A nurse is teaching about delegation with a newly licensed nurse. Which of the following statements if made by the newly licensed nurse indicates understanding?

"There are 4 rights of delegation."

“I am responsible for ensuring that a delegated task is completed."

"It is the duty of the delegate to perform a task without asking questions when it is delegated."

"The nurse manager is responsible for delegating nursing tasks during each shift."

Answer and Explanation

The Correct Answer is B

A.   According to the National Council of State Boards of Nursing (NCSBN), there are actually 5 rights of delegation. These are the Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right Supervision/Evaluation. Each of these rights helps ensure that tasks are delegated appropriately and safely.
B.   This statement indicates an understanding of delegation. While the nurse can delegate tasks, they remain accountable for the outcome. This means the delegating nurse must ensure that the task is completed appropriately and the results are satisfactory. The responsibility for the task remains with the nurse, even though the execution is handled by someone else.

C.   It is important for the delegate to ask questions if they are unclear about the task or need additional information. Effective communication and clarification are crucial for ensuring that tasks are performed correctly. The delegate has the right and responsibility to seek clarification to ensure safe and effective task performance.
D.   While the nurse manager may oversee and support delegation processes, the responsibility for delegating specific tasks generally falls to the registered nurse (RN) who is managing the care for that shift. The RN assesses which tasks can be delegated and to whom, based on the needs of the patients and the skill level of the assistive personnel.

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Correct Answer is ["C","D"]

Explanation

A. Situational leadership, on the other hand, focuses on adapting leadership styles to the needs of the team rather than relying solely on rewards or punishments. While situational leaders may use various motivational techniques, their primary focus is on flexibility and responsiveness to changing circumstances.
B. Strict enforcement of rules is characteristic of more authoritarian or bureaucratic leadership styles rather than situational leadership. Situational leaders are more flexible and adapt their approach based on the situation and the needs of the team. They focus on guiding and supporting team members in a way that is appropriate for their level of development and the context of the task.
C. This characteristic aligns well with situational leadership. Situational leaders are adept at adjusting their leadership style and approach based on the changing needs of their team and the specific context they are facing. They recognize that different situations and team members may require different types of guidance and support.
D. Flexibility is a key characteristic of situational leadership. Situational leaders are responsive to the varying needs of their team members and adjust their leadership style accordingly. This flexibility allows them to provide the appropriate level of direction and support based on each team member's competence and commitment.
E. While situational leaders may address short-term goals as part of their approach, their primary focus is on adapting their leadership style to effectively meet the needs of their team in the present moment. Situational leadership involves both short-term and long-term considerations, but the emphasis is on responsiveness and flexibility rather than exclusively focusing on short-term goals.

A. A child who has a head injury B. A child who is experiencing sickle cell crisis C. A child who has streptococcal pharyngitis D. A child who has a new diagnosis of type 1 diabetes mellitus

Correct Answer is D

Explanation

A. A child with a head injury may require close monitoring for neurological changes, which could involve frequent assessments and interventions. While not directly related to infection risk, the needs of this child may be different from those of a postoperative child, making this pairing less ideal due to differing care needs and potential disruptions.
B. A child in sickle cell crisis is likely experiencing significant pain and requires specialized care for pain management and hydration. This condition is not contagious but can be complex and may require frequent interventions, making it less ideal to room with a postoperative patient who needs a controlled environment for recovery.
C. Streptococcal pharyngitis is a contagious infection caused by Group A Streptococcus. To minimize the risk of postoperative infection, it is generally advisable to avoid placing a postoperative patient in the same room with someone who has a contagious infection. This would help in preventing the potential spread of infection to the postoperative child, who is already vulnerable.
D. A child with a new diagnosis of type 1 diabetes mellitus requires education and management of blood glucose levels. This condition is not contagious and does not pose a risk of infection to a postoperative patient. Therefore, the needs of this child align well with the postoperative child, as both are managing chronic conditions rather than dealing with infections.

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A nurse is teaching about delegation with a newly licensed nurse. Which of the following statements if made by the newly licensed nurse indicates understanding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a class on leadership. The nurse should include that which of the following are characteristics of situational leaders? (Select All that Apply.)

Correct Answer is ["C","D"]

Explanation

A nurse on the pediatric unit is providing room assignments for children who are to be admitted to the unit. The nurse should plan to place a child who is postoperative from an appendectomy with which of the following clients?

Correct Answer is D

Explanation

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A nurse is teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?

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