At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?
Measuring a client's I & O
Providing postmortem care for a client
Obtaining a client's weight
Inserting a nasogastric tube for a client
The Correct Answer is D
A. The role of the AP includes tasks like recording the amount of fluids the client consumes and produces (urine, emesis, etc.), but it does not require specialized nursing knowledge.
B. Postmortem care involves preparing the body after death for the family or transfer to the morgue. This task can be performed by an AP.
C. While this task can be delegated to both LPNs and APs, it is often considered a basic task that can be assigned to the AP to free up the LPN for more complex patient care responsibilities.
D. Inserting an NG tube is a skill that LPNs are trained to perform, and it is within their scope of practice in many states and healthcare settings, provided they have received the appropriate training and certification.
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Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. A client who is easily distracted during art therapy may benefit from being near the nurses' station if their distraction could lead to issues with concentration or focus that might impact their therapy.
However, this is less of a priority compared to clients with higher risks related to safety or behavioral issues. This client’s needs are more about support and engagement in therapy rather than immediate safety monitoring.
B. Clients with frequent anger outbursts can pose a risk to themselves and others. Having them in a room near the nurses' station allows for closer monitoring and quick intervention if their behavior escalates. This placement helps ensure safety and provides immediate access to staff if the client becomes agitated or poses a threat.
C. A client who has threatened to kill themselves requires close observation to ensure their safety and prevent self-harm. Placing this client in a room near the nurses' station allows for constant monitoring and immediate intervention if the client’s condition worsens or if they attempt self-harm. This is a high priority for safety and supervision.
D. A client who has engaged in cutting behaviors is at risk for self-harm. Placing this client near the nurses' station is important for ensuring close observation and timely intervention to prevent further self-injury. This helps in providing a safer environment and immediate support if the client shows signs of distress or attempts self-harm.
E. A client who cannot sit still at breakfast might need supervision to ensure they eat properly and safely. However, this need is less critical compared to clients with high risks of self-harm or aggressive behaviors. While this client may benefit from being in a more monitored area, it is not as urgent as the needs of clients with significant safety concerns.
Correct Answer is A
Explanation
A. Transactional leaders use a system of rewards and punishments to manage and motivate their team. They focus on maintaining normal operations and achieving set goals through a clear structure where performance is rewarded. For example, a transactional leader might use bonuses or other incentives to encourage staff to meet specific performance targets.
B. Laissez-faire leaders adopt a hands-off approach, allowing team members considerable freedom to make decisions and manage their work. This style does not typically involve the use of rewards to achieve goals but rather depends on the autonomy and self-regulation of team members.
C. Transformational leaders inspire and motivate their team by creating a vision for the future and encouraging personal and professional growth. They focus on changing and improving the organization through innovation and inspiration. Transformational leaders aim to foster a sense of purpose and commitment rather than relying primarily on rewards.
D. Bureaucratic leaders follow established procedures and rules strictly. They emphasize adherence to policies and protocols and ensure that the work environment is orderly and predictable. Bureaucratic leadership may be effective in highly regulated environments but does not primarily involve motivational rewards.
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