Question 1 of 6
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Which nursing action demonstrates an example of patient advocacy?
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- Upholding the policies of the facility in which the nurse is employedUpholding facility policies is important, but another choice better exemplifies the nurse being a patient advocate. Being a patient advocate is about ensuring that the patient’s rights are upheld.
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- Calling the health care provider for pain medication for the patientNurses advocate for patients by standing up for patients’ rights and ensuring that their needs are met. Calling the primary health care provider for pain medication for the patient demonstrates standing up for the patient’s right to pain control.
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- Communicating effectively and thus establishing trust with the patientCommunicating effectively is important to providing quality care, but another choice better demonstrates patient advocacy. Being a patient advocate is about ensuring that the patient’s rights are upheld.
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- Asking qualified unlicensed assistive personnel to perform a selected nursing taskDelegating appropriately is key to providing effective nursing care, but something else better demonstrates being a patient advocate. Being a patient advocate is about ensuring that the patient’s rights are upheld.
Question 2 of 6
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Which purpose does the licensed practical/vocational nurse (LPN/LVN) identify as their role in the audit when asked to participate in a chart audit to determine whether fall precautions are being implemented for patients?
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- To assist in determining which staff are not doing their jobA chart audit is not used to determine which staff are not doing their jobs. A chart audit, as part of a quality improvement (QI) process, helps determine whether a team is meeting their goals and competencies, for example.
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- To determine which patients will likely experience a fallA chart audit is not used to determine which patients will likely experience a problem, such as a fall. Instead, the chart audit, as part of a quality improvement (QI) process, helps determine whether a team is meeting their goals and competencies, for example.
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- To document the level of compliance the staff is achievingA chart audit is used to determine if a team, such as nursing staff, are compliant with initiatives such as fall precautions.
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- To establish whether a policy change needs to be exploredThe chart audit is not used to determine if a policy change needs to be explored. A chart audit, as part of a quality improvement (QI) process, helps determine whether a team is meeting their goals and competencies, for example.
Question 3 of 6
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Which patient task would likely be assigned to the licensed practical nurse (LPN) for a nursing team consisting of a registered nurse (RN), a licensed practical/vocational nurse (LPN/LVN), and a patient care assistant?
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- A 15-year-old patient with acute leukemia reporting pain in the legs and handsA patient with acute leukemia who reports pain requires nursing assessment; an RN is the appropriate caregiver for this patient.
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- A 45-year-old patient with a fracture of the right leg who asks to use the urinalAssisting a patient with a fracture to use the urinal is a standard, unchanging procedure that can be assigned to the patient care assistant.
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- A 55-year-old patient with terminal cancer who is being transferred to hospice home careThe patient with terminal cancer who is being transferred to hospice home care requires nursing judgment, so the case is best handled by an RN.
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- A 75-year-old patient with diabetes who requires a dressing change for a stasis ulcerThe LPN/LVN should be assigned a stable patient with a predictable outcome, such as a patient with diabetes who requires a dressing change.
Question 4 of 6
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Which intervention facilitates interdisciplinary collaboration within the patient care setting?
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- Administering medications as prescribed by the health care providerAdministering medications would not facilitate collaboration among various health care professionals. Interdisciplinary collaboration is accomplished through clear, detailed documentation and case conferences.
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- Communicating patient concerns within a care conferenceCommunication and documentation are essential to ensure interdisciplinary collaboration. Because these disciplines may provide services in the patient’s home at different times, communication among health care team members is necessary if effective collaboration is to occur. Interdisciplinary communication is accomplished through clear, detailed documentation and case conferences.
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- Encouraging the patient to socialize and participate in group activitiesEncouraging the patient to socialize with others would not facilitate communication among various health care professionals. Interdisciplinary collaboration is accomplished through clear, detailed documentation and case conferences.
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- Ensuring that the patient uses a walker as prescribed by the physical therapistEnsuring that the patient uses a walker would not facilitate communication among various health care professionals. Interdisciplinary collaboration is accomplished through clear, detailed documentation and case conferences.
Question 5 of 6
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Which activity can be delegated to unlicensed assistive personnel (UAP)?
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- Giving oral medication to a patient after the licensed practical/vocational nurse (LPN/LVN) has prepared it for administrationAdministration of medication is not a task that can be delegated to the UAP. The LPN/LVN cannot transfer the authority of medication administration to the UAP.
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- Rechecking and reporting a patient’s temperature after receiving an antipyreticThis activity can be delegated to a UAP. Getting a patient’s temperature is a frequently occurring task that has little risk. The LPN/LVN retains the responsibility to act on the results of the assessment.
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- Changing the dressing over a surgical site with excess drainage during the bathChanging the dressing over a surgical site with excess drainage is not appropriate to delegate to the UAP. The excess drainage suggests the need to implement the nursing process, which cannot be transferred to the UAP.
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- Reevaluating the patient’s pain within one hour after administering pain medicationReevaluating the patient’s pain after administering pain medication is not transferrable to the UAP. Pain assessment requires nursing judgment.
Question 6 of 6
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In which employment setting would the licensed practical/vocational nurse (LPN/LVN) most likely find the opportunity to build their leadership skills?
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- Intravenous (IV) therapy teamThe LPN/LVN is most likely to serve in a leadership role (as charge nurse) in a long-term care facility, not on an IV therapy team.
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- Outpatient surgery centerThe LPN/LVN is most likely to serve in a leadership role (as charge nurse) in a long-term care facility, not in an outpatient surgery center.
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- Long-term care facilityThe LPN/LVN may assume the role of charge nurse in a long-term care facility.
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- Jail or prisonThe LPN/LVN is most likely to serve in a leadership role (as charge nurse) in a long-term care facility, not in a jail or prison setting.