NURS 440 Final Exam – Questions With
Appropriate Solutions
Save Groups
Terms in this set (219)
True or False: When the RN delegates False; with delegation, the RN transfers the
to the UAP, the UAP now has sole AUTHORITY to complete the task, but still remains
legal responsibility for the task. legally responsible for any poor outcomes.
Why may an RN delegate? - Allows more time to handle specialized tasks.
- Another individual may be more trained/skilled at
the task.
- Allows person being delegated to to become more
familiar with the task.
What are the five rights of delegation? - Right Task
- Right Circumstance
- Right Person
- Right Direction/Communication
- Right Level of Supervision
Why may an individual under - Fear of being viewed as "incompetent."
delegate? - Preference to complete own tasks.
- Emotional attachment to a task.
- Belief that there is enough time to delegate.
- Lack of experience with delegation.
- Failure to anticipate needed help.
Why may an individual over delegate? - Poor time management.
- Insecurity in performance abilities.
,What things cannot be delegated? **TAPE**
- Teach
- Assessment
- Plan
- Evaluate
What tasks can be delegated to - Personal hygiene (i.e. bathing, dressing, etc.)
unlicensed assistive personnel (UAP)? - Monitoring VS
- Weight/height
- Recording I and O.
- Obtaining urine samples.
- Feeding
- Emptying urinary catheter.
- Assist with ambulation/assistance/transferring.
- Assist with toileting.
- Noninvasive/nonsterile techniques
- Comfort care
- Changing bed linens.
- Basic ostomy care.
- Transporting patients.
What are special considerations for - Can only feed patients when they are STABLE.
delegating to UAPs? - Cannot ambulate post-operative patients for the
first time.
- No initial VS on new admissions, first post-op,
unstable diagnosis, etc.
- If patient is "lethargic," UAP should not be providing
care.
The LPN is completing a dressing The RN must ASSESS and document progression of
change on a diabetic foot ulcers. the wound.
What is important for the RN to do
prior to rewrapping?
, LPNs are able to give medications - IV push
except for... - Initial/newly ordered medications.
- Chemotherapy
- Blood transfusions
- Cardiac drips
- PCAs
- Port/central line
Conflict that occurs within a person Intrapersonal Conflict
when confronted with a situation that
causes discomfort; often the result of
personal values/morals being
challenged.
Two RNs on the unit begin to argue Interpersonal Conflict; the conflict is existing
when the new schedule shows only between the two RNs.
one was rewarded a requested
weekend off. This is an example of...
Occurs between two or more groups Intergroup Conflict
of people.
Occurs when there is a disagreement Organizational Conflict
between staff and the organization.
Occurs when conflict occurs within a Intragroup Conflict
group or team.
Staff shortages and budget cuts Latent phase; the circumstances are ripe for conflict
would be responsible for which phase to result.
of the conflict process?
Recognition that a conflict is Perceived Conflict
occurring, but no emotional
involvement yet.
- i.e. The RN hears about budget cuts
impacting other units in the hospital.
Appropriate Solutions
Save Groups
Terms in this set (219)
True or False: When the RN delegates False; with delegation, the RN transfers the
to the UAP, the UAP now has sole AUTHORITY to complete the task, but still remains
legal responsibility for the task. legally responsible for any poor outcomes.
Why may an RN delegate? - Allows more time to handle specialized tasks.
- Another individual may be more trained/skilled at
the task.
- Allows person being delegated to to become more
familiar with the task.
What are the five rights of delegation? - Right Task
- Right Circumstance
- Right Person
- Right Direction/Communication
- Right Level of Supervision
Why may an individual under - Fear of being viewed as "incompetent."
delegate? - Preference to complete own tasks.
- Emotional attachment to a task.
- Belief that there is enough time to delegate.
- Lack of experience with delegation.
- Failure to anticipate needed help.
Why may an individual over delegate? - Poor time management.
- Insecurity in performance abilities.
,What things cannot be delegated? **TAPE**
- Teach
- Assessment
- Plan
- Evaluate
What tasks can be delegated to - Personal hygiene (i.e. bathing, dressing, etc.)
unlicensed assistive personnel (UAP)? - Monitoring VS
- Weight/height
- Recording I and O.
- Obtaining urine samples.
- Feeding
- Emptying urinary catheter.
- Assist with ambulation/assistance/transferring.
- Assist with toileting.
- Noninvasive/nonsterile techniques
- Comfort care
- Changing bed linens.
- Basic ostomy care.
- Transporting patients.
What are special considerations for - Can only feed patients when they are STABLE.
delegating to UAPs? - Cannot ambulate post-operative patients for the
first time.
- No initial VS on new admissions, first post-op,
unstable diagnosis, etc.
- If patient is "lethargic," UAP should not be providing
care.
The LPN is completing a dressing The RN must ASSESS and document progression of
change on a diabetic foot ulcers. the wound.
What is important for the RN to do
prior to rewrapping?
, LPNs are able to give medications - IV push
except for... - Initial/newly ordered medications.
- Chemotherapy
- Blood transfusions
- Cardiac drips
- PCAs
- Port/central line
Conflict that occurs within a person Intrapersonal Conflict
when confronted with a situation that
causes discomfort; often the result of
personal values/morals being
challenged.
Two RNs on the unit begin to argue Interpersonal Conflict; the conflict is existing
when the new schedule shows only between the two RNs.
one was rewarded a requested
weekend off. This is an example of...
Occurs between two or more groups Intergroup Conflict
of people.
Occurs when there is a disagreement Organizational Conflict
between staff and the organization.
Occurs when conflict occurs within a Intragroup Conflict
group or team.
Staff shortages and budget cuts Latent phase; the circumstances are ripe for conflict
would be responsible for which phase to result.
of the conflict process?
Recognition that a conflict is Perceived Conflict
occurring, but no emotional
involvement yet.
- i.e. The RN hears about budget cuts
impacting other units in the hospital.
