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Exam (elaborations)

Nsg 441 Exam 2 Module 3 Chapter 12

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NSG 441 EXAM 2 MODULE 3 CHAPTER 12

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NSG 441 EXAM 2 MODULE 3 CHAPTER 12

Prioritization is (for bedside nurse) - answer -the skill of determining which client to see
first

Is considered a core skill to deliver safe and effective care and is necessary to obtain
the desired outcomes through the work of nursing staff - answer -delegation

Delegation allows nurses, nurse leaders and managers time to.... - answer -handle
more complex activities that require higher levels of expertise

What skills does delegation
Require - answer -problem-solving skills, critical-thinking skills, and clinical judgment

The decision to delegate is based on what factors - answer -patient needs, potential for
harm, stability of a patient's condition, complexity of the task, and predictability of the
outcome

Delegator - answer -person, usually the rn, delegating the task

Must have the appropriate qualifications, education, and authority to delegate per the
state nurse practice act

Delegate/ delegatee - answer -person to whom the task is being delegated, typically
other rns, lpns/lvns, and uaps

Must also have the appropriate education and skills to carry out the activity

Professional accountability - answer -an obligation not to abuse trust and to be able to
justify professional actions

Organizational accountability - answer -involves providing sufficient resources for
nurses to effectively and safely provide nursing care

Nurse leaders and managers are accountable for what in terms of the responsibility of
delegation (3) - answer -setting the expectations for appropriate delegation

Ensuring that rns, lpns/lvns, and uaps are aware of individual roles

Providing a safe environment that supports the delegation process

Authority - answer -legal right of an rn to delegate specific tasks to other rns or a
competent lpn/lvn or uap

, Authority is based on what - answer -state nurse practice act and should also be
reflected in a nurse's job description

Using authority, nurse leaders and managers do what (2) - answer -determine how staff
resources will be distributed on the unit based on patient needs.

Plan, implement, and evaluate nursing care.

Responsibility - answer -obligation one has to accomplish work

The individual's obligation to perform competently at the level the person has been
educated

To delegate, nurse leaders and managers must (2) - answer -determine the
competence of the delegate and appropriateness of delegation.

Supervise and evaluate the performance of the delegate

The delegate (in terms of responsibility) (2) - answer -accepts responsibility when he or
she agrees to perform a task delegated to them

Is responsible for his or her own actions

Supervision - answer -to provide guidance or direction, oversight, evaluation, and
follow-up

To supervise, nurse leaders and managers must (2) - answer -monitor the delegate's
performance and assure compliance with standards of practice.

Adhere to organizational policies and procedures in place to support the nurse
delegating the task.

Assignment (2) - answer -distribution of work that each staff member is responsible for
during a given time period

When assigning tasks, nurse leaders and managers must
Ensure the activity is within the individual's scope of practice.

Prioritization - answer -deciding which patient needs or problems require immediate
action and which are not urgent and can be addressed at a later time

What can and cannot be delegated is specified by - answer -nurse practice acts,
regulatory agency guidelines, and institutional policies

Tasks that can be delegated include (3) - answer -monitoring clients, specimen
collection, activities of daily living

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