Nur 155:: exam 3 (coping, stress, and delegation)
Study online at https://quizlet.com/_jvnnbf
1. Delegation and Delegation is defined as the transfer of responsibility for the performance of an
Continuity of activity to another individual while retaining accountability for the outcome.
Care:
2. ANA: transfer of responsibility
3. NCSBN: transfer of authority
4. Knowledge of the Nurses must possess comprehensive knowledge of the Nurse Practice Act in the
Nurse Practice state where they are licensed.
Act:
5. Non-Delegable The Registered Nurse (RN) cannot delegate assessment, planning, evaluation, or
RN accountability for the assigned task. The RN remains responsible for seeing that the
Responsibilities: task is completed and for assessing the client, even if specific tasks are performed
by others.
6. Prohibition of The person to whom a task has been delegated cannot delegate that assignment to
Sub-Delegation: another individual. If they cannot complete the task, they must notify the delegating
RN.
7. The Five Rights of To ensure patient safety and professional standards, nurses must apply the five
Safe Delegation: rights of delegation:
8. Right Task: The task is one that can be delegated for a specific patient and is routine, requiring
little nursing judgment.
9. Right Circum- The patient setting is appropriate, the patient is stable, and resources are available.
stance:
10. Right Person: The delegating nurse, the delegatee, and the patient must be the "right" fit. The
delegate must have the appropriate skills and knowledge for the specific patient.
11.
1/9
Page 1
, Nur 155 exam 3 (coping, stress, and delegation) with complete solutions...
Nur 155:: exam 3 (coping, stress, and delegation)
Study online at https://quizlet.com/_jvnnbf
Right Communi- Clear, concise, and complete description of the task, including its objective, limits,
cation: and expectations (e.g., specific timelines for reporting).
12. Right Supervi- Appropriate monitoring, evaluation, intervention, and feedback by the RN.
sion/Evaluation:
13. Communication Specific tasks to be done for each client, When each task is to be done, Expected
of delegation: outcome of each task, Who is available to help, When and what should be reported
14. Continuity of assigning the same nurse until discharge (helps to prevent forgetting pieces of
Care: care), helping with referrals to other facilities or at home services.
15. Unlicensed As- "Vital signs, Intake and Output (I&O) (including emptying foley catheters, drains,
sistive Personnel and colostomies), stable transfers and ambulation, postmortem care, bathing,
(UAP): feeding, simple dressing changes, safety attendance (setting up bed alarms),
weights, and CPR."
16. Licensed "All UAP tasks , plus: Medication administration (excluding IV medications unless IV
Practical/Voca- certified), complex dressing changes, NG tube placement, foley catheter insertion,
tional Nurse enteral feedings (G-tube/NG), and updating care plans."
(LPN/VN):
17. Registered Nurse "All UAP and LPN tasks , plus: Assessment, nursing diagnoses, care plan creation,
(RN): planning, evaluation, clinical judgment, and care for unstable clients."
18. Stressor: disrupts balance
19. Stress appraisal: stress is a treat or challenge, Unexpected things are going to happen and we need
to learn how to prioritize those stressors
20. Link between Chronic stress can lead to health issues: IBS, hypertension, cardiac issues. Stress
health and stress: can be good sometimes
21.
2/9
Page 2