Effective Delegation Strategies in Nursing, Exams of Biology

Download Effective Delegation Strategies in Nursing and more Exams Biology in PDF only on Docsity! BIOLOGY 265 DELEG(BEST GRADED STUDY GUIDE. Download to score The registered nurse assigned a task to unlicensed nursing personnel (UNP). The UNP observed a change when measuring a client’s blood pressure. What is the responsibility of the UNP in this situation? 1 Which description by the nurse is a correct explanation of delegation? 1 Which right is applicable when the delegator and delegatee understand a common work•related language? 4 Which of these clients can be provided care safely by unlicensed nursing personnel? Select all that apply. 34 The registered nurse is evaluating the statements made by a student nurse after teaching ways to make appropriate delegation decisions. Which statement made by the student nurse indicates a need for correction? 4 Which description by the nurse is a correct explanation of delegation? 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. When does a delegator identify that the delegatee is less able to perform in a given situation? When the delegatee is knowledge deficient A delegatee is identified as less able to perform a specific work when he or she has a knowledge deficit. When the delegatee is upset, bored, or anxious, the delegator will identify that the delegatee is unwilling to perform a specific task. Who is most accountable for an initial assessment and the ongoing evaluation of client care? Registered nurse Registered nurses are accountable for initial assessment and the ongoing evaluation of client care. The client is not responsible for assessment and evaluation. The licensed practical nurse has a responsibility to assess and report client care. Unlicensed nursing personnel perform tasks as delegated by the registered nurse. Who acts as a delegator in the absence of the registered nurse? Charge nurse Who is mainly responsible for analyzing the knowledge and work of newly hired unlicensed assistive personnel (UAP) before delegating a task? Registered nurse The registered nurse must analyze any individual's knowledge before delegating a task. The charge nurse mainly functions as a liaison between team leaders and other healthcare providers. The associate nurse follows the care plan in the absence of a registered nurse. The nursing manager is responsible for more than one unit and has other managerial responsibilities. The registered nurse (RN) administers intravenous fluids to a client who was in a motorcycle accident. Which assessments made by the nurse would be appropriate based on the principle of right task of delegation? Institutional policies of drug administration Right task of delegation includes information on whether the task performed would be appropriate based on institutional policies. Assessing if the environmental conditions are conducive for completing the task determines right circumstance of delegation. Right circumstance of delegation also includes the assessments of resources and equipment available for performing the task. Assessing the client's condition prior to drug administration may not be an appropriate intervention of the nurse under right task of delegation. Test-Taking Tip: There are five rights of delegation. Look for the answer that mainly focuses on right of supervision. Which component is the ability to perform duties in a specific role? Authority Authority is the ability to perform duties in a specific role. Responsibility refers to reliability, dependability, and obligation to accomplish work. Accountability determines whether a person's actions were appropriate and provides a detailed explanation of what occurred. Legal authority is the ability to transfer selected nursing activities in a given situation to a competent individual. Which member of the healthcare team would the nurse claim performs functions through passive delegation? Pharmacist A pharmacist performs functions through passive delegation. Unit secretaries may not be eligible to perform any activity because they do not have formal preparation and legal recognition. The licensed practical nurse does not delegate, but rather acts as a delegatee. The unlicensed assistive personnel are also delegatees. Which task can be delegated to a cross-trained technician when paired with a registered nurse? Drawing blood samples Drawing the blood samples, or phlebotomy, can be delegated to cross- trained technicians when paired with the registered nurse. The cross-trained technician can only record the vital signs, monitoring the vital signs is outside the scope of practice for a cross trained technician. Intravenous medication can only be administered by the registered nurse. The cross trained technician is an assistive personnel who can reinforce the teaching but he or she cannot teach the client directly. What is the role of unlicensed assistive personnel in intravenous (IV) therapy for a client? Collecting the data to be used in the assessment of the IV site The role of unlicensed assistive professional in IV therapy is to collect the data that can be used in the assessment of the IV site. Monitoring clinical manifestation is performed by the licensed practical nurse (LPN). Administering IV fluids and medications is done by a registered nurse or LPN. Evaluating the client for clinical manifestations is performed by the registered nurse. A client with foot ulcers is admitted to the hospital. The nurse manager should delegate the task of maintaining hygiene to which staff members to maximize efficient use of human resources? Select all that apply. Patient care associate (PCA) Unlicensed nursing practitioner (UNP) Nurses, PCAs, and UNPs can perform the task of maintaining hygiene; however the best use of resources is to delegate to UNPs and PCAs so the nurses can complete medication administration and other skills the UNPs and PCAs are not legally able to perform under their scope of practice. Which nursing process includes tasks that can be delegated? 4 Which definition of delegation given by the nurse is correct? 4 Which characteristic should the nurse use during the nursing process as a guide for delegation? 2 Which activity indicates improper follow•through on the part of the delegatee? 1 Which work is automatically increased for the delegator when there is a decrease in direct client care? 2 A client with asthma and depression is admitted to the hospital. Which tasks delegated by the delegator would indicate the task is applicable for the registered nurse? 3 What is the duty of the nurse as delegator if the delegatee has limited knowledge and ability to perform a task? 1 Which nursing professional has the maximum span of control? 1 Which drawback indicates an improper follow•through on the part of a delegatee? 1 Which nursing model includes a registered nurse (RN) paired with technical assistance? 2 What entity outlined the principles of delegation for registered nurses? 3 What is the ultimate goal of delegation? 2 Which task can be delegated to the licensed vocational nurse (LVN)? Select all that apply. 45 Which healthcare team members began to increase in number during World War II and are delegated for providing care to clients at home? Select all that apply. 345 A registered nurse who has limited clinical experience must delegate in collaboration with a nursing assistant. Which communication method used by the registered nurse while supervising may affect the working performance of the nursing assistant? 4 What are the three strategies that the nurse can perform while assisting other nurses in making delegation decisions? Select all that apply. 134 The nurse is caring for a client admitted with fluid overload. Which tasks are most appropriate to be delegated to the patient care associate? Select all that apply. 125 A registered nurse distributes a task to four healthcare professionals. When are both accountability and responsibility transferred to the healthcare professional? 