HESI RN Leadership Exam
VERSION 1
- Which member of the health care team is accountable for initial assessment and ongoing evaluation of
client care?Correct 1 Registered nurse 2 Licensed practical nurse 3 Primary health care provider 4 Unlicensed nursing personnel The registered nurse is accountable for the initial assessment and ongoing evaluation of the client. A licensed practical nurse is not accountable for initial assessment and ongoing evaluation of the client. The primary health care provider is accountable for diagnosing the problem and reviewing the client responses.An unlicensed nursing personnel performs the tasks delegated by the registered nurse or other delegators.
- Which team member is most accountable when delegating a task to the healthcare team?
1 Certified technician Correct 2 Registered nurse (RN) 3 Licensed practical nurse (LPN) 4 Unlicensed assistive personnel (UAP)
The registered nurse (RN) on the healthcare team is most accountable when delegating a task to the team.The certified technician on the healthcare team is responsible for the assigned task. Similarly, the LPN and UAP are also responsible for the assigned task.
- Which healthcare professional would the nurse know is held accountable for the tasks performed by the
patient care associate (PCA)?Correct 1 Registered nurse (RN) 2 Licensed vocational nurse (LVN) 3 Unlicensed assistive personnel (UAP) 4 Unlicensed nursing practitioner (UNP) The delegator is held accountable for tasks performed by the delegatee. In this situation, the delegator is the RN; therefore, the RN is held accountable for the tasks performed by the PCAs. The RN is also accountable for delegation to LVNs, UAPs, and UNPs as delegatees.
- The registered nurse is evaluating the statements made by a student nurse after teaching ways to make
appropriate delegation decisions. Which statement made by the student nurse indicates a need for correction?1 "The delegatee should report the findings back to the delegator." 1 / 2
2 "The delegatee should understand the assigned task completely." 3 "The delegator should trust the delegatee to accomplish the task." Correct 4 "The delegator should recheck and redo the work of the delegatee."
Time management is an important part of an appropriate delegation process. If the delegator rechecks and redoes the work of the delegatee, it increases the time to accomplish the task and results in inappropriate delegation. Reporting the findings back to the delegator helps the delegator to understand the progress of the task. The delegatee should understand the task completely to perform as desired by the delegator.Trusting the delegatee reduces time to do the task and build a healthy working environment.
- Who would the registered nurse state is accountable for establishing systems to communicate
competency requirements related to delegation?1 Registered nurse (RN) Correct 2 Chief nursing officer (CNO) 3 Licensed practical nurse (LPN) 4 Unlicensed assistive personnel (UAP) CNOs are accountable for establishing systems to communicate competency related to delegation. The registered nurse delegates the task to LPN and UAP. In delegation, the RN implements in clinical practice to improve the safety and quality of client care. LPNs provide direct care to the client. UAP provide direct care to the client under the supervision of the registered nurse who retains accountability for client care outcomes.
- The registered nurse (RN) and unlicensed assistive personnel (UAP) have been working together for two
- / 2
years. Which statement made by the RN would be appropriate after delegating a task to the UAP?1 "Let me tell you how to do this task." Correct 2 "You know what to do and when to report." Incorrect 3 "Please tell me how you are going to perform this procedure." 4 "It is important that you check the client’s temperature every hour." According to Hersey’s model of situational leadership, the delegator should act according to the situation.When there is an established relationship between the delegator and the delegatee, little guidance needs to be provided to the delegatee. When the relationship is new and a new task is delegated, an explanation is required about how to perform the task. When the delegatee is newly assigned, then the delegator checks the ability of the delegatee by asking how to perform the procedure. When the relationship between the delegatee and delegator is new, and it is for a limited period, then the delegator just informs the delegatee what is to be done.