The registered nurse (RN) is caring for a client who underwent ileostomy. Which
activity performed by the nurse indicates following the principle of right circumstance
of delegation? Select all that apply.
1
Assessing the willingness of the delegatee
2
Assessing the equipment to determine vital signs
3
Providing supervision of the delegatee during the task
4
Teaching institutional policies about caring for a client with ileostomy
5
Communicating with the delegatee about care management of the client
Give this one a try later!
, Assessing the equipment to determine vital signs
Providing supervision of the delegatee during the task
Assessing the equipment and resources available to perform the task
determines right circumstance of delegation. Supervising the delegatee
during the task indicates right circumstance of delegation. Assessing the
willingness of the delegatee determines the principle of right person of
delegation. Determining if the task can be performed based on institutional
policies indicates principle of right task of delegation. Communicating with
the delegatee falls under right communication of delegation.
Which task can be delegated to a cross-trained technician when paired with a
registered nurse?
1
Monitoring vital signs
2
Drawing blood samples
3
Teaching clients directly
4
Administering intravenous medication
Give this one a try later!
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.
,Which client is most appropriate to be delegated to unlicensed assistive personnel
(UAP) based on the given data?
1
Client A 14 months, severe diarrhea, acute
2
Client B 12 years, hand fracture, extended
3
Client C 30 years, bronchitis, acute
4
Client D 50 years, dementia, long-term
Give this one a try later!
Client D
The unlicensed assistive personnel (UAP) is delegated to work in long-term
care settings and extended-care settings as the clients are more stable. The
UAP may not be delegated to work in acute care, emergency care, and
intensive care settings. In dementia, the client experiences confusion, so
long-term care is essential for this client. Since UAPs generally work in
long-term care, client D is most appropriate to be delegated to a UAP. As
severe diarrhea needs acute care, client A may not be delegated to a UAP.
Though a hand fracture may require extended care, the client can do work
on his or her own when compared to the client with dementia. Therefore,
client B may not be delegated to a UAP. Clients with bronchitis need acute
care as they may experience breathing difficulties. Therefore, client C is not
delegated to a UAP.
Which actions in the delegation process represent accountability? Select all that
apply.
1
Monitoring client care
2
Seeking the outcome report
3
, Assessing the ability of the delegatee
4
Providing honest feedback to the delegatee
5
Assisting registered nurses with delegation decisions
Give this one a try later!
Monitoring client care
Seeking the outcome report
Monitoring client care and seeking the outcome report represents
accountability of the task in case of conflicts. Assessing the ability of the
delegatee and educating about the task indicates responsibility. Providing
open and honest feedback to the delegatee improves work performance
and client care outcomes. The nurse can assist other registered nurses with
delegation decisions regarding safety issues, urgency to intervene, or
potential negative client outcomes.
What is the main motto of the Hersey's 2006 model?
1
Information decay
2
Information salience
3
Situational leadership
4
Individual accountability
Give this one a try later!
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
activity performed by the nurse indicates following the principle of right circumstance
of delegation? Select all that apply.
1
Assessing the willingness of the delegatee
2
Assessing the equipment to determine vital signs
3
Providing supervision of the delegatee during the task
4
Teaching institutional policies about caring for a client with ileostomy
5
Communicating with the delegatee about care management of the client
Give this one a try later!
, Assessing the equipment to determine vital signs
Providing supervision of the delegatee during the task
Assessing the equipment and resources available to perform the task
determines right circumstance of delegation. Supervising the delegatee
during the task indicates right circumstance of delegation. Assessing the
willingness of the delegatee determines the principle of right person of
delegation. Determining if the task can be performed based on institutional
policies indicates principle of right task of delegation. Communicating with
the delegatee falls under right communication of delegation.
Which task can be delegated to a cross-trained technician when paired with a
registered nurse?
1
Monitoring vital signs
2
Drawing blood samples
3
Teaching clients directly
4
Administering intravenous medication
Give this one a try later!
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.
,Which client is most appropriate to be delegated to unlicensed assistive personnel
(UAP) based on the given data?
1
Client A 14 months, severe diarrhea, acute
2
Client B 12 years, hand fracture, extended
3
Client C 30 years, bronchitis, acute
4
Client D 50 years, dementia, long-term
Give this one a try later!
Client D
The unlicensed assistive personnel (UAP) is delegated to work in long-term
care settings and extended-care settings as the clients are more stable. The
UAP may not be delegated to work in acute care, emergency care, and
intensive care settings. In dementia, the client experiences confusion, so
long-term care is essential for this client. Since UAPs generally work in
long-term care, client D is most appropriate to be delegated to a UAP. As
severe diarrhea needs acute care, client A may not be delegated to a UAP.
Though a hand fracture may require extended care, the client can do work
on his or her own when compared to the client with dementia. Therefore,
client B may not be delegated to a UAP. Clients with bronchitis need acute
care as they may experience breathing difficulties. Therefore, client C is not
delegated to a UAP.
Which actions in the delegation process represent accountability? Select all that
apply.
1
Monitoring client care
2
Seeking the outcome report
3
, Assessing the ability of the delegatee
4
Providing honest feedback to the delegatee
5
Assisting registered nurses with delegation decisions
Give this one a try later!
Monitoring client care
Seeking the outcome report
Monitoring client care and seeking the outcome report represents
accountability of the task in case of conflicts. Assessing the ability of the
delegatee and educating about the task indicates responsibility. Providing
open and honest feedback to the delegatee improves work performance
and client care outcomes. The nurse can assist other registered nurses with
delegation decisions regarding safety issues, urgency to intervene, or
potential negative client outcomes.
What is the main motto of the Hersey's 2006 model?
1
Information decay
2
Information salience
3
Situational leadership
4
Individual accountability
Give this one a try later!
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
