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?

The client who is actively dying and requires IV pain medication

The client who is 3 days postoperative and requires a dressing change

The client who requires frequent ambulation

The client who is in protective isolation

Answer and Explanation

The Correct Answer is A

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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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.

A. Allow the APs to resolve their issues. B. Tell the APS they are acting immature. C. Report the APs to the charge nurse. D. Confront the APs to discuss their argument.

Correct Answer is D

Explanation

A. While it might seem like a hands-off approach, allowing the conflict to escalate without intervention can lead to further problems, affecting patient care and team morale.
B. This approach is likely to escalate the situation and is not constructive for conflict resolution. It's important to address the issue professionally and respectfully.
C. While reporting the issue might be necessary if the conflict escalates or impacts patient care, it's not the initial step. Addressing the issue directly can often resolve the conflict without involving higher management.
D. This is the most appropriate action. By addressing the issue directly, the nurse can help the APs understand each other's perspectives, find a solution, and prevent similar conflicts in the future.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing an educational session about The Joint Commission (TJC). Which of the following information should the nurse include?

Correct Answer is A

Explanation

A nurse overhears two assistive personnel (APS) disagreeing about client care assignments. Which of the following actions by the nurse demonstrates conflict resolution?

Correct Answer is D

Explanation

A nurse is teaching about delegation with a newly licensed nurse. Which of the following statements if made by the newly licensed nurse indicates understanding?

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