Ch6 Test Bank + Answers Delegation And Prioritization Of

Chapter 6: Delegation and Prioritization of Client Care Staffing

1. A registered nurse (RN) instructs a nursing assistive personnel (NAP) to take vital signs for several patients. Which of the following best describes this situation?
   1. Direct delegation
   2. Supervision
   3. Indirect delegation
   4. Assignment
2. A chief nursing officer instructs a supervisor to complete staff scheduling for the month. Which of the following best describes this situation?
   1. Direct delegation
   2. Supervision
   3. Indirect delegation
   4. Assignment
3. When making assignments for the nursing team, an RN carefully considers the scope of practice and skills of each of the team members. This is an example of which task-related concern?
   1. Appropriateness
   2. Fairness
   3. Efficiency
   4. Abilities
4. A staff nurse informed the charge nurse that she was 6 weeks pregnant. The charge nurse rearranged patient assignments so the pregnant nurse would not be caring for highly infectious patients. This scenario is an example of which relationship-oriented concern?
5. Health
6. Appropriateness
7. Fairness
8. Staff preference
9. The charge nurse assigns a patient with a rare diagnosis to a newer nurse. This is an example of which relationship-oriented concern in making assignments?
10. Staff preference
11. Learning opportunities
12. Compatibility
13. Fairness
14. A new nurse is reviewing the legal constraints of nursing practice. Which of the following should the nurse review to determine legal boundaries to practice?
15. State nursing practice act
16. Professional nursing organization
17. Institutional policies
18. National Council of the State Boards of Nursing
19. Safety is a main concern when delegating patient care assignments. Which of the following is true regarding delegation?
20. The individual to whom a task is delegated is held accountable for the task.
21. The RN may need to intervene even after patient care tasks have been delegated.
22. If a licensed practical nurse (LPN) cannot complete a patient care task that was assigned to her by the RN, that task may be delegated to another member of the nursing team, as long as it is within that individual’s scope of practice.
23. After delegating a task, the RN does not need to supervise its completion.
24. An RN is supervising a team consisting of an LPN and a NAP. Which of the following patients should the RN see first?
25. A patient on an insulin drip requiring hourly blood glucose checks
26. A terminally ill cancer patient complaining of pain radiating throughout the abdomen
27. A patient diagnosed with chronic obstructive pulmonary disease (COPD) who has become confused
28. A patient with a serum potassium of 4.0
29. The nurse is making assignments for the patient care team. Which of the following tasks should the RN complete herself?
30. Blood glucose testing for a diabetic patient
31. Feeding a client with dementia
32. Administering the scheduled oral beta blocker to a patient with hypertension
33. Providing medication to a patient complaining of pain after surgery
34. A nurse is caring for a patient diagnosed with acute exacerbation of COPD. Which of the following is the RN’s priority assessment?
35. Breath sounds
36. Pedal pulses
37. Location and intensity of pain
38. Cardiac rate and rhythm
39. When organizing work for the day, which of the following should take priority?
40. Clustered activities
41. Activities that are time specific
42. Delegating of assignments
43. Peak energy time
44. A charge nurse is faced with a unit that is short staffed. The charge nurse reviews the tasks that need to be completed and assigns them to the best person. Which of the following types of nursing does this describe?
45. Team nursing
46. Total patient care
47. Functional nursing
48. Primary nursing
49. An ICU RN has been assigned to a high acuity patient who needs constant assessment and evaluation. What type of nursing is this RN performing?
50. Team nursing
51. Total patient care
52. Functional nursing
53. Primary nursing
54. The RN has been assigned to care for a group of patients on an inpatient unit. The RN is assigned an LPN and an NAP to assist in caring for the group of patients. Patients are assigned to the RN and nursing team for their entire length of stay on the unit. Which of the following types of nursing does this scenario best represent?
55. Team nursing
56. Total patient care
57. Functional nursing
58. Dyad primary nursing

15. A nursing manager participates on a committee reviewing approved assignments for LPNs. Which of the following best describes this situation?