1 A nurse manager transfers the task of caring for a client who has undergone appendectomy to a registered nurse (RN). Which element of the healthcare system is the RN practicing? 4 The registered nurse is delegating a task to a newly hired unlicensed nursing personnel (UNP) and feels that the UNP requires explanation. Why does the RN feel the need to provide explanation? 4 The charge nurse is delegating tasks for the nursing assistants regarding the postpartum care of a client. Which task is appropriate to be delegated to an unlicensed assistive personnel (UAP) to provide effective client care? Select all that apply. 124 When does delegation become more challenging? Select all that apply. 25 The registered nurse delegates a task to the unlicensed assistive personnel (UAP). After the UAP starts the task, the registered nurse (RN) asks for feedback related to the task. Which right of delegation is the RN following? Supervis The registered nurse finds that the delegatee is only working for half a day in the healthcare unit. Which is the most appropriate leadership style in this situation? 2 Which statement of the nurse is true regarding Hersey’s Situational Leadership Model? 2 While caring for a post•operative client, the delegator has assigned a task to a delegatee. Which statements made by the delegator indicates that the delegatee has the experience to perform the task? Select all that apply. 12 While delegating a task, the registered nurse says to the delegatee, "Please tell me how you go about performing this procedure, and I will share with you my perspective about how frequently and under what conditions we need to communicate with and report to each other." What does this indicate? 4 While assigning a task, the registered nurse finds that one of the delegatees is not competent to hold the current position. Which strategy does the nurse follow for managing this issue during delegation? 4 Which question does the registered nurse recognize as related to the right of circumstance when delegating? 1 What type of relationship between the nurse delegator and delegatee causes the nurse delegator to use the leadership behavior of telling? 1 The registered nurse delegates the tasks related to caring for a client who has undergone surgery. What are the benefits of delegation in this situation? Select all that apply. Increased efficiency Improved quality of client care Increased professional skills of the unlicensed assistive personnel The charge nurse is communicating with the registered nurse about caring for a client with a respiratory disorder. Which instructions are delegated to the registered nurse to provide effective care to the client? Select all that apply. "Assess the client's respirations after 1 hour." "Provide intravenous medication every 3 hours." A client is prescribed apomorphine. Which concern would be a priority while addressing patient needs? Operating heavy machinery or driving The emergency department (ED) nurse is providing care to a burn trauma client. Which is the priority for the nurse to monitor for after removing the client's clothing? Hypothermia Which priority assessments should be included by the nurse when caring for a client who is experiencing depression? Select all that apply. Appetite Activity status Emotional status Which client should the nurse consider to need the highest priority care? A client with a CURB-65 score of 5 A major city hospital is planning to implement primary nursing. What issues must be considered prior to the implementation of this care approach? Select all that apply. Salaries of care providers Disposition of current support staff Educational preparation of the staff Number of registered nurses needed The nurse is teaching a group of nursing students how to gather historic data for a client experiencing acid-base imbalance. Which statements indicate the student nurses need further teaching? Select all that apply. "I should compare the mental status of the client with that of the family statement." "I should compare the mental status of the client with the statement provided in the health record of the client." What does Hersey's situational leadership model describe about ability and willingness? Select all that apply. An individual's ability does not change from one moment to the next. An individual's willingness can fluctuate from one moment to another. Ability and willingness need to be assessed to determine the level of the follower's readiness. Which action in the delegation process represents accountability? Monitoring the client care given and determining outcomes After reviewing blood test reports, in which client's care plan does the nurse document monitoring jaundice as a priority nursing intervention? Client with hemoglobin level of 4g/dL As a part of the nursing curriculum, the nursing faculty is teaching nursing students alkalosis with hypocalcemia. Which statements provided by a student nurse indicate the need for further learning? Select all that apply. "The client would show signs of hyporeflexia." "The client would show signs of paresthesias." The registered nurse is assigning a task to an unlicensed nursing personnel (UNP). Which key elements are considered while assessing the UNP's ability to perform work? Select all that apply. Safety Stability Critical Thinkinh What points should the nurse consider when delegating a task? Select all that apply. Checking the skill set of the delegatee Selecting the delegatee based on his or her competence levels Being certain that the delegatee is capable of completing the task The registered nurse (RN) and unlicensed assistive personnel (UAP) are caring for a client with diarrhea. After 2 hours, the RN communicates with the UAP and decides that the client needs immediate assessment. Which statements by the UAP led the nurse to this conclusion? Select all that apply. "Temperature of the client is 105° C." "I have administered intravenous fluids to the client." The blood lab work for a client with purpuric lesions on the skin shows a thrombocyte count of 100,000 cells per microliter. Which nursing intervention would be priority in this patient to reduce the risk of bleeding? Advising the client to drink plenty of fluids A nurse is assigned to take care of a group of clients. Which client should the nurse see first? A 2-year-old client with diarrhea The client receives dosages of sedative and opioid drugs during the postoperative period following surgical correction of a small bowel obstruction. What is the most critical assessment to be performed as a nursing safety priority? Respiratory assessment The emergency department nurse is called to care for a client with a snake bite. What are the nursing interventions performed by the nurse in the order of priority? While providing prehospital care for a client with a snake bite, the nurse should first move the client to a safe area away from the snake and encourage rest to reduce venom circulation. Next, the nurse should remove constricting clothing and jewelry before swelling worsens. Then, the nurse should immobilize the affected area using a splint to limit the spread of venom. The nurse should then call for immediate emergency medical assistance. Lastly, digital photographs are taken at a safe distance to help in identification of the snake. Which charge-nurse remark would be expected in a care area that is using team nursing as a care delivery method? "Have you discussed this client care issue with your team leader?" Which quality of the nursing assistant should be known by the delegator when assigning a task? ability A registered nurse (RN) is sent to a rehabilitation center because of chemical impairment issues. Which member of the healthcare team will be asked to provide feedback about the RN’s progress? 1 Which intervention should the charge nurse perform to manage a task when the unlicensed nursing personal (UNP) is lacking competence? 3 A client is hospitalized with dehydration and dysphagia. Which tasks are appropriate to delegate to a licensed practical nurse? Select all that apply. 