N471 U3 Clinical Prevention Exam Questions and Answers 100% Success/ A+ Score

N471 U3 Clinical Prevention Exam Questions and Answers 100% Success/ A+ Score What are the three components of delegation? - ANSWER-Responsibility, accountability, and authority When delegating, who remains accountable for the task? - ANSWER-The delegator What are the benefits of delegation for nurses? - ANSWER-Productivity increases (accomplish more tasks), develop skills and abilities of others (capacity increases) What is the responsibility aspect of delegation? - ANSWER-The obligation to accomplish a task What is the accountability aspect of delegation? - ANSWER-Act of accepting ownership for the results or lack thereof What is the authority aspect of delegation? - ANSWER-The right to act or empower---is transferred to the delegate What is the definition of delegation in NYS? Why is it unique? - ANSWER-Assigning activities that are within a licensed professional's scope of practice to another licensee with similar knowledge, skill, and judgment This is NOT how delegation is interpreted in most other states What is the definition of work allocation in NYS? - ANSWER-Assignment is the designation of non-professional health care tasks to an unlicensed individual who is trained and competent to perform them How does work allocation differ from delegation? - ANSWER-In work allocation, no transfer of authority occurs-- assignments are a bureaucratic function that reflect job descriptions and requirements (in NYS is assigning to non-licensed, where delegation is mutual transfer to licensed) What is set forth by the Nurse Practice Act, Article 139 of the New York State Education Law? - ANSWER-Registered professional nurses are independent practitioners and do NOT require supervision when they provide nursing care to individuals or groups. RNs are prepared by education and experience to assess, diagnose, plan, implement, and evaluate nursing care in all settings What is the scope of practice for LPNs? - ANSWER-Dependent practitioners who must practice under the supervision of an RN or other licensed health care provider. How does the Nurse Practice Act define the practice of an LPN? - ANSWER-Performing tasks and responsibilities within the framework of case finding, health teaching, health counseling, and provision of supportive and restorative care under the direction of a registered nurse or licensed physician, dentist, or other licensed health care provider legally authorized under this title and in accordance with the commissioner's regulations How does supervision of LPNs in home care occur? - ANSWER-The RN must be immediately available by phone to the LPN in home care How does supervision of LPNs in long-term care occur? - ANSWER-RN must be on site at least 8 hours per day and immediately available by phone at all other times In NYS, what is required of the RN before they can delegate to others? - ANSWER-The RN must be familiar with job descriptions, know competency level of the person they are delegating to, and have supervisory authority Who can LPNs delegate to? - ANSWER-Other LPNs True or false: RNs and LPNs cannot delegate to UAPs. - ANSWER-True. Non-nursing tasks can be ASSIGNED to UAPs but UAP training and competence to perform assigned tasks must be known In NYS, it is considered ___________ to delegate a nursing task to an unlicensed person - ANSWER-Unprofessional conduct In NYS, in addition to it being unprofessional conduct to delegate a nursing task to an unlicensed person, it is also considered a ________ to permit unauthorized practice - ANSWER-Crime Who are violations of the Education Law reportable to? - ANSWER-State Education Department, Office of the Professions for investigation; and if violation occurred it is reported to the State Attorney general for prosecution What are the five rights of delegation? - ANSWER-1. Right task: one that is delegable for a specific patient2. Right circumstance: appropriate patient setting, available resources, and other relevant factors 3. Right person: right person is delegating the right task to the right person to be performed on the right person 4. Right direction/ communication: clear concise description of the task, including its objective, limits, and expectations 5. Right supervision/evaluation: appropriate monitoring, evaluation, and intervention as needed What are the aspects of providing right direction/communication with delegation? - ANSWER-Clear concise description of the task, including its objective, limits, and expectations What cannot be delegated by the RN? - ANSWER-Nursing process: assessment, diagnosis, planning, evaluation, nursing judgment What CAN be assigned to an UAP? - ANSWER-Feeding (without swallowing precautions), drinking, ambulating/turning, grooming/dressing, toileting, collecting data such as vital signs and basic intake/output, applying clean dressing, performing oral suctioning and mouth care, taking EKGs, giving enemas, doing venipuncture, carrying out non-nursing functions, reporting to RN or LPN Can UAP apply clean dressings? - ANSWER-Yes Can UAPs perform oral suctioning? - ANSWER-Yes Can UAPs give enemas? - ANSWER-Yes Can UAPs do venipuncture? - ANSWER-Yes What activities CANNOT be assigned to a UAP? - ANSWER-Assessing, evaluating, or problem-solving; determining a nursing diagnosis; developing the nursing plan of care; providing patient education or health counseling; performing sterile or invasive procedures, feeding through nasogastric tube; administering oxygen; performing tracheal suctioning or respiratory care, administering medications Tasks that can be delegated by RNs to LPNs - ANSWER-Monitoring client findings (as input to RNs ongoing assessment of clients), reinforcement of client teaching from standard care plan, routine dressing changes, tracheostomy care, suctioning, checking NG tube patency, administration of enteral feedings, ostomy care, insertion of urinary catheter, medication administration (excluding IV medications in several states) Tasks that CANNOT be delegated by RNs to LPNs - ANSWER-Assessing, evaluating, or problem-solving; administer chemotherapy (bladder instillation ok in some cases), administer direct IV push medications except for saline and heparin flushes; administer IV fluid bolus for plasma volume expansion; assess any form of central line or venous chest or arm port line device expect in outpatient chronic hemodialysis), do triage/case management/or mental health teaching Factors to consider before delegating? - ANSWER-Potential for harm, condition/stability of the patient/client, complexity of the task, problem-solving and innovation required, unpredictability of outcome, required coordination and consistency of care Benefits of delegation to the manager - ANSWER-Manager can devote time to tasks that cannot be delegated, continuity in the manager's absence, time to develop own skills for career advancement Benefits of delegation to the delegate - ANSWER-Gain new skills/abilities that can facilitate upward mobility; acquisition of trust and support-->build self-esteem and confidence-->job satisfaction and motivation; greater appreciation for roles and responsibilities of others What are the benefits of delegation to the organization - ANSWER-Achieve goals more efficiently, overtime and absences decrease, productivity increases, quality of care improves, patient satisfaction increases What are the steps in the delegation process? - ANSWER-1. Define the tasks: complexity and components 2. Decide on delegate: match task to individual 3. Determine the task: clearly defining expectations 4. Reach Agreement: empower delegate 5. Monitor performance and provide feedback: reward accomplishment What does is mean when you accept delegation? - ANSWER-It means you accept full responsibility for the outcome and its benefits for liabilities Obstacles to effective delegation - ANSWER--Non-supportive environment-Conflicts within delegator: trust v. control, approval v. affiliation, democratic ideal v. classical hierarchy, fear of competition or criticism, liability, loss of control, overburdening others, decreased personal job satisfaction -Unwilling delegate What are the types of ineffective delegation? - ANSWER--Unnecessary duplication-Under delegation -Reverse delegation -Over delegation How can unnecessary duplication in delegation be prevented? - ANSWER-Delegate associated tasks to as few people as possible When does under delegation occur? - ANSWER-Occurs when the delegator fails to transfer full authority, takes back responsibility for aspects of the task, fails to equip and direct the delegate continues...