• 1. Direct delegation
  2. Supervision
  3. Indirect delegation
  4. Assignment

Chapter 6: Delegation and Prioritization of Client Care Staffing—Answers and Rationales

1. A registered nurse (RN) instructs a nursing assistive personnel (NAP) to take vital signs for several patients. Which of the following best describes this situation?
2. Direct delegation
3. Supervision
4. Indirect delegation
5. Assignment

Page: 83

1. A chief nursing officer instructs a supervisor to complete staff scheduling for the month. Which of the following best describes this situation?
2. Direct delegation
3. Supervision
4. Indirect delegation
5. Assignment

Page: 84

1. When making assignments for the nursing team, an RN carefully considers the scope of practice and skills of each of the team members. This is an example of which task-related concern?
2. Appropriateness
3. Fairness
4. Efficiency
5. Abilities

Page: 88

1. A staff nurse informed the charge nurse that she was 6 weeks pregnant. The charge nurse rearranged patient assignments so the pregnant nurse would not be caring for highly infectious patients. This scenario is an example of which relationship-oriented concern?
2. Health
3. Appropriateness
4. Fairness
5. Staff preference

Page: 90

1. The charge nurse assigns a patient with a rare diagnosis to a newer nurse. This is an example of which relationship-oriented concern in making assignments?
2. Staff preference
3. Learning opportunities
4. Compatibility
5. Fairness

Page: 89

1. A new nurse is reviewing the legal constraints of nursing practice. Which of the following should the nurse review to determine legal boundaries to practice?
2. State nursing practice act
3. Professional nursing organization
4. Institutional policies
5. National Council of the State Boards of Nursing

Page: 91

1. Safety is a main concern when delegating patient care assignments. Which of the following is true regarding delegation?
2. The individual to whom a task is delegated is held accountable for the task.
3. The RN may need to intervene even after patient care tasks have been delegated.
4. If a licensed practical nurse (LPN) cannot complete a patient care task that was assigned to her by the RN, that task may be delegated to another member of the nursing team, as long as it is within that individual’s scope of practice.
5. After delegating a task, the RN does not need to supervise its completion.

Page: 91

1. An RN is supervising a team consisting of an LPN and a NAP. Which of the following patients should the RN see first?
2. A patient on an insulin drip requiring hourly blood glucose checks
3. A terminally ill cancer patient complaining of pain radiating throughout the abdomen
4. A patient diagnosed with chronic obstructive pulmonary disease (COPD) who has become confused
5. A patient with a serum potassium of 4.0

Page: 92

1. The nurse is making assignments for the patient care team. Which of the following tasks should the RN complete herself?
2. Blood glucose testing for a diabetic patient
3. Feeding a client with dementia
4. Administering the scheduled oral beta blocker to a patient with hypertension
5. Providing medication to a patient complaining of pain after surgery

Page: 92

1. A nurse is caring for a patient diagnosed with acute exacerbation of COPD. Which of the following is the RN’s priority assessment?
2. Breath sounds
3. Pedal pulses
4. Location and intensity of pain
5. Cardiac rate and rhythm

Page: 92

1. When organizing work for the day, which of the following should take priority?
2. Clustered activities
3. Activities that are time specific
4. Delegating of assignments
5. Peak energy time

Page: 93

1. A charge nurse is faced with a unit that is short staffed. The charge nurse reviews the tasks that need to be completed and assigns them to the best person. Which of the following types of nursing does this describe?
2. Team nursing
3. Total patient care
4. Functional nursing
5. Primary nursing

Page: 93

1. An ICU RN has been assigned to a high acuity patient who needs constant assessment and evaluation. What type of nursing is this RN performing?
2. Team nursing
3. Total patient care
4. Functional nursing
5. Primary nursing

Page: 94

1. The RN has been assigned to care for a group of patients on an inpatient unit. The RN is assigned an LPN and an NAP to assist in caring for the group of patients. Patients are assigned to the RN and nursing team for their entire length of stay on the unit. Which of the following types of nursing does this scenario best represent?
2. Team nursing
3. Total patient care
4. Functional nursing
5. Dyad primary nursing

Page: 94

1. A nursing manager participates on a committee reviewing approved assignments for LPNs. Which of the following best describes this situation?
2. Direct delegation
3. Supervision
4. Indirect delegation
5. Assignment

Page: 84