A nurse is delegating client care tasks to a licensed practical nurse and an assistive personnel

1. Match: transfer of responsibility for the performance of a task from one person to another, while retaining accountability.

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   • What tasks can a nurse delegate to assistive personnel?
   • Which of the following activities should the nurse delegate to the licensed practical nurse?
   • Can a nurse delegate feeding a client to a UAP?
   • Can LPNS delegate to nursing assistants?

   a. ANA
   b. NCBSN

   a.

2. Match: Trasferring to a competent individual the authority to perform a selected nursing task in a selected situation.

   a. ANA
   b. NCBSN

   b. infers you know the role in which the person being delegated is performing and qualified.

3. What are the four things you must consider when delegating a task?

   • 1. stability of the condition of pt.
   • 2. training and capability of the delegatee
   • 3. nature of the nursing task being delegated
   • 4. proximity and availability of the nurse

4. List the things that CANNOT be delegated (4)

   • 1. activities requiring assessment and judgment during implementation
   • 2. physical, psychological, and social judgment, referral, intervention and follow-up
   • 3. formulation and evaluation of the plan of care
   • 4. meds (except where allowed by law)

5. These are the three common delegation errors

   • 1. underdelegating 
   • 2. over delegating
   • 3. improper delgating

6. List the first five rights of delegation

   • 1. right task
   • 2. circumstances
   • 3. person
   • 4. direction / communication
   • 5. supervision

7. T or F: an LVN can carry out a nursing process, but not initiate one.
   

   True

8. T or F: an LVN can make an assessment, plan, intervention, and evaluation on it.
   

   false

9. T or F: an LVN can perform tracheostomy care
   

   true

10. T or F: an LVN can hang IV bags without additives
    

    true

11. Can an LVN place an NG tube

    Yes

12. What are the different kinds of conflict?

    • 1. Intergroup: occurs between two or more groups
    • 2. Intrapersonal conflict: occurs within ONE person; workplace constraints preventing nurses applying own values
    • 3. Interpersonal conflict: occurs between two or more people

13. What are the 5 stages of conflict?

    • 1. Latent conflict / antecedent conditions
    • 2. Perceived conflict: the conflict can now be recognized logically, but it's not progressed to feeling or internalized conflict
    • 3. Felt / affective conflict: the conflict has been emotionalized; the person may feel conflict but not perceive the conflict (hostility, fear, mistrust, anger)
    • 4. Manifest / overt conflict: action stage **where conflict management occurs**
    • 5. Aftermath: can be positive or negative

14. Which stage of conflict is this?
    People may be in conflict without being aware that they are. An example of this could be that a server at a restaurant may have input the order incorrectly and brought the wrong food.

    Latent stage: the first stage

15. Which stage of conflict is this: this is when the people involved in a conflict become fully aware of it, and will start the complaint process.

    Perceived stage: the second stage

16. What stage of conflict is this: customers at a restaurant are complaining to the manager that their food is not the correct order. The manager does not enjoy dealing with the conflict, and the waiter does not enjoy being under scrutiny.

    Felt stage: the third stage

17. What stage of conflict is this: After the manager hears the complaint about their food being the wrong order, he takes his waiter aside and talks to him about what happened.

    Manifest stage: the others perceive the conflict and it has manifested

18. What stage of conflict is this: After hearing the complaints of customers about the incorrect order, talking to his employee about it, he now corrects the mistakes and takes the appropriate steps to ensure the employee is more careful in the future.

    Aftermath stage: this takes place when there is some outcome of the conflict, such as a resolution to or dissolution of the problem.

19. Which right of delegation is this: patient must be stable and outcome predictable. The decision to delegate must be based on the nursing process and a careful analysis of the patient's needs and circumstances prior to delegating.

    D.

20. Which right of delegation is this: RN must determine that the delegatee can perform what is being asked safely. This includes factors such as possessing the skills and knowledge of how to perform the task and how to evaluate the success or failure of the task.

    C.

21. Which delegation right is this: the nurse delegating the task must ensure that the delegatee possess and has demonstrated the knowledge base and appropriate skills and resources to perform the task to ensure the patient's safety.

    E.

22. Which right of delegation is this: The nurse is expected to give the delegatee specific instructions for the task, and is specific to the patient.

    C.

23. Which right of delegation is this: The nurse remains responsible for the tasks and outcomes. He/she is also responsible to follow up and receive report on the task and outcomes if the delegatee has not done so.

    D.

24. T or F: NAP's (nursing assistive personnel) can perform oral suctioning.
    

    True: only if trained

25. A charge nurse is making assignments for an oncoming shift. Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)?

    A. the client who is disoriented will need observation and reality orientation, which is within the LPN's scope of practice. The client's condition can also be categorized as stable since discharge to a long-term care facility is scheduled.

26. A nurse manager believes that a nurse is taking breaks that are too frequent and lengthy. Which of the following is an assertive statement that the charge nurse should use to initiate discussion of the issue?

    A.  Assertive communication uses "I" statements that describe the person's observations and feelings. It allows the person being confronted to respond to the issue with her own perceptions and feelings instead of feeling verbally assaulted. Subsequently, a verbal discourse that allows an open discussion of the issue can follow.

27. A nurse is delegating a client care task to an assistive personnel (AP). Which of the following directions should the nurse give the AP? 
    
    
    
    

    C.  These directions include the type of task to be done, the frequency with which the task is to be performed, the duration of the task, and information about the mechanics of ambulating the client.

28. An RN and a licensed practical nurse (LPN) are caring for a client who has a small bowel obstruction and is NPO with a nasogastric (NG) tube set to continuous suction. Which of the following tasks should the RN perform? 
    
    
    
    

    D.  Assessments are within the scope of practice for the RN only. While the LPN can also auscultate the client’s abdomen for the presence of sounds, only the RN is qualified to evaluate the sounds and qualify them as hypoactive, normal, or hyperactive.

29. A charge nurse is evaluating conflict resolution between two staff nurses. Which of the following conflict resolution styles is an example of one nurse putting aside her own goals to satisfy the other nurse?

    A.  Accommodation is when one person puts aside her own goals to satisfy the needs of another person. The nurse is using accommodation in order to resolve the conflict.

30. A group of providers are participating in a cardiopulmonary resuscitation effort for a client who is in cardiac arrest. Which of the following types of leadership is required for this group to function efficiently?

    A.

What tasks can a nurse delegate to assistive personnel?

Which of the following activities should the nurse delegate to the licensed practical nurse?

Can a nurse delegate feeding a client to a UAP?

Can LPNS delegate to nursing assistants?