135 The registered nurse (RN) is caring for a client with epilepsy. Which tasks delegated by the registered nurse (RN) to the assistive personnel indicates active delegation? Select all that apply. 245 The registered nurse (RN) is caring for a client who is currently hospitalized for a stroke. What is the most effective professional management strategy for the RN to improve the safety and quality of client care? 1 A healthcare team is caring for a 68•year•old client with diabetes insipidus. Which task is most suitable to be delegated to licensed practical nurse (LPN) to provide effective client care? Select all that apply. 25 When delegating a task, the delegator says, "Please tell me how you are going to perform this procedure, and I will share my expectations regarding how we need to communicate with each other." What can be inferred about the delegatee? 3 The registered nurse (RN) delegates the task of caring for a client with a leg fracture to a licensed practical nurse (LPN) and asks the LPN to alert her if any issues arise. What approach is the RN taking as delegator in this instance? 3 The legal authority has delegated the tasks according to the model of analysis type of care. Which statements are true regarding the model analysis? Select all that apply. 124 What are some challenges faced in the process of delegation? Select all that apply. 124 Which activity performed by the registered nurse (RN) indicates effective delegation? 4 A client presents to the physician with a rash. The physician orders the application of a topical medication. Which healthcare team member will most likely carry out this order? Lpn In differentiating between a leader and a manager, a: a. leader has legitimate authority. b. manager motivates and inspires others. c. manager focuses on coordinating resources. d. leader focuses on accomplishing goals of the organization. ANS: C The terms leadership and management are used interchangeably, and it is difficult to discuss one without discussing the other. However, these roles have specific traits unique to themselves. The manager is the coordinator of resources (time, people, and supplies) needed to achieve outcomes. Authority is the legitimate right to direct others that is given to a person by the organization through assignment to an authorized position such as a nurse manager. It is the nurse leader who has the ability to guide or influence, as well as to motivate and inspire, others on the team. Managers are assigned responsibility for accomplishing the goals of an organization. The task of completing and signing the initial assessment on a newly admitted patient who is about to undergo minimally invasive procedures on an outpatient basis can be delegated to: a. the registered nurse (RN). b. the licensed practical/vocational nurse (LPN/LVN). c. nursing assistive personnel (NAP). d. all levels of staff, because the information is about the past and cannot change. ANS: A Only the RN can perform and sign the admission assessment, although some components such as vital signs may be delegated. The assessment must be completed and signed by the RN; however, some components may be delegated to the LPN/LVN. NAPs are not licensed, and only an RN can perform the initial assessment. The assessment includes present symptoms and treatments, as well as those reported from the past, and the RN must complete the initial patient assessment. An RN recently relocated to another region of the country and immediately assumed the role of charge nurse. When determining the appropriate person to whom to delegate, the RN knows that: a. the role of the LPN/LVN is the same from state to state. b. the LPN/LVN can be taught to perform all the duties of an RN if approved by the employer and if additional on-the-job training is provided. c. he or she must review the state's nurse practice act for LPN/LVNs, because each state defines the role and scope of practice of the LPN/LVN. d. The Joint Commission has certified and established roles for the LPN/LVN. ANS: Obtaining a baseline set of vital signs for an unstable patient would be considered high-risk delegation for a NAP. The patient's condition is very dynamic; assessments will have to be completed by the RN on admission and then as indicated by the stability of the patient. A nurse is delegating to the newly hired nursing assistive personnel (NAP) the task of assisting with oral hygiene, knowing that this assignment "does not require decisions based on the nursing process." The nurse is correctly using which of the five rights of delegation? a. Supervision b. Communication c. Person d. Circumstance ANS: D Right circumstance involves the delegation of tasks that do not require independent nursing judgments. Right supervision of delegation involves providing feedback to monitor how the process is working and to suggest improvements to the process. Right communication involves giving clear explanations about tasks and expected outcomes; information is provided about when the delegatee should report to the RN. Right person involves delegating to someone who is qualified and competent, and, because the NAP is a new hire, the RN cannot evaluate the competency level of the delegatee. A student nurse is concerned about delegation practices and wonders why hospitals employ nursing assistive personnel (NAP) and LPN/LVNs. The student nurse refers to the National Council of State Boards of Nursing and learns that the role of these personnel is to: a. supplement the staffing pattern when an RN is not available. b. aid the RN by performing simple, routine patient care tasks. c. replace the RN when the health care facility provides long-term care. d. provide patient teaching, allowing more direct care to be provided by the RN. ANS: B The NAP and LPN/LVN can increase productivity of the RN by performing those tasks that fall within their scope of practice. The NAP and the LPN/LVN cannot supplement staffing when the RN is not available but can assume responsibility for tasks that are simple and routine and do not require adherence to the nursing process. An RN must oversee the care provided by NAPs and LPNs/LVNs in long-term care settings. Only RNs can provide patient teaching. An RN delegates to NAP the task of performing blood pressure checks for a group of patients on a nursing unit. The NAP accepts the task and is responsible for: a. delegating the task to another NAP if he or she does not have the time or skill to complete the task. b. keeping the RN informed of any abnormal blood pressure readings. c. calling the physician when the patient's vital signs are not within established parameters. d. informing the dietary department to initiate a low-sodium diet for patients who are hypertensive. After accepting the assignment, the NAP is responsible for completing the task and reporting any patient concerns to the RN. The NAP cannot delegate to any member of the health care team; delegation An RN is counseled by the nurse manager regarding inappropriate delegation when the: a. RN instructs the nursing assistant to greet ambulatory surgery patients and show them to their rooms. b. nursing assistant informs the RN that she has not been trained to collect a sputum specimen, and the RN states, "I will show you this time and you can show me the next time." c. RN assigns the float LPN/LVN the task of completing a plan of care for a stable patient who was admitted for routine replacement of a feeding tube. d. LPN/LVN who has demonstrated competence is asked to perform a dressing change for a patient before she is discharged home. ANS: C Only an RN can initiate and complete a new plan of care; this does not fall within the scope of practice of the LPN/LVN. The RN has violated one of the five rights of delegation. The RN should provide clear directions for assigned tasks, and this assignment falls within typical job duties for nursing assistive personnel (NAP). The RN received appropriate feedback and is providing directions and is demonstrating a skill for which the nursing assistive