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."

Answer and Explanation

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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Correct Answer is ["A","B","C","E"]

Explanation

A. This involves combining different pieces of information to form a new understanding or solution. Nurses often synthesize information from various sources to develop a comprehensive care plan.

B. This involves judging the value or worth of something. Nurses must constantly evaluate the effectiveness of interventions and patient outcomes.
C. This involves breaking down information into parts to understand its components. Nurses analyze patient data to identify problems and potential solutions.
D. While intuition can play a role in decision-making, it is not a reliable or consistent critical thinking skill. Critical thinking relies on evidence and reasoning, not solely on gut feelings.
E. This involves understanding the meaning of information. Nurses interpret patient cues, laboratory results, and other data to make informed decisions.

A. The client who is actively dying and requires IV pain medication B. The client who is 3 days postoperative and requires a dressing change C. The client who requires frequent ambulation D. The client who is in protective isolation

Correct Answer is A

Explanation

A. This client needs IV pain medication, which requires advanced skills and knowledge to manage and administer safely. This situation involves complex and sensitive care, including pain management and end-of-life issues. RNs are typically responsible for administering IV medications, especially in critical or end-of-life situations.
B. A client who is 3 days postoperative and needs a dressing change generally requires a level of care that may be suitable for LPNs. LPNs are trained to perform dressing changes and manage postoperative wounds. However, if there are complications or concerns about the wound or the client’s condition, the RN should oversee or handle the situation.
C. Frequent ambulation can be managed by assistive personnel (AP) under the supervision of the RN. This task typically involves supporting and assisting the client with walking, which is within the scope of AP duties. LPNs can also assist with ambulation, but it is generally a task appropriate for APs when performed as part of routine care.
D. A client in protective isolation requires careful attention to infection control practices to protect them from infections. While the RN is responsible for ensuring adherence to isolation protocols and assessing the client’s needs, the day-to-day care tasks might be managed by LPNs and APs, provided they are trained in infection control procedures.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is planning a presentation for staff nurses on improving critical thinking skills. Which of the following critical thinking skills should the nurse manager include in the presentation? (Select All that Apply.)

Correct Answer is ["A","B","C","E"]

Explanation

An RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses (LPNs), and an assistive personnel (AP). Which of the following clients should he assume responsibility for?

Correct Answer is A

Explanation

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