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Chapter 1: Concept of Delegation

Nursing Delegation, Setting Priorities, And Making Patient Care Assignments 2nd Edition by Patricia Kelly

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Chapter 1: Concept of Delegation

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. What is delegation?
a. distribution of work per staff that each member is responsible for during a given period of time
b. providing guidance and oversight pertaining to a specific task
c. transfer of accountability for performance of a task from one person to another while retaining responsibility for the outcome
d. transfer of responsibility for performance of a task from one person to another while retaining accountability for the outcome

 

 

ANS:  D

Delegation is the transfer of responsibility for performance of a task from one person to another while retaining accountability for the outcome (ANA, Principles for Delegation, 2005). Assignment is the distribution of work per staff that each member is responsible for during a given period of time. Supervision is the provision of guidance and oversight pertaining to a specific delegated nursing task (ANA and NCSBN, Joint Statement on Delegation, 2006).

 

PTS:   1                    DIF:    Comprehension                               TOP:   Perspectives on Delegation

 

  1. The distribution of work per staff that each member is responsible for during a given period of time is called __________.
a. delegation
b. assignment
c. supervision
d. accountability

 

 

ANS:  B

Assignment is the distribution of work per staff that each member is responsible for during a given period of time. Delegation is defined as transfer of responsibility for performance of a task from one person to another while retaining accountability for the outcome (ANA, Principles for Delegation, 2005). Supervision is the provision of guidance and oversight pertaining to a specific delegated nursing task (ANA and NCSBN, Joint Statement on Delegation, 2006). Accountability is being responsible and answerable for behaviors, actions, or inactions of self or others under the context of delegation (NCSBN, 1995).

 

PTS:   1                    DIF:    Comprehension                               TOP:   Assignment

 

  1. Which of the following statements is correct regarding delegation?
a. Delegation does not require a person to accept the responsibility for an assignment.
b. Delegation means transfer of authority for outcomes when the task is delegated to others.
c. Delegation requires a person to accept the responsibility for an assignment.
d. Delegation involves provision of guidance and oversight pertaining to a specific delegated nursing task.

 

 

ANS:  C

Delegation requires that a person accept the responsibility for the assignment; the delegation process is not considered complete until this occurs. Another aspect of delegation is the transfer of responsibility for performance of a task from one person to another while retaining accountability for the outcome. The provision of guidance and oversight pertaining to a specific delegated nursing task is considered to be a definition of the principle of supervision.

 

PTS:   1                    DIF:    Comprehension                               TOP:   Responsibility

 

  1. Which of the following statements is correct regarding supervision?
a. Supervision is guidance and oversight pertaining to a specific delegated nursing task.
b. Supervision is being responsible and answerable for behaviors, actions, or inactions of self or others under the context of delegation.
c. Supervision is the right to act or command the actions and behavior of others.
d. Supervision is the obligation that occurs when one accepts an assignment.

 

 

ANS:  A

Supervision is the provision of guidance and oversight pertaining to a specific delegated nursing task (ANA and NCSBN, Joint Statement on Delegation, 2006). Being responsible and answerable for behaviors, actions, or inactions of self or others under the context of delegation (NCSBN, 1995) is a definition of accountability. Authority is the right to act or command the actions and behavior of others. Responsibility is defined as the obligation that occurs when one accepts an assignment.

 

PTS:   1                    DIF:    Comprehension                               TOP:   Responsibility

 

  1. Competency has a number of different contributing factors. Which is not correct regarding NAP competency?
a. formal training and assessment
b. orientation to specific settings and groups of patients
c. ability to delegate and show proficiency and skill
d. interpersonal and communication skills

 

 

ANS:  C

Competency for Nurse Assistive Personnel (NAP) has been described as a combination of a number of different contributing factors including: 1) formal training and assessment; 2) orientation to specific settings and groups of patients; 3) interpersonal and communication skills; and 4) experience of the NAP in providing assistance to the nurse to provide safe effective care. NAPs do not delegate tasks or responsibility. Nurses are responsible for delegation and are held accountable for tasks and behaviors of others to whom the task has been delegated.

 

PTS:   1                    DIF:    Application    TOP:   Competence

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