Exam 21: LPN/LVN Charge Nurse Skills: Management, Including Assignment and Delegation

In the following scenario,who owns the problem? Before the shift starts,the nursing assistants sympathetically tell the LPN/LVN charge nurse about nursing assistant Jenny's latest child care and car problems,which make it difficult for Jenny to get to work on time. The problem is owned by

The 3 to 11 shift LPN/LVN charge nurse on a 20-bed nursing home unit is asked by the only other staff member on duty,a nursing assistant,"Will it be all right if I go home tonight while you are giving report to the night shift? My husband needs the car so he can go to work." The best response by the charge nurse is

The LPN/LVN charge nurse notices that a new nursing assistant has offensive body odor.The LPN/LVN charge nurse should

The plan of care for a resident in the rehabilitation unit requires the resident to receive teaching about how to monitor blood glucose as part of discharge teaching.The RN is working with a resident whose condition is deteriorating.The LPN/LVN charge nurse has performed blood glucose monitoring many times but is new and has not received facility certification.The nursing assistant assigned to the patient is a diabetic and monitors blood glucose several times a day.Who should perform the teaching?

Which duty would exceed the LPN/LVN scope of practice if included in the job description for an LPN/LVN charge nurse?

Examples of tasks the LPN/LVN charge nurse of the extended care unit might assign to a nursing assistant (NA)include which of the following?

When the Nurse Practice Act of the state permits delegation as part of the LPN/LVN charge nurse duties,which task could be delegated to experienced,unlicensed assistive personnel who have been trained to perform the task?

Which information can be omitted when the LPN/LVN charge nurse gives the change-of-shift report?

Assuming all the following are staff members on the unit,to whom should the LPN/LVN charge nurse assign a newly admitted 65-year-old resident with left hemiplegia and a large sacral decubitus requiring a sterile dressing change?

To which goal should the LPN/LVN give priority?

Select the examples of LPN/LVN charge nurse directions that meet the criteria for Right Direction/Communication.

The priority step the LPN/LVN charge nurse should take before delegating one of the charges to another LPN/LVN on staff is to

When a resident's family complains that their mother is receiving inferior care in the extended care facility,which action should the LPN/LVN charge nurse initially take?

How should the following scenario be evaluated with respect to the goal of encouraging the nursing assistant to be accountable for learning skills? Nursing assistant: "I do not know how to use the new lifting device to get Mrs.Jackson out of bed.I missed the demonstration the other day." LPN/LVN charge nurse: "I will ask Kay if she has time to get Mrs.Jackson out of bed with the new device while you assist.How can you prepare yourself to use the new device?" Nursing assistant: "I could watch closely when I assist Kay and ask questions.Then,I guess I could watch the videotape that came from the company and practice with a couple of the aides when they have time." LPN/LVN charge nurse: "Good plan.I will plan to observe and evaluate your competency tomorrow afternoon." The scenario should be evaluated as

A resident has not voided in 6 hours.Which instruction to a nursing assistant would likely ensure getting the information needed by the LPN/LVN charge nurse?

The most fundamental requirement for assuming the practice role of LPN/LVN charge nurse is

An LPN/LVN is working in a health care facility that allows delegation of nursing duties to nursing assistants by the LPN/LVN.Which of the following duties could be delegated to the nursing assistant?

The LPN/LVN charge nurse has assigned tasks to the nursing assistant staff and the LPN/LVN orienting to the unit.On which statement about responsibility for outcomes should the LPN/LVN charge nurse base her or his actions?

Which principles of delegation should the LPN/LVN charge nurse follow when delegating a duty to a nursing assistant?

When the LPN/LVN charge nurse makes rounds with the physician,which information should be called to the physician's attention?