Answer to Question 1
ANS: B
Indirect delegation results when an agency has policies and procedures in place that allow tasks to be performed by someone other than the person who is accountable. Direct delegation involves speaking to an individual personally and transferring responsibility for a task to that person. Su-pervision is not a type of delegationsupervisi on means decision making and implementation of activities in an ongoing relationship. Guided is not a type of delegation.
Answer to Question 2
ANS: C
Empowerment includes increasing nurses' authority by ensuring that they have the necessary knowledge, skills, and resources to effectively make the decisions for which they are held ac-countable. This means removing barriers to decision making and allowing staff nurses the author-ity to make client decisions in real time, as needs demand, rather than requiring nurses to obtain numerous approvals. Decision making is a two-step process in which the nurse first must decide how much input to seek from others and second must generate alternatives for the decision and choose among the alternatives. Critical thinking includes analyzing and synthesizing data, using knowledge and values in making judgments, and using creative approaches in decision making and problem solving. Delegation is used when appropriate tasks are assigned to the first level in the hierarchy if this employee possesses the necessary skills and knowledge to complete the task.
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