CORRECT ANSWERS
responsibility ANSW✅✅the obligation to act or direct to accomplish a goal
accountability ANSW✅✅being held to answer for personal actions and actions of others
authority ANSW✅✅ability or legitimate power to make decisions, implement strategies, or elicit
work from others
who does an RN delegate to? ANSW✅✅nursing care technicians, LPNs, nursing students,
volunteers, other nurses
who retains the authority and accountability? ANSW✅✅the RN who delegated the tasks
what care can the RN delegate? ANSW✅✅SAFE THINGS! routine tasks and skills, skills that the
person has been taught, tasks in job description, routine care, care to STABLE patients with
predictable outcomes
never delegate... ANSW✅✅assessment, teaching, or evaluations of interventions
four rights of delegation ANSW✅✅right task, right person, right communication, right feedback
nurse-sensitive patient indicators ANSW✅✅quality indicators that capture care or patient
outcomes most affected by nursing care
examples of nurse-sensitive indicators ANSW✅✅patient falls, medication administration errors,
hospital-aquired pressure ulcers, restraint use, mislabeled specimens, patient deterioration, pain
management
purpose of joint commission's national patient safety goals (NPSGs) ANSW✅✅to promote specific
improvements in patient quality and safety
compliance with NPSGs ensures... ANSW✅✅quality and safe care for patients
,right task ANSW✅✅routine tasks, skills included in training programs and orientation, skills and
tasks in which they have demonstrated competency, tasks in job description
right person ANSW✅✅properly trained, in job description, demonstrated competency, licensed
vs. unlicensed
right communication ANSW✅✅clear directions given, what to report back, safety precautions,
verify understanding that they know what to do, be very clear with what information you need from
them
right feedback ANSW✅✅monitor performance based on standards of care, policies, and
procedures, RN is accountable, feedback on performance, documentation
obligation in ethical decisions ANSW✅✅always put the patient FIRST, maximize the client's well-
being, balance client's need for autonomy with family members' responsibilities for the client's well-
being, carry out hospital policies, protect nurse's standard of care
how to enhance ethical decisions and practice? ANSW✅✅know the dilemma, know the ethics and
standards applied to it, familiarity with ANA code of ethics for nurses, respect values and opinions of
other HCPs
specific ethical issues ANSW✅✅HIV/AIDS, abortion, organ transplantation, end-of-life issues,
management of personal health information (HIPPA)
ethical decision-making process ANSW✅✅be informed and open, put the patient first, identify
the options, decide which option you can ethically defend
principles of nursing ANSW✅✅autonomy, nonmaleficence, beneficence, justice, distributive
justice, fidelity, veracity, and privacy
autonomy ANSW✅✅right to make one's own decisions
nonmaleficence ANSW✅✅duty to do no harm
, beneficence ANSW✅✅doing good
justice ANSW✅✅fairness; equal treatment
distributive justice ANSW✅✅fairness in allocation of resources
fidelity ANSW✅✅be faithful to agreements and promises
veracity ANSW✅✅telling the truth
privacy ANSW✅✅keeping patient information confidential
barriers to time management ANSW✅✅procrastination, perfectionism, and inability to prioritize
goal of the state boards of nursing? ANSW✅✅protect the public
licensure is to... ANSW✅✅verify that you are a safe practitioner
in order to be licensed by the state board of nursing... ANSW✅✅successfully complete a nursing
program, successfully pass the NCLEX
standards compared to an RN ANSW✅✅nursing students are held to the SAME standard of care
as the RN
differences? ANSW✅✅the assignment and the level of responsibility
roles of the nurse ANSW✅✅physical and psychological caregiver, perform skills, communicate
findings, teach, advocate, counsel, act as a change agent, leader