Evolve Adaptive Quiz (EAQ) - Delegation (Questions, Answers, and Rationales)

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Evolve Adaptive Quiz (EAQ) - Delegation (Questions, Answers, and Rationales) While caring for a client with diabetes, the registered nurse delegates the task of administering oral medications to the... licensed practitioner nurse (LPN), but the LPN is reluctant to take the assignment. What should be the most appropriate response of the registered nurse in this situation? Correct1 Evaluate the reason for the behavior. 2 Engage more actively in the delegated task. 3 Require the delegatee to complete the task. 4 Report the LPN's reluctance to higher authorities. The registered nurse (RN) should first evaluate the reason for the behavior of the LPN and try to determine if the LPN has insufficient knowledge, a psychomotor deficit, or any other reason for the reluctance. If the LPN is unwilling to perform in a specific situation, the RN should engage more actively. Requiring the delegatee to complete the task despite reluctance may not be safe. Reporting the issue to higher authorities should not be the initial intervention. The registered nurse (RN) is getting ready to leave the client care unit for a lunch break. The RN asks the LPN to take care of a client during the lunch break. Which concept is emphasized in this situation? 1 Leadership Correct2 Delegation 3 Supervision 4 Assignment Delegation is the concept of a transfer of authority between two people to perform some type of task, e.g., between an RN and licensed staff. Leadership is the action of leading a group or an organization. Supervision is defined as the active process of directing, guiding, and influencing the outcome of an individual's performance. Assignment is the transfer of both accountability and responsibility. Which client's care is least likely to be delegated to unlicensed nursing personnel (UNP)? 1 Client A 2 Client B 3 Client C Correct4 Client D UNP can safely care for clients in stable condition because these cases will not require critical nursing assessment and decision-making. In an emergency setting, the client with accidental poisoning should be kept under constant monitoring and any small detail of fluctuation should be noted. Therefore, client D cannot be safely delegated to UNP. Clients undergoing home care, extended care, or long-term care do not require exhaustive monitoring and do not have life-threatening conditions, so they can be safely delegated to UNP. The registered nurse (RN) is teaching a newly hired nurse how to communicate with a delegatee while delegating a task. Which statements made by the newly hired nurse indicate effective learning? Select all that apply. Correct1 "I will keep the information simple." 2 "I will share more information than required." Correct3 "I will share the information using electronic media." Correct4 "I will provide an opportunity to clarify the information." 5 "I will repeat the information in the same way until the new nurse understands it." While communicating with the delegatee, the information should be simple to enable better understanding. Electronic media is used as a primary communication mechanism to share information. Providing an opportunity to clarify the information helps evaluate the ability of the delegatee. Giving more information than required may lead to confusion. The information should be repeated in different ways if necessary, to ensure better understanding. The charge nurse is teaching the newly-hired registered nurse (RN) about delegating tasks to unlicensed nursing personnel (UNPs). Which statement made by the newly hired RN indicates the need for further teaching? 1 "I should assist the staff in interpreting." 2 "I should assist the staff in decision-making." 3 "I should assist the staff in achieving optimal functioning." Correct4 "I should assist the staff in sorting out and articulating values." The RN does not assist the staff in sorting out and articulating the values, the healthcare provider or the physicians do. The RN should assist the staff in interpreting to achieve better outcomes. As a delegator, it is the duty of the RN to help the staff in decision-making. The RN should assist the staff in achieving optimal functioning because the allotted task can have a better outcome only under the supervision of the RN. What does the decision strategy of "offering" include in delegation? 1 Allowing the delegator to examine the situation differently 2 Demonstrating the specific task or behavior to improve client care 3 Asking questions related to the problem or issue regarding client care Correct4 Making a suggestion to facilitate the achievement of a desirable client care outcome The decision strategy of offering involves making a suggestion to facilitate the achievement of a desirable client care outcome. The decision strategy of asking allows the delegator to examine the situation differently. The decision strategy of doing includes demonstrating the specific task or behavior to improve client care. The decision strategy of asking includes questioning issues related to the problem regarding client care. A registered nurse teaches a student nurse about delegation. Which statement made by the student nurse indicates appropriate learning? 1 "Licensed practical nurses are accountable for the tasks they perform." 2 "Complete client care can be delegated to the licensed practical nurse." 3 "Professional aspects of care can be carefully delegated to the licensed practical nurse." Correct4 "Licensed practical nurses can be expected to perform tasks with which they have experience." The delegator can safely delegate the task to the LPN if the task is within the scope of function or if the LPN is very experienced in performing the task. The LPN, being a delegatee, is not held accountable for the delegated work; the LPN is held responsible for the delegated task. The delegator is held accountable for the LPN's work. The delegator can never delegate complete client care to the LPN, but can only transfer functions and tasks. Basic skills such as activities of daily living and personal hygiene can be delegated by the delegator, but professional aspects of care should not be delegated. Which of these clients is most appropriate for delegation to a cross-trained technician? Correct1 Client A 2 Client B 3 Client C 4 Client D A cross-trained technician, when paired with a registered nurse (RN), may perform respiratory therapy, phlebotomy, and electrocardiography. Care of client A can be safely delegated to a cross-trained technician. Though the cross-trained technician can record the ECG, he or she may not monitor the continuous ECG. Monitoring of vital signs is also the role of the RN. Leg exercises may be taught by the RN or by a physician. The other licensed assistive personnel may be delegated the task of reinforcing the teaching, but this is not an appropriate role for the cross-trained technician. After assigning a task, the delegator makes sure that the instructions are clear to provide feedback related to the task. Which delegation right is referred in this situation? 1 Task 2 Person 3 Direction Correct4 Supervision Ensuring that the delegatee is clear to provide feedback related to the task refers to the right supervision. Knowing whether the task is appropriate to delegatee based on institutional policies and procedures refers to the right task. Knowing whether the delegatee has the knowledge and experience to perform the specific task safely refers to the right person. Knowing whether the delegatee understands the assignment and directions of the task refers to the delegation right direction. [Show More]

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