Leadership Final

What are the 5 Rights of Delegation?

Right Task, Right Circumstance, Right Person, Right Direction & Communication, and Right Supervision & Evaluation.

What does the Right Task mean?

The task is appropriate to delegate.

What does the Right Circumstance mean?

The client's condition is appropriate for delegation.

What does the Right Person mean?

The person receiving the task is qualified and competent to perform it.

What does Right Direction & Communication mean?

Give clear instructions and expectations.

What does Right Supervision & Evaluation mean?

Monitor the task and evaluate the outcome.

What is the nurse's role after delegating?

Direct → Monitor → Evaluate.

What type of tasks can usually be delegated to UAP/AP?

Stable, routine, noninvasive tasks.

Can a UAP obtain vital signs?

Yes, on stable clients.

Can a UAP apply a condom catheter?

Yes.

Can a UAP assist with hygiene and ADLs?

Yes.

What can NOT be delegated to a UAP/AP?

Assessment, nursing judgment, teaching, evaluation, or invasive procedures.

Can UAP/AP perform invasive procedures?

No.

When an RN delegates to an LVN, what must the LVN do?

Perform the task within the LVN's scope of practice.

Does the RN remain accountable after delegating to an LVN?

Yes. The RN transfers responsibility and authority for the delegated task but remains accountable for the outcome.

What does ABC stand for?

Airway → Breathing → Circulation.

Which usually takes priority: airway/breathing/circulation or comfort?

Airway, breathing, and circulation.

What is the memory trick for ABCs?

You can't worry about comfort if the patient can't breathe.

What is the order of Maslow's hierarchy?

Physiological → Safety → Love/Belonging → Esteem → Self-actualization.

What is laissez-faire leadership?

Staff have significant independence and freedom to make decisions and solve problems.

What is the memory trick for laissez-faire?

"Let them do."

What is situational leadership?

A flexible leadership style that adjusts to circumstances and group needs.

What is the memory trick for situational leadership?

Situation changes → leader changes.

What is client advocacy?

Acting as the client's voice, protector, and supporter.

What are examples of nursing advocacy?

Verifying understanding, protecting privacy, communicating client wishes, reporting substandard care, and supporting informed decisions.

Can the nurse make healthcare decisions for a competent client?

No. The competent client makes their own decisions.

What is an advance directive?

A document communicating a client's future healthcare wishes.

What can an advance directive address?

CPR, feeding tubes, and end-of-life care.

Who can change an advance directive while competent?

The client.

What is the purpose of an advance directive?

To make end-of-life wishes known and documented.

Who explains a procedure and obtains informed consent?

The provider.

What must the provider explain?

Risks, benefits, alternatives, and expected outcomes.

What is the nurse's role with informed consent?

Witness the signature, verify voluntary consent and apparent competence, and verify the client understands the information provided.

What should the nurse do if a client does not understand the procedure before signing?

The nurse should not simply explain the procedure as the provider would; verify that the provider addresses the client's questions and understanding.

Does a competent client have the right to refuse treatment?

Yes.

What should the nurse do when a client refuses treatment?

Respect the refusal, ask the reason, notify the provider, document the refusal/reason if given, and continue appropriate education and support.

Can the nurse force treatment on a competent client?

No.

What does AMA mean?

Against Medical Advice.

What is the AMA sequence?

Notify → Educate → Sign → Document.

What should the nurse teach before a client leaves AMA?

The potential risks of leaving.

Who can sign consent for a minor?

A parent or other legally authorized representative.

Who else may legally sign consent?

Legal guardian, court-appointed representative, healthcare proxy, durable POA for healthcare, and others depending on state law.

Who signs for themselves when competent?

A competent adult.

What should be used when a client has a language barrier or hearing impairment?

A trained/qualified medical interpreter when required.

Should the nurse rely on family members as interpreters?

The study guide emphasizes using a trained medical interpreter.

What does the Patient Self-Determination Act emphasize?

Clients must be informed of their right to accept or refuse care.

Can a competent adult refuse treatment?

Yes.

Can a competent adult leave a healthcare facility without a provider's prescription for discharge?

Yes, according to the study guide.

What does the Texas Board of Nursing do?

Issues nursing licenses, can revoke licenses, and defines nursing scope of practice.

What is the big idea about the BON?

It protects the public and regulates nursing practice.

What does HIPAA protect?

Privacy and confidentiality of health information.

What is professional accountability?

Being responsible for your actions, decisions, and their outcomes.

What education can an LPN have according to the study guide?

Certificate, diploma, or associate degree

What education can an RN have?

Diploma, ADN, or BSN.

What degree does the study guide specify for Nurse Administrators?

BSN

What is a compact nursing license?

A multistate license allowing eligible nurses to practice in participating compact states without getting a separate license in each state.

Who awards Magnet Recognition?

ANCC — American Nurses Credentialing Center.

How long does Magnet Recognition last according to your guide?

4 years.

What is licensure?

The minimum legal requirement to practice.

What is certification?

Demonstrates specialized knowledge/excellence in a specialty.

What is assault?

A threat of harm without touching.

What is battery?

Actual unwanted touching.

What is false imprisonment?

Holding or restraining a competent adult against their will.

What is libel?

Written defamation.

What is slander?

Spoken defamation.

Should a nurse perform a skill outside their scope?

Never.

What should you do if you're unsure whether a skill is within your scope?

Verify before performing it.

What types of abuse are mandatory-reporting situations?

Child abuse, elder abuse, and vulnerable adult abuse.

What other situation may require mandatory reporting?

Certain communicable diseases.

What is autonomy?

The patient chooses and has the right to make personal healthcare decisions.

What is nonmaleficence?

Do no harm.

What is fidelity?

Keep promises and remain faithful to commitments.

What does UDDA stand for?

Uniform Determination of Death Act.

According to the UDDA, when has death occurred?

With irreversible cessation of circulation and respiration OR irreversible cessation of all functions of the entire brain, including the brainstem.

What are examples of federally defined minority groups listed in your guide?

Asian American, Black/African American, Hispanic/Latino, Native Hawaiian/Pacific Islander, and American Indian/Alaska Native

What factors can negatively affect health?

Homelessness, unemployment, lack of insurance, and limited healthcare access.

What does SDOH stand for?

Social Determinants of Health.

What are examples of SDOH?

Income, housing, education, healthcare access, transportation, food security, and social/community environment.

What is the memory trick for SDOH?

Where you live, learn, work, and earn affects your health.

What strategies can help retain nurses?

Flexible scheduling, safe staffing, positive work environments, better ergonomics, fair hiring, and reducing implicit bias.

What is EBP?

Evidence-Based Practice uses the best available evidence to guide nursing care.

What are benefits of EBP?

Better patient outcomes, lower healthcare costs, higher-quality care, and safer nursing practice.

What are barriers to EBP?

Lack of time, resources, knowledge, resistance to change, and limited access to research.

How can nurses promote EBP?

Educate staff, use current research, encourage questioning, provide resources, collaborate with healthcare professionals, and implement evidence-based policies.

What are the goals of culturally congruent practice?

Reduce health disparities, improve health outcomes, and provide individualized care

Should nurses assume all clients have the same beliefs and practices?

No. Ask, respect preferences, and maintain safe care.

What are examples of natural disasters?

Tornadoes and floods.

What are examples of human-made disasters?

Explosions and forest fires.

Can disasters occur without warning?

Yes.

What should be included in personal emergency preparedness?

Food, water, clothing, communication devices, extra medications, and personal documents.

What situations may require an incident report?

Medication errors, procedure/treatment errors, equipment-related injuries/errors, needlestick injuries, client falls/injuries, visitor/volunteer injuries, threats to clients/staff, and loss of property.

Is an incident report part of the patient's medical record?

No.

What should be documented in the patient's medical record after an incident?

The patient's condition, assessment, interventions, and response according to facility policy

What does RED mean in mass-casualty triage?

Immediate — life-threatening injuries with a high likelihood of survival after stabilization.

What does YELLOW mean?

Delayed — major injuries that are not immediately life-threatening.

What does GREEN mean?

Minimal — minor, non-life-threatening injuries.

What does BLACK mean?

Expectant — not expected to survive; comfort measures may be provided.

What is the triage memory trick?

🔴 RED = Run to them
🟡 YELLOW = You can wait
🟢 GREEN = Go/walk
⚫ BLACK = Beyond saving

What should you do during a thunderstorm/tornado warning?

Close shades/drapes, move beds away from windows, lower beds, close doors, move ambulatory clients to hallways/secure areas, avoid elevators, and monitor warnings.

What is the weather safety memory?

Away from glass + low + protected.