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Exam (elaborations)

NR-446 RN Collaborative Healthcare |Test Bank |Verified Practice Questions with A+ Answers | Final Exam Guide FOR 2025/2026 (the most recent quizzes)

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Uploaded on
July 26, 2025
Number of pages
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Written in
2024/2025
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NR-446 RN Collaborative Healthcare |Test Bank
|Verified Practice Questions with A+ Answers |
Final Exam Guide FOR 2025/2026 (the most recent
quizzes)
supervising - is the process of directing, monitoring, and evaluating the performance of
tasks by another member of the health care team. RNs are responsible for the supervision of
client care tasks delegated to APs and PNs.

delegating - is the process of transferring the authority and responsibility to another team
member to complete a task, while retaining the accountability

Assigning - is the process of transferring the authority, accountability, and responsibility
of client care to another member of the health care team.

5 Rights of Delegation - Right task, Right person, Right direction/communication, Right
circumstance, Right supervision/evaluation

Right task - is repetitive, requires little supervision, and is relatively noninvasive for the
client. Identify what tasks are appropriate to delegate for each specific client

Right person - Assess and verify the competency of the health care team member. The
task must be within the team member's scope of practice. The team member must have the
necessary competence/training.

Right direction/communication - Data that needs to be collected ● Method and time line
for reporting, including when to report concerns/findings ● Specific task(s) to be performed;
client‑specific instructions ● Expected results, time lines, and expectations for follow‑up
communication. clear and concise language

Right circumstance - Assess the health status and complexity of care required by the
client. ● Match the complexity of care demands to the skill level of the health care team member.
● Consider the workload of the team member.

right supervision/evaluation - Provide supervision, either directly or indirectly (assigning
supervision to another licensed nurse). ● Provide clear directions and expectations of the task to
be performed (time frames, what to report). ● Monitor performance. ● Provide feedback. ●
Intervene if necessary

What can RN's not delegate to UAP or LPN? - (teaching, evaluation, or assessment) the
nursing process, client education or tasks that require clinical judgement

Leadership - an interactive process that provides needed guidance and direction

, Type of leadership - autocratic, democratic, laissez-faire, transactional, transformational,
servant-leader, interactional

Autocratic/Authoritative leadership - Makes decisions for the group. ● Motivates by
coercion. ● Communication occurs down the chain of command. ● Work output by staff is
usually high: good for crisis situations and bureaucratic settings. ● Effective for employees with
little or no formal education.

Democratic leadership - Includes the group when decisions are made. ● Motivates by
supporting staff achievements. ● Communication occurs up and down the chain of command. ●
Work output by staff is usually of good quality: good when cooperation and collaboration are
necessary.

laissez-faire leadership - Makes very few decisions, and does little planning. ● Motivation
is largely the responsibility of individual staff members. ● Communication occurs up and down
the chain of command and between group members. ● Work output is low unless an informal
leader evolves from the group. ● Effective with professional employees.

transformational leader - empower followers to assume responsibility for a communal
vision, and personal development is a secondary outcome. *focus on empowerment and vision

transactional leader - focus on immediate problems, maintaining the status quo and using
rewards to motivate followers. *Focus is mainly on tasks and getting the job done.

interactional leadership - the leadership behavior is generally determined by the
relationship between the leaders personality and the specific situation

servant-leader - put serving others, such as employees, customers, and the community as
number one priority over themselves

leadership outcomes - increase job satisfaction, empowerment, and autonomy among
nurses, and also increases pt. safety/satisfaction, fewer adverse events, and complications

Management functions - planning, organizing, staffing, directing, controlling/coordinating

Planning - The decisions regarding what needs to be done, how it will be done, and who is
going to do it. *encompasses determining philosophy, goals, objectives, policies, procedures, and
rules; carrying out long- and short-range projections; determining a fiscal course of action; and
managing planned change.

Organizing - The organizational structure that determines the lines of authority, channels
of communication, and where decisions are made. *establishing the structure to carry out plans,
determining the most appropriate type of patient care delivery, and grouping activities to meet
unit goals.

Staffing - The acquisition and management of adequate staff and staffing mix

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