personnel (NAP) has not shown competency. Routine repetitive dressing changes are within the scope of practice for the LPN/LVN who has demonstrated competency for the skill. An RN delegates to an experienced LPN/LVN the task of administering oral medications to a group of patients. The LPN/LVN accepts the assignment, and the RN knows that the LPN/LVN has had the training and has acquired the skills needed to complete the task. The RN then observes the LPN/LVN recording a patient's medication administration just before entering the patient's room. The priority intervention by the RN is to: a. check the patient's drug packages to ensure that the correct drugs were given. b. stop the LPN/LVN immediately and discuss the possible consequences of his actions in a nonjudgmental manner. c. contact the nurse manager and ask that the LPN/LVN's license be suspended. d. call the pharmacy and ask for replacement medications for the patients. ANS: B The LPN/LVN has the competency but violated one of the rights of medication administration and is practicing unsafe care. The RN's responsibility requires that he or she intervenes and identifies concerns with the LPN/LVN. Checking the patient's drug packages to ensure that the correct drugs were given is not proactive intervening for patient safety because an inappropriate medication would have already been given. The RN must intervene immediately to protect the patient but may later discuss with the nurse manager a plan of corrective action for the LPN/LVN. The first step is to stop the violation of the five rights of medication administration; consequently, medications will not have to be replaced. Which statement related to delegation is correct? a. The practice of nursing assistive personnel (NAP) is defined in the nurse practice act. b. Nursing practice can be delegated only when the LPN/LVN and/or NAP have received adequate training. c. Supervision is not required when routine tasks are delegated to a competent individual. d. The RN must be knowledgeable about the laws and regulations that govern nursing practice, as well as those that have no clearly defined parameters, such as for NAP. ANS: D Accountability remains with the RN, and he or she is responsible for knowing what tasks can be delegated and what is defined as nursing practice. Most state laws do not define practice for NAP. Nursing practice cannot be delegated; only tasks can be delegated. The RN must determine that tasks have been completed and were performed correctly. During orientation, an RN learns that LPN/LVNs in the facility receive additional training to perform some tasks such as hanging continuously infusing intravenous fluids that have no additives. It is important for the RN to understand that: a. the health care facility can override the state practice act by having all LPN/LVNs and nursing assistive personnel (NAPs) participate in on-site training. b. LPN/LVNs are licensed, and accountability for their own practice rests with each LPN/LVN. c. NAPs cannot be held responsible for their own actions or inactions. d. the nurse practice act and state regulations related to delegation override the organization's policies. ANS: D The state's nurse practice act is the deciding factor regarding what can legally be delegated. Although on-site training may increase the competency of the individual, legal rules of delegation remain with the state's nurse practice act. Accountability remains with the RN who delegated the task. unlikely. b. An LPN/LVN can administer a PPD (tuberculin skin test) if there is no history of a positive PPD. c. When dopamine is ordered continuously, the LPN/LVN can administer dopamine at a low dose for the purpose of increasing renal perfusion. d. NAPs can transfer a patient who is being discharged home from the wheelchair to the bed if they have received training and demonstrated competency. e. Responsibility can be delegated to the NAP, but the delegator retains accountability. ANS: A, B, C The statement "NAPs can assess vital signs during the first 5 minutes for a patient who is receiving a blood transfusion because a reaction at this time is unlikely" indicates the need for further teaching because the patient is at highest risk of a reaction during the first few minutes of a blood transfusion; thus the assessment skills of an RN are required. The statement "an LPN/LVN can administer a PPD (tuberculin skin test) if there is no history of a positive PPD" indicates the need for further teaching because administration of intradermal medication requires the skill of an RN. Dopamine is a vasoactive drug that can have a profound effect on a patient's blood pressure and cardiac output; administration requires the assessment and evaluation skills of an RN. The RN can delegate this responsibility if the patient is stable and the competence of the NAP has been established. Accountability remains with the person who is delegating, but when the NAP accepts the assignment, responsibility After delegating the task of administering oral medications to a licensed practical nurse (LPN), the registered nurse (RN) ensures that the LPN is supervised until the task is accomplished. Which right of delegation does the scenario reflect? 4 Which aspects are considered when determining the willingness of a nursing assistant before delegating a task? Select all that apply. 245 The nurse manager is delegating tasks to the healthcare team to care for a client who underwent brain surgery. Which individuals on the team share accountability during delegation? Select all that apply. 24. A delegator working in a rural setting has to handle a task of managing care for clients in that area. Which crucial step should the delegator take to develop a productive strategy in delegating tasks to a delegatee? 4 A licensed practical nurse (LPN) was hired recently. Which strategy should be applied by the registered nurse (RN) to open lines of communication between them? 3 A registered nurse teaches a student nurse about delegation. Which statement made by the student nurse indicates appropriate learning? 4 Which right of delegation would the nurse describe as most instrumental in shaping quality and safety outcomes according to Anthony and Vidal? 4 always provide direct feedback to the UNP for professional growth and development to improve client care outcomes. The registered nurse (RN) is delegating tasks to several health care team members caring for a client with a bacterial infection and high fever. Which statements by the registered nurse would be most appropriate for the licensed practical nurse (LPN)? Select all that apply. Correct1 "You should administer an antipyretic after the meal." 2 "You should assess the client's condition." 3 "You should change the bed sheets and dress the client every day." Correct4 "You should administer prescribed antibiotics to the client twice a day." Correct5 "You should collect data that can be used in the assessment of client's condition." The delegator can delegate tasks such as administration of antipyretic for the client who has fever. This particular task should be delegated only to the licensed nursing personnel, such as LPN. The delegator can delegate the task such as administration of antiallergic medication to the licensed professional, such as LPN. The RN is responsible for all the assessments performed, but the UAP or LPN can collect the data that can be used for the assessment. The RN is responsible for assessing the client's condition. The RN should delegate basic tasks such as changing the bed sheets and dressing the client to unlicensed nursing personnel. Which client's care can the registered nurse (RN) safely delegate to unlicensed nursing personnel (UNP) based on the given data? Correct1 Client A, with chronic hypertension and stable vitals 2 Client B, with drainage from diabetic foot 3 Client C, with myocardial infarction due to atherosclerosis 4 Client D, with foot ulcers from peripheral vascular disease Care of client A can be safely delegated because the chronic hypertension with stable vitals is not generally associated with any complications. Client B with drainage from diabetic foot is at a risk of aggravating foot issues, so this client's care cannot be safely delegated. Client C with myocardial infarction due to atherosclerosis is at a risk of cardiovascular instability and care should not be delegated. Client D has a risk of foot ulcers due to peripheral heart disease so this client's care also cannot be safely delegated to the UNP. The nurse is delegating someone to care for a client with diabetes mellitus. Which instruction given by the nurse better explains the selling relationship with the delegatee? 