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An LPN/LVN has transferred to a nursing unit and arrives for the first day. The RN checks with the LPN/LVN often throughout the shift to provide support and determine if assistance is needed. The RN is providing which level of supervision?
- A. There is no supervision, because at times the LPN/LVN is not with the RN.
- B. Periodic inspection is being used. Because the LPN/LVN is licensed, the RN is relieved of the need to evaluate care.
- C. Continual supervision is being provided until the RN determines competency.
- D. Initial supervision is being provided because this is the LPN/LVN's first day on the unit.
Correct Answer: C
Rationale: The correct answer is C: Continual supervision is being provided until the RN determines competency.
Rationale:
1. Continual supervision is necessary for the LPN/LVN on the first day to assess their competency.
2. The RN checks frequently throughout the shift to provide support and evaluate the LPN/LVN's performance.
3. Competency must be determined before reducing supervision levels.
4. This level of supervision ensures patient safety and quality care.
Incorrect choices:
A: There is no supervision - Incorrect because supervision is provided by the RN.
B: Periodic inspection - Incorrect as continual supervision is needed for competency assessment.
D: Initial supervision - Incorrect as supervision should continue until competency is established.
In summary, choice C is correct as continual supervision is crucial for the LPN/LVN on their first day to ensure patient safety and quality care.
You may also like to solve these questions
The number of reported medical errors demonstrates a need for what priority intervention?
- A. Simulation experiences
- B. Performance competency exercises
- C. Comprehensive instructor-constructed examinations
- D. Detailed care planning exercises
Correct Answer: A
Rationale: The correct answer is A: Simulation experiences. This intervention allows healthcare professionals to practice real-life scenarios in a controlled environment, improving skills and decision-making. It helps identify and address potential errors before they occur, enhancing patient safety. Other choices lack the hands-on, practical approach of simulations and may not adequately prepare professionals for real-world situations. Simulation experiences are crucial for enhancing clinical competence and reducing medical errors.
Consumers are concerned with security issues related to their confidential health information being placed in an electronic health record (EHR). However, when the security of the EHR is compared with that of paper-and-pencil records, the EHR is:
- A. more secure.
- B. less secure.
- C. equivalent.
- D. not comparable with the paper-and-pencil record.
Correct Answer: A
Rationale: The correct answer is A: more secure. Electronic Health Records (EHR) typically have built-in security features such as encryption, access controls, and audit trails, making it more secure than paper-and-pencil records. EHRs offer better protection against unauthorized access, tampering, and loss compared to traditional paper records. This is due to the ability to restrict access to specific users, track changes made to the records, and implement authentication measures. Therefore, the security of EHRs surpasses that of paper-and-pencil records. Choices B, C, and D are incorrect because they do not acknowledge the enhanced security measures and advantages that EHRs provide over traditional paper records.
The use of plants in conventional modern medicine is evidenced by the drug atropine, which is derived from which plant?
- A. Digitalis purpurea
- B. Cephaelis ipecacuanha
- C. Rauwolfia serpentina
- D. Atropa belladonna
Correct Answer: D
Rationale: The correct answer is D: Atropa belladonna. Atropine is derived from Atropa belladonna plant. Atropa belladonna contains alkaloids which are used in modern medicine for various purposes. Digitalis purpurea (A) is known for digitalis, Cephaelis ipecacuanha (B) for ipecacuanha, and Rauwolfia serpentina (C) for reserpine, not atropine. Therefore, D is the correct choice for this question.
A nurse is charged with battery after helping an invalid patient back to bed and not calling for help due to a reduced staffing level. The patient sustained excessive bruising, sore joints, and extended stay. In this case, the:
- A. patient is the plaintiff.
- B. nurse can be charged with forcefully restraining the patient without orders.
- C. nurse is accountable due to the decreased level of staffing.
- D. charge of invasion of privacy may be withheld.
Correct Answer: C
Rationale: The correct answer is C because the nurse is accountable due to the decreased level of staffing. The nurse's decision not to call for help despite knowing the reduced staffing level directly contributed to the patient's injuries. The nurse had a duty of care to ensure the patient's safety, and failing to do so resulted in harm to the patient. The nurse's actions were negligent and breached the standard of care expected in this situation.
Choices A, B, and D are incorrect because the focus of the question is on the nurse's accountability for the patient's injuries due to staffing levels, not on the patient being the plaintiff, forcefully restraining the patient without orders, or invasion of privacy. These options are not directly related to the nurse's negligence in failing to provide proper care to the patient.
A patient is admitted with pneumoniThe case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive-pressure ventilation with bronchodilators should be changed to self-administered inhalers, and antibiotics should be changed from intravenous to oral treatment, on the basis of assessment findings. This plan of care is referred to as a:
- A. patient classification system.
- B. clinical pathway.
- C. patient-centered plan of care.
- D. diagnosis-related group (DRG).
Correct Answer: B
Rationale: The correct answer is B: clinical pathway. A clinical pathway is a detailed plan of care that outlines specific interventions and treatments based on assessment findings to guide patient care in a structured manner. In this case, the plan includes specific dates for discontinuing supplemental oxygen, changing ventilation methods, and transitioning antibiotics.
A. Patient classification system: This refers to categorizing patients based on certain criteria for resource allocation and staffing levels, not specific care plans.
C. Patient-centered plan of care: While patient-centered care focuses on individual preferences and needs, it does not necessarily include the structured timeline and interventions outlined in a clinical pathway.
D. Diagnosis-related group (DRG): DRGs are used for billing and payment purposes based on specific diagnoses, not for detailed care plans like the one described in the question.