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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A Reason:

The growing proportion of the population that will surpass the age of 65 is a significant demographic shift with substantial implications for future healthcare delivery systems. As the population ages, there will be an increased demand for healthcare services, particularly for chronic disease management, long-term care, and geriatric care. This shift will require healthcare systems to adapt by expanding services, increasing the workforce specialized in geriatric care, and developing new models of care to meet the needs of an aging population.

Choice B Reason:

Rising incidents of workplace violence are a serious concern in healthcare settings, impacting the safety and well-being of healthcare workers. However, this issue, while critical, does not represent a demographic shift. Addressing workplace violence involves implementing safety protocols, training staff, and creating a supportive work environment. It is an operational challenge rather than a demographic one.

Choice C Reason:

Increases in healthcare expenses are a major challenge for healthcare systems worldwide. Rising costs can strain resources and limit access to care. However, this issue is more related to economic and policy factors rather than a demographic shift. Strategies to manage healthcare expenses include cost-containment measures, value-based care models, and efficient resource utilization.

Choice D Reason:

Changes in staffing patterns are important for adapting to evolving healthcare needs. These changes can include shifts in the roles and responsibilities of healthcare professionals, the integration of new technologies, and the development of interdisciplinary teams. While staffing patterns are crucial for effective healthcare delivery, they are influenced by demographic shifts rather than being a demographic shift themselves.

A. “The patient must consent because the procedure is necessary for survival.” B. “Consent should not be forced.” C. “If the surgery is life-saving, we can proceed regardless of what the patient says.” D. “Sometimes patients refuse because they are anxious. Give them a sedative, then ask again.” E. “The patient has every right to refuse.”

Correct Answer is ["B","E"]

Explanation

Choice A Reason:

“The patient must consent because the procedure is necessary for survival.” This statement is incorrect because it implies that the necessity of the procedure overrides the patient’s autonomy. Informed consent is a fundamental ethical and legal requirement in healthcare. Patients have the right to make their own decisions about their treatment, even if refusing treatment may result in harm or death. Forcing consent undermines patient autonomy and can lead to legal and ethical issues.

Choice B Reason:

“Consent should not be forced.” This statement is correct and aligns with the principles of patient autonomy and informed consent. Forcing a patient to consent to a procedure violates their rights and can lead to ethical and legal complications. Healthcare providers must respect the patient’s decision, provide all necessary information, and support them in making an informed choice.

Choice C Reason:

“If the surgery is life-saving, we can proceed regardless of what the patient says.” This statement is incorrect. Even in life-saving situations, patients have the right to refuse treatment. There are very few exceptions to this rule, such as when a patient is deemed legally incompetent to make decisions. In such cases, a legal guardian or power of attorney may be involved. However, competent patients retain the right to refuse any medical intervention.

Choice D Reason:

“Sometimes patients refuse because they are anxious. Give them a sedative, then ask again.” This statement is inappropriate and unethical. Administering a sedative to obtain consent can be seen as coercive and does not respect the patient’s autonomy. It is important to address the patient’s concerns and anxiety through communication and support, rather than using medication to influence their decision.

Choice E Reason:

“The patient has every right to refuse.” This statement is correct and reflects the ethical principle of respect for patient autonomy. Patients have the right to make their own healthcare decisions, including the right to refuse treatment. Healthcare providers should ensure that patients are fully informed about their options and the potential consequences of their decisions, but ultimately, the decision rests with the patient.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When examining the present healthcare delivery model, the nurse manager acknowledges that a demographic shift with substantial implications for future healthcare delivery systems is:

Correct Answer is A

Explanation

Correct Answer is ["B","E"]

Explanation

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