At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment, the RN assumes:

sole responsibility and accountability for the patient's wellbeing.

responsibility for their tasks, but accountability lies with the charge nurse.

accountability for their tasks, but overall responsibility lies with the charge nurse.

neither responsibility nor accountability for the patient's wellbeing.

Answer and Explanation

The Correct Answer is C

A. While the RN is responsible for the care of the patients, the charge nurse also retains overall responsibility, making this statement inaccurate.
B. The RN does have responsibility for their specific tasks, but the accountability remains shared, particularly for the overall patient care.
C. The RN is accountable for their tasks and patient outcomes, while the charge nurse maintains overall responsibility for the unit's operations and patient care.
D. The RN assumes both responsibility and accountability to some extent, especially in their assigned patient care.

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Correct Answer is B

Explanation

A. Fidelity refers to the obligation to keep promises and commitments made to patients, but it does not specifically address the concept of causing harm.
B. Nonmaleficence is the ethical principle that emphasizes the importance of "do no harm." It focuses on protecting clients from harm and ensuring safety in their care.
C. Justice pertains to fairness and equality in the distribution of healthcare resources and services but does not directly address the issue of harm.
D. Beneficence involves actions that promote the well-being of patients and can include doing good, but it does not specifically emphasize the avoidance of harm as nonmaleficence does.

A. Perform the task yourself, and have the LPN watch. B. Reassure the LPN that they are likely being overly self-critical and encourage them to perform the task alone. C. Observe the LPN, then provide positive feedback after the task is completed. D. Protect patient safety by prohibiting the LPN from performing tracheostomy care until the LPN feels confident.

Correct Answer is C

Explanation

A. Performing the task yourself takes away the opportunity for the LPN to gain hands-on experience and can create dependency rather than fostering confidence.
B. While reassurance is helpful, encouraging the LPN to perform the task alone without observation may compromise patient safety, especially given their limited experience.
C. Observing the LPN while they perform the task allows you to provide immediate feedback and support, which is crucial for their development and helps ensure patient safety during the procedure.
D. Prohibiting the LPN from performing the task without further evaluation does not support their learning and growth, as hands-on experience is essential for skill development.

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At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment, the RN assumes:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a class on ethical principles. The nurse should include that protecting a client's safety by not causing harm refers to which of the following ethical principles?

Correct Answer is B

Explanation

You are supervising a new graduate LPN who is ordered to perform tracheostomy care. The LPN states that she has performed this procedure only a handful of times, and completes the task slowly. Which of the following actions made by you is most appropriate?

Correct Answer is C

Explanation

At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment the RN assumes:

A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?

A charge nurse is observing the actions of an assistive personnel (AP). Which of the following actions by the AP is appropriate?

A nurse is caring for a client whose informed consent form has been signed in preparation for a procedure. The client states, "I have decided not to have the procedure." Which of the following actions should the nurse take?

The chief nursing officer utilizes the hospital's workplace advocacy program to assist the overwhelmed Emergency Department staff. Workplace advocacy is designed to assist nurses by:

A charge nurse is providing an in-service to a group of staff members on incivility. Which of the following situations should the nurse include as an example of lateral violence?