C HAPTER 20: D ELEGATION
1. The Omnibus Budget Reconciliation Act of 1987 established regulations
for the education and training of which category of health -care worker?
a. Certified nurse aide (CNA)
b. Registered nurse (RN)
c. Licensed practical nurse (LPN)
d. Ward clerk
ANS: A
Feedback:
Although the Omnibus Budget Reconciliation Act of 1987 established
regulations for the education and certification of “nurse’s aides”
(minimum of 75 hours of t heory and practice and successful completion
of an examination in both areas), no federal or communit y standards
have been established for training the more broadl y defined NAP. LPNs
and ward clerks are not addressed by this act.
PTS: 1 DIF: Easy REF: Page: 537 OBJ: 9 NAT:
Client Needs: Safe and Effective Care Environment: Management
of Care TOP: Chapter Number: 20: Title: Delegating to
Unlicensed Assistive Personnel KEY: Integrated Process:
Nursing Process BLM: Cognitive Level: Remember NOT:
Multiple Choice
2. A registered nurse (RN) was working with a nursing assistive personnel
, (NAP) and delegated some tasks to the NAP. The NAP exceeded his scope
of practice and caused injury to a client. Ultimate responsibility for this
adverse event lies with whom?
a. The NAP
b. The facilit y’s director of nursing
c. The unit’s nursing manager
d. The RN
ANS: D
Feedback:
The team’s RN always bears the ultimate responsibilit y for ensuring
that the nursing care provided by his or her team members meets or
exceeds minimum safet y standards. This is not the ultimate role of any
of the other positions mentioned.
PTS: 1 DIF: Easy REF: Page: 545 OBJ: 9 | 13
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 20: Title:
Integrating Leadersh ip Roles and Management Functions in
Delegation KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Understand NOT: Multiple Choice
3. A nurse-manager is new to the unit and is worried about being perceived
as incompetent or underqualified by s ubordinates. The manager should
recognize that this creates a risk for what problem?
a. Underdelegating
b. Overdelegating
c. Improper delegating
, d. Inappropriate delegating
ANS: A
Feedback:
Underdelegating occurs when a manager has a false assumption that
delegation may be interpreted as a lack of abilit y on his or her part to
do the job correctl y or completel y. This insecurit y may make the
manager highl y reluctant to delegate.
PTS: 1 DIF: Easy REF: Page: 533 OBJ: 6 NAT:
Client Needs: Safe and Effective Care Envir onment: Management
of Care TOP: Chapter Number: 20: Title: Underdelegating
KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Understand NOT: Multiple Choice
4. The nurse-manager is overseeing a culturall y diverse group of staff. The
manager should consider what variables when planning delegation? Select
all that apply.
a. Communication st yle
b. Concepts of time
c. Intelligence
d. Biological variations
e. Social organization
ANS: A, B, D, E
Feedback:
1. The Omnibus Budget Reconciliation Act of 1987 established regulations
for the education and training of which category of health -care worker?
a. Certified nurse aide (CNA)
b. Registered nurse (RN)
c. Licensed practical nurse (LPN)
d. Ward clerk
ANS: A
Feedback:
Although the Omnibus Budget Reconciliation Act of 1987 established
regulations for the education and certification of “nurse’s aides”
(minimum of 75 hours of t heory and practice and successful completion
of an examination in both areas), no federal or communit y standards
have been established for training the more broadl y defined NAP. LPNs
and ward clerks are not addressed by this act.
PTS: 1 DIF: Easy REF: Page: 537 OBJ: 9 NAT:
Client Needs: Safe and Effective Care Environment: Management
of Care TOP: Chapter Number: 20: Title: Delegating to
Unlicensed Assistive Personnel KEY: Integrated Process:
Nursing Process BLM: Cognitive Level: Remember NOT:
Multiple Choice
2. A registered nurse (RN) was working with a nursing assistive personnel
, (NAP) and delegated some tasks to the NAP. The NAP exceeded his scope
of practice and caused injury to a client. Ultimate responsibility for this
adverse event lies with whom?
a. The NAP
b. The facilit y’s director of nursing
c. The unit’s nursing manager
d. The RN
ANS: D
Feedback:
The team’s RN always bears the ultimate responsibilit y for ensuring
that the nursing care provided by his or her team members meets or
exceeds minimum safet y standards. This is not the ultimate role of any
of the other positions mentioned.
PTS: 1 DIF: Easy REF: Page: 545 OBJ: 9 | 13
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 20: Title:
Integrating Leadersh ip Roles and Management Functions in
Delegation KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Understand NOT: Multiple Choice
3. A nurse-manager is new to the unit and is worried about being perceived
as incompetent or underqualified by s ubordinates. The manager should
recognize that this creates a risk for what problem?
a. Underdelegating
b. Overdelegating
c. Improper delegating
, d. Inappropriate delegating
ANS: A
Feedback:
Underdelegating occurs when a manager has a false assumption that
delegation may be interpreted as a lack of abilit y on his or her part to
do the job correctl y or completel y. This insecurit y may make the
manager highl y reluctant to delegate.
PTS: 1 DIF: Easy REF: Page: 533 OBJ: 6 NAT:
Client Needs: Safe and Effective Care Envir onment: Management
of Care TOP: Chapter Number: 20: Title: Underdelegating
KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Understand NOT: Multiple Choice
4. The nurse-manager is overseeing a culturall y diverse group of staff. The
manager should consider what variables when planning delegation? Select
all that apply.
a. Communication st yle
b. Concepts of time
c. Intelligence
d. Biological variations
e. Social organization
ANS: A, B, D, E
Feedback:
