Leadership

Question 1

Delegation

Answer 1

A process that transfers to a competent individual the authority to perform a selected task in a specific situation.

Question 2

accountability

Answer 2

Being answerable for the actions or omissions of self or others in the context of delegation

Question 3

assistive personnel are accountable for

Answer 3

Decision to accept delegation Performance

Question 4

Nurse’s are accountable for

Answer 4

Decision to delegate Delegated task Client outcomes

Question 5

assistive personnel is accountability is to

Answer 5

Self Delegating nurse Employer

Question 6

Nurse’s accountability is to

Answer 6

Self Clients Employer Licensing board Profession

Question 7

Delegation process

Answer 7

evaluation monitoring delegation assessment

Question 8

5 rights of assessment delegation

Answer 8

RIGHT task RIGHT circumstance RIGHT person RIGHT direction/communication RIGHT supervision

Question 9

assessment red flags

Answer 9

Complex nursing activity Unidentified client needs Requisite knowledge and skills missing Insufficient opportunity to train Insufficient opportunity to monitor/supervise

Question 10

steps for delegation

Answer 10

Communication of task to be delegated Mutual agreement Transfer of authority

Question 11

process of how to delegate

Answer 11

WHO will do WHAT by WHEN and HOW, WHERE, and WHY it will be done

Question 12

directions for delegation

Answer 12

Priority of activity Expected timelines Guidelines for consulting mid-activity Reportable conditions Guidelines for reporting task completion Role as delegator and supervisor

Question 13

red flags of delegation

Answer 13

Refusal to accept delegation Incomplete directions Failure to confirm expectations Failure to communicate

Question 14

supervision

Answer 14

Provision of guidance or direction, evaluation and follow-up by the licensed nurse for a process and the outcomes of a delegated task

Question 15

degree of supervision required depends on

Answer 15

Client needs Stability of the client Competency of the assistant Nature of the task Available supervision

Question 16

red flags for monitoring

Answer 16

Change in other client’s condition with impact on workload Failure of assistant to report unexpected events or client outcomes Work completed incorrectly Work not completed Inadequate communication from assistant Inadequate direction from delegator Inadequate or lack of monitoring from delegator

Question 17

desired delegation outcomes

Answer 17

Protection of client safety Achievement of desired client outcomes Reduction of health care costs Access to appropriate levels of health care Decreased nursing liability

Question 18

inappropriate delegation may result from

Answer 18

Inadequate resources Conflict of employee policies and law Inappropriate employer direction Lack of knowledge about delegation Failure to accept accountability for nursing care provided

Question 19

corrective action for delegation

Answer 19

Educate and train Restate expectations Return skill demonstration Identify specific checkpoints Increase frequency of check-ins Evaluate directions

Question 20

evaluation red flags

Answer 20

Failure to evaluate delegation effectiveness Failure to evaluate the delegator/assistant relationship Failure to learn from work experience

Question 21

keys to delegating affectively

Answer 21

Communicate continuously Value all team member contributions Develop trust between co-workers Learn from experience

Question 22

what does a leader do

Answer 22

influence other people to obtain a goal

Question 23

role of a nurse

Answer 23

meeting patients needs in an effective and timely manner

Question 24

one of the biggest parts of communication is

Answer 24

listening

Question 25

types of leaders

Answer 25

authoritarian /autocratic

democratic/ benevolent

laissez-faire

Question 26

authoritarian /autocratic

Answer 26

they will do whatever it takes to obtain the goal. the goal is the only thing that is important. My way or the highway type leader.

(very efficient, get things done, but long term, their team falls apart)

very stiffling relationship

work by intimidation

Question 27

what are some certain situations where a leader needs to take on an authoritarian role.

Answer 27

in an emergency

Question 28

democratic/ benevolent

Answer 28

this does not mean that youre not a leader and you don’t direct people, or you aren’t in charge but you have good communication skills and value what other people have to say. Take a team approach. Really involved in your team. You make sure your team is involved in the decisions that are made.

Question 29

democratic/ benevolent

Answer 29

not as efficient as authoritarian but still as effective and you have a team that sticks around

Question 30

laissez-faire

Answer 30

a hands-off approach that allows followers to set rules and make decisions.

try to give the least possible guidance to subordinates, and try to achieve control through less obvious means. They believe that people excel when they are left alone to respond to their responsibilities and obligations in their own ways.

Question 31

if someone accepts a delegation

Answer 31

they are then accountable for completing it. they are accountable for accepting it and completing it.

Question 32

what can’t a nurse delegate to unlicensed individuals

Answer 32

assessment

planning

teaching

and evaluation

Question 33

indirect delegation

Answer 33

a list of a CNA’s responsibilites (job profile). Things they are responsible for.

You need to be aware of what they are and what they are comfortable doing.

Question 34

RN skills that you can’t give up

Answer 34

assessment

planning

teaching

counseling

evaluation

Question 35

RN/ LPN IV meds

Answer 35

giving IV meds (some LPN’s have taking courses to give certain IV meds)

IV push meds (RN only)

Hanging blood (RN only)

Question 36

LPN skills

Answer 36

vitals

meds (not iv’s)

some IV meds

not iv push

physical care

contribute to data of assessment (but RN is responsible)

Question 37

CNA skills

Answer 37

personal care

help with feeding (on stable individual)

Question 38

right task

Answer 38

are they able

do they have the experience

does it require alot of judgement

does it require a lot of nursing knowledge

Question 39

right circumstance

Answer 39

are these tasks free from independant nursing judgement

Question 40

right direction/communication

Answer 40

clearly state what you want done