A nurse is observing a client’s verbal and nonverbal behavior. Which principles influence communication?

Choice A rationale
A 30-year-old male patient with an active GI bleed requiring multiple blood transfusions is not suitable for assignment to an LPN. This patient is unstable and requires close monitoring and frequent assessments, which are beyond the LPN’s scope of practice. The RN should manage this patient to ensure proper care and timely interventions.
Choice B rationale
A 55-year-old male patient who is post-surgery and ready for discharge, requiring discharge instructions, is also not suitable for assignment to an LPN. Discharge instructions involve comprehensive education and assessment of the patient’s understanding, which are responsibilities of the RN. The RN must ensure the patient comprehends the instructions and can safely manage their care at home.
Choice C rationale
A 40-year-old diabetic patient requiring re-teaching on insulin administration is the best choice for assignment to an LPN. This patient is stable and the task of re-teaching insulin administration falls within the LPN’s scope of practice. The LPN can effectively provide education and ensure the patient understands how to administer insulin correctly.
Choice D rationale
A newly admitted patient is not suitable for assignment to an LPN. New admissions require comprehensive assessments and care planning, which are responsibilities of the RN. The RN must evaluate the patient’s condition, develop a care plan, and initiate appropriate interventions.

Choice A rationale
Recording the circumstances and possible reasons for the incident is an appropriate action when filing a safety event report. It provides a detailed account of what happened, which is essential for understanding the incident and preventing future occurrences.
Choice B rationale
Providing minimal information about the incident is not appropriate. A safety event report should be thorough and include all relevant details to ensure that the incident is fully understood and addressed.
Choice C rationale

Completing the report 72 hours after the incident is not appropriate. Safety event reports should be completed as soon as possible after the incident to ensure that all details are accurately recorded.
Choice D rationale
Including suggestions on how to prevent future incidents is not typically part of the safety event report. The report should focus on documenting the incident itself, while recommendations for preventing future incidents can be addressed separately.