Exam 20: Effective Delegation and Supervision

An LPN/LVN has transferred to a nursing unit and arrives for the first day.The RN checks with the LPN/LVN often throughout the shift to provide support and determine if assistance is needed.The RN is providing which level of supervision?

A nurse moves from California to Arkansas and due to having 20 years of experience as a registered nurse is immediately placed in charge of the telemetry unit.The staffing consists of LPNs and two unlicensed assistive personnel.The RN is unsure of the scope of practice of the LPNs and reviews the nurse practice act for Arkansas,which lacks clarity on some tasks.What should the RN do to best acquire the necessary information?

Care delivery using the team-based approach is used on a telemetry nursing unit.The team consists of one registered nurse (RN),two licensed practical nurses (LPNs),and one unlicensed assistive personnel (UAP).Staff have been charged to improve quality of care while ensuring cost containment.Which assignments would meet both criteria?

Which statement made by an RN regarding delegation indicates the need for additional teaching? (Select all that apply. )

A nurse is concerned about the risk of delegating tasks to licensed practical nurses and unlicensed assistive personnel.What is the best way for the nurse to determine competency of an inexperienced delegatee?

An RN is counseled by the nurse manager regarding inappropriate delegation when the RN engages in what activity?

A nurse is delegating to the newly hired nursing unlicensed assistive personnel (UAP)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?

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 whom?

Which statement related to delegation is correct?

An RN delegates to the unlicensed assistive personnel (UAP)the task of performing blood pressure checks for a group of patients on a nursing unit.The UAP accepts the task and is responsible for what associated task?

The RN instructs the LPN to "Give an enema to the discharged patient in room 327 who is reporting being constipated.Then be sure to document on the medication administration record when given." Which of the five rights was missing in this situation? The right of

When considering the feasibility of an all-RN staff,a nursing administrator determines what fact concerning the RN's role? (Select all that apply. )

Which task is appropriate for the RN to delegate to the unlicensed assistive personnel (UAP)provided the delegate has had experience and training?

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 what is the basis for this practice?

An RN delegates to an experienced LPN/LVN the task of administering oral medications to a group of patients.The RN then observes the LPN/LVN recording a patient's medication administration just before entering the patient's room.What is the RN's initial intervention?

Which functions can be delegated only to another RN with appropriate experience and training? (Select all that apply. )

Which task is most likely to be considered in a state's practice act as appropriate to delegate to a LPN/LVN if the patient's condition is stable and competence in the task has been established?

An RN makes the following assignments at the beginning of the shift.Which assignment would be considered high-risk delegation?

When determining the scope of practice for licensed practical nurses (LPN)and unlicensed assistive personnel (UAP),which statement accurately describes the common policies which exist in most state practice acts?

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 bases decisions on what fact?