Chapter 26: Delegation: An Art of Professional Practice

Leading and Managing in Nursing 5th Edition by Patricia S. Yoder-Wise

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Chapter 26: Delegation: An Art of Professional Practice

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. You are a member of a team assigned to care for 15 general medical/surgical clients. You have all worked well together in the past in this same type of care. If you are assigned to coordinate this team’s work, your best strategy, based on the Hersey and Blanchard model, would be to:
a. Have a list of tasks to be accomplished and tell each member of the team what he or she must do.
b. Encourage people to discuss their frustrations in providing this care.
c. Ignore them—they’ve done it before.
d. Provide minimal direction and let them come to you with questions.

 

ANS:   D

According to the Hersey and Blanchard model, when ability (skills, job knowledge) and willingness are strong, the role of the delegator is less.

 

REF:    Pages 525, 526                        TOP:    AONE competency: Professionalism

 

  1. The nurse manager is setting up the room assignments for the unit. She has one critical patient on the unit, who is going to require more care than the others. Before delegating a task, a nurse manager should:
a. Delegate the admission assessment to the LPN.
b. Review the employee’s performance assessment for the most recent period.
c. Assess the amount of guidance and support needed in a particular situation.
d. Create a task analysis of critical behaviors for the individual.

 

ANS:   C

To delegate effectively, the nurse manager must assess the abilities required in the situation and the abilities that staff have to anticipate the amount of direction, monitoring, explanation, and independence that can be assumed.

 

REF:    Pages 532, 533

TOP:    AONE competency: Knowledge of the Healthcare Environment

 

  1. A key advantage that a nurse manager has in terms of delegating is that:
a. Clients receive less attention because too many staff make it difficult to coordinate care.
b. Nurses report less pressure to perform necessary tasks themselves.
c. Administration can predict overtime more accurately.
d. Team skills can be used more effectively.

ANS:   D

The use of multilevel healthcare providers enables healthcare organizations and nursing to provide patient-centered care, with a focus on abilities and skills that can be employed to perform “what is needed now.” As tasks become more complicated, delegating skills to others enables the nurse to effectively deliver a complex level of care.

 

REF:    Page 533         TOP:    AONE competency: Professionalism

 

  1. The nurse on the 11-7 shift is assigning a component of care to an unlicensed nursing personnel (UNP) employee. The night nurse should remain:
a. Accountable and responsible.
b. Accountable and liable.
c. Authoritative and liable.
d. Responsible and task-oriented.

 

ANS:   A

The nurse manager should hold self and others accountable for actions and outcomes.

 

REF:    Page 524         TOP:    AONE competency: Professionalism

 

  1. The night nurse understands that certain factors need to be considered before delegating tasks to others. These factors include the:
a. Complexity of the task and the age of the delegate.
b. Potential for benefit and the complexity of the task.
c. Potential for benefit and the number of staff.
d. Complexity of the task and the potential for harm.

 

ANS:   D

In delegating tasks to others, the nurse considers factors such as stability of the patient, safety of the situation and of the patient, time and intensity involved, and level of critical thinking required to achieve desired outcomes.

 

REF:    Page 530         TOP:    AONE competency: Knowledge of the Healthcare Environment

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