Prioritizing Care, Delegation, and Leadership in Nursing Practice | Chapter 7 from Saunders Comprehensive Review for the NCLEX-PN Examination (7th Edition)

Prioritizing Care, Delegation, and Leadership in Nursing Practice | Chapter 7 from Saunders Comprehensive Review for the NCLEX-PN Examination (7th Edition)

Book cover

Welcome to Chapter 7 of the Saunders Comprehensive Review for the NCLEX-PN Examination (7th Edition) by Linda Anne Silvestri and Angela E. Silvestri. This essential chapter gives practical nursing students the leadership, management, and prioritization skills needed for effective practice—both on the NCLEX-PN and at the bedside. From understanding care delivery systems to disaster response, it’s your comprehensive guide to leading with confidence.

Watch the full video summary below, and subscribe to Last Minute Lecture for expert chapter reviews and NCLEX-PN tips:

Health Care Delivery and Nursing Care Models

  • Health care delivery systems: Managed care, case management, and critical pathways promote coordinated and cost-effective care.
  • Nursing care models: Learn the differences between functional, team, modular, primary, and client-focused care to optimize patient outcomes.

Leadership Styles and Principles

Nursing leaders may adopt various styles:

  • Autocratic
  • Democratic
  • Laissez-faire
  • Situational
  • Bureaucratic

Empowerment, accountability, and evidence-based practice are the foundation of effective nursing leadership.

Delegation and Assignment: The Five Rights

  • Five Rights of Delegation: Right task, right circumstance, right person, right direction/communication, and right supervision/evaluation.
  • Assignment Guidelines: Understand what can be delegated to RNs, LPNs, and UAPs (unlicensed assistive personnel) to ensure safe care and legal compliance.

Prioritization Strategies: ABCs, Maslow, and Nursing Process

  • Use the ABCs (Airway, Breathing, Circulation) for immediate care decisions.
  • Apply Maslow’s Hierarchy of Needs to identify basic physiologic priorities before higher-level concerns.
  • Follow the nursing process—data collection, planning, implementation, evaluation—for structured care planning.

Time Management and Conflict Resolution

Master principles of time organization to deliver care efficiently and manage complex patient loads. Address conflict through resolution strategies for intrapersonal, interpersonal, and organizational challenges.

Interprofessional Communication and Discharge Planning

  • SBAR reporting: Situation, Background, Assessment, Recommendation—for clear handoffs and interprofessional collaboration.
  • Plan effective discharges, reconcile medications, and coordinate interdisciplinary care.

Quality Improvement, Emergency Planning, and Disaster Management

  • Learn the basics of quality improvement: retrospective and concurrent audits, peer review, and evidence-based change.
  • Understand emergency preparedness: phases of disaster management (mitigation, preparedness, response, recovery), FEMA levels, and Red Cross roles.
  • Mass casualty triage: Identify emergent, urgent, and nonurgent cases and apply principles of documentation and education during emergencies.

Want more practical examples and success tips? Watch the video above and join the Last Minute Lecture community for the full chapter series!

Conclusion: Leading and Managing in Modern Nursing

Chapter 7 of Saunders Comprehensive Review for the NCLEX-PN Examination (7th Edition) prepares future LPNs with leadership tools, delegation know-how, and prioritization strategies needed for excellence in any care setting. By mastering assignment principles, care models, and team communication, you’ll provide safe, efficient, and ethical nursing care—no matter the scenario.

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Explore the full YouTube playlist for Saunders Comprehensive Review for the NCLEX-PN Examination (7th Edition) here: Complete Playlist

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