LPN Delegation and Supervision for UAP 4

Question 1

An LPN working in a home health setting wants to delegate bathing to a home health aide. Which factor is most critical to assess first?

Accepted Answer

Whether the patient's condition is stable enough for UAP-assisted bathing

Answer

Whether the patient prefers morning or evening baths

Answer

Whether the aide has worked with similar patients before

Answer

Whether the family approves of the aide performing the task

Question 2

A UAP is assigned to a patient with a new diagnosis. Which action by the LPN is most appropriate?

Accepted Answer

Provide specific instructions about what to observe and report for that patient

Answer

Give the UAP a printed copy of the diagnosis for reference

Answer

Trust the UAP to know what to monitor based on experience

Answer

Allow the UAP to review the medical record independently

Question 3

Which scenario represents unsafe delegation by an LPN?

Accepted Answer

Asking the UAP to administer a PRN pain medication

Answer

Asking the UAP to take routine vital signs on a stable patient

Answer

Asking the UAP to assist a patient to the bathroom

Answer

Asking the UAP to weigh a patient before breakfast

Question 4

The LPN notices the UAP did not report a patient's elevated temperature from two hours ago. What is the priority action?

Accepted Answer

Immediately assess the patient's current status

Answer

Counsel the UAP about reporting requirements

Answer

File a complaint with the nurse manager

Answer

Document the UAP's failure to report in the chart

Question 5

What is the primary purpose of the LPN providing feedback to a UAP after a delegated task?

Accepted Answer

To promote safe, competent practice and improve future performance

Answer

To fulfill documentation requirements for the shift

Answer

To establish a record for annual performance evaluations

Answer

To satisfy Joint Commission standards for staff education

Question 6

A UAP asks the LPN to delegate suctioning a patient with a new tracheostomy. The LPN should:

Accepted Answer

Decline to delegate because suctioning a new trach requires clinical assessment

Answer

Delegate the task if the UAP has done it before on other patients

Answer

Teach the UAP and supervise the first time, then delegate independently

Answer

Ask the charge RN to make the delegation decision

Question 7

Which element must be present for an LPN to legally delegate a task to a UAP?

Accepted Answer

State nurse practice act authorization for that task to be delegated

Answer

The patient's verbal agreement to UAP care

Answer

A physician's written order approving the delegation

Answer

A minimum of five years of UAP experience