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 C

Explanation

A. While considering staff morale is important, it should not be the primary factor in making patient assignments. The focus should be on patient safety and care needs.

B. While experience is a valuable asset, it's not always fair or practical to assign the most complex patients to one nurse. It's essential to consider the overall workload and skill mix of the nursing staff.
C. This is the most crucial factor in making patient assignments. Patients with unstable conditions or complex care requirements should be assigned to nurses with the appropriate skills and experience.
D. The charge nurse's personal comfort should not influence patient assignments. The primary goal is to ensure safe and effective patient care.

A. Hospital supervisor B. Charge nurse C. Unit director D. Chief nursing officer

Correct Answer is B

Explanation

A. The hospital supervisor is responsible for overseeing the day-to-day operations of the hospital, including staff management. However, in the immediate chain of command, the supervisor might not be the first point of contact for specific unit issues unless the concern escalates beyond the unit level.
B. The charge nurse is the immediate supervisor on the unit and is usually the first point of contact for issues related to staff behavior or performance. Reporting the concern to the charge nurse is appropriate because they have the responsibility to oversee the staff on the unit, address concerns, and ensure the safety and well-being of both patients and staff. The charge nurse can assess the situation and take appropriate action, such as further investigation or reporting to higher authorities.
C. The unit director is responsible for overall management and administration of the unit, including staff issues. While the unit director is a higher level of authority than the charge nurse, it is often appropriate to first report to the charge nurse, who is closer to the situation and can address it more immediately.
D. The Chief Nursing Officer (CNO) is a top executive responsible for nursing practices across the entire hospital or healthcare system. Reporting directly to the CNO is generally not the first step in the chain of command for concerns about a coworker’s impairment.

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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

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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