BIOLOGY 265deleg Latest 2022.
The registered nurse assigned a task to unlicensed nursing personnel (UNP). The UNP
observed a change when measuring a client’s blood pressure. What is the responsibility of
the UNP in this situation?
1
Which description by the nurse is a correct explanation of delegation?
1
Which right is applicable when the delegator and delegatee understand a common
workrelated language?
4
Which of these clients can be provided care safely by unlicensed nursing personnel? Select
all that apply.
34
The registered nurse is evaluating the statements made by a student nurse after teaching
ways to make appropriate delegation decisions. Which statement made by the student
nurse indicates a need for correction?
4
Which description by the nurse is a correct explanation of delegation?
The transfer of responsibility for the performance of an activity
Delegation is the transfer of responsibility for the performance of an
activity. Personal liability defines each person's responsibility and
accountability for individual actions or omissions. Supervision is defined as
the active process of directing, guiding, and influencing the outcome of an
individual.
Assignment is the transfer of both the accountability and the responsibility
from one person to another.
When does a delegator identify that the delegatee is less able to perform in a
given situation?
When the delegatee is knowledge deficient
A delegatee is identified as less able to perform a specific work when he or
she has a knowledge deficit. When the delegatee is upset, bored, or anxious,
the delegator will identify that the delegatee is unwilling to perform a
specific task.
Who is most accountable for an initial assessment and the ongoing
evaluation of client care?
Registered nurse
Registered nurses are accountable for initial assessment and the ongoing
evaluation of client care. The client is not responsible for assessment and
evaluation. The licensed practical nurse has a responsibility to assess and
report client care. Unlicensed nursing personnel perform tasks as delegated
by the registered nurse.
Who acts as a delegator in the absence of the registered nurse?
Charge nurse
,BIOLOGY 265deleg Latest 2022.
The charge nurses act as a delegator on the basis of knowledge and
experience in clinical settings. In the absence of a registered nurse, the
charge nurse usually delegates the tasks. A patient care associate assists
and monitors vital signs. Licensed practical nurses and unlicensed nursing
personnel are considered delegatees due to insufficient experience and
training.
What is the main motto of the Hersey's 2006 model?
Situational leadership
Hersey's 2006 model provides a solid foundation for delegation decisions.
The main motto of this model is situational leadership. The core
competencies of a situational leader are the ability to diagnose the
performance, competence, and commitment of others; to be flexible; and to
partner for performance. Anthony and Vidal describe characteristics of
communication that interfere with the delegation process, such as
information decay. They also describe information salience, or the quality,
meaning, and clarity of the information. Ana mentioned individual
accountability, the expectation of accountability and responsibility in 2011,
specifically referencing delegation.
The healthcare team is caring for a client who has undergone surgery for
lung cancer. The client needs respiratory therapy. Which task can be safely
delegated to a respiratory therapist paired with a registered nurse?
Assessing the respirations
Respiratory therapy is needed in clients who undergo surgery for lung
cancer. Assessing respiration can be safely delegated to the respiratory
therapist. Placing a Foley catheter, an IV catheter, or administering patient-
controlled analgesia is within the scope of a registered nurse's practice.
Which healthcare professional does the nurse know is authorized to delegate
work to other healthcare members?
Registered nurse (RN)
Delegating work is the most effective professional management strategy that
an RN can implement in clinical practice to improve the safety and quality of
client care. RNs can delegate work to LPNs, UNP, or UAP.
The registered nurse is organizing a community health care program for
administering tetanus vaccinations. Which member of the health care team
is most suitable for delegating the task of administering vaccinations?
Licensed practical nurse
Tetanus vaccination is administered through the intramuscular route. The
licensed practical nurse can administer oral, topical, and intramuscular
medications, except for intravenous. The nursing aide, certified technician,
and patient care associate are unlicensed assistive personnel whose scope of
practice is limited for administering medications
,BIOLOGY 265deleg Latest 2022.
