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When supervising a new graduate LPN who is responsible for colostomy care but mentions having limited experience and performs the task slowly, what should be your most appropriate action as the supervisor?

Provide the LPN with reassurance that they may be overly self-critical and motivate them to independently carry out the task.

Ensure patient safety by refraining from allowing the LPN to perform colostomy care until they feel confident.

Take on the task personally while having the LPN observe.

Watch the LPN and after they finish the task, offer constructive feedback.

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Providing the LPN with reassurance that they may be overly self-critical and motivating them to independently carry out the task is supportive but not sufficient. While encouragement is important, it does not address the need for supervision and guidance in performing the task correctly. The LPN needs practical feedback to improve their skills and ensure patient safety.

Choice B Reason:

Ensuring patient safety by refraining from allowing the LPN to perform colostomy care until they feel confident might seem like a safe approach, but it can hinder the LPN’s learning and development. It is important to provide opportunities for practice under supervision to build their confidence and competence. Completely refraining from allowing them to perform the task does not facilitate learning.

Choice C Reason:

Taking on the task personally while having the LPN observe can be helpful initially, but it should not be the primary approach. Observation alone does not provide the hands-on experience necessary for skill development. The LPN needs to practice the task under supervision to gain confidence and proficiency.

Choice D Reason:

Watching the LPN and after they finish the task, offering constructive feedback is the most appropriate action. This approach ensures patient safety while providing the LPN with the opportunity to practice and improve their skills. Constructive feedback helps the LPN understand what they did well and what areas need improvement, fostering their professional growth and competence.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A Reason:

Identifying weaknesses in clinical knowledge. Identifying weaknesses in clinical knowledge is crucial for professional growth and ensuring high-quality patient care. By recognizing areas where improvement is needed, nurses can seek additional training and education to enhance their skills. This continuous self-assessment helps maintain competency and ensures that nurses are up-to-date with the latest medical practices and technologies.

Choice B Reason:

Identifying job responsibilities. Understanding job responsibilities is essential for effective performance in any role. The ROLES assessment helps nurses clarify their duties and expectations, which can reduce confusion and improve job satisfaction. Clear identification of responsibilities also aids in prioritizing tasks and managing time efficiently, leading to better patient outcomes.

Choice C Reason:

Role development. Role development is a key aspect of professional nursing practice. It involves expanding one’s skills, knowledge, and responsibilities over time. The ROLES assessment supports this by identifying areas for growth and development, enabling nurses to take on more advanced roles and responsibilities within their practice. This progression is vital for career advancement and personal fulfillment in the nursing profession.

Choice D Reason:

Identifying where to obtain support. Knowing where to obtain support is critical for managing the challenges of nursing. The ROLES assessment can highlight resources and support systems available to nurses, such as mentorship programs, peer support, and professional organizations. Access to these resources can help nurses cope with stress, improve their practice, and enhance their overall well-being.

Choice E Reason:

Determining job expectations. Determining job expectations is fundamental for aligning personal goals with organizational objectives. The ROLES assessment helps nurses understand what is expected of them in their roles, which can lead to better performance and job satisfaction. Clear expectations also facilitate effective communication between nurses and their supervisors, ensuring that everyone is working towards common goals.

A. The student assesses the patient’s level of understanding for each treatment option. B. The student advises the patient on which treatment options they should select. C. The student schedules a doctor’s visit for the patient and their family to aid them in making treatment decisions. D. The student explains the rationale for their interventions.

Correct Answer is B

Explanation

Choice A Reason:

Assessing the patient’s level of understanding for each treatment option is a crucial aspect of patient engagement. It ensures that patients are well-informed about their choices and can make decisions based on a clear understanding of the potential benefits and risks. This action promotes patient autonomy and supports shared decision-making, which are key components of patient-centered care.

Choice B Reason:

Advising the patient on which treatment options they should select indicates a need for further teaching. This approach undermines patient autonomy and does not align with the principles of patient-centered care. Instead of making decisions for the patient, the nurse should facilitate informed decision-making by providing comprehensive information and supporting the patient in evaluating their options. This empowers patients to take an active role in their healthcare decisions.

Choice C Reason:

Scheduling a doctor’s visit for the patient and their family to aid them in making treatment decisions is a supportive action that promotes patient engagement. It ensures that patients have access to professional guidance and can involve their family in the decision-making process. This collaborative approach can enhance the quality of care and ensure that decisions are made with a thorough understanding of the patient’s preferences and values.

Choice D Reason:

Explaining the rationale for their interventions is an essential practice for promoting patient engagement. It helps patients understand the reasons behind the recommended actions and interventions, which can increase their trust in the healthcare provider and their willingness to participate in their care. This transparency is vital for building a strong patient-provider relationship and ensuring that patients feel informed and involved in their treatment plans.

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When supervising a new graduate LPN who is responsible for colostomy care but mentions having limited experience and performs the task slowly, what should be your most appropriate action as the supervisor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

As a result of Amy’s coaching, Sarah, a nursing graduate of 5 years, completes a ROLES assessment. This assessment is helpful in: (Select all that apply)

Correct Answer is ["A","B","C","D","E"]

Explanation

A clinical instructor is evaluating a student nurse’s capability to promote patient engagement. Which of the student’s actions indicates a need for further teaching?

Correct Answer is B

Explanation

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