Unit 8: Ch. 12 LO 12.5 Delegation & Prioritization of Care

Question 1

9. A registered nurse (RN) delegates a bed bath to unlicensed assistive personnel (UAP). After lunch, the patient rings for the nurse and complains that he has not yet been cleaned up. He is very upset and angry. What should the nurse’s next action be?
   a. Assist the patient in getting cleaned up.
   b. Write up the UAP for not carrying out the assignment.
   c. Report the UAP to the unit manager.
   d. Go find the UAP, and tell her to complete the bath immediately.

Answer 1

Answer: a
The goal of delegation of any assignment is to provide efficient, patient-centered care. In this case, the patient is angry and upset—the nurse should first see to the patient’s needs and address the issue with the UAP after the situation is resolved.

Question 2

10. After analyzing patient data, the registered nurse (RN) on an inpatient medical unit delegates vital signs and morning care to the unlicensed assistive personnel (UAP) for five stable patients. The nurse asks the UAP to document the vital signs and report any abnormal results immediately. Which rights of delegation is the nurse demonstrating? (Select all that apply.)
    a. Right person
    b. Right circumstance
    c. Right time
    d. Right supervision
    e. Right patient

Answer 2

Answers: a, b, d
The nurse is demonstrating all of the rights of delegation. Right time and right patient are not part of the Five Rights of Delegation. They are a part of the Rights of Medication Administration. The Five Rights of Delegation are:
1. Right task
2. Right person
3. Right circumstance
4. Right communication
5. Right supervision