Who is mainly responsible for analyzing the knowledge and work of newly
hired unlicensed assistive personnel (UAP) before delegating a task?
Registered nurse
The registered nurse must analyze any individual's knowledge before
delegating a task. The charge nurse mainly functions as a liaison between
team leaders and other healthcare providers. The associate nurse follows the
care plan in the absence of a registered nurse. The nursing manager is
responsible for more than one unit and has other managerial responsibilities.
The registered nurse (RN) administers intravenous fluids to a client who was
in a motorcycle accident. Which assessments made by the nurse would be
appropriate based on the principle of right task of delegation?
Institutional policies of drug administration
Right task of delegation includes information on whether the task performed
would be appropriate based on institutional policies. Assessing if the
environmental conditions are conducive for completing the task determines
right circumstance of delegation. Right circumstance of delegation also
includes the assessments of resources and equipment available for
performing the task. Assessing the client's condition prior to drug
administration may not be an appropriate intervention of the nurse under
right task of delegation.
Test-Taking Tip: There are five rights of delegation. Look for the answer that
mainly focuses on right of supervision.
Which component is the ability to perform duties in a specific role?
Authority
Authority is the ability to perform duties in a specific role. Responsibility
refers to reliability, dependability, and obligation to accomplish work.
Accountability determines whether a person's actions were appropriate and
provides a detailed explanation of what occurred. Legal authority is the
ability to transfer selected nursing activities in a given situation to a
competent individual.
Which member of the healthcare team would the nurse claim performs
functions through passive delegation?
Pharmacist
A pharmacist performs functions through passive delegation. Unit secretaries
may not be eligible to perform any activity because they do not have formal
preparation and legal recognition. The licensed practical nurse does not
delegate, but rather acts as a delegatee. The unlicensed assistive personnel
are also delegatees.
Which task can be delegated to a cross-trained technician when paired with
a registered nurse?
, BIOLOGY 265deleg Latest 2022.
Drawing blood samples
Drawing the blood samples, or phlebotomy, can be delegated to cross-
trained technicians when paired with the registered nurse. The cross-trained
technician can only record the vital signs, monitoring the vital signs is
outside the scope of practice for a cross trained technician. Intravenous
medication can only be administered by the registered nurse. The cross
trained technician is an assistive personnel who can reinforce the teaching
but he or she cannot teach the client directly.
What is the role of unlicensed assistive personnel in intravenous (IV) therapy
for a client?
Collecting the data to be used in the assessment of the IV site
The role of unlicensed assistive professional in IV therapy is to collect the
data that can be used in the assessment of the IV site. Monitoring clinical
manifestation is performed by the licensed practical nurse (LPN).
Administering IV fluids and medications is done by a registered nurse or LPN.
Evaluating the client for clinical manifestations is performed by the
registered nurse.
A client with foot ulcers is admitted to the hospital. The nurse manager
should delegate the task of maintaining hygiene to which staff members to
maximize efficient use of human resources? Select all that apply.
Patient care associate (PCA)
Unlicensed nursing practitioner (UNP)
Nurses, PCAs, and UNPs can perform the task of maintaining hygiene;
however the best use of resources is to delegate to UNPs and PCAs so the
nurses can complete medication administration and other skills the UNPs and
PCAs are not legally able to perform under their scope of practice.
Which nursing process includes tasks that can be delegated?
4
Which definition of delegation given by the nurse is correct?
4
Which characteristic should the nurse use during the nursing process as a guide for
delegation?
2
The registered nurse (RN) is caring for an older client who has been admitted to the
hospital. The RN allocates several tasks to the unlicensed nursing personnel (UNP). In order
to evaluate the understanding of the UNP, the RN asks the UNP to describe which tasks
have been allocated. Which responses given by the UNP indicate effective understanding of
the tasks? Select all that apply.