1 "Record the client's blood glucose level each morning." 2 "You may approach me for further assistance and questions. Thank you." 3 "I will guide and assist you while you learn how to check the client's blood glucose." Correct4 "You will take complete care of the client with diabetes and make sure to record the blood glucose level." Selling includes ongoing relationships with an explanation of the delegated new task. This is better explained in the statement, "You have to take complete care of the client with diabetes and make sure that you record the blood glucose level." Telling is ordering the delegate to record the client's blood glucose level each morning. Delegation, involving established relationships and expertise, is better explained by, "You may approach me for further assistance and questions. Thank you." Participation is mutual involvement to accomplish the task. It is better explained by the statement, "I will guide and assist you while you learn how to check the client's blood glucose." The nurse is assisting the registered nurse with delegation decisions regarding management of a client with shortness of breath. Which action by the nurse indicates a need for correction? 1 Asking questions about the client's respiratory rate 2 Asking the client to perform breathing exercises regularly 3 Administering oxygen to the client with shortness of breath Correct4 Providing constructive feedback about client care management The nurse may not provide constructive feedback about the client care management during delegation decisions. The nurse may, however, provide constructive feedback to the delegatee to maximize the efficiency of the client care. The registered nurse (RN) is caring for a client who has severe abdominal pain. The RN plans to work with the assistance of an unlicensed nursing personnel (UNP). The RN starts the client care. What should the RN consider during the process of active delegation? Select all that apply. Correct1 g 4 Participating According to Hersey's Situational Leadership Model, if the relationship between a delegator and a delegatee with limited knowledge is new and is not going to be ongoing, the delegator's behavior is characterized as "telling." Delegator's behavior is characterized as "selling" if the delegatee and delegator have an ongoing relationship and a new task is being delegated. The delegator's behavior is characterized as "delegating" when the delegatee has expertise and an established relationship with the delegator. If the delegatee has willingness and ability, but the relationship with the delegator is new, then the delegator's behavior is characterized as "participating." Which action in the delegation process represents accountability? 1 Providing open and honest feedback to the delegatee 2 Assisting other registered nurses with delegation decisions Correct3 Monitoring the client care given and determining outcomes 4 Assessing the ability of the delegatee and educating him or her about the task Monitoring client care and determining outcomes represents accountability of the task in case of conflicts. Providing open and honest feedback to the delegatee improves work performance and client care outcomes. The nurse can assist other registered nurses with delegation decisions when there are safety issues, an urgent need to intervene, or potential negative client outcomes. Assessing the ability of the delegatee and educating him or her about the task indicates responsibility. The client is admitted to the medical unit with a diagnosis of pulmonary edema. The client care is assigned to the registered nurse (RN) by the charge nurse. The RN admits and provides a written plan and assigns the client to a licensed practical nurse. Which healthcare personnel is accountable and responsible for the client if there is development of any complications in the client? 1 Charge nurse 2 Associate nurse Correct3 Registered nurse 4 Licensed practical nurse The registered nurse is responsible and accountable for the client if complications develop. The registered nurse is responsible for the client because he or she delegated client care and wrote the care plan. The charge nurse may be accountable but may not be responsible since the charge nurse gets the task in the absence of the RN. The associate nurse is responsible for the client's condition if the primary nurse's written plan is implemented by the associate nurse. The licensed practical nurse (LPN) is not responsible because the LPN follows the written plan given by the RN. A delegator, working in collaboration with a delegatee, allots responsibilities and explains the various procedures and techniques needed to accomplish the task. Which action is the delegator performing, according to the Hersey model? 1 Guiding and directing 2 Observing or monitoring Correct3 Explaining and persuading 4 Encouraging or problem solving Hersey's model describes the leader's behavior as explaining or persuading, which is characterized as "selling." In this situation, the delegator is assigning the work to the delegatee and explaining the various the charge nurse, who will be accountable for the care of the client from the admission through discharge. According to the primary nurse's care specifications, the associate nurse should provide care. The registered nurse is teaching a newly hired nurse about active delegation. Which statement made by the newly hired nurse indicates the need for further teaching? 1 "I will evaluate the client's pain status." 2 "I will assess the client's laboratory findings." 3 "I will instruct the unlicensed assistive personnel (UAP) to wash the client." Correct4 "I will instruct the licensed vocational nurse (LVN) to administer intravenous (IV) medications." In active delegation, the registered nurse (RN) assesses the client's situation, determines what is appropriate for client care, directs assistive personnel to perform certain tasks, and holds the individuals accountable. Instructing the LVN to administer intravenous (IV) medications is beyond the practice scope for an LVN. Evaluating the client's pain status is a part of active delegation. Assessing the client's laboratory findings is active delegation. Instructing the UAP to wash the client is an active delegation as the RN is directing a task that is to be performed by the UAP for the client. Which component of delegation is suitable to all the members on the healthcare team? Correct1 Authorit y 2 Supervisio n 3 Accountabili ty 4 Communication Authority is the component of delegation that is suitable for all the members on the healthcare team. Supervision is a right of delegation in which the delegator supervises the other assistive personnel to perform the task. Accountability is the component of delegation that is suitable for delegators such as registered nurses (RNs). Communication is the right of delegation in which the delegator gives the directions to perform the task. The registered nurse is delegating work to four delegatees. Which delegatee has an established relationship with the delegator? 1 Delegatee A Correct2 Delegatee B 3 Delegatee C 4 Delegatee D According to Hersey's model, if the relationship between the delegator and delegatee is established, the behavior of the delegator is "observing or monitoring." Telling delegate B that his or her method is correct and to continue doing it in the same way indicates that the delegator is monitoring the delegatee's actions, which indicates an established relationship. Which component of delegation is considered a "two way process"? 