Delegation in Nursing

Which of the following is NOT one of the Five Rights of Delegation?

• Right reason

• Right person

• Right task

• Right communication

What two factors help ensure optimal outcomes in delegation

• Communication and collaboration

• Licensure and experience

•   Training and authorization

• Certification and endorsement

Which statement about regulation and scope of practice is correct?

• Any licensed nurse can delegate and supervise unlicensed assistive personnel (UAP).

• Only registered nurses can delegate and supervise UAP.

•    All states prohibit licensed practical/vocational nurses (LPN/VNs) from delegating and supervising.

• Some states prohibit LPN/VNs from delegating and supervising UAP.

Which statement about members of the nursing team and delegation is correct?

• Unlicensed assistive personnel (UAP) can delegate to other UAP.

• .     Licensed practical/vocational nurses (LPN/VNs) can delegate to registered nurses (RNs) and UAP.

• RNs can delegate to advanced practice registered nurses (APRNs), LPN/VNs, and UAP.

•    APRNs can delegate to RNs, LPN/VNs, and UAP.

Allowing persons to perform a specific nursing activity, skill, or procedure that is outside the traditional role and basic responsibilities of the delegatee's current job is the definition for which of the following terms?

• Supervision

• Delegation

• Responsibility

• Accountability

The nurse asks the unlicensed assistive personnel to measure blood pressure, temperature, pulse, and respirations. This is an example of:

• Delegation

• Supervision

• Assignment

• Authorization

Who is ultimately accountable for the outcome of the delegation?

• The health care provider

• The health care employer

•    The nurse leader

• .     The nurse who delegates the activity

Which of the following is NOT a responsibility of the employer and/or nurse leader involving delegation?

• Ensuring appropriate policies and procedures regarding delegation are in place 

• Ensuring adequate staffing

• Establishing scope of practice guidelines for unlicensed assistive personnel 

• Promoting and maintaining a positive culture

The nurse evaluates a patient’s condition and determines that it is inappropriate to delegate a nursing activity to the unlicensed assistive personnel (UAP). What should

the nurse do next?

• Ask the UAP to observe and learn how to perform the skill

• Perform the activity himself or herself

• Contact the nursing supervisor

• Consult another nurse

How does the nurse supervise a delegated activity?

• By observing the delegatee perform the activity

• By encouraging autonomy, creativity, and self-discipline

• By providing support, guidance, and instructions

• By assessing the staff member’s knowledge, skills, and abilities