You are a member of a team assigned to care for 15 general medical/surgical clients. You have all worked well together in the past in this same type of care. If you are assigned to coordinate this team's work, your best strategy, based on the Hersey and Blanchard model, would be to: Show
ANS: D REF: Page 493 TOP: AONE competency: Knowledge of the Health Care Environment The nurse manager is setting up the room assignments for the unit. She has one critical patient on the unit, who is going to require more care than the others. Before delegating a task, a nurse manager should: ANS: C REF: Page 499 TOP: AONE competency: Knowledge of the Health Care Environment A key advantage that a nurse manager has in terms of delegating is that: ANS: D REF: Page 496 TOP: AONE competency: Knowledge of the Health Care Environment The nurse on the 7-7 shift is assigning a component of care to an unlicensed nursing personnel (UNP) employee. The night nurse should remain: ANS:
A REF: Page 496 TOP: AONE competency: Professionalism The night nurse understands that certain
factors need to be considered before delegating tasks to others. These factors include the: ANS: D REF: Page 487 | Page 499 During a fire drill, the nurse manager becomes very assertive and directive in her communications with staff. This type of situational leadership depends on:
ANS: B REF: Page 493 TOP: AONE competency: Leadership The unit manager is working in a large metropolitan facility and is told that two UNPs are to be assigned to work with her. Delegation begins with: ANS: C REF: Page 487 | Page 499 During staff development programs, staff nurses verbalize their frustration about their workloads and having to delegate so many tasks to others. One of the main reasons that delegation has emerged as an issue is because of: ANS: B The day shift nurse asks an LPN/LVN to complete a component of care for a client. The day shift nurse is engaging in what function? ANS: B REF: Pages 494-496 You are working in a home health service and have three unlicensed nursing personnel (UNPs) assigned to your team. You have worked with two of them for 2 years; the third is new. The two experienced UNPs have patients with complex illnesses for whom they provide basic care. The third
member of the team has been assigned to patients with less complex illnesses. Your best approach to supervising their care is to: ANS: D REF: Page 493 | Page 494 With
delegation, responsibility and accountability remain with the: ANS: B REF: Page 488 TOP: AONE competency: Professionalism Which of the following exemplifies accountability? Karen, the nurse manager on 5E: ANS: C REF: Page 488 TOP: AONE competency: Professionalism Which of the following indicates safe delegation? ANS: B REF: Page 492 TOP: AONE competency: Knowledge of the Health Care Environment Which of the following would be most in line with Hersey and Blanchard's concepts? ANS: A REF: Page 493 TOP: AONE competency: Business Skills In delegating to a
UNP in a home health setting, which of the following represents the most appropriate delegation communication? ANS: D REF: Page 499 TOP: AONE competency: Knowledge of the Health Care Environment An RN colleague, who is a long-standing and collaborative member of your team, is performing a complex and novel dressing for the first time for the patient to whom she has been assigned. Which of the
following would be the most appropriate communication with her? ANS: C REF: Page 493 TOP: AONE competency: Knowledge of the Health Care Environment Sally is an experienced nurse on the unit and is very experienced with ICP monitoring. She is assigned David, a patient who has been admitted with a severe head injury. In communicating with Sally, you would: ANS: D REF: Page 493 TOP: AONE competency: Knowledge of the Health Care Environment You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when Evelyn makes visits to Mrs. N. and also to check whether Mrs. N. is receiving any positive effect from the medication. Evelyn reports for 3 weeks that Mrs. N. is using
the inhaler and that there is enough medication left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe respiratory distress. When she is admitted, she tells the physician that she has not been using the inhaler for 4 weeks. This incident is an example of: ANS: B REF: Page 499 TOP: AONE competency: Knowledge of the Health Care Environment You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when Evelyn makes visits to Mrs. N. and also to check whether Mrs. N. is receiving any positive effect from the medication. Evelyn reports for 3 weeks that Mrs. N. is using the inhaler and that there is enough medication left in the device. The day of her last visit to
Mrs. N., Mrs. N. is admitted to the hospital in severe respiratory distress. When she is admitted, she tells the physician that she has not been using the inhaler for 4 weeks. Before assigning Evelyn to Mrs. N.'s care, the most appropriate action of the care coordinator would have been to: ANS: B You ask
Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when Evelyn makes visits to Mrs. N. and also to check whether Mrs. N. is receiving any positive effect from the medication. Evelyn reports for 3 weeks that Mrs. N. is using the inhaler and that there is enough medication left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe respiratory distress. When she is admitted, she tells the physician that she has not been using the inhaler for 4
weeks. Determination of Evelyn's educational preparation and certification is related to the concept of: ANS: B REF: Page 488 TOP: AONE competency: Business Skills County Hospital has position descriptions for all staff, including RN Team Leaders. Sarah, a team leader on the rehab unit, assesses the needs of the patients in her area, assesses the skills and backgrounds of each of the individuals on her team, and then assigns and delegates the appropriate care provider to each patient and task. Sarah's activity in the example described is termed: ANS: C REF: Page 492 TOP: AONE competency: Knowledge of the Health Care Environment Functions such as "delegates tasks to assistive personnel" that are outlined in a position description for an RN Team Leader would be considered: ANS:
B REF: Page 492 TOP: AONE competency: Knowledge of the Health Care Environment County Hospital has position descriptions for all staff, including RN Team Leaders. Sarah, a team leader on the rehab unit,
assesses the needs of the patients in her area, assesses the skills and backgrounds of each of the individuals on her team, and then assigns and delegates the appropriate care provider to each patient and task. Sarah provides Colleen, her RN colleague with details regarding the patients to whom Colleen has been assigned on the day shift. This is an example of: ANS: C REF: Pages 494-496 Leslie, a UNP, transfers a patient while using improper technique. The patient is injured, and as a result, a suit is
launched in which both Sarah (the delegator) and Leslie (the delegatee) are named. Sarah is named in the suit because she: ANS: D REF: Page 496 TOP: AONE competency: Knowledge of the Health Care Environment Ali, an RN on your unit, is consistently late to work and makes remarks such as "Do you really want me to do that?" when patients and care are assigned to her. You have spoken with her frequently about her: ANS: C REF: Page 493 TOP: AONE competency: Communication and Relationship-Building An example of a care activity
that would likely not be delegated by an RN to a UNP is (select all that apply): ANS: A, B, D REF: Page 487 | Page 499 Which failure is consistent with an improper followImproper follow-through on the part of a delegatee is failure to report results and findings.
Which failure is consistent with an improper followFailure to report the results and findings to the delegator indicates improper follow-through on the part of delegatee. Failure of effective communication is not considered improper follow-through on the part of the delegatee. Effective communication is required in leadership.
In which situation would a delegator identify that a delegatee is unable to perform an assigned task?A delegatee is identified as less able to perform a specific work when he or she has a knowledge deficit. When the delegatee is upset, bored, or anxious, the delegator will identify that the delegatee is unwilling to perform a specific task.
Which right is applicable when the delegator and delegatee understand a common work related language quizlet?When the delegator and delegatee understand a common work-related language, then right communication is applicable. Right person is applicable when the delegatee has appropriate knowledge and experience to perform a task.
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