1 Authorit y 2 Supervision Correct3 Responsibili ty 4 Accountability Responsibility is a two way process. Authority is the ability to perform duties in a specific role. Supervision is defined as the "provision of guidance and oversight of a delegated nursing task." Accountability may not be a two-way process. It determines if the actions were appropriate and provides a detailed explanation of what occurred. A client presents to the physician with a rash. The physician orders the application of a topical medication. Which healthcare team member will most likely carry out this order? 1 Nurse manager (NM) 2 Registered nurse (RN) Correct3 Licensed practical nurse (LPN) 4 Unlicensed assistive personnel (UAP) The LPN administers oral and topical medications and monitors all vital signs. The NM is the designated individual to whom all nursing professionals are answerable regarding a given task. The RN is responsible for performing the administration of intravenous medications and the delegation of tasks to LPNs and UAPs. The UAP assistive personnel performs all hygiene tasks. The registered nurse (RN) who delegates work to a newly hired licensed practical nurse (LPN) delegator. 2 The delegatee has limited knowledge and ability to perform the task. Correct3 The delegatee has willingness and ability, but the relationship is new. 4 The delegatee has an established relationship with the delegator, but a new task has been delegated. When the delegatee has the willingness and ability to perform the task but the relationship is new, the delegator tries to establish mutual expectations and conditions for performing the task. The delegator must open the lines of communication with the delegatee. When the delegatee has expertise and an established relationship with the delegator, the delegator asks the delegatee to communicate if any issue or concern arises. When the delegatee has limited knowledge and ability to perform the task, the delegator would provide more guidance to the delegatee by giving detailed instructions. If the delegatee has an established relationship with the delegator but a new task has been delegated, the delegator will need to provide explanation of what is needed to accomplish the task. When evaluating a task performed by a delegatee, the registered nurse finds that the delegatee fails to provide appropriate feedback. Which right of delegation is compromised in this situation? 1 Right task 2 Right person Correct3 Right supervision Incorrect4 Right communication The "right supervision" includes assessing whether the delegatee can provide feedback related to the task when appropriate. "Right task" involves providing tasks to the delegatee in accordance with legal and institutional policies. "Right person" involves delegating tasks to team members who are competent and show willingness towards the task. "Right communication" involves the delegator providing clear, concise instructions and the delegate understanding those instructions. A critically injured client was brought to the hospital following a car accident and the client should be immediately triaged for determining the nature and acuity of the injuries. Who is delegated to perform the task? 1 Nurse manager Correct2 Registered nurse 3 Licensed practical nurse Incorrect4 Primary healthcare provider When the client arrives at the hospital after a trauma, it is the responsibility of the registered nurse to determine the nature and acuity of injuries. The nurse manager should usually be the delegator for the registered nurses and healthcare providers. Licensed practical nurses' scope of practice does not include caring for critically ill emergency clients. A primary healthcare provider should treat the client by providing required medications and diagnoses. Which statement is true regarding delegation? Select all that apply. 1 The delegatees are accountable for effective client care. Correct2 Open lines of communication must occur between delegator and delegatee. Correct3 Delegation occurs only when at least two people are involved in a mutual work situation. Incorrect4 student nurse indicates a need for correction? Correct1 "The unit secretary in a healthcare organization has legal recognition." 2 "The nurse manager in a healthcare organization is a designated delegator." 3 "The licensed practical nurse working under a physician has a dependent status." 4 "The registered nurse is designated as being answerable to a designated delegator." The unit secretary in healthcare organizations has no formal preparation and legal recognition. Therefore, the statement of the student nurse that the unit secretary in healthcare organization has legal recognition is incorrect. The nurse manager in a healthcare organization is a designated delegator. The licensed practical nurse has a dependent status and works under a physician. The registered nurse is designated as being answerable to a designated delegator. In a long-term care facility, the care tasks for a client who is suffering with liver disease are being delegated. Which statement made by the delegator indicates the responsibility for the tasks is with the registered nurse? Select all that apply. 1 "You will be responsible for the whole nursing unit." 2 "You will provide the treatment that is prescribed." Correct3 "You will assess alleviation of the client's symptoms." Correct4 "You will be monitoring the client care on an hourly basis." Correct5 "You will admit the client to the intensive care unit (ICU) if her condition deteriorates." In a long-term care facility, the registered nurse will be responsible for supervising the licensed nursing professionals who will be the performing the delegated tasks. The registered nurse takes the responsibility of assessing alleviation of symptoms and monitoring the client on an hourly basis. Admission of the client to the ICU is the responsibility of the registered nurse. The licensed practical nurse (LPN) or the licensed vocational nurse (LVN) is responsible for taking the responsibility for the whole nursing unit. The LPN or LVN will be delegated the task of providing the treatments that are prescribed by the primary healthcare provider. The legal authority wants a record of the tasks performed by the delegatees and asks the delegatees to maintain a record of completed tasks. Which task is marked by the licensed practical nurse (LPN)? Correct 1 Task A 2 Task B 3 Task C 4 Task D The LPN is a licensed nursing professional whose scope of practice includes tasks such as the administration of oral medications. Admission of the client to the ophthalmology department is under the scope of a registered nurse. Collection of the data that is used for the assessment of the client is a task that can be performed by an unlicensed nursing practitioner. Provision of basic hygiene care is the task that is to be performed by nursing assistive personnel. The registered nurse delegates the task of feeding a 90-year-old client suffering from dysphagia to the unlicensed assistive personnel (UAP) who has previously performed this task. The client died of choking and aspiration after being fed by the UAP. Which right of delegation was violated for this client? 