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TEST BANK FOR NURSING DELEGATION AND MANAGEMENT OF PATIENT CARE 3RD EDITION BY KATHLEEN MOTACKI EXAM QUESTIONS AND ANSWER KEY.

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TEST BANK FOR NURSING DELEGATION AND MANAGEMENT OF PATIENT CARE 3RD EDITION BY KATHLEEN MOTACKI EXAM QUESTIONS AND ANSWER KEY. 1. The process for a nurse to direct another person to perform nursing tasks and activities is: A. Authorization. B. Delegation. C. Empowerment. D. Supervision. - ANS-B In their Joint Statement on Delegation (NCSBN, 2005b), the ANA and the NCSBN defined delegation in nursing as "the process for a nurse to direct another person to perform nursing tasks and activities." 2. Being answerable to oneself and others for one's own choices, decisions, and actions as measured against a standard is: A. Accountability. B. Authority. C. Supervision. D. Delegation. - ANS-A The National Council of State Boards of Nursing (NCSBN, 2016) defined accountability as being answerable to oneself and others for one's own choices, decisions, and actions as measured against a standard. DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment: Management of Care 3. Individuals who are trained to help the registered nurse (RN) in the provision of patient-client care activities as delegated by and under the supervision of the RN are known as: A. Certified assistive personnel. B. Health care assistive personnel. C. Medical assistive personnel. D. Unlicensed assistive personnel. - ANS-D The NCSBN (2016) defined unlicensed assistive personnel (UAP) as any unlicensed personnel trained to function in a supportive role and to whom a nursing responsibility can be delegated. 4. When considering whether to delegate a task, the nurse needs to assess the patient and: A. How many nurses are available to supervise. B. How complex the delegated action is. C. The severity level of the patient population. D. The expiration date of the license. - ANS-B When considering whether to delegate a task, the nurse needs to assess the patient and determine whether the action delegated is complex or if the plan of care of the patient could change rapidly (Catalano, 2015). 5. According to the American Association of Critical-Care Nurses, there are five factors that a nurse should assess when making a decision to delegate nursing tasks. These factors are assessing the potential for harm, the complexity of the task, the amount of problem solving and innovation required, the unpredictability of the outcome, and the: A. Amount of time that the task will take. B. Degree of comfort the delegatee has with the task. C. Level of patient interaction. D. Method of measuring outcomes. - ANS-C The level of patient interaction is the fifth factor that nurses should assess when making delegation decisions. 6. The five rights of delegation are right task, right circumstance, right person, right direction and communication, and right: A. Interaction. B. Outcome. C. Supervision. D. Time. - ANS-C The delegation process, as outlined by the ANA/NCSBN joint statement (2005) and the NCSBN national guidelines (2016), begins with the preparation/assessment phase and then goes on to outline a five-step process. These steps are (1) the right task, (2) under the right circumstance, (3) to the right person, (4) with the right directions and communication, (5) under the right supervision and evaluation. 7. If an error occurs as a result of delegation, the nurse is accountable for supervision, follow-up, intervention, and: A. Corrective action of the event. B. Documentation of the event. C. Evaluation of the process. D. Summation of the occurrence. - ANS-A The nurse is also responsible for corrective action in case of an error. 8. The nurse has asked a nurse's aide to greet a postoperative patient who has just arrived on the unit and to determine whether he is in stable condition. This act of delegation is an example of a nurse inappropriately delegating: A. Assessment of the patient. B. Evaluation of an intervention. C. Nursing judgment. D. Teaching to a delegate. - ANS-A The RN is responsible for assessment, evaluation, and nursing judgment, and should not delegate these professional responsibilities. 9. If a licensed practical/vocational nurse (LPN/LVN) provides discharge teaching, who is ultimately responsible? A. Chief executive officer B. Institution where the LPN/LVN works C. Risk manager D. UAP - ANS-B Organizational leadership in building the skills related to delegation enhances individuals and builds high-performing teams, as well as enhancing team member awareness of roles and responsibilities and their individual capabilities and limitations (Lanfranchi, 2013). The organization is accountable for the delegation processes in place and for upholding values of safe patient care and staff development. DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment: Management of Care

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TEST BANK FOR NURSING
DELEGATION AND MANAGEMENT
OF PATIENT CARE 3RD EDITION BY
KATHLEEN MOTACKI 2025-2026
EXAM QUESTIONS AND ANSWER
KEY.




1. The process for a nurse to direct another person to perform nursing
tasks and activities is:



A. Authorization.

B. Delegation.

C. Empowerment.

D. Supervision. - ANS-B

In their Joint Statement on Delegation (NCSBN, 2005b), the ANA and
the NCSBN defined delegation in nursing as "the process for a nurse to
direct another person to perform nursing tasks and activities."

,2. Being answerable to oneself and others for one's own choices,
decisions, and actions as measured against a standard is:

A. Accountability.

B. Authority.

C. Supervision.

D. Delegation. - ANS-A



The National Council of State Boards of Nursing (NCSBN, 2016)
defined accountability as being answerable to oneself and others for
one's own choices, decisions, and actions as measured against a
standard.



DIF: Cognitive Level: Understand (Comprehension)

TOP: Nursing Process: Assessment

MSC: Client Needs: Safe and Effective Care Environment: Management
of Care

, 3. Individuals who are trained to help the registered nurse (RN) in the
provision of patient-client care activities as delegated by and under
the supervision of the RN are known as:



A. Certified assistive personnel.

B. Health care assistive personnel.

C. Medical assistive personnel.

D. Unlicensed assistive personnel. - ANS-D

The NCSBN (2016) defined unlicensed assistive personnel (UAP) as
any unlicensed personnel trained to function in a supportive role and
to whom a nursing responsibility can be delegated.



4. When considering whether to delegate a task, the nurse needs to
assess the patient and:



A. How many nurses are available to supervise.

B. How complex the delegated action is.

C. The severity level of the patient population.

D. The expiration date of the license. - ANS-B

When considering whether to delegate a task, the nurse needs to
assess the patient and determine whether the action delegated is
complex or if the plan of care of the patient could change rapidly
(Catalano, 2015).



5. According to the American Association of Critical-Care Nurses,
there are five factors that a nurse should assess when making a
decision to delegate nursing tasks. These factors are assessing the
potential for harm, the complexity of the task, the amount of problem

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