ATI - Chapter 6

Question 1

Delegation is the process of transferring the performance of a task to another member of the health care team while retaining ______ for the outcome.

Answer 1

accountability

Question 2

_____ is the process of directing, monitoring, and evaluating the performance of tasks by another team number.

Answer 2

supervision

Question 3

Nurses are responsible for supervising the performance of client care tasks they _____.

Answer 3

delegate to others.

Question 4

Licensed personnel are nurses who have completed a course of study in nursing and successfully passed either a PN or ____ examination.

Answer 4

RN

Question 5

Unlicensed personnel are individuals who have had ______ to function in an assisstive role to licensed nurses in providing client care.

Answer 5

training

Question 6

These unlicensed individuals might be nursing personnel, such as certified nursing assistants or certified medication assistants or they might be non nursing personnel, such as dialysis techs, monitor techs, and ______.

Answer 6

phlebotomists

Question 7

Some facilities differentiate between licensed and unlicensed personnel by using the acronym _____ for nursing assistive personnel or AP for assistive personnel.

Answer 7

NAP

Question 8

A licensed nurse is responsible for providing clear directions when delegating a task initially and for periodic reassessment and evaluation of the _____ of the task.

Answer 8

outcome of the task

Question 9

RNs may delegate to other RNs, PNs, and ____.

Answer 9

APs

Question 10

RNs must be knowledgeable about their state’s nurse practice act and the regulations that guide the use of PNs and ____.

Answer 10

AP

Question 11

RNs must delegate tasks so that they can complete high-level tasks that only RNs can ____. This allows more efficient use of all team members.

Answer 11

perform

Question 12

PNs may delegate to other PNs and to ____.

Answer 12

AP.

Question 13

Nurses may only delegate tasks appropriate for the __________ level of the individual who is receiving the assignment (the delegatee).

Answer 13

skill and education

Question 14

RNs may not delegate the nursing process, client education, or tasks that require nursing ______ to PNs or to APs.

Answer 14

judgement

Question 15

Delegation task factors

Answer 15

predictability of the outcome
potential for harm
complexity of care
need for problem solving and innovation
level of interaction with the client

Question 16

Delegatee Factors

Answer 16

Education, training, experience
Knowledge and skill to perform task
level of critical thinking the task requires
Ability to communicate with others as it pertains to the task
Demonstration of competence
The facility’s policy and procedures
Licensing legislation

Question 17

Use the five rights of delegation to decide

Answer 17

tasks to delegate (right tasks)
under what circumstances (right circumstances)
to whom (right person)
what info to communicate (right direction)
how to oversee and appraise (right supervision)

Question 18

When delegating tasks use professional judgment and _____ skills when delegating.

Answer 18

critical thinking skills

Question 19

The right task is repetitive, requires little supervision, and is relatively ______ for the client. Delegate activities to appropriate levels of team members according to professional standards of practice, legal, and facility guidelines, and available resources.

Answer 19

noninvasive

Question 20

The right ______ determine the health status and complexity of care the client requires and match the complexity of care demands to the skill level of the delegatee. Also consider the workload of the delegatee.

Answer 20

circumstances

Question 21

The five rights of delegation

Answer 21

right task
right circumstance
right person
right direction and communication
right supervision and evaluation

Question 22

The right ____ must be assigned tasks within the delgatee’s cope of practice and job description. They must have the necessary competence and training. Continually review the performance of the delegatee and determine care competence. Evaluate the delagatee’s performance and remediate when necessary.

Answer 22

person

Question 23

The right ______ in writing, orally, or both is used when you communicate what data to collect. Provide a method and timeline for reporting, including when to report concerns and assessment findings. Coummincate specific tasks to preform and client specific instructions.

Answer 23

direction and communication

Question 24

The right _____ must be provided either directly or indirectly. Monitor performance. Intervene if necessary and provide feedback. Evaluate the client and determine the client’s outcome status.

Answer 24

supervision