Delegation

Question 1

8 steps for planned change

Answer 1

1. Recognize symptoms that indicate a change is needed
2. ID the problem to be solved
3. Determine and analyze alternative solutions
4. Select a course of action from possible alternatives
5. Plan for making the change
6. Implement the course of action
7. Evaluate the effects of change
8. Stabilize the change

Question 2

Explicit power

Answer 2

Elected leaders have this power by virtue of their position

Question 3

Implied power

Answer 3

No designated leadership but have power based on personality, more able to influence

Question 4

Qualities of a leader

Answer 4

Commitment to excellence, problem-solving, trustworthiness and integrity, respectfulness, accessibility, empathy and caring

Question 5

Autocratic/directive/authoritarian

Answer 5

Leader assumes control over decisions and activities of the group

Question 6

Democratic/participative

Answer 6

Sense of equality among the leader and other participants; decisions/activities shared

Question 7

Laissez-faire/nondirective

Answer 7

Leader relinquishes power to group so that an outsider can’t ID leader of group

Question 8

Servant

Answer 8

Begins with natural feeling that one wants to serve

Question 9

Quantum

Answer 9

Leadership needs to move beyond traditional modes
Organizations & members work collaboratively
i.e. COVID pandemic

Question 10

Transactional

Answer 10

Task & reward

Members agree to satisfactory salary and working conditions in exchange for commitment and compliance to leader

Question 11

Transformational

Answer 11

Challenge others to grow personally and professionally to learn;
Key component of organizations that achieve magnet status

Question 12

Avoiding

Answer 12

Awareness of situation but parties decide to ignore or avoid resolution; problem will resurface later but will be worse

Question 13

Collaborating

Answer 13

Joint effort to resolve conflict; win-win

Determine priority common goal; mutual responsibility

Question 14

Competing

Answer 14

Win for 1, lose other

May be used when one party has more knowledge in situation or because of safety

Question 15

Compromising

Answer 15

Both parties must be willing to relinquish something of equal values

Question 16

Cooperating & accomodating

Answer 16

One party makes conscious decision let other group win and may collect IOU for the future
Original loss may result in more positive future outcome

Question 17

Smoothing

Answer 17

Covers the problem, but no real solution is made
ex. Costco pizza & VS machines
Reduces emotional conflict

Question 18

5 Rights of Delegation

Answer 18

Right task
Right circumstances
Right person
Right communication & directions
Right supervision

Question 19

Licensing for RN

Answer 19

Board of Registered Nurses (BRN)

Nurse Practice Act (state)

Question 20

Licensing for LVN

Answer 20

Board of VN & PT

Question 21

Licensing for CNA

Answer 21

CA Department of Health (CDPH)

Question 22

Scope of practice for RN

Answer 22

Manager of care
Initiates assessment
Initiates care plan
Initiates discharge planning
Implements teaching plans
Responsible for closing care plan

*can delegate the task but is ALWAYS responsible and held accountable for patient

Question 23

Scope of practice for CNA

Answer 23

Provide personal hygiene
ADLs
Apply ice packs, heat tx
Apply restraints
Check VS, weight, record I&O
Document actions

Question 24

Scope of practice for LVN

Answer 24

Provides care, prioritizes nursing care
Communicates with RN closely
Assists in assessment and development/mod of CP
Can reinforce discharge
Can hang IV fluids (isotonic solutions, no meds)
CanNOT do blood transfusion (addtl training)
CanNOT give IV medications
Not trained to start IVs (addtl training)
CanNOT initiate cp, new edu, DC
CanNOT change dressing on dialysis catheters (addtl training)
CanNOT perform 1st H2T
CanNOT change dressing on central line