Question 1

The RN plans to delegate responsibility of client care to a certified nursing assistant (CNA).

Accepted Answer

A)  Assist a client to shower. 
B)  Start an IV. 
C)  Administer oral medications. 
D)  Take vital signs. 
E)  Discontinue an IV. 
A)  Assist a client to shower. 
B)  Start an IV. 
C)  Administer oral medications. 
D)  Take vital signs. 
E)  Discontinue an IV.

Question 2

A staff nurse asks the nurse manager, "What assignment are you delegating to me today? I would like to begin to organize my day before shift report begins." What is the error inherent in this statement?

Accepted Answer

A)  There is no way for the nurse to know how to organize until the assignment is clear. 
B)  The nurse manager would not make assignments. 
C)  The nurse manager is not delegating but rather making daily assignments. 
D)  Assignment occurs after shift report. 
A)  There is no way for the nurse to know how to organize until the assignment is clear. 
B)  The nurse manager would not make assignments. 
C)  The nurse manager is not delegating but rather making daily assignments. 
D)  Assignment occurs after shift report.

Question 3

A nurse manager is delegating a new, complex task to the unit secretary. Which strategies should the manager use? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A)  Begin the instruction with a statement such as "It would be good if you could help me with this project." 
B)  Make eye contact with the secretary when explaining the task. 
C)  Talk to the secretary in person rather than by telephone or in an email. 
D)  Introduce the generalities of the task with a promise that details such as a time line will follow shortly. 
E)  Discuss the importance of the task to the organization. 
A)  Begin the instruction with a statement such as "It would be good if you could help me with this project." 
B)  Make eye contact with the secretary when explaining the task. 
C)  Talk to the secretary in person rather than by telephone or in an email. 
D)  Introduce the generalities of the task with a promise that details such as a time line will follow shortly. 
E)  Discuss the importance of the task to the organization.

Question 4

A nurse asks an unlicensed assistant to help with discharging clients because so many are going home at one time. The nurse states, "Can you help get these clients ready to go home by helping them pack?" Which option best describes the statement with regard to effective delegation?

Accepted Answer

A)  The delegation is ineffective because the nurse has no responsibility to pack the client's belongings. 
B)  Delegation would have been more effective had the nurse been more specific about which clients and when it should be completed. 
C)  The delegation is ineffective because the nurse has no authority to ask the unlicensed assistant to help with client discharge. 
D)  Delegation could have more effective had the nurse gone with the assistant to ensure the assistant did the packing as requested. 
A)  The delegation is ineffective because the nurse has no responsibility to pack the client's belongings. 
B)  Delegation would have been more effective had the nurse been more specific about which clients and when it should be completed. 
C)  The delegation is ineffective because the nurse has no authority to ask the unlicensed assistant to help with client discharge. 
D)  Delegation could have more effective had the nurse gone with the assistant to ensure the assistant did the packing as requested.

Question 5

Which situation represents an obstacle to delegation?

Accepted Answer

A)  Most of the nursing staff deliver highly skilled care. 
B)  The entire organization has a team-centered culture. 
C)  There is a budget shortfall for the current fiscal year. 
D)  Each employee knows and executes job responsibilities. 
A)  Most of the nursing staff deliver highly skilled care. 
B)  The entire organization has a team-centered culture. 
C)  There is a budget shortfall for the current fiscal year. 
D)  Each employee knows and executes job responsibilities.

Question 6

The nurse manager gave the unit secretary complete responsibility for the unit's staffing, including finding replacements for call-ins and disciplining nurses with excessive call-ins. This is an example of which type of delegation?

Accepted Answer

A)  Effective delegation 
B)  Overdelegation 
C)  Reverse delegation 
D)  Underdelegation 
A)  Effective delegation 
B)  Overdelegation 
C)  Reverse delegation 
D)  Underdelegation

Question 7

Which situation indicates that the nurse needs additional training on effective delegation?

Accepted Answer

A)  The charge nurse tells the unlicensed assistant to help prepare rooms for new clients. 
B)  The office nurse calls in orders for admission on a client following a surgical complication. 
C)  A rehabilitation nurse asks a physical therapy assistant to assist a client with ambulation around the facility. 
D)  A home health nurse calls the office and asks another nurse to make the visit to her next client. 
A)  The charge nurse tells the unlicensed assistant to help prepare rooms for new clients. 
B)  The office nurse calls in orders for admission on a client following a surgical complication. 
C)  A rehabilitation nurse asks a physical therapy assistant to assist a client with ambulation around the facility. 
D)  A home health nurse calls the office and asks another nurse to make the visit to her next client.

Question 8

The nursing supervisor would like to delegate an information-gathering task. All the people listed have the ability to perform the task. In general, whom should the supervisor ask to do this work?

Accepted Answer

A)  A nurse manager 
B)  A staff nurse 
C)  A licensed practical nurse 
D)  An unlicensed nursing assistant 
A)  A nurse manager 
B)  A staff nurse 
C)  A licensed practical nurse 
D)  An unlicensed nursing assistant

Question 9

Which situation is an example of reverse delegation?

Accepted Answer

A)  The nurse manager asks the staff nurse to attend an in-service on a new product. 
B)  The nursing supervisor asks the nurse manager to attend a meeting with the physicians. 
C)  The licensed practical nurse asks the nurse manager to administer insulin to a client. 
D)  The staff nurse asks the licensed practical nurse to record intake and output in his client's charts. 
A)  The nurse manager asks the staff nurse to attend an in-service on a new product. 
B)  The nursing supervisor asks the nurse manager to attend a meeting with the physicians. 
C)  The licensed practical nurse asks the nurse manager to administer insulin to a client. 
D)  The staff nurse asks the licensed practical nurse to record intake and output in his client's charts.

Question 10

Which statements would be important for the charge nurse to make when delegating a responsibility? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A)  "I think it would be important to our organization if you represent the unit on the policy and procedure committee." 
B)  "I have assigned you to be the unit's representative because I don't have enough time to go." 
C)  "I think your attendance at the task force meeting will be a good reflection on our unit." 
D)  "I chose you to attend the meeting because it seems as though you have the lightest assignment." 
E)  "I would like you to be the unit's representative on the client education task force committee." 
A)  "I think it would be important to our organization if you represent the unit on the policy and procedure committee." 
B)  "I have assigned you to be the unit's representative because I don't have enough time to go." 
C)  "I think your attendance at the task force meeting will be a good reflection on our unit." 
D)  "I chose you to attend the meeting because it seems as though you have the lightest assignment." 
E)  "I would like you to be the unit's representative on the client education task force committee."

Question 11

An RN prepares for the day and makes a list of what should be delegated to the LPN. Which tasks should the nurse delegate to the LPN?

Accepted Answer

A)  Assess a surgical incision. 
B)  Turn and reposition the client with a decubitus ulcer every two hours. 
C)  Dressing change and assessment of newly debrided wound. 
D)  Assessment two new admissions. 
E)  Administer all oral medications to clients on the unit. 
A)  Assess a surgical incision. 
B)  Turn and reposition the client with a decubitus ulcer every two hours. 
C)  Dressing change and assessment of newly debrided wound. 
D)  Assessment two new admissions. 
E)  Administer all oral medications to clients on the unit.

Question 12

Which situations would cause concern about liability with regard to delegation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A)  The nurse asks the LPN to change a central line dressing. 
B)  The nursing supervisor asks the nurse for details about a client's history. 
C)  The nursing assistant asks a nurse to check the status of a client on the team. 
D)  The supervisor asks the charge nurse to give a nurse a difficult assignment. 
E)  The charge nurse asks a staff nurse's opinion on the client's surgical incision. 
A)  The nurse asks the LPN to change a central line dressing. 
B)  The nursing supervisor asks the nurse for details about a client's history. 
C)  The nursing assistant asks a nurse to check the status of a client on the team. 
D)  The supervisor asks the charge nurse to give a nurse a difficult assignment. 
E)  The charge nurse asks a staff nurse's opinion on the client's surgical incision.

The RN plans to delegate responsibility of client care to a certified nursing assistant (CNA).

A staff nurse asks the nurse manager, "What assignment are you delegating to me today? I would like to begin to organize my day before shift report begins." What is the error inherent in this statement?

A nurse manager is delegating a new, complex task to the unit secretary. Which strategies should the manager use? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A nurse asks an unlicensed assistant to help with discharging clients because so many are going home at one time. The nurse states, "Can you help get these clients ready to go home by helping them pack?" Which option best describes the statement with regard to effective delegation?

Which situation represents an obstacle to delegation?

The nurse manager gave the unit secretary complete responsibility for the unit's staffing, including finding replacements for call-ins and disciplining nurses with excessive call-ins. This is an example of which type of delegation?

Which situation indicates that the nurse needs additional training on effective delegation?

The nursing supervisor would like to delegate an information-gathering task. All the people listed have the ability to perform the task. In general, whom should the supervisor ask to do this work?

Which situation is an example of reverse delegation?

Which statements would be important for the charge nurse to make when delegating a responsibility? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

An RN prepares for the day and makes a list of what should be delegated to the LPN. Which tasks should the nurse delegate to the LPN?

Which situations would cause concern about liability with regard to delegation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Introducing Nursing Management

Designing Organizations

Delivering Nursing Care

Leading, Managing, Following

Initiating and Managing Change

Managing and Improving Quality

Understanding Legal and Ethical Issues

Understanding Power and Politics

Thinking Critically, Making Decisions, Solving Problems

Communicating Effectively

Building and Managing Teams

Handling Conflict

Managing Time

Budgeting and Managing Fiscal Resources

Recruiting and Selecting Staff

Staffing and Scheduling

Motivating and Developing Staff

Evaluating Staff Performance

Feedback and Coaching, Disciplining, and Terminating Staff

Managing Absenteeism, Reducing Turnover, Retaining Staff

Dealing With Disruptive Staff Problems

Preparing for Emergencies

Preventing Workplace Violence

Handling Collective Bargaining Issues

Managing Stress

Advancing Your Career

Imagining the Future

Filters

Exam 11: Delegating Successfully

The RN plans to delegate responsibility of client care to a certified nursing assistant (CNA).

A staff nurse asks the nurse manager, "What assignment are you delegating to me today? I would like to begin to organize my day before shift report begins." What is the error inherent in this statement?

A nurse manager is delegating a new, complex task to the unit secretary. Which strategies should the manager use? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A nurse asks an unlicensed assistant to help with discharging clients because so many are going home at one time. The nurse states, "Can you help get these clients ready to go home by helping them pack?" Which option best describes the statement with regard to effective delegation?

Which situation represents an obstacle to delegation?

The nurse manager gave the unit secretary complete responsibility for the unit's staffing, including finding replacements for call-ins and disciplining nurses with excessive call-ins. This is an example of which type of delegation?

Which situation indicates that the nurse needs additional training on effective delegation?

The nursing supervisor would like to delegate an information-gathering task. All the people listed have the ability to perform the task. In general, whom should the supervisor ask to do this work?

Which situation is an example of reverse delegation?

Which statements would be important for the charge nurse to make when delegating a responsibility? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

An RN prepares for the day and makes a list of what should be delegated to the LPN. Which tasks should the nurse delegate to the LPN?

Which situations would cause concern about liability with regard to delegation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Introducing Nursing Management

Designing Organizations

Delivering Nursing Care

Leading, Managing, Following

Initiating and Managing Change

Managing and Improving Quality

Understanding Legal and Ethical Issues

Understanding Power and Politics

Thinking Critically, Making Decisions, Solving Problems

Communicating Effectively

Building and Managing Teams

Handling Conflict

Managing Time

Budgeting and Managing Fiscal Resources

Recruiting and Selecting Staff

Staffing and Scheduling

Motivating and Developing Staff

Evaluating Staff Performance

Feedback and Coaching, Disciplining, and Terminating Staff

Managing Absenteeism, Reducing Turnover, Retaining Staff

Dealing With Disruptive Staff Problems

Preparing for Emergencies

Preventing Workplace Violence

Handling Collective Bargaining Issues

Managing Stress

Advancing Your Career

Imagining the Future

Filters