Chapter 28 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 28 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCMA

According to the National Council of State Boards of Nursing (NCSBN), which “rights” of delegation should the nurse follow?

Standard Text: Select all that apply.

1. Supervision
2. Evaluation
3. Client
4. Time
5. Task

Correct Answer: 1, 2, 5

Rationale 1: According to the NCSBN, the nurse delegates the right task under the right circumstances to the right person with the right direction and communication and the right supervision and evaluation.

Rationale 2: According to the NCSBN, the nurse delegates the right task under the right circumstances to the right person with the right direction and communication and the right supervision and evaluation.

Rationale 3: The right client is a part of the rights of medication administration.

Rationale 4: The right time is a part of the rights of medication administration.

Rationale 5: According to the NCSBN, the nurse delegates the right task under the right circumstances to the right person with the right direction and communication and the right supervision and evaluation.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 14. Demonstrate clinical judgment and accountability for patient outcomes when delegating to and supervising other members of the health care team

NLN Competencies: Teamwork; Practice; and manage delegation effectively.

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 9. List the five rights of delegation.

MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice.

Page Number: 468

Question 2

Type: MCSA

An unlicensed assistive person (UAP) is working on a rehabilitation unit. Which task would be appropriate for this person to delegate?

1. Taking and recording vital signs
2. Assisting with bathing
3. Making a bed
4. An unlicensed assistive person may not delegate tasks.

Correct Answer: 4

Rationale 1: Taking and recording vital signs is an appropriate task for the registered nurse to delegate to the UAP.

Rationale 2: Assisting with bathing is an appropriate task for the registered nurse to delegate to the UAP.

Rationale 3: Making a bed is an appropriate task for the registered nurse to delegate to the UAP.

Rationale 4: The unlicensed person may not delegate tasks to another person. Delegation is part of the registered nurse’s role.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 14. Demonstrate clinical judgment and accountability for patient outcomes when delegating to and supervising other members of the health care team

NLN Competencies: Teamwork; Practice; and manage delegation effectively.

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 8. Describe the characteristics of tasks appropriate to delegate to unlicensed and licensed assistive personnel.

MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice.

Page Number: 468

Question 3

Type: MCSA

An RN delegates the task of taking a newly admitted client’s vital signs to a nurse’s aide. The client’s blood pressure was 182/98, but did not get reported to the physician for several hours. Who is responsible for the lapse in time between discovery and action?

1. Nurse manager
2. Aide
3. Client
4. RN

Correct Answer: 4

Rationale 1: The nurse manager did not delegate the task of vital signs and therefore is not responsible for the time lapse between discovery and action.

Rationale 2: The aide did not delegate the task of vital signs and therefore is not responsible for the time lapse between discovery and action.

Rationale 3: The client did not delegate the task of vital signs and therefore is not responsible for the time lapse between discovery and action.

Rationale 4: The RN is ultimately responsible for the action, for reporting it, and for following through on any action. Part of delegation is supervision and evaluation—ultimate responsibilities that belong to the RN.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 14. Demonstrate clinical judgment and accountability for patient outcomes when delegating to and supervising other members of the health care team

NLN Competencies: Teamwork; Practice; and manage delegation effectively.

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 6. Discuss the roles and functions of nurse managers.

MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice.

Page Number: 471