Answer to Question 1
1
Explanation: 1. The RN is the only caregiver legally responsible for assessing clients. Thus, the RN cannot
delegate this to the LPN, and this is an example of overdelegation. The LPN asking the RN to
describe assignments is appropriate. The RN delegation to the LPN should not be affected by
the unlicensed assistants call-in, and the LPN should not delegate to the unlicensed assistant
as only RNs should delegate tasks.
Answer to Question 2
1,2,3,5
Rationale 1: The manager just transferred from a different unit and may be uncomfortable with skills needed to care for pediatric clients.
Rationale 2: Confronting the staff about absences may be difficult for a new manager.
Rationale 3: If the manager consistently stays in the office, supervision is minimal.
Rationale 4: It is difficult to say that the staff is consciously taking advantage of the manager, but this may be occurring on a subconscious level.
Rationale 5: The manager's own absence culture may be very tolerant.
Global Rationale:
Awareness of cultural and religious norms and customs will help you deliver appropriate nursing care
This young boy with muscular dystrophy needs to receive tube feedings and home nursing care. He atte
After the death of a loved one, family members report concerns about last place of care.
Example of simplified note for one-time client.
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