1 Tas k 2 Person Correct3 Circumstanc e 4 Communication The right circumstance includes whether the delegation process is appropriate to the situation or not. For this client, the nurse is responsible for supervising during feeding or providing feeding as the client is suffering from dysphagia. In accordance with right task, the UAP can be delegated the task of feeding. As the UAP is caring for this client and has performed this task previously, he or she has experience of performing this task. Therefore he or she is the right person to delegate the task of feeding as per the UAP ability and willingness. The right of direction and communication includes the delegator providing clear instructions to the delegatee; there is no indication that this right was violated. What are some challenges faced in the process of delegation? Select all that apply. Correct1 Limited resources Correct2 UNPs are not authorized to administer oral antibiotics to clients, since their role is limited only to hygiene maintenance and assessing vital signs under the supervision of the RN. The duty of the LPN is only to administer the prescribed drug dosage. When does delegation become more challenging? Select all that apply. Incorrect1 When the client is stable Correct2 When the client is pregnant Incorrect3 When the geographic area is small 4 When the resources are abundant Correct5 When school children are receiving care The delegation process becomes more challenging when vulnerable populations such as pregnant women and school children are receiving care. Delegation can be safely and successfully carried out in the stable client. Delegation can be accomplished successfully when the geographical area is small and resources are abundant. Which statements are true regarding the primary nursing care developed by Marie Manthey as a method for organizing client care? Select all that apply. Correct1 The associate nurse provides input into the client's plan of care. 2 The charge nurse will be accountable for the care from admission to discharge. Correct3 If the client develops complications, the associate nurse should notify the primary nurse. Incorrect4 According to the associate nurse's care specifications, the primary nurse should provide care. Correct5 The registered nurse functions autonomously as the primary nurse throughout the client's hospital stay. The associate nurse cares for the client according to the care specifications provided by the primary nurse in the care plan. The associate nurse provides input to the client's plan care if the associate nurse notices any complications and also notifies the primary nurse for alterations in the care plan. The registered nurse functions autonomously as the client's primary nurse by taking the responsibility and accountability of the client care from admission through discharge. It is the primary nurse, rather than the charge nurse, who will be accountable for the care of the client from the admission through discharge. According to the primary nurse's care specifications, the associate nurse should provide care. The direct care nurse is delegated the task of reviewing the informed consent form after being completed by the client. Who should the direct care nurse consult regarding queries related to client rights? Incorrect1 Charge nurse Correct2 Nurse manager 3 Licensed practical nurse 4 Primary healthcare provider Informed consent is the authorization by the client or client's representative to perform some therapeutic intervention. Informed consent is an important concept for nurse managers, and the nurse manager is the person who can clarify queries regarding informed consent. The charge nurse is the registered nurse who has the responsibility of coordinating and assigning client care and supervises the Correct4 Developing a treatment plan for client's pain The role of the RN is to develop a treatment plan for the client's pain. All hygienic tasks are performed by unlicensed nursing personnel. Administering oral pain medications is done by the licensed practical nurse. Taking and reporting vital signs is done by the licensed practical nurse. The registered nurse is assisting a client who is hospitalized with high fever. Which task delegated to the unlicensed assistive personnel (UAP) would be appropriate? Select all that apply. 1 Assessing the vital signs Correct2 Performing all hygiene tasks 3 Administering oral medications Correct4 Helping the client in changing clothes 5 Administering intravenous medications The UAP does all the hygiene tasks and also helps in changing the clothes. Assessing the vital signs may not be performed by the UAP. Administering the intravenous medications is performed by the registered nurse. Oral administrating of medication is performed by the licensed practical nurse. The registered nurse (RN) is caring for a client who is currently hospitalized for a stroke. What is the most effective professional management strategy for the RN to improve the safety and quality of client care? Correct1 Delegatio n 2 Leadershi p 3 Supervisio n 4 Assignment Delegation is the most effective professional management strategy to implement in clinical practice to improve the safety and quality of client care by the registered nurse. Leadership is the action of leading a group, which is not suitable in this situation. Supervision is the active process of directing, guiding, and influencing the outcomes. Assignment is the transfer of both accountability and the responsibility from one person to another. The registered nurse (RN) is teaching a novice RN about delegating tasks to licensed practical nurses (LPN) and unlicensed assistive personnel (UAP). Which statement made by the novice RN indicates a need for further teaching? 1 "I will delegate the task of reinforcing client teaching to the LPN." Correct2 "I will delegate the task of assisting the client with bathing to the LPN." 3 "I will delegate the task of recording vital signs of the client to the UAP." Incorrect4 "I will delegate the task of administering intramuscular injections to the LPN." Assisting the client with bathing is related to providing basic care, comfort, and hygiene and is a task better suited to unlicensed assistive personnel. The scope of practice of an LPN includes reinforcing the client teaching. Recording vital signs is within the scope of practice of UAP. Administering intramuscular injections is within the scope of practice of an LPN, not UAP. A client with postural hypotension requires nursing care. Which task can be safely delegated by the registered nurse to unlicensed nursing personnel (UNP)? Select all that apply. Incorrect1 Mobilizing the client 2 Assessing the pulse rate 3 Assessing the blood pressure Correct4 Managing foot care of the client Correct5 Maintaining oral hygiene of the client In postural hypotension, any sudden change in posture will lower the blood pressure. Therefore, the client should be carefully evaluated before delegation. Managing foot care and maintaining oral hygiene can be done by the UNP because there is no foreseeable risk associated with the condition. Mobilizing the client and assessing vital signs such as pulse rate and blood pressure should be carefully monitored and performed by the registered nurse. Total client care is delegated to a registered nurse. Which member of the healthcare team is responsible for consulting other healthcare professionals in planning and delivering client care? Incorrect1 Charge nurse Correct2 professional is most suitable to be delegated the task of administering urinary alkalinizer by mouth to the client? 1 Certified technician 2 Patient care associate Correct3 Licensed practical nurse 4 Unlicensed assistive personnel Administering oral medications such as urinary alkalinizer can be safely delegated to a licensed practical nurse (LPN) or licensed vocational nurse (LVN) as per guidelines. Certified technician is a licensed assistive personnel whose scope of practice is limited for administering medications. The scope of practice of the patient care associate and unlicensed assistive personnel is limited to performing basic care, feeding, and hygiene. The registered nurse finds that the delegatee is only working for half a day in the healthcare unit. Which is the most appropriate leadership style in this situation? 