Which situation is an example of reverse delegation? 1. The ...

[elizabeth18]

Which situation is an example of reverse delegation?
 
  1. The nurse manager asks the staff nurse to attend an in-service on a new product.
  2. The nursing supervisor asks the nurse manager to attend a meeting with the physicians.
  3. The licensed practical nurse asks the nurse manager to administer insulin to her client.
  4. The staff nurse asks the licensed practical nurse to record intake and output in his client's charts.

Question 2

A hospital administrator initiated the emergency operations plan (EOP) after being notified that a tornado struck a nearby community.
 
  Thirty minutes later law enforcement calls to report that while significant damage was done, there were only minor injuries. What should the administrator do now? 1. Follow the EOP to deactivate the plan.
  2. Let the plan continue for another hour to ensure that no victims arrive.
  3. Call the emergency department and tell the staff that the plan is discontinued.
  4. Notify local media that the EOP was discontinued.

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Answer to Question 1

3
Rationale 1: It is appropriate for a person with more authority (nurse manager) to delegate a task to someone with a lower rank (staff nurse).
Rationale 2: It is appropriate for a person with more authority (nursing supervisor) to delegate a task to someone with a lower rank (nurse manager).
Rationale 3: Reverse delegation occurs when someone with a lower rank (licensed practical nurse) delegates a task to someone with more authority (nurse manager).
Rationale 4: It is appropriate for a person with more authority (staff nurse) to delegate a task to someone with a lower rank (licensed practical nurse).
Global Rationale:

Answer to Question 2

1
Rationale 1: There should be specific information in the EOP to deactivate the plan.
Rationale 2: Instituting this plan is expensive and is an imposition on many employees. It should not be used if not needed.
Rationale 3: Unless this is the protocol established in the EOP, just calling the emergency department is not sufficient.
Rationale 4: There is no reason to notify the local media.
Global Rationale: