An RN on a behavioral health unit is assessing a client. The RN plans to delegate part of the nursing process to a licensed practical nurse (LPN). Which of the following statements by the RN indicates appropriate delegation to the LPN?
"Please verify with the client which of the following medications they are taking."
"Please perform a complete assessment of the client."
"Please document the admission assessment in the chart."
"Please use these client assessment findings to draw a conclusion so that a plan can be developed."
The Correct Answer is A
A. This is an appropriate delegation to an LPN. It involves data collection, which is within the scope of LPN practice. The RN retains responsibility for medication administration and reconciliation.
B. This is inappropriate delegation. A complete assessment requires critical thinking and clinical judgment, which are within the scope of RN practice.
C. While documentation is important, it's usually the responsibility of the RN to ensure accurate and complete charting, especially for initial assessments.
D. Drawing conclusions and developing a plan requires nursing judgment and is the responsibility of the RN.
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Related Questions
Correct Answer is D
Explanation
A. Monitoring blood glucose is crucial for managing diabetes, as it directly affects the child's blood sugar levels and overall well-being. However, if the child’s blood glucose levels are stable and there are no immediate concerns or symptoms, this task, while important, may not be as urgent as assessing more critically ill clients.
B. While discharge instructions are important for ensuring proper care after leaving the hospital, this task generally does not require immediate attention compared to assessing a client with more acute or urgent needs. The adolescent is ready for discharge, indicating their condition is stable enough to prepare for leaving the unit.
C. Feeding a toddler who has both arms in casts is important for ensuring that the child is well-nourished and comfortable. However, this task can usually be managed by assistive personnel or done at a scheduled time without immediate urgency compared to more critical assessments.
D. An infant with pertussis (whooping cough) receiving oxygen via nasal cannula is in a potentially critical situation. Pertussis can cause significant respiratory distress, and the need for oxygen indicates the
infant’s respiratory function is compromised. Assessing this infant first is crucial to ensure that the oxygen therapy is effective and to monitor for any signs of deterioration in respiratory status.
Correct Answer is A
Explanation
A. The Joint Commission (TJC) is indeed known for providing accreditation to healthcare facilities. Accreditation by TJC is a mark of quality and signifies that a facility meets certain performance standards and complies with healthcare regulations. This accreditation process involves evaluating the quality and safety of care provided by the facility.
B. TJC does not monitor insurance claims. Instead, it focuses on accrediting and certifying healthcare organizations based on quality and safety standards. Monitoring insurance claims is typically the role of insurance companies or specific regulatory bodies related to insurance and billing practices, not TJC.
C. TJC does not provide licensure for healthcare providers. Licensure of healthcare professionals, such as nurses and physicians, is handled by state licensing boards or professional regulatory bodies, not by TJC. TJC’s role is primarily focused on accrediting healthcare facilities rather than licensing individuals.
D. The Joint Commission is a non-profit organization. It is dedicated to improving healthcare quality and safety through accreditation and certification. As a non-profit entity, TJC reinvests its resources into its mission to enhance the standards of care rather than focusing on generating profit.
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