1 Selling Correct 2 Telling 3 Delegatin g 4 Participating The relationship between the delegator and the delegatee is limited if the delegatee is only working for a half day in the healthcare unit. Therefore, the most appropriate leadership style in this situation is telling because it provides a fair amount of guidance but limits the time spent on the interactions. The leadership style of selling requires more time because the delegator needs to understand the delegatee's motivation related to the situation. Delegating is the leadership style when the relationship between the delegator and delegatee is well established and the delegatee spends more time in the healthcare organization. Participating is the leadership style of sharing and exchanging views, which requires more time and an ongoing relationship between the delegator and the delegatee. 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 Leadershi p Correct2 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." Incorrect2 "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? Incorrect1 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." Incorrect3 "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 Incorrect 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 Tas k 2 Perso n 3 Direction Correct4 Supervisio n lights 4 Administering saline infusions Correct5 Changing linens on an occupied bed 6 Assessing client responses to ambulation Taking routine vital signs is a universal activity that all healthcare workers are taught to perform regardless of the setting; it is within the job description for unlicensed health care workers. Answering call lights is a universal activity that all unlicensed healthcare workers are taught to perform regardless of the setting; it is within the job description for unlicensed healthcare workers. Making an occupied bed is a universal activity that all unlicensed healthcare workers are taught to perform regardless of the setting; it is within the job description for unlicensed healthcare workers. Unlicensed health care workers do not have the expertise or credentials to apply sterile dressings. Unlicensed healthcare workers do not have the expertise or credentials to administer intravenous solutions. Registered nurses are not permitted to delegate assessment. While caring for a client with severe fever, the registered nurse (RN) delegated the task to a new delegatee to assist the RN in recording the temperature. Which instruction given by the RN indicates that the delegatee is new to working with that RN? 1 "Note the temperature every hour." Correct2 "Tell me how you record the temperature." 3 "You can approach me at any time to report any of the client's issues." 4 "Let me show you what is necessary while recording the temperature." When the work relationship is new, the registered nurse (RN) should ask the delegate to explain how he or she would perform a particular task. So, learning how the delegatee will record the temperature will help to create mutual expectations and conditions for performance. Recording the temperature every hour is the instruction given to the delegatee who has limited knowledge and limited ability to perform the task. Telling the delegatee what is necessary while recording the temperature is important to a delegatee who is new to the assigned task. A delegatee with good knowledge needs minimal guidance, but he or she should remember to report any client issues to the available RN at any time. The registered nurse (RN) is caring for a pregnant client with malnutrition due to morning sickness. Which task can be safely performed by the licensed practical nurse (LPN) in this condition? 1 Assessing hemoglobin levels 2 Evaluating nutritional status Correct3 Administering oral antiemetics 4 Administering intravenous fluids Administering oral antiemetics is a task that can be safely performed by the licensed practical nurse (LPN). Assessing the hemoglobin levels is the role of the RN; this task may not be delegated to the LPN. Evaluating the nutritional status is also the role of the RN. Intravenous fluids are only administered by a registered nurse (RN). A registered nurse (RN) delegates a task to a licensed practical nurse (LPN). What should the RN do when the LPN executes the task improperly? Correct1 Provide constructive feedback. 2 Engage in a verbal attack on the delegate. Correct2 Topical administration of medication by the licensed practical nurse (LPN) 3 Administering intravenous antibiotics by the licensed practical nurse (LPN) 4 Teaching the client to minimize sun exposure by the unlicensed assistive personnel (UAP) LPN scope of practice is limited to administering oral, topical, and parenteral medications except intravenous. The LPN can be delegated the task of administering topical medication to the client. The scope of practice for an unlicensed assistive personnel involves maintaining the client's hygiene and daily changing of wet dressings is delegated to a certified technician. Administering intravenous antibiotics to a client with infection is an inappropriate task to be delegated to an LPN. Teaching the client to minimize sun exposure cannot be delegated to the UAP. UAP can only reinforce the teaching provided by the registered nurse. The legal authority has delegated the tasks according to the model of analysis type of care. Which statements are true regarding the model analysis? Select all that apply. Correct1 Model analysis improves client satisfaction. Correct2 Model analysis is a cost-effective idea for client care. 3 Quality control is better in the model analysis type of care. Correct4 Model analysis promotes organizational decision-making at lower levels. 5 Model analysis promotes adequate communication among the staff members. Model analysis is a type of care that benefits clients in terms of satisfaction of care being provided. In model analysis, the team nursing method is followed. It is a cost-effective system because it works with an expected ratio of unlicensed to licensed personnel. Organizational decision making occurs at lower levels in model analysis. Control of quality is lower in model analysis. There may be inadequate communication among staff members due to the higher potential for fragmentation of care. The registered nurse finds information decay during the process of delegation. What possible causes may have contributed to this? Select all that apply. Correct1 Frequent changes in the heart rate of the client Correct2 Rapid change in the blood pressure of the client Correct3 Frequent changes in the client's perception of pain Incorrect4 Diverse cultural background of the delegator and delegatee Incorrect5 Different educational background of the delegator and delegatee Information decay is a characteristic of communication that occurs when the client's health status changes rapidly and specific information loses its value or becomes irrelevant to the client's condition. Rapid change in the blood pressure, frequent changes in the heart rate, and frequent changes in the client's perception to pain can all cause rapid changes in information and lead to information decay. Diverse cultural backgrounds of the delegator and delegatee refer to another characteristic of communication, "information salience." Different educational backgrounds of the delegator and delegatee refer to another characteristic of communication, "information salience." A healthcare team is caring for a postsurgical client who underwent knee surgery. Which task is most suitable to be delegated to a licensed practical nurse (LPN) to provide effective client care? Select all that apply. Correct1 Changing the dressing 2 Ambulating the client Correct3 Administration of oral analgesics Correct4 Reinforcing leg exercise instructions 5 Administering intravenous antibiotics The LPN scope of practice includes changing the dressing of the surgical site and administration of oral analgesics. Reinforcing leg exercise instructions may also be performed by the LPN. Ambulating the client who underwent knee surgery is usually performed by a physical therapist. Instructing the LPN to administer intravenous medication may not be appropriate according to guidelines. A healthcare team is delegated the task of assisting a client with bathing. Which member of the healthcare team is responsible and accountable for this aspect of client care? Incorrect1 Nursing aide Correct2 Registered nurse