Student First Name: Middle Initial: Last Name:

1. Which of the following definitions is the best definition of delegation by an RN?
   Transferring to a competent individual the authority to perform a selected nursing task in a selected situation.
   Transfer of responsibility for the performance of a task from one individual to another.
   Achieving performance of care outcomes for which you are accountable and responsible by sharing activities with other individuals who have the appropriate authority to accomplish the work.
   All of the above
2. Which of the following staff are responsible for any delegated task?
   Delegator
   Delegatee
   Physician
   Delegator and Delegatee
   All of the above
3. Which of the following trends in health care have lead to the increased need for delegation?
   Increased acuity of patients
   Decreased workload for RNs
   Stable health care environment
   Stable level of patient acuity
4. All of the following are one of the five rights of delegation EXCEPT:
   Right task
   Right communication
   Right hospital
   Right patient
5. Which of the following questions should be asked when deciding the right task?
   How much time will the task take to complete?
   How complex is the task?
   Will the physician allow me to delegate this task?
   What type of supplies will be needed for the task?
6. Appropriate communication about a delegated task from the RN to the delegate includes:
   Clear expectations of the task
   Correct patient
   Expected outcome of the task
   Clear expectations of the task and expected outcome of the task
   All of the above
7. When determining the correct staff person to delegate a task, the RN must be aware of which of the following documents that will guide staff selection?
   Nurse Practice Act
   Organization policy on delegation
   Employment guidelines
   Nurse Practice Act and organization policy on delegation
   All of the above
8. Which of the following might be a reason a delegatee may refuse to accept a delegated task?
   Fear of carrying out the task
   Not assigned to that patient care for the shift
   Question the authority of the RN to delegate
   All of the above
9. When a delegate refuses a task, the RN should complete which of the following?
   Recheck the 5 rights to ensure the delegation is appropriate.
   Inform the delegatee that refusal of the task is not an option.
   Write up the delegatee for insubordination.
   Request a meeting with the nurse manager.
10. Providing feedback from the RN to the delegatee includes which of the following?
    Provide feedback as close to the completion of the delegated task as possible.
    Provide feedback in front of fellow staff so all learn better skills in caring for patients
    Focus on the performance of the task
    Provide feedback as close to the completion of the delegated task as possible and focus on the performance of the task
    All of the above