N4320 Collaboration Q&A
Which factor supports task delegation to nursing assistive personnel (NAP) according to
the National Council of State Boards of Nursing (NCSBN) Decision Tree? Select all that
apply. One, some, or all responses may be correct.
1
The task is within the nurse's scope of practice.
2
The task may be performed with a predictable outcome.
3
Agency policies and protocols are available for the task or activity.
4
The task is performed according to an established sequence of steps.
5
NAP have the appropriate knowledge, skills, and abilities required to complete the task.
- (correct answer)1,2,3,4,5
RATIONALE:
According to the NCSBN Decision Tree, for a task to be delegated it must be within the
nurse's scope of practice and have a predictable outcome. Agency policies and
procedures must be available for the task, and it must have an established sequence of
steps. The NAP to whom the task is assigned must have the appropriate knowledge,
skills, and abilities to perform the task.
The registered nurse is caring for a client in the medical unit. The registered nurse
wants to transfer the responsibilities and accountability to another individual. Whom
would the registered nurse use to accomplish this task?
1
Charge nurse
2
Nursing assistant
,3
Licensed vocational nurse (LVN)
4
Unlicensed assistive personnel (UAP) - (correct answer)1
RATIONALE:
The registered nurse caring for an elderly client in the medical unit may transfer the
responsibilities and accountability to a charge nurse. A charge nurse may serve as the
delegatee who has the appropriate level of competency skills such as critical thinking,
clinical practice, organization, leadership, communication, and time management.
Nursing assistants would follow organization policies. The registered nurse may transfer
responsibilities to the licensed vocational nurse (LVN) and unlicensed assistive
personnel (UAP), although accountability for elderly client care is not transferred and
remains with the registered nurse.
Which failure is consistent with an improper follow-through on the part of a delegatee?
1
Failure to report results and findings
2
Failure to understand the skills and abilities
3
Failure to provide clear and concise directions
4
Failure to cooperate with the other team members - (correct answer)1
RATIONALE:
Improper follow-through on the part of a delegatee is failure to report results and
findings. Improper follow-through occurs when the delegator does not understand the
skills and abilities of the delegatee and does not provide clear and concise directions to
the delegatee. The lack of cooperation with team members may be improved by
educating, guiding, and monitoring the delegatee.
, Which questions would the delegator assess to determine the right task? Select all that
apply. One, some, or all responses may be correct.
1
"Is the task legally appropriate to delegate?"
2
"Is the environment conducive to completing the task safely?"
3
"Does the delegator provide clear and concise directions for the task?"
4
"Is the task appropriate to delegate based on institutional policies and procedures?"
5
"Does the delegatee have the knowledge and experience to perform the specific task
safely?" - (correct answer)1,4
RATIONALE:
The delegator has to determine right task by assessing whether the task is legally
appropriate to delegate. The delegator must also check that the task is appropriate to
delegate based on institutional policies and procedures. The right circumstance can be
assessed by asking, "Is the environment conducive to completing the task safely?" The
right direction and communication is assessed by asking, "Does the delegator provide
clear and concise directions for the task?" The right person eligible to accomplish the
task is assessed by asking, "Does the delegatee have the knowledge and experience to
perform the specific task safely?"
Which statement(s) are true regarding delegation? Select all that apply. One, some, or
all responses may be correct.
1
The delegatees are accountable for effective client care.
2
Which factor supports task delegation to nursing assistive personnel (NAP) according to
the National Council of State Boards of Nursing (NCSBN) Decision Tree? Select all that
apply. One, some, or all responses may be correct.
1
The task is within the nurse's scope of practice.
2
The task may be performed with a predictable outcome.
3
Agency policies and protocols are available for the task or activity.
4
The task is performed according to an established sequence of steps.
5
NAP have the appropriate knowledge, skills, and abilities required to complete the task.
- (correct answer)1,2,3,4,5
RATIONALE:
According to the NCSBN Decision Tree, for a task to be delegated it must be within the
nurse's scope of practice and have a predictable outcome. Agency policies and
procedures must be available for the task, and it must have an established sequence of
steps. The NAP to whom the task is assigned must have the appropriate knowledge,
skills, and abilities to perform the task.
The registered nurse is caring for a client in the medical unit. The registered nurse
wants to transfer the responsibilities and accountability to another individual. Whom
would the registered nurse use to accomplish this task?
1
Charge nurse
2
Nursing assistant
,3
Licensed vocational nurse (LVN)
4
Unlicensed assistive personnel (UAP) - (correct answer)1
RATIONALE:
The registered nurse caring for an elderly client in the medical unit may transfer the
responsibilities and accountability to a charge nurse. A charge nurse may serve as the
delegatee who has the appropriate level of competency skills such as critical thinking,
clinical practice, organization, leadership, communication, and time management.
Nursing assistants would follow organization policies. The registered nurse may transfer
responsibilities to the licensed vocational nurse (LVN) and unlicensed assistive
personnel (UAP), although accountability for elderly client care is not transferred and
remains with the registered nurse.
Which failure is consistent with an improper follow-through on the part of a delegatee?
1
Failure to report results and findings
2
Failure to understand the skills and abilities
3
Failure to provide clear and concise directions
4
Failure to cooperate with the other team members - (correct answer)1
RATIONALE:
Improper follow-through on the part of a delegatee is failure to report results and
findings. Improper follow-through occurs when the delegator does not understand the
skills and abilities of the delegatee and does not provide clear and concise directions to
the delegatee. The lack of cooperation with team members may be improved by
educating, guiding, and monitoring the delegatee.
, Which questions would the delegator assess to determine the right task? Select all that
apply. One, some, or all responses may be correct.
1
"Is the task legally appropriate to delegate?"
2
"Is the environment conducive to completing the task safely?"
3
"Does the delegator provide clear and concise directions for the task?"
4
"Is the task appropriate to delegate based on institutional policies and procedures?"
5
"Does the delegatee have the knowledge and experience to perform the specific task
safely?" - (correct answer)1,4
RATIONALE:
The delegator has to determine right task by assessing whether the task is legally
appropriate to delegate. The delegator must also check that the task is appropriate to
delegate based on institutional policies and procedures. The right circumstance can be
assessed by asking, "Is the environment conducive to completing the task safely?" The
right direction and communication is assessed by asking, "Does the delegator provide
clear and concise directions for the task?" The right person eligible to accomplish the
task is assessed by asking, "Does the delegatee have the knowledge and experience to
perform the specific task safely?"
Which statement(s) are true regarding delegation? Select all that apply. One, some, or
all responses may be correct.
1
The delegatees are accountable for effective client care.
2
