NCLEX · Delegation and Supervision

A nurse delegates a task to a UAP but remains responsible for the outcome. This principle is best described as:

Correct answer

Accountability — the delegating nurse retains accountability for the delegated task and must ensure it is performed correctly through appropriate supervision; delegation transfers the task, not the accountability

  1. A Accountability — the delegating nurse retains accountability for the delegated task and must ensure it is performed correctly through appropriate supervision; delegation transfers the task, not the accountability
  2. B Transfer of liability
  3. C Substitution
  4. D Abandonment

Why this is the answer

Accountability in delegation: When a nurse delegates a task, the nurse RETAINS ACCOUNTABILITY for ensuring the task is completed correctly and safely. Delegation transfers the RESPONSIBILITY for performing the task, but NOT the ACCOUNTABILITY for the outcome.

The delegating nurse must: Ensure the UAP is competent for the task; provide clear direction; supervise appropriately; evaluate the outcome; intervene if needed.

Five rights of delegation: Right task (delegatable, within UAP scope); Right circumstance (stable client, predictable outcome); Right person (competent UAP); Right direction/communication (clear, specific instructions); Right supervision (monitor, evaluate, follow up).

What cannot be delegated: Assessment, nursing judgment, evaluation, teaching, care planning, unstable client care.

Consequences: If a delegated task goes wrong, the delegating nurse may share liability if delegation was inappropriate or supervision inadequate.

Key: 'You can delegate the task, but not the accountability'; LPN/RN role: delegate appropriately, supervise, retain accountability.

Source: NCLEX-PN Safe Care — Delegation Accountability

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About this topic: Delegation and Supervision

Delegation and supervision questions cover what an LPN/LVN may delegate to assistive personnel, what must stay with the nurse, and how to supervise and follow up on delegated tasks. This is one of 8 PN: Coordinated Care questions on delegation and supervision, each with a full explanation on a single study page.

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