Author Question: If the RN has several LPNs on the shift to supervise, which of the following responsibilities will ... (Read 35 times)

stevenposner · **on:** Jul 23, 2018

If the RN