is d) cover the client, raise the side rails, tell the pt that you will return shortly, and administer the pain medication to the other pt
400
A registered nurse is delegating activities to the nursing staff. Which activity is least appropriate for the nursing assistant?

A) collecting a urine specimen from a client
B) obtaining frequent oral temperatures on a client
C) accompanying a man being discharged
D) assisting a postcardiac catheterization client who needs to lie flat to eat lunch
What is D) assisting a postcardiac catheterization client who needs to lie flat to eat lunch
400
A nurse is planning the client assignments for the shift. Which client would the nurse assign to the nursing assistant?

A) a client requiring dressing changes
B) a client requiring frequent ambulation
C) a client on a bowel management program requiring rectal suppositories and a daily enema
D) a client with diabetes mellitus requiring daily insulin and reinforcement of dietary measures
What is B) a client requiring frequent ambulation
500
These are the five steps of the delegation process
What are
1. What-define the task.
2. Who- decide on the delegate.
3. How, when and where-determine the task/communicate expectations
4. Consensus-reach agreement
5. Supervision-monitor performance, feedback and evaluation
500
A nurse recently started working in a hospital that employs unlicensed assistant personnel (UAP). Which of the following are essential to effective delegation?

A) delegate tasks based on the experience of the UAP
B) take frequent mini-reports from the UAP
C) have the UAP repeat instructions
D) explain unexpected outcomes of delegated tasks to the UAP
E) All of the above
What is E) All of the above
500
A staff nurse delegates a task to a CNA and then does half of the task herself, telling the CNA that she is too slow. This violates which of the following principles of delegation?

A) To delegate effectively, the individual should be matched to the task.
B) Transferring authority empowers the delegate to complete the task.
C) Poor communication is a barrier to delegation.
D) In work allocation, no transfer of authority exists.
What is B) Transferring authority empowers the delegate to complete the task.
500
Which of the following is a specific benefit to an organization when delegation is carried out effectively?

A) The client feels more of their needs are met.
B) The organization benefits by achieving its goals more efficiently.
C) Delegates gain new skills facilitating upward mobility.
D) Managers devote more time to tasks that cannot be delegated.
What is B) The organization benefits by achieving its goals more efficiently.
500
What is (are) your goal in this course?

A) Graduate
B) Be on the honor roll
C) Pass the NCLEX
D) Become an RN
What is ALL OF THE ABOVE!