Nursing leadership concepts: delegation frameworks, conflict resolution styles, and quality improvement vocabulary tested on NCLEX.
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- In the Five Rights of Delegation, what does 'Right Task' mean?
- The task being delegated is one that can safely be delegated for that specific patient (it does not require nursing judgment).
- In the Five Rights of Delegation, what does 'Right Circumstance' mean?
- The patient's condition and care setting are stable and appropriate for delegating the task.
- In the Five Rights of Delegation, what does 'Right Person' mean?
- The task is assigned to a person who has the appropriate skills and competency to perform it.
- In the Five Rights of Delegation, what does 'Right Direction/Communication' mean?
- The delegator gives a clear, concise description of the task, including its objectives, limits, and expectations.
- In the Five Rights of Delegation, what does 'Right Supervision' mean?
- The delegator provides appropriate monitoring, evaluation, and feedback, and intervenes if needed.
- Which organization created the Five Rights of Delegation used in nursing practice?
- The National Council of State Boards of Nursing (NCSBN).
- What is the definition of delegation in nursing?
- Transferring the performance of a task to another qualified person while the delegating nurse retains accountability for the outcome.
- Who is responsible for performing a delegated task correctly?
- The person to whom the task was delegated (the delegatee).
- Which step of the nursing process can never be delegated to unlicensed assistive personnel (UAP)?
- Assessment.
- Can vital signs on a stable patient be delegated to a UAP?
- Yes.
- Can patient teaching be delegated to a UAP?
- No, patient teaching requires nursing judgment and cannot be delegated to a UAP.
- What delegation task can an LPN/LVN typically perform that a UAP cannot?
- Reinforcing patient teaching that the RN has already provided.
- What is underdelegation?
- When a nurse delegates too little, performing tasks personally that could safely be delegated, reducing efficiency.
- What is overdelegation?
- Delegating a task that exceeds the delegatee's scope of practice or competency, risking patient safety.
- In the Thomas-Kilmann model, what defines the 'competing' conflict style?
- High assertiveness and low cooperation; one party pursues its own goals at the other's expense (win-lose).