lOMoAR cPSD| 47061011
Chapter 09: Delegation in Nursing
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. The process for a nurse to direct another person to perform nursing tasks and activities is: a.
authorization.
b. delegation.
c. empowerment.
d. supervision.
ANS: B
In their Joint Statement on Delegation (NCSBN, 2005b), the ANA and the NCSBN defined
delegation in nursing as “the process for a nurse to direct another person to perform nursing
tasks and activities.”
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. The provision of guidance or direction, evaluation, and follow-up by the licensed nurse for
accomplishment of a nursing task delegated to unlicensed assistive personnel (UAP) is: a.
authorization.
b. delegation.
c. observation.
d. supervision.
ANS: D
Supervision is the provision of guidance or monitoring of a delegated nursing task. It may
occur in a variety of ways, including written and verbal communication (such as giving or
receiving reports), observation of the performance of the delegated task, or assessing the
patient for evidence that the delegated task has been completed successfully.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. Individuals who are trained to help the registered nurse (RN) in the provision of patient-client
care activities as delegated by and under the supervision of the RN are known as: a. certified
assistive personnel.
b. health care assistive personnel.
c. medical assistive personnel.
.
, lOMoAR cPSD| 47061011
d. unlicensed assistive personnel.
ANS: D
The NCSBN (2016) defined unlicensed assistive personnel (UAP) as any unlicensed
personnel trained to function in a supportive role and to whom a nursing responsibility can be
delegated.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. When considering whether to delegate a task, the nurse needs to assess the patient and:
a. how many nurses are available to supervise.
b. how complex the delegated action is.
c. the severity level of the patient population.
d. the expiration date of the license.
ANS: B
When considering whether to delegate a task, the nurse needs to assess the patient and
determine whether the action delegated is complex or if the plan of care of the patient could
change rapidly (Catalano, 2015).
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. According to the American Association of Critical-Care Nurses, there are five factors that a
nurse should assess when making a decision to delegate nursing tasks. These factors are
assessing the potential for harm, the complexity of the task, the amount of problem solving and
innovation required, the unpredictability of the outcome, and the: a. amount of time that the
task will take.
b. degree of comfort the delegatee has with the task.
c. level of patient interaction.
d. method of measuring outcomes.
ANS: C
The level of patient interaction is the fifth factor that nurses should assess when making
delegation decisions.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
.
Chapter 09: Delegation in Nursing
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. The process for a nurse to direct another person to perform nursing tasks and activities is: a.
authorization.
b. delegation.
c. empowerment.
d. supervision.
ANS: B
In their Joint Statement on Delegation (NCSBN, 2005b), the ANA and the NCSBN defined
delegation in nursing as “the process for a nurse to direct another person to perform nursing
tasks and activities.”
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. The provision of guidance or direction, evaluation, and follow-up by the licensed nurse for
accomplishment of a nursing task delegated to unlicensed assistive personnel (UAP) is: a.
authorization.
b. delegation.
c. observation.
d. supervision.
ANS: D
Supervision is the provision of guidance or monitoring of a delegated nursing task. It may
occur in a variety of ways, including written and verbal communication (such as giving or
receiving reports), observation of the performance of the delegated task, or assessing the
patient for evidence that the delegated task has been completed successfully.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. Individuals who are trained to help the registered nurse (RN) in the provision of patient-client
care activities as delegated by and under the supervision of the RN are known as: a. certified
assistive personnel.
b. health care assistive personnel.
c. medical assistive personnel.
.
, lOMoAR cPSD| 47061011
d. unlicensed assistive personnel.
ANS: D
The NCSBN (2016) defined unlicensed assistive personnel (UAP) as any unlicensed
personnel trained to function in a supportive role and to whom a nursing responsibility can be
delegated.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. When considering whether to delegate a task, the nurse needs to assess the patient and:
a. how many nurses are available to supervise.
b. how complex the delegated action is.
c. the severity level of the patient population.
d. the expiration date of the license.
ANS: B
When considering whether to delegate a task, the nurse needs to assess the patient and
determine whether the action delegated is complex or if the plan of care of the patient could
change rapidly (Catalano, 2015).
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. According to the American Association of Critical-Care Nurses, there are five factors that a
nurse should assess when making a decision to delegate nursing tasks. These factors are
assessing the potential for harm, the complexity of the task, the amount of problem solving and
innovation required, the unpredictability of the outcome, and the: a. amount of time that the
task will take.
b. degree of comfort the delegatee has with the task.
c. level of patient interaction.
d. method of measuring outcomes.
ANS: C
The level of patient interaction is the fifth factor that nurses should assess when making
delegation decisions.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
.
