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Nội dung chính- Which members of the healthcare team have dependent status under the registered nurse?Which individual is categorized as one who would be considered as dependent status quizlet?Which health care team thành viên is the designated delegator quizlet?Which healthcare team thành viên is the designated delegator?
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Who is mainly responsible for analyzing the knowledge and work of newly hired unlicensed assistive personnel (UAP) before delegating a task?
1
Charge nurse
2
Associate nurse
Correct3
Registered nurse
4
Nursing manager
The registered nurse must analyze any individual's
knowledge before delegating a task. The charge nurse mainly functions as a liaison between team leaders and other healthcare providers. The associate nurse follows the care plan in the absence of a registered nurse. The nursing manager is responsible for more than one unit and has other managerial responsibilities.
Which task is achieved by the delegator when he or she engages in self-care to enhance his or her ability to care for the healthcare team?
Incorrect1
Managing
Correct2
Renewing
3
Explaining
4
Motivating
Renewing is the task achieved by the delegator when he or she engages in self-care to enhance his or her ability to care for the healthcare team. Managing is achieved when the delegator assists the staff in planning, priority-setting, and decision-making. Explaining occurs when the delegator teaches and interprets information for client well-being. Motivating is
achieved when the delegator inspires the staff to fulfill a mission.
Who is the designated delegator?
1
Unit secretary
Correct2
Nurse manager
3
Registered nurse
4
Licensed practical nurse
The nurse manager is the designated delegator. The unit secretary has no formal preparation or legal recognition. The registered nurse is answerable to the delegator. The licensed practical nurse has a
dependent status, functioning under the direction of a registered nurse.
What is the status of the unit secretary as a thành viên of the healthcare team, which is in the span of control of a registered nurse (RN)?
Correct1
Devoid of legal authority
2
Answerable to the nurse manager
3
Answerable to the registered nurse
4
Devoid of performing non-medical tasks
A unit secretary is a thành viên of
the healthcare team who is devoid of formal preparation or legal recognition. RNs or healthcare providers who report to a designated delegator, such as a nurse manager, are answerable to the nurse manager. Members with dependent status such as unlicensed assistive personnel (UAP) and the licensed practical nurse (LPN) and licensed vocational nurse (LVN) who function under the direction of an RN or physician are answerable to the RN. The unit secretary's role in the healthcare team is to perform
nonmedical tasks.
Which activity indicates improper follow-through on the part of the delegatee?
Correct1
Failure to report results
2
Failure of effective communication
3
Performing a task in the absence of a delegator
Incorrect4
Failure in following guidelines provided by a delegator
Failure 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. The delegatee may perform the task in the absence of the delegator because the delegator may work elsewhere after delegating the task to the delegatee. It is the responsibility of the delegator to check if the delegatee is following proper guidelines; therefore it may not be considered improper follow-through.
Which thành viên of the healthcare team would the nurse claim performs functions through passive delegation?
Correct1
Pharmacist
2
Unit secretary
3
Licensed practical nurse
4
Unlicensed assistive personnel
A pharmacist performs functions through passive delegation. Unit secretaries may not be eligible to perform any activity because they do not have formal preparation and legal recognition. The licensed
practical nurse does not delegate, but rather acts as a delegatee. The unlicensed assistive personnel are also delegatees.
A nurse manager transfers the task of caring for a client who has undergone appendectomy to a registered nurse (RN). Which element of the healthcare system is the RN practicing?
1
Delegation
2
Leadership
3
Supervision
Correct4
Assignment
Both accountability and
responsibility are transferred from one person to the other in assignment. When a nurse manager delegates the task of client care to an RN, responsibility is transferred to the RN. The nurse manager shares accountability with the RN in delegation. The nurse manager, as leader, manages the healthcare team and delegates tasks to members of the healthcare team. In supervision, the nurse manager oversees the RN in completing the task.
The healthcare team is caring for a client who has undergone surgery for lung cancer. The client needs respiratory therapy. Which task can be safely delegated to a respiratory therapist paired with a registered nurse?
1
Placing a Foley catheter
Correct2
Assessing the respirations
3
Placing an intravenous (IV) catheter
4
Administering patient-controlled analgesia
Respiratory therapy is needed in clients who undergo surgery for lung cancer. Assessing
respiration can be safely delegated to the respiratory therapist. Placing a Foley catheter, an IV catheter, or administering patient-controlled analgesia is within the scope of a registered nurse's practice.
Who functions as a liaison between team leaders and other healthcare providers?
Correct1
Charge nurse
2
Registered nurse
3
Nursing manager
4
Chief nursing officer
The charge nurse
functions as a liaison between team leaders and other healthcare providers. Registered nurses function as accountable and responsible people for delegated tasks. Nursing managers are responsible for more than one unit and have other managerial responsibilities. Chief nursing officers are accountable for establishing systems to assess, monitor, verify, and communicate competency requirements related to delegation.
Which definition of delegation given by the nurse is correct?
1
Activities undertaken by a group of people who have common interests
2
Transfer of both accountability and task responsibility from one person to another
3
An organized and innovative plan that helps an organization achieve its objectives
Correct4
Process for the nurse to direct another person to perform nursing tasks and activities
The American Nurses Association (ANA) and National Council of State
Boards of Nursing (NCSBN) collaboratively defined delegation as the "process for the nurse to direct another person to perform nursing tasks and activities." Collective actions are the "activities that are undertaken by a group of people who have common interests." Transferring both accountability and responsibility from one person to another is referred to as an assignment. Strategy is an "organized and innovative plan that assists an organization to achieve the objectives."
A client with foot ulcers is admitted to the hospital. The nurse manager should delegate the task of maintaining hygiene to which staff members to maximize efficient use of human resources? Select all that apply.
Incorrect1
Registered nurse (RN)
Correct2
Patient care associate (PCA)
3
Licensed practical nurse (LPN)
4
Licensed vocational nurse (LVN)
Correct5
Unlicensed nursing practitioner
(UNP)
Nurses, PCAs, and UNPs can perform the task of maintaining hygiene; however the best use of resources is to delegate to UNPs and PCAs so the nurses can complete medication administration and other skills the UNPs and PCAs are not legally able to perform under their scope of practice.
Which task can be delegated to a cross-trained technician when paired with a registered nurse?
1
Monitoring vital
signs
Correct2
Drawing blood samples
3
Teaching clients directly
4
Administering intravenous medication
Drawing the blood samples, or phlebotomy, can be delegated to cross-trained technicians when paired with the registered nurse. The cross-trained technician can only record the vital signs, monitoring the vital signs is outside the scope of practice for a cross trained technician. Intravenous medication can only be administered by the registered nurse. The cross trained
technician is an assistive personnel who can reinforce the teaching but he or she cannot teach the client directly.
The registered nurse (RN) administers intravenous fluids to a client who was in a motorcycle accident. Which assessments made by the nurse would be appropriate based on the principle of right task of delegation?
1
Environmental conditions
2
Resources required for drug administration
Correct3
Institutional policies of drug administration
4
Client's condition prior to drug administration
Right task of delegation includes information on whether the task performed would be appropriate based on institutional policies. Assessing if the environmental conditions are conducive for completing the task determines right circumstance of delegation. Right circumstance of delegation also includes the assessments of resources and equipment available for performing the task.
Assessing the client's condition prior to drug administration may be an appropriate intervention of the nurse under right task of delegation.
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