Essential elements of effective delegation by an LPN include: (SELECT ALL THAT APPLY)
Compliance with state and institutional policies.
Direct supervision of tasks assigned to others.
Evaluation of the patient's response to care.
Knowledge of each patient's condition.
Determination of tasks that can be safely delegated.
Correct Answer : A,C,D,E
Effective delegation by an LPN includes compliance with state and institutional policies, evaluation of the patient's response to care, knowledge of each patient's condition, and determination of tasks that can be safely delegated.
Option B may not always be necessary as direct supervision may not always be required for all tasks assigned to others.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
When resolving a conflict with an assistive personnel (AP) who refuses a client assignment, it would be appropriate for the nurse to say "I need to talk to you about the unit policies regarding client assignments." This comment addresses the issue directly and professionally and provides an opportunity for the nurse to clarify the unit policies and expectations.
Option A is accusatory and unprofessional.
Option B may be necessary at some point, but it should not be the first response.
Option C is also accusatory and unprofessional.
Correct Answer is C
Explanation
An incident report should be filed whenever an unexpected event occurs. The rule of thumb is that any time a patient makes a complaint, a medication error occurs, a medical device malfunctions, or anyone— patient, staff member, or visitor—is injured or involved in a situation with the potential for injury, an incident report is required ⁴. In this case, the client's missing dentures would be considered a complaint and would require the nurse to complete an incident report.
The other options do not require an incident report. Disagreeing with the nurse manager about inadequate staffing [a], a staff member not arriving at the facility to work an assigned shift [b], and discovering that the client does not have advanced directives [d] are not situations that would require an incident report according to the information provided in my sources.
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