RN 2.0-ELSEVIER ADAPTIVE QUIZZING- HESI PREPLATEST UPDATE

Which process involves transferring responsibility to multiple players, usually with varying degrees of education and experience, while retaining the ultimate accountability for providing the client care? a. Leadership b. Delegation c. Supervision d. Assignment B. Delegation Delegation is a process of sharing the responsibility of client care. It involves the transfer of responsibility for the performance of an activity from one individual to another, with the delegator retaining accountability for the outcome. Leadership is the use of individual traits and abilities in relationship with others, the ability to interpret the context where a situation is emerging, and entering that situation in the absence of a script or defined plan that could have been projected. Supervision is defined as the active process of directing, guiding, and influencing the outcome of an individual's performance of an activity. Assignment is the transfer of both the accountability and the responsibility from one person to another. The registered nurse (RN) is caring for a client who underwent a hysterectomy. Which tasks can be delegated to the unlicensed assistive personnel (UAP) to provide quality care to the client? Select all that apply. a. Recording vital signs b. Assisting the client with bathing c. Administering oral medications d. Preparing the care plan for the client e. Administering intravenous antibiotics a. Recording vital signs b. Assisting the client with bathing The tasks within the scope of unlicensed assistive personnel (UAP) include recording vital signs and providing basic hygiene, such as assisting the client with activities of daily life such as bathing. Administering oral medications is under the scope of licensed practical nurse (LPN) or licensed vocational nurse (LVN), but not the UAP. Depending on the state, administering intravenous antibiotics can be performed by either the RN or an LPN/LVN. Preparing the care plan for the client should be performed by the registered nurse only. What is the ultimate goal of delegation? a. To deliver patient care as a team b. To maximize patient care outcomes c. To improve the working ability of the nurse d. To maintain open lines of communication between delegator and the delegate b. To maximize patient care outcomes The ultimate goal of the delegation is to maximize patient care outcomes. Delegation helps to deliver patient care as a team and improves the working ability of the nurse but these are not the ultimate goals of delegation. Maintaining open lines of communication between delegator and the delegatee creates a productive work environment in delivering patient care. Which member of the health care team is accountable for initial assessment and ongoing evaluation of client care? a. Registered nurse b. Licensed practical nurse c. Primary health care provider d. Unlicensed nursing personnel a. Registered nurse The registered nurse is accountable for the initial assessment and ongoing evaluation of the client. A licensed practical nurse is not accountable for initial assessment and ongoing evaluation of the client. The primary health care provider is accountable for diagnosing the problem and reviewing the client responses. An unlicensed nursing personnel performs the tasks delegated by the registered nurse or other delegators. Which description by the nurse is a correct explanation of delegation? a. The transfer of responsibility for the performance of an activity b. The person's responsibility and accountability for individual actions or omissions c. The active process of directing, guiding, and influencing the outcome of an individual d. The transfer of both the accountability and responsibility from one person to another a. The transfer of responsibility for the performance of an activity Delegation is the transfer of responsibility for the performance of an activity. Personal liability defines each person's responsibility and accountability for individual actions or omissions. Supervision is defined as the active process of directing, guiding, and influencing the outcome of an individual. Assignment is the transfer of both the accountability and the responsibility from one person to another. The registered nurse is delegating to four unlicensed nursing personnel (UNP) who are performing various delegated client care activities. Which UNP needs more education and monitoring? a. UNP A--Client Diabetes--Activity: Measuring blood glucose levels immediately after a meal b. UNP B--Client: Hypothyroidism--Activity: Producing accurate account of the client's condition c. UNP C--Client: Hypertension--Activity: Documenting the blood pressure levels of the client d. UNP D--Client: Headache--Activity: Asking the client to sleep in dark room a. UNP A--Client Diabetes--Activity: Measuring blood glucose levels immediately after a meal The registered nurse has to carefully select the eligible staff to complete a given task in a productive manner. The registered nurse has to educate, guide, and monitor the unlicensed nurse (UNP) who measures the blood glucose levels immediately after meals. The food takes time to be digested and absorbed into the blood, therefore, the blood glucose levels should be checked an hour after a meal. The registered nurse should provide motivational feedback about the working performance to the respective UNP. A registered nurse should be accountable for the delegated task; UNP B should be responsible for providing proper client care. UNP C should document the blood pressure and other information related to client care for future accountability. UNP D may provide simple, straight forward information to the client. While organizing a community health care program for polio vaccinations, the registered nurse delegates the task of administering vaccines to the members of the health care team. Who among the health care team is most suitable to carry out the task? a. Technician