Nokea
The LPN is caring for a full nursing assignment and delegates specific duties to the unlicensed assistive personnel (UAP). Which nursing action would best assess the competency of the UAP to complete the assignment?
- A. Ask the client if the assignments were completed.
- B. Review the documentation that the assignment was completed.
- C. Ask the UAP exactly how the assignment was completed.
- D. Observe the UAP during completion of the assignment.
Correct Answer: D
Rationale: Observing the UAP is the best way for the LPN/LVN to assess the competency of the UAP. All delegates must demonstrate knowledge and competency on how to perform a delegated responsibility. Reviewing the documentation or asking the UAP to explain how the assignment was completed will not demonstrate the UAP's competency. Asking the client if the assignment was completed may confirm its completion but does not address the UAP's competency.
You may also like to solve these questions
A nurse manager who denies vacation time to an employee who failed to meet expectations is exhibiting what type of power?
- A. Legitimate
- B. Coercive
- C. Reward
- D. Referent
Correct Answer: B
Rationale: Coercive power is the ability to threaten or punish someone who fails to meet expectations. Legitimate power is obtained through a designated position. Reward power occurs when a person attains power through the ability to grant favors or rewards. Referent power is the power a person has because of an association with others who are powerful.
A parent of a 10-year-old client, newly diagnosed with diabetes, expresses concern that the child will not follow through with the diabetic regimen. The nurse suggests developing a calendar of daily requirements with a weekly prize for completion. Which type of power is the nurse suggesting the parent use?
- A. Coercive power
- B. Expert power
- C. Legitimate power
- D. Reward power
Correct Answer: D
Rationale: Reward power is using rewards and favors to obtain a particular action. In this case, the parent rewards the child when the child completes the prescribed diabetic regimen. Coercive power is when a threat or punishment is used to meet expectations. Expert power results from the respected knowledge in a particular situation. It could be said that parents exert legitimate power through their position as caregivers; however, in this case, the parent is providing a reward for the child completing the daily tasks.
Which of the following would be considered an indirect activity that may be delegated to unlicensed assistive personnel?
- A. Delivering meal trays
- B. Obtaining vital signs
- C. Ambulation
- D. Specimen collection
Correct Answer: A
Rationale: Indirect activities are focused on environmental tasks, such as cleaning equipment, emptying trash or soiled linen receptacles, and delivering meal trays. Direct activities are those that help clients meet basic needs, including vital signs, weights, specimen collection, and ambulation.
Which of the following is the perceived advantage of authoritarian leadership styles?
- A. Staff members are invested in management's goals.
- B. Decisions are made without any input from staff.
- C. Communication is limited to memos.
- D. Decisions may not occur on time.
Correct Answer: B
Rationale: In the authoritarian leadership style, the lines of authority and policies are clear, and communication is directive and flows downward. In addition, decisions are made quickly, and staff members are not invested in management's goals.
When delegating tasks to unlicensed assistive personnel (UAP), a licensed practical nurse (LPN) should assess the situation. Which of the following is the first step involved in assessing the situation?
- A. Communicate expectations clearly to UAP.
- B. Identify the UAP who will best handle the delegated tasks.
- C. Know the client's needs and priorities.
- D. Trust the UAP to complete the task.
Correct Answer: C
Rationale: To delegate tasks successfully, an LPN should first assess the situation. The steps taken to assess the situation involve understanding the client's needs, the skills of the UAP, and the priorities. The LPN should ensure that the UAP's skills map with the tasks to be completed. When planning the actions, the LPN should identify the UAP who will best handle the delegated tasks. When implementing the plan, the LPN should communicate expectations clearly to UAP, including what must be done, what to watch for, and potential problems. The LPN should trust the UAP to complete the task.