145
Which employee should be competent in critical thinking, leadership, communication, and
The registered nurse assigned a task to unlicensed nursing personnel (UNP). The UNP
observed a change when measuring a client’s blood pressure. What is the responsibility of
the UNP in this situation?
1
Which description by the nurse is a correct explanation of delegation?
1
Which right is applicable when the delegator and delegatee understand a common
workrelated language?
4
Which of these clients can be provided care safely by unlicensed nursing personnel? Select
all that apply.
34
The registered nurse is evaluating the statements made by a student nurse after teaching
ways to make appropriate delegation decisions. Which statement made by the student
nurse indicates a need for correction?
4
Which description by the nurse is a correct explanation of delegation?
The transfer of responsibility for the performance of an activity
Delegation is the transfer of responsibility for the performance of an
activity. Personal liability defines each person's responsibility and
accountability for individual actions or omissions. Supervision is defined as
the active process of directing, guiding, and influencing the outcome of an
individual.
Assignment is the transfer of both the accountability and the responsibility
from one person to another.
When does a delegator identify that the delegatee is less able to perform in a
given situation?
When the delegatee is knowledge deficient
A delegatee is identified as less able to perform a specific work when he or
she has a knowledge deficit. When the delegatee is upset, bored, or anxious,
the delegator will identify that the delegatee is unwilling to perform a
specific task.
Who is most accountable for an initial assessment and the ongoing
evaluation of client care?
Registered nurse
Registered nurses are accountable for initial assessment and the ongoing
evaluation of client care. The client is not responsible for assessment and
evaluation. The licensed practical nurse has a responsibility to assess and
report client care. Unlicensed nursing personnel perform tasks as delegated
by the registered nurse.
Who acts as a delegator in the absence of the registered nurse?
Charge nurse
,BIOLOGY 265deleg Latest 2022.
The charge nurses act as a delegator on the basis of knowledge and
experience in clinical settings. In the absence of a registered nurse, the
charge nurse usually delegates the tasks. A patient care associate assists
and monitors vital signs. Licensed practical nurses and unlicensed nursing
personnel are considered delegatees due to insufficient experience and
training.
What is the main motto of the Hersey's 2006 model?
Situational leadership
Hersey's 2006 model provides a solid foundation for delegation decisions.
The main motto of this model is situational leadership. The core
competencies of a situational leader are the ability to diagnose the
performance, competence, and commitment of others; to be flexible; and to
partner for performance. Anthony and Vidal describe characteristics of
communication that interfere with the delegation process, such as
information decay. They also describe information salience, or the quality,
meaning, and clarity of the information. Ana mentioned individual
accountability, the expectation of accountability and responsibility in 2011,
specifically referencing delegation.
The healthcare team is caring for a client who has undergone surgery for
lung cancer. The client needs respiratory therapy. Which task can be safely
delegated to a respiratory therapist paired with a registered nurse?
Assessing the respirations
Respiratory therapy is needed in clients who undergo surgery for lung
cancer. Assessing respiration can be safely delegated to the respiratory
therapist. Placing a Foley catheter, an IV catheter, or administering patient-
controlled analgesia is within the scope of a registered nurse's practice.
Which healthcare professional does the nurse know is authorized to delegate
work to other healthcare members?
Registered nurse (RN)
Delegating work is the most effective professional management strategy that
an RN can implement in clinical practice to improve the safety and quality of
client care. RNs can delegate work to LPNs, UNP, or UAP.
The registered nurse is organizing a community health care program for
administering tetanus vaccinations. Which member of the health care team
is most suitable for delegating the task of administering vaccinations?
Licensed practical nurse
Tetanus vaccination is administered through the intramuscular route. The
licensed practical nurse can administer oral, topical, and intramuscular
medications, except for intravenous. The nursing aide, certified technician,
and patient care associate are unlicensed assistive personnel whose scope of
practice is limited for administering medications
,BIOLOGY 265deleg Latest 2022.
Who is mainly responsible for analyzing the knowledge and work of newly
hired unlicensed assistive personnel (UAP) before delegating a task?
Registered nurse
The registered nurse must analyze any individual's knowledge before
delegating a task. The charge nurse mainly functions as a liaison between
team leaders and other healthcare providers. The associate nurse follows the
care plan in the absence of a registered nurse. The nursing manager is
responsible for more than one unit and has other managerial responsibilities.
The registered nurse (RN) administers intravenous fluids to a client who was
in a motorcycle accident. Which assessments made by the nurse would be
appropriate based on the principle of right task of delegation?
Institutional policies of drug administration
Right task of delegation includes information on whether the task performed
would be appropriate based on institutional policies. Assessing if the
environmental conditions are conducive for completing the task determines
right circumstance of delegation. Right circumstance of delegation also
includes the assessments of resources and equipment available for
performing the task. Assessing the client's condition prior to drug
administration may not be an appropriate intervention of the nurse under
right task of delegation.
Test-Taking Tip: There are five rights of delegation. Look for the answer that
mainly focuses on right of supervision.
Which component is the ability to perform duties in a specific role?
Authority
Authority is the ability to perform duties in a specific role. Responsibility
refers to reliability, dependability, and obligation to accomplish work.
Accountability determines whether a person's actions were appropriate and
provides a detailed explanation of what occurred. Legal authority is the
ability to transfer selected nursing activities in a given situation to a
competent individual.
Which member of the healthcare team would the nurse claim performs
functions through passive delegation?
Pharmacist
A pharmacist performs functions through passive delegation. Unit secretaries
may not be eligible to perform any activity because they do not have formal
preparation and legal recognition. The licensed practical nurse does not
delegate, but rather acts as a delegatee. The unlicensed assistive personnel
are also delegatees.
Which task can be delegated to a cross-trained technician when paired with
a registered nurse?
, BIOLOGY 265deleg Latest 2022.
Drawing blood samples
Drawing the blood samples, or phlebotomy, can be delegated to cross-
trained technicians when paired with the registered nurse. The cross-trained
technician can only record the vital signs, monitoring the vital signs is
outside the scope of practice for a cross trained technician. Intravenous
medication can only be administered by the registered nurse. The cross
trained technician is an assistive personnel who can reinforce the teaching
but he or she cannot teach the client directly.
What is the role of unlicensed assistive personnel in intravenous (IV) therapy
for a client?
Collecting the data to be used in the assessment of the IV site
The role of unlicensed assistive professional in IV therapy is to collect the
data that can be used in the assessment of the IV site. Monitoring clinical
manifestation is performed by the licensed practical nurse (LPN).
Administering IV fluids and medications is done by a registered nurse or LPN.
Evaluating the client for clinical manifestations is performed by the
registered nurse.
A client with foot ulcers is admitted to the hospital. The nurse manager
should delegate the task of maintaining hygiene to which staff members to
maximize efficient use of human resources? Select all that apply.
Patient care associate (PCA)
Unlicensed nursing practitioner (UNP)
Nurses, PCAs, and UNPs can perform the task of maintaining hygiene;
however the best use of resources is to delegate to UNPs and PCAs so the
nurses can complete medication administration and other skills the UNPs and
PCAs are not legally able to perform under their scope of practice.
Which nursing process includes tasks that can be delegated?
4
Which definition of delegation given by the nurse is correct?
4
Which characteristic should the nurse use during the nursing process as a guide for
delegation?
2
The registered nurse (RN) is caring for an older client who has been admitted to the
hospital. The RN allocates several tasks to the unlicensed nursing personnel (UNP). In order
to evaluate the understanding of the UNP, the RN asks the UNP to describe which tasks
have been allocated. Which responses given by the UNP indicate effective understanding of
the tasks? Select all that apply.
145
Which employee should be competent in critical thinking, leadership, communication, and
