Chapter 15 Delegation in Nursing
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Questions and Answers

The process whereby a nurse directs another health-care team member to perform specific nursing tasks, procedures, and activities that are beyond the person’s traditional role and are not routinely performed by that person is referred to as which of the following?

  • Integration
  • Delegation (correct)
  • Supervision
  • Assignment
  • The allocation of tasks that each staff member is already authorized to perform during a given shift is referred to as which of the following?

  • Integration
  • Delegation
  • Supervision
  • Assignment (correct)
  • The art of which process requires that the supervising RN use direct and indirect observations of how well the member is providing safe, high-quality, and timely patient care?

  • Evaluation (correct)
  • Delegation
  • Supervision
  • Assignment
  • The obligation or willingness to be answerable for one’s own actions and/or the actions of another, particularly when there is assignment or delegation of tasks, is referred to as which of the following?

    <p>Accountability</p> Signup and view all the answers

    The consensus among many experts is that which of the following is really a form of covert institutional licensure?

    <p>Indirect delegation</p> Signup and view all the answers

    Which of the following refers to the duty of a person, as a reasonable and prudent member of a particular group by training or licensure, to complete tasks and assignments that are within his or her power, control, and authority?

    <p>Responsibility</p> Signup and view all the answers

    Which legislative act began a major movement in the United States away from a disease-based health-care system and toward a health and wellness model of care?

    <p>Affordable Care Act</p> Signup and view all the answers

    Which of the following is a skill that may be performed by LPNs and LVNs?

    <p>Take care of clients with chronic conditions</p> Signup and view all the answers

    Which of the following actions can never be delegated?

    <p>Accountability</p> Signup and view all the answers

    Reviewing the medication sheet to make sure the LPN was giving medications on time is an example of which process?

    <p>Indirect observation</p> Signup and view all the answers

    Ensuring that an LPN is changing a dressing properly is an example of which process?

    <p>Direct observation</p> Signup and view all the answers

    Which process takes away almost all of the authority of the RN to delegate personnel tasks yet holds the RN still accountable for the safe completion of the task under the doctrines of respondeat superior and vicarious liability?

    <p>Indirect delegation</p> Signup and view all the answers

    A specific decision by the RN about who can perform what tasks is referred to as which of the following?

    <p>Direct delegation</p> Signup and view all the answers

    Which health-care professionals are held to the same standards as RNs when it comes to delegating and making assignments?

    <p>Advanced practice nurses (APRNs)</p> Signup and view all the answers

    Which process includes the concept of a person being able to or authorized to take actions or make decisions independently, particularly when he or she is in charge of other individuals, by assuring that what the other individuals are doing is correct and safe?

    1. Supervision
    2. Accountability 4. Responsibilit

    <p>Responsibility</p> Signup and view all the answers

    Study Notes

    Delegation

    • The act of a nurse directing another healthcare professional to perform specific nursing tasks, procedures, and activities beyond their typical role.

    Assignment

    • The allocation of tasks for each staff member, who is already authorized to perform them, within a given shift.

    Supervision

    • The art of observing, both directly and indirectly, how well a delegated task is being performed to ensure safe, high-quality, and timely patient care.

    Accountability

    • The obligation or willingness to be responsible for one's own actions and/or the actions of others, especially when tasks are assigned or delegated.

    Licensure

    • Many experts consider delegation to be a form of covert institutional licensure.

    Responsibility

    • The duty of a person, as a reasonable and prudent member of a specific profession, to complete tasks and assignments within their scope of practice and authority.

    Health and Wellness Model of Care

    • The Health Maintenance Organization Act of 1973 (HMO Act) marked a shift in the US healthcare system away from a disease-based model and towards a health and wellness approach.

    Licensed Practical Nurses (LPNs) and Licensed Vocational Nurses (LVNs)

    • Skills such as checking vital signs, administering medications, and assisting with patient care are commonly performed by LPNs/LVNs.

    Non-Delegable Tasks

    • Certain actions, such as the nurse's professional judgment, assessment, and evaluation of patients, cannot be delegated.

    Monitoring

    • Review of a medication sheet to ensure an LPN is administering medications on time is an example of monitoring.

    Evaluating

    • Assessing an LPN's performance in properly changing a dressing is an example of evaluating.

    Strict Liability

    • Strict liability policies drastically limit an RN's authority to delegate tasks, while maintaining their accountability for the safe completion of those tasks under the doctrines of respondeat superior and vicarious liability.

    Delegation Decision

    • The specific determination by an RN regarding who can perform which tasks is a delegation decision.

    Shared Standards for Delegation

    • Registered Nurses (RNs) and other healthcare professionals, like Advanced Practice Registered Nurses (APRNs), are held to the same standards for delegation and assignment.

    Authority

    • The power and responsibility to make decisions and act independently, particularly when supervising others, ensuring their actions are safe and correct.

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