Unit 8 Delegation and Prioritization Chapter 12

Question 1

What are the 5 rights of Delegation

Answer 1

1. Right task: One that is delegable for a specific patient
2. Right circumstances: Appropriate patient se ing, available
   resources, and other relevant factors considered
3. Right person: The right person delegating the right task to
   the right person to be performed on the right patient
4. Right direction or communication: Clear, concise description of
   the task, including its objective, limits, and expectations
5. Right supervision: Appropriate monitoring, evaluation,
   intervention, and feedback

Question 2

Can the person who was delegated a task delegate it to someone else?
Yes
No

Answer 2

No

Question 3

First Principle of Delegation

Answer 3

Nurses must have knowledge of the
nurse practice act in the state where
they are licensed.

Question 4

Second Principle of Delegation?

Answer 4

The RN cannot delegate
assessment, planning, evaluation, or
accountability for the assigned task.
YOU CANNOT DELEGATE WHAT YOU EAT
E- Evaluation
A- Assessment, accountability
T- Tasks within your scope

Question 5

Third Principle of Delegation?

Answer 5

The person to whom the assignment
was delegated cannot delegate that
assignment to someone else.

Question 6

What can be delegated?
A. Vital signs only on stable patients
B. Assessing the state of a preoperation patient
C. Taking vital signs for an unstable pt
D.Administering medications

Answer 6

A. Vital signs only on stable patients

Question 7

A New Grad Nurse is assigned a patient with a stage 3 pressure ulcer wound, she calls over the UAP and asks her to do a task. Which statement by the nurse would require further teaching about delegation?
A. “ Can you help this pt ambulate”
B. “ Can you change this stage 3 dressing which requires a sterile technique”
C. “Can you take assist him with eating his lunch”
D. Can you answer his call light

Answer 7

B. “ Can you change this stage 3 dressing which requires a sterile technique”

Question 8

You are caring for a patient with esophageal cancer. Which task could be delegated to a UAP?
1. Assisting the patient with oral hygiene
2. Observing the patient’s response to feedings
3. Facilitating expression of grief or anxiety
4. Initiating daily weighing

Answer 8

1. Ans: 1

Oral hygiene is within the scope of duties of the UAP. It is the responsibility of the nurse to observe response to treatments and to help the patient deal with loss or anxiety. The UAP can be directed to weigh the patient but should not be expected to know when to initiate that measurement. Focus: Delegation

Question 9

The nurse has a multiple client assignment on the surgical unit. On beginning the shift, the nurse needs to determine which postoperative client should be seen first. Of the following, the nurse should go to see the client who:
1.Has a documented blood pressure of 90/50
2. Was medicated for back pain 10 minutes ago
3.Has an order to be out of bed and ambulated
4.Requires instructions for wound care before discharge

Answer 9

1.Has a documented blood pressure of 90/50