Rationale 2: If delegation is done effectively, unit efficiency is increased.
Rationale 3: If the manager can get more done because delegation is effective there is a greater chance for career
advancement.
Rationale 4: There is no evidence that this is the case.
Rationale 5: Development is stifled when the staff members are doing the wrong tasks.
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: 10-2: Describe how effective delegation benefits the delegator, the delegate, the unit, and the
organization.
Question 24
Type: MCSA
A newly licensed nurse is concerned about the legal aspects of delegation. What is the most important question for
the nurse to consider prior to delegating a task?
1. Do other nurses in the facility delegate similar tasks?
2. How long has the assistant worked at the facility?
3. Does this task involve nursing judgment?
4. How busy is the delegate?
Client Need: Safe Effective Care Environment
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 10-3: Discuss how to be an effective delegator.
Question 25
Type: MCSA
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?
1. A nurse manager
2. A staff nurse
3. A licensed practical nurse
4. An unlicensed nursing assistant
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 10-3: Discuss how to be an effective delegator.
Question 26
Type: MCMA
Which situations are examples of the nurse directing rather than delegating?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
Sullivan, Effective Leadership and Management, 8/e Test Bank
1. A nurse manager asks a staff nurse to participate in a standing hospital committee.
2. A staff nurse asks the assistant to sit with the roommate of a client who has just died.
3. During a code blue situation, a nurse tells another nurse to start an IV.
4. A nurse tells an assistant to move a client into the hallway during severe weather.
5. A nurse reminds assistants of standard protocol for evacuation in case of fire.
4. Introduce the generalities of the task with a promise that details such as a time line will follow shortly.
5. Discuss the importance of the task to the organization.
5. “I’m not interested in working on this project.”
Rationale 4: The five rights of delegation outline accepted measures to take when delegating tasks. If these rights
are followed, the nurse has fulfilled job responsibilities. The delegate is responsible for his or her own care.
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: 10-5: Explain how liability affects delegation.
Question 30
Type: MCMA
Which situations are examples of ineffective delegation?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. After delegating committee attendance to a staff nurse, the nurse manager also attends the meetings.
2. The unit clerk asks the nurse manager to “listen for the phones” so the clerk can go to the hospital’s celebration
of hospital week.
3. The nurse manager asks the staff nurse to collect information about a new type of hospital bed being considered
for purchase.
4. The staff nurse asks the UAP to provide simple discharge instructions to a client.
5. The staff nurse often bathes clients because “I like to give bed baths.”
Rationale 4: Provision of education requires nursing knowledge and judgment and cannot be delegated to a UAP.
This is an example of overdelegation.
Rationale 5: Bathing clients can be delegated to staff of lower rank. If the nurse is giving the bath for assessment
purposes, this lack of delegation would be appropriate. If the nurse is not delegating baths because “I like to give
bed baths,” the lack of delegation is inappropriate.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 10-4: Identify obstacles that impede effective delegation.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.