Delegation and Prioritization of Client Care Staffing, Exams of Logistics

Download Delegation and Prioritization of Client Care Staffing and more Exams Logistics in PDF only on Docsity! Chapter 6: Delegation and Prioritization of Client Care Staffing Exam Question and Answer 1. A registered nurse (RN) instructs a nursing assistive personnel (NAP) to take vital signs for several patients. Which of the following best describes this situation? A. Direct delegation B. Supervision C. Indirect delegation D. Assignment - correct answer ✅✅D Page: 83 Feedback A. This is incorrect. Direct delegation occurs when an RN reassigns responsibility for performing a job to another person. B. This is incorrect. Supervision occurs when one individual holds authority over another. C. This is incorrect. Indirect delegation occurs when a list of duties is approved by an organization to be assigned to certain personnel. D. This is correct. Assignment is the allocation of duties that an individual is already authorized to do. Chapter 6: Delegation and Prioritization of Client Care Staffing Exam Question and Answer 2. A chief nursing officer instructs a supervisor to complete staff scheduling for the month. Which of the following best describes this situation? A. Direct delegation B. Supervision C. Indirect delegation D. Assignment - correct answer ✅✅A Page: 84 Feedback A. This is correct. Direct delegation occurs when an RN reassigns responsibility for performing a job to another person. The delegator retains responsibility to ensure the job is actually completed. B. This is incorrect. Supervision occurs when one individual holds authority over another. C. This is incorrect. Indirect delegation occurs when a list of duties is approved by an organization to be assigned to certain personnel. D. This is incorrect. Assignment is the allocation of duties that an individual is already authorized to do. Chapter 6: Delegation and Prioritization of Client Care Staffing Exam Question and Answer A. This is correct. Health is a relationship-oriented concern when making assignments. Special health needs should be taken into consideration. B. This is incorrect. Appropriateness is a task-related concern. When making assignments it is essential to consider whether the individual assigned the task has the education to perform the task, and whether the task needs an individual with specific education and licensure. C. This is incorrect. Fairness is a relationship-oriented concern when making assignments. Fairness takes into account the physical and emotional aspects of providing nursing care and striving to divide the workload evenly. D. This is incorrect. Staff preference is a relationship- oriented concern when making assignments. Staff preference takes into account the individual desires of the team members. 5. The charge nurse assigns a patient with a rare diagnosis to a newer nurse. This is an example of which relationship-oriented concern in making assignments? A. Staff preference B. Learning opportunities C. Compatibility D. Fairness - correct answer ✅✅B Chapter 6: Delegation and Prioritization of Client Care Staffing Exam Question and Answer Page: 89 Feedback A. This is incorrect. Staff preference is a relationship- oriented concern in making assignments that takes into consideration the individual desires of the team members. B. This is correct. Learning opportunities is a relationship- oriented concern when making assignments that considers the educational needs of team members, challenging them to take on new tasks. C. This is incorrect. Compatibility is a relationship- oriented concern in making assignments that focuses on team building efforts. D. This is incorrect. Fairness is a relationship-oriented concern that takes into account the physical and emotional demands of providing nursing care and strives to divide this workload evenly. 6. A new nurse is reviewing the legal constraints of nursing practice. Which of the following should the nurse review to determine legal boundaries to practice? A. State nursing practice act B. Professional nursing organization Chapter 6: Delegation and Prioritization of Client Care Staffing Exam Question and Answer C. Institutional policies D. National Council of the State Boards of Nursing - correct answer ✅✅A Page: 91 Feedback A. This is correct. State practice acts define the legal boundaries for nursing practice. B. This is incorrect. Professional nursing organizations define the standards of practice for nurses. C. This is incorrect. Institutional policies outline the job descriptions for members of the health-care team and serve to guide delegation decisions. D. This is incorrect. The National Council of State Boards of Nursing (NCSBN) writes the NCLEX licensure examination. 7. Safety is a main concern when delegating patient care assignments. Which of the following is true regarding delegation? A. The individual to whom a task is delegated is held accountable for the task. Chapter 6: Delegation and Prioritization of Client Care Staffing Exam Question and Answer D. This is incorrect. The patient's serum potassium is within normal limits. Airway, breathing, and circulation concerns take priority. 9. The nurse is making assignments for the patient care team. Which of the following tasks should the RN complete herself? A. Blood glucose testing for a diabetic patient B. Feeding a client with dementia C. Administering the scheduled oral beta blocker to a patient with hypertension D. Providing medication to a patient complaining of pain after surgery - correct answer ✅✅D Page: 92 Feedback A. This is incorrect. Taking routine blood glucose levels does not require assessment, planning, or evaluation. This task may be delegated. B. This is incorrect. Assisting with feeding does not require assessment, planning, or evaluation. This task may be delegated. Chapter 6: Delegation and Prioritization of Client Care Staffing Exam Question and Answer C. This is incorrect. Scheduled oral medications do not require assessment, planning, or evaluation. This task may be delegated. D. This is correct. A pain assessment should be completed before providing the pain medication, and its effectiveness should be evaluated afterwards. Assessment and evaluation cannot be delegated. 10. A nurse is caring for a patient diagnosed with acute exacerbation of COPD. Which of the following is the RN's priority assessment? A. Breath sounds B. Pedal pulses C. Location and intensity of pain D. Cardiac rate and rhythm - correct answer ✅✅A Page: 92 Feedback A. This is correct. Airway, breathing, circulation, and vital signs are priority assessments. The patient has a breathing diagnosis; therefore, breath sounds take priority. Chapter 6: Delegation and Prioritization of Client Care Staffing Exam Question and Answer B. This is incorrect. Pedal pulses are a circulatory assessment. A breathing assessment takes priority when the patient has a breathing diagnosis. C. This is incorrect. Airway, breathing, circulation, and vital signs are priority assessments over pain. D. This is incorrect. Cardiac rate and rhythm are circulation assessments. A breathing assessment takes priority when the patient has a breathing problem. 11. When organizing work for the day, which of the following should take priority? A. Clustered activities B. Activities that are time specific C. Delegating of assignments D. Peak energy time - correct answer ✅✅B Page: 93 Feedback A. This is incorrect. Some activities are best performed in a cluster, but these are not the highest priority. B. This is correct. Activities that need to occur at a certain time and high-priority tasks are the biggest concerns. Chapter 6: Delegation and Prioritization of Client Care Staffing Exam Question and Answer A. This is incorrect. Team nursing occurs when a group of nursing staff provide care for a cluster of patients. B. This is correct. Total patient care is when one RN cares for all the tasks involved with caring for one patient. C. This is incorrect. Functional, or task, nursing focuses on matching tasks with the best individuals to complete those tasks. D. This is incorrect. Primary nursing occurs when one nurse directs care for a patient during his or her entire hospital stay. The primary nurse and associate nurses provide care for the patient. 14. The RN has been assigned to care for a group of patients on an inpatient unit. The RN is assigned an LPN and an NAP to assist in caring for the group of patients. Patients are assigned to the RN and nursing team for their entire length of stay on the unit. Which of the following types of nursing does this scenario best represent? A. Team nursing B. Total patient care C. Functional nursing D. Dyad primary nursing - correct answer ✅✅D Chapter 6: Delegation and Prioritization of Client Care Staffing Exam Question and Answer Page: 94 Feedback A. This is incorrect. Team nursing is when a group of nursing staff provide care for a cluster of patients. Although the team is providing care for a group of patients, there is a better description for this scenario, as the patient cluster remains the same for the patients' entire length of stay on the unit. B. This is incorrect. Total patient care is when one RN cares for all the tasks involved with caring for one patient. C. This is incorrect. Functional, or task, nursing focuses on matching tasks with the best individuals to complete those tasks. D. This is correct. Primary nursing occurs when one nurse directs care for a patient during his or her entire hospital stay. Today many hospitals use a dyad form of primary nursing, which uses support staff rather than all RNs. The principle remains the same. The patient will have the same staff providing care during the entire stay on the unit. Chapter 6: Delegation and Prioritization of Client Care Staffing Exam Question and Answer 15. A nursing manager participates on a committee reviewing approved assignments for LPNs. Which of the following best describes this situation? A. Direct delegation B. Supervision C. Indirect delegation D. Assignment - correct answer ✅✅C Page: 84 Feedback A. This is incorrect. Direct delegation occurs when an RN reassigns responsibility for performing a job to another person. The delegator retains responsibility to ensure the job is actually completed. B. This is incorrect. Supervision occurs when one individual holds authority over another. C. This is correct. Indirect delegation occurs when a list of duties is written into policy and approved by an organization to be assigned to certain personnel. D. This is incorrect. Assignment is the allocation of duties that an individual is already authorized to do.