NR446- Collaborative Nursing exam 1
Supervising - answer 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 - answer is the process of transferring the authority and responsibility to
another team member to complete a task, while retaining the accountability
Assigning - answer 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 - answer Right task, Right person, Right
direction/communication, Right circumstance, Right supervision/evaluation
Right task - answeris repetitive, requires little supervision, and is relatively noninvasive
for the client. Identify what tasks are appropriate to delegate for each specific client
Right person - answerAssess 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 - answerData 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 - answerAssess 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 - answerProvide 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? - answer(teaching, evaluation, or
assessment) the nursing process, client education or tasks that require clinical
judgement
Leadership - answeran interactive process that provides needed guidance and direction
, Type of leadership - answerautocratic, democratic, laissez-faire, transactional,
transformational, servant-leader, interactional
Autocratic/Authoritative leadership - answerMakes 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 - answerIncludes 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 - answerMakes 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 - answerempower followers to assume responsibility for a
communal vision, and personal development is a secondary outcome. *focus on
empowerment and vision
transactional leader - answerfocus 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 - answerthe leadership behavior is generally determined by the
relationship between the leaders personality and the specific situation
servant-leader - answerput serving others, such as employees, customers, and the
community as number one priority over themselves
leadership outcomes - answerincrease job satisfaction, empowerment, and autonomy
among nurses, and also increases pt. safety/satisfaction, fewer adverse events, and
complications
Management functions - answerplanning, organizing, staffing, directing,
controlling/coordinating
Planning - answerThe 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.
Supervising - answer 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 - answer is the process of transferring the authority and responsibility to
another team member to complete a task, while retaining the accountability
Assigning - answer 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 - answer Right task, Right person, Right
direction/communication, Right circumstance, Right supervision/evaluation
Right task - answeris repetitive, requires little supervision, and is relatively noninvasive
for the client. Identify what tasks are appropriate to delegate for each specific client
Right person - answerAssess 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 - answerData 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 - answerAssess 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 - answerProvide 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? - answer(teaching, evaluation, or
assessment) the nursing process, client education or tasks that require clinical
judgement
Leadership - answeran interactive process that provides needed guidance and direction
, Type of leadership - answerautocratic, democratic, laissez-faire, transactional,
transformational, servant-leader, interactional
Autocratic/Authoritative leadership - answerMakes 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 - answerIncludes 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 - answerMakes 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 - answerempower followers to assume responsibility for a
communal vision, and personal development is a secondary outcome. *focus on
empowerment and vision
transactional leader - answerfocus 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 - answerthe leadership behavior is generally determined by the
relationship between the leaders personality and the specific situation
servant-leader - answerput serving others, such as employees, customers, and the
community as number one priority over themselves
leadership outcomes - answerincrease job satisfaction, empowerment, and autonomy
among nurses, and also increases pt. safety/satisfaction, fewer adverse events, and
complications
Management functions - answerplanning, organizing, staffing, directing,
controlling/coordinating
Planning - answerThe 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.
