An RN working in a behavioral health unit is evaluating a client. The RN intends to assign some of the nursing responsibilities to a licensed practical nurse (LPN). Which statement made by the RN demonstrates proper delegation to the LPN?
Please document the admission assessment in the chart.
Please verify with the client which of the following medications they are taking.
Please use these client assessment findings to draw a conclusion so that a plan can be developed.
Please perform a complete assessment of the client.
The Correct Answer is B
Choice A Reason:
Documenting the admission assessment in the chart is not typically within the scope of practice for an LPN. Admission assessments are comprehensive evaluations that require the clinical judgment and expertise of an RN. LPNs can assist with data collection, but the final assessment and documentation should be completed by an RN.
Choice B Reason:
Verifying with the client which medications they are taking is an appropriate task to delegate to an LPN. This task involves gathering information from the client, which is within the LPN’s scope of practice. The LPN can then report this information back to the RN, who will use it to make clinical decisions and update the care plan.
Choice C Reason:
Using client assessment findings to draw a conclusion and develop a plan is beyond the scope of practice for an LPN. This task requires critical thinking and clinical judgment, which are responsibilities of the RN. The LPN can assist in collecting assessment data, but the interpretation and planning should be done by the RN.
Choice D Reason:
Performing a complete assessment of the client is not typically within the LPN’s scope of practice. While LPNs can perform focused assessments and collect data, comprehensive assessments require the clinical expertise of an RN. The RN is responsible for the overall evaluation and care planning for the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason
Feeling in control of her behavior is an important goal for clients with anorexia nervosa, as it addresses the psychological aspect of the disorder. Anorexia nervosa often involves a significant loss of control over eating behaviors and body image. However, while regaining a sense of control is crucial, it is not the immediate priority when the client is severely underweight and at risk for serious health complications. The primary focus should be on stabilizing the client’s physical health.
Choice B Reason
Making positive statements about improvements in body image is also an important goal, as it can help improve the client’s self-esteem and body perception. However, this goal is more long-term and secondary to addressing the immediate physical health risks associated with severe weight loss. Positive body image can be worked on concurrently with nutritional rehabilitation but should not overshadow the urgent need for weight gain.
Choice C Reason
Identifying changes within the family unit that promote the client’s autonomy is beneficial for long-term recovery. Family dynamics often play a significant role in the development and maintenance of eating disorders. Promoting autonomy and healthy family interactions can support the client’s recovery process. However, similar to the previous goals, this is a secondary priority compared to the immediate need to address the client’s critical nutritional status.
Choice D Reason
Gaining 2 pounds of weight per week is the most immediate and critical goal for a client with anorexia nervosa who is severely underweight. This goal directly addresses the life-threatening physical health risks associated with the disorder, such as malnutrition, electrolyte imbalances, and organ failure. Achieving a safe and steady weight gain is essential for stabilizing the client’s health and providing a foundation for addressing the psychological aspects of the disorder.
Correct Answer is A
Explanation
Choice A Reason
Internet sources are a valuable tool for gathering patient information and educational materials. Websites such as the American Heart Association, UpToDate, and the National Institutes of Health provide comprehensive resources on hypertension management, including fact sheets, guidelines, and patient education materials123. These sources are regularly updated with the latest research and recommendations, ensuring that the information is current and evidence-based. Additionally, online platforms offer interactive tools and resources that can enhance patient engagement and understanding.
Choice B Reason
Email can be used to communicate with patients and share educational materials, but it is not a primary source for extracting patient information. Email is more suitable for follow-up communications, appointment reminders, and sharing specific documents or instructions. While it can support patient education efforts, it lacks the breadth and depth of information available through dedicated medical websites and databases.
Choice C Reason
Biomedical technologies, such as electronic health records (EHRs) and wearable devices, provide valuable data on patient health metrics, including blood pressure readings and medication adherence. These technologies can offer real-time insights and help monitor patient progress. However, they are not typically used as primary sources for educational content. Instead, they complement educational programs by providing personalized data that can be used to tailor patient education and interventions.
Choice D Reason
A clinical database is a repository of patient information collected from clinical settings. It includes data on patient demographics, medical history, treatment outcomes, and more. While clinical databases are essential for research and quality improvement, they are not typically used as primary sources for patient education materials. Instead, they provide the data needed to identify trends and inform the development of educational programs.
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