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Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 10-2: Describe how effective delegation benefits the delegator, the delegate, the unit, and the
organization.
Question 14
Type: MCSA
The nurse has attended a “how to” refresher course on successful delegation. Which statement indicates
successful learning has taken place?
1. “I knew that effective delegation made my job easier, but I never thought about how it could benefit the
hospital.”
2. “The clients on our unit come and go so frequently that delegation is of little benefit.”
3. “I just don’t understand why people think delegation is difficult; all you have to do is tell other people what to
do.”
4. “Now I know that effective delegation means telling my nursing staff when they need to have their regular
work done.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 10-2: Describe how effective delegation benefits the delegator, the delegate, the unit, and the
organization.
Question 15
Type: MCSA
Sullivan, Effective Leadership and Management, 8/e Test Bank
A nurse asks an unlicensed assistant to help with discharging clients since 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?
1. The delegation is ineffective since the nurse has no responsibility to pack the client’s belongings.
2. Delegation would have been more effective had the nurse been more specific about which clients and when it
should be completed.
3. The delegation is ineffective because the nurse has no authority to ask the unlicensed assistant to help with
client discharge.
4. Delegation could have more effective had the nurse gone with the assistant to ensure the assistant did the
packing as requested.
1. The nurse manager is inexperienced and needs time to adjust.
2. The unit culture may foster distrust and poor communication among staff.
3. Client complaints are usually an indicator of a larger unit problem.
4. Nurses on the unit are in need of additional training and skills.
5. The unit is short staffed.
Rationale 1: The RN is the only caregiver legally responsible for assessing clients. Thus, the RN cannot delegate
this to the LPN, and this is an example of overdelegation.
Rationale 2: It is within the LPN’s scope of practice to administer oral medications.
Rationale 3: The LPN can delegate tasks to the unlicensed assistant. Reporting vital sign changes to the RN is
within the scope of an unlicensed assistant.
Rationale 4: The nurse manager can delegate to the RN. An RN is a logical substitute for the charge nurse in this
situation.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 10-4: Identify obstacles that can impede effective delegation.
Question 18
Type: MCSA
For the nurse to effectively and legally delegate, which document must be consulted and followed to reduce the
likelihood of liability?
1. The American Nurses Association Bylaws
2. The National Council of State Boards of Nursing
3. The regulations of the state nurse practice acts
4. The rules of the governing specialty organization
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 10-5: Explain how liability affects delegation.
Question 19
Type: MCSA
Which situation indicates the nurse needs additional training on effective delegation?
1. The charge nurse tells the unlicensed assistant to help prepare rooms for new clients.
2. The office nurse calls in orders for admission on a client following a surgical complication.
3. A rehabilitation nurse asks a physical therapy assistant to assist a client with ambulation around the facility.
4. A home health nurse calls the office and asks another nurse to make the visit on her next client.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 10-5: Explain how liability affects delegation.
Question 20
Type: MCMA
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.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Standard Text: Select all that apply.
1. The nurse asks the LPN to change a central line dressing.
2. The nursing supervisor asks the nurse for details about a client’s history.
3. The nursing assistant asks a nurse to check the status of a client on the team.
4. The supervisor asks the charge nurse to give a nurse a difficult assignment.
5. The charge nurse asks a staff nurse’s opinion on the client’s surgical incision.
Rationale 2: Delegation helps get work done efficiently and effectively. Absences tend to decrease in this
environment.
Rationale 3: Delegation is permitted by state boards of nursing, but it is not required.
Rationale 4: Delegation results in care that is efficient and effective. Efficient and effective care results in
increased patient satisfaction.
Rationale 5: Delegation results in each part of the team working at their designated skill level. Nurses are not
doing tasks that could be done by assistants. This results in increased productivity.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 10-2: Describe how effective delegation benefits the delegator, the delegate, the unit, and the
organization.
Question 23
Type: MCMA
During the first staff meeting, a newly promoted nurse manager says, “I would like a commitment from all the
nurses to review and improve the way delegation is done on the unit.” Why would the manager be interested in
delegation?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Effective delegation allows the manager to focus more time on management tasks.
2. Efficiency is increased by effective delegation.
3. If the manager has more time to focus on managerial duties, there is more chance of career advancement.
4. The nurse manager thinks unlicensed assistive personnel (UAPs) provide better bedside care than nurses.
5. The manager is interested in developing the entire staff to its maximum potential.
