The three-factor framework for authorizing controlled acts includes which of the following components?

• A. Orders, Initiation, Delegation
• B. Directives, Orders, Supervision
• C. Initiation, Delegation, Supervision
• D. Orders, Directives, and Competence

Answer: (A)

This question tests how authorization to perform controlled acts is structured. The best answer rests on three parts that together allow a controlled act to be performed safely and legally: an explicit order or authorization given by the professional who has the authority; initiation of the act by the person who will carry it out; and the possibility of delegating that authority to another person when allowed, with the proper controls in place.

An explicit order ensures there is formal permission tied to the act. Initiation confirms who actually starts and performs the steps of the act. Delegation provides a path for extending that authorized work to others under appropriate conditions, preserving accountability.

Other options mix in terms like directives or supervision, which aren’t the trio described here. Directives aren’t the chosen form of authorization in this framework, and while supervision is relevant to delegated acts, it isn’t one of the three components that authorize a controlled act.