Author Question: The instructor tells an SP/VN, You have functioned at a substandard level of clinical performance ... (Read 73 times)

erika · **on:** Jul 17, 2018

The instructor tells an SP/VN, You have functioned at a substandard level of clinical performance recently. Now you have a chance to redeem yourself. I'm assigning you to a complex nursing situation.

I expect you to function without asking for assistance. What is the most accurate assessment of the instructor's action?

a. The action will enable the instructor to determine whether the student should pass or fail the course.
b. The instructor is accountable for making an unsafe patient care assignment.
c. It is an acceptable teaching practice to challenge students to higher levels of performance.
d. The instructor should be investigated for fraud by the state board of nursing.

Question 2

A patient tells the LPN/LVN, I want you to bring my medical record so I can read it. I know HIPAA gives me the right to see it. The LPN/LVN should

a. bring the record from the nurses' station to the patient within the hour.
b. explain that the request will be made to the RN, who will follow agency policy.
c. try to talk the patient out of seeing the record by offering to answer questions.
d. tell the patient to make the request in writing to the physician.

ju · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

ANS: B
Assigning an SP/VN to a complex nursing situation shows poor judgment. A complex nursing situation involves a patient whose clinical condition is unpredictable. Nursing care expectations are beyond what the LPN/LVN has learned during the educational program. An instructor is expected to make patient assignments based on student knowledge and ability to give safe nursing care and is expected to provide necessary supervision.

Answer to Question 2

ANS: B
The patient's request must be honored, but agency protocol must be followed in doing so. Usually a physician or RN reviews the record with the patient to translate medical terminology and answer questions. Student nurses and LPN/LVNs do not provide the patient with the record.