Leadership 3

A staff nurse has delegated the ambulating of a new post-op patient to a new staff nurse. Which of the following situations exhibits the final stage in the process of delegation?

• Having the new nurse tell the physician the task has been completed.

• Documenting that the task has been completed.

• Supervising the performance of the new nurse.

• Telling the unit manager the task has been completed.

The staff nurse in a long-term facility wants to delegate the passing of 9am medications. The additional staff consists of two UAP's. What type of delegation error will exist if the nurse goes through with her plan?

• Under-delegating

• Over-delegating

• Vertical delegation

• Improper delegation

A staff nurse wants to clarify his responsibilities regarding delegation. Which documents can the nurse refer to for assistance in decision making?

• The policy manual

• The job description

• The state nurse practice act

• The ANA standards of care

Which of the following is a specific benefit to an organization when delegation is carried out effectively?

• The patients feel that more of their needs are met.

• The organization benefits by achieving its goals more efficiently.

• Managers devote more time to task that cannot be delegated.

• Delegates gain new skills facilitating change of job description.

_______________ is the first step in the delegation process.

• Define the task

• Empower the delegate

• Select capable personnel

• Evaluate performance

As a staff nurse you are asked to complete a task you feel you are not qualified to do. What is the best response?

• Inform the supervisor that you are being mistreated.

• Ask for other tasks for which you feel prepared.

• Thank the delegator for the offer and clearly explain why you must decline.

• Try to do the task anyway.

The charge nurse on the cardiac unit is planning assignments for the day. Which of the following is the most appropriate assignment for the float nurse that has been reassigned from labor and delivery?

• A suspected myocardial infarction patient on telemetry, just admitted from the ED and scheduled for an angiogram.

• A one-week postoperative coronary bypass patient, who is being evaluated for placement of a pacemaker prior to discharge.

• A patient with unstable angina being closely monitored for pain and medication titration.

• A post-operative valve replacement patient who was recently admitted to the unit because all surgical beds were filled.

A nurse is caring for a patient who has wrist restraints applied. Which nursing intervention would receive highest priority regarding the wrist restraints?

• Providing range-of-motion exercises to the wrist

• Removing the restraints periodically

• Assessing color, sensation, and pulse distal to the restraint

• Applying lotion to the skin under the restraints