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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.
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Which of the following would not be considered one of the five rights of delegation?
- A. Educational level
- B. Task
- C. Circumstances
- D. Person
Correct Answer: A
Rationale: The NCSBN (2019) identified the five rights of delegation: right task, right circumstances, right person, right direction/communication, and right supervision/evaluation. Educational level is not one of the five rights of delegation.
A nurse is caring for clients on a surgical unit. Which nursing action(s) positively impacts the goal of healthcare cost containment? Select all that apply.
- A. Completing a nursing assessment and setting up a breakfast tray in an isolation client's room
- B. Teaching and encouraging the use of an incentive spirometer.
- C. Delegating the ambulation of a client three times daily in the hall
- D. Completing client wound dressing change prior to physician rounds
- E. Checking the completion of Foley catheter care with the nursing assistant.
- F. Initiating a turning protocol for a bedbound client
Correct Answer: A,B,C,E,F
Rationale: Cost-consciousness measures include prudent use of expensive supplies, careful monitoring of clients to reduce potential complications and lengths of stay, and reduction of waste of limited resources. Completing client wound dressing change prior to physician rounds is not an example of cost containment.
A new client charting system is in the education phase at a healthcare facility. Much discussion has been prompted regarding the new system. With which statement does the nurse best exhibit the integrated leader/manager traits?
- A. Let's look at the daily benefits of using the new technology on the clinical unit.'
- B. I am not used to the new technology, but if it better serves the client and enables easy sharing of client authorized records, I see a benefit.'
- C. New technology may be costly up front but will serve us well in the future.'
- D. I do not believe that this technology will be helpful in caring for a client because it often is down during peak use times and is difficult to train for.'
Correct Answer: B
Rationale: The traits of an integrated leader/manager combine understanding the daily operations on a clinical unit while seeing the big picture, thinking in the long term, and embracing change. Better serving the client and sharing records as needed demonstrates the willingness to think positively and take risks on improvement for the future. Focusing only on the daily benefits or only on the future impact of using the new technology each only look at one aspect of leadership and management. Stating that the new technology will not be helpful in client care is a negative statement and does not show that the manager is able to embrace change.
The licensed practical nurse (LPN) and other nursing staff on a rehabilitation unit are meeting to discuss an assigned client's progress. This is an example of which function?
- A. Time management
- B. Collaboration
- C. Advocacy
- D. Resource management
Correct Answer: B
Rationale: Collaboration involves a team effort to achieve client care outcomes. Time management involves organizing time, delegating tasks to other personnel, and optimizing available time. Advocacy is a means of promoting the cause of another person or organization. Resource management means using resources, which include money, supplies, equipment, buildings, and personnel, optimally.
During which client-nurse interaction would the nurse most appropriately use the authoritarian leadership style?
- A. The nurse is assisting the client to the bathroom when wound dehiscence occurs.
- B. The nurse is presenting meal options to a resistant diabetic client.
- C. The nurse is instructing on how to obtain blood glucose readings.
- D. The nurse is preparing discharge instructions per physician's prescription.
Correct Answer: A
Rationale: During an emergency, such as when a wound dehiscence occurs, an authoritarian leadership style with one person in tight control of the situation is best. At this time, the focus is on accomplishing the tasks of client safety, wound care, and physician notification. All of the other interactions would best be managed with a therapeutic nurse client interaction.