Chapter 15 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

Chapter 15 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCMA

Which issues should the nurse manager consider related to delegation?

Standard Text: Select all that apply.

1. Delegation is a simple task assignment.
2. The manager retains accountability for the project.
3. Someone else will have the responsibility and authority to do the task.
4. The employee has the appropriate authority to act alone.
5. The manager must supervise every portion of the task.

Correct Answer: 2,3,4

Rationale 1: The manager gives the worker the responsibility and authority to perform a task for which the manager is accountable. This is not simple task assignment.

Rationale 2: The manager must monitor the progress of the project and is ultimately accountable for the work done.

Rationale 3: The manager is assigning the person to do the task. This person must have the skills, competency, education, and the licensure appropriate to do the task.

Rationale 4: The manager does not tell the employee how to do each portion of the task, so the employee must have the knowledge and licensure appropriate to do the task.

Rationale 5: The manager delegates the task so that the manager will not have to supervise every portion of the task. The manager expects the employee to do the task completely and well without constant supervision.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes

NLN Competencies: Quality and safety care; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 04. Compare and contrast responsibility, authority, and accountability as they apply to

delegation.

Page: pp. 358-362

Question 2

Type: MCSA

The nursing student has developed a poster presentation regarding delegation. Which statement, made by this student, would be evaluated as correct?

1. There is a sharing of authority between the person delegating the work and the person who accepts the delegation.
2. The nurse retains accountability for nursing work assigned to others.
3. Employers decide which work the nurse can delegate and should document this list in the nurse’s job description.
4. The nurse who delegates work should dictate exactly how the work should be accomplished.

Correct Answer: 2

Rationale 1: When the task is delegated, the person doing the delegation transfers the authority to do the task to the person who accepts the delegation.

Rationale 2: The nurse retains legal and ethical accountability for any work delegated to others. This is an important concept to consider when delegating work.

Rationale 3: The State Board of Nursing makes the decisions about delegating. The employer cannot change those decisions.

Rationale 4: The idea of delegation is that the person doing the delegation “gives” the task to another person who should be able to design a work plan to accomplish the task. The person doing the delegation should not have to manage the task or dictate how to do the work.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes

NLN Competencies: Quality and safety care; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 04. Compare and contrast responsibility, authority, and accountability as they apply to

delegation.

Page:  p. 358

Question 3

Type: MCMA

The nurse determines that one of the unlicensed assistive personnel (UAP) working with her patients does not follow safety precautions when ambulating patients. What should the nurse consider before acting on this knowledge?

Standard Text: Select all that apply.

1. The tasks performed by UAPs must conform to hospital policy and procedure.
2. The nurse must act as a patient advocate.
3. The nurse should follow the UAP job description as written by the hospital’s administration.
4. If the nurse’s supervisor tells the nurse to delegate this task to the UAP, the nurse is still accountable for errors made by the UAP.
5. The nurse is accountable only for the work personally performed.

Correct Answer: 1,2,4

Rationale 1: The UAP must follow hospital policy and procedure and these policies and procedures should follow accepted standards of care.

Rationale 2: The nurse must always act as a patient advocate. The nurse could be found negligent if harm comes to the patient and the nurse was aware that the UAP was not performing tasks correctly.

Rationale 3: The hospital cannot change the State Board of Nursing’s regulations as it applies to UAPs. The nurse working with UAPs should be aware of the State Board policies.

Rationale 4: The nurse is still accountable for this care. The fact that the nurse was following the supervisor’s instructions does not relieve the nurse of the responsibility of providing safe care.

Rationale 5: The nurse is accountable for the care provided to patients in his or her care.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes

NLN Competencies: Quality and safety care; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 05. Apply the delegation process in clinical situations when unlicensed assistive personnel are used.

Page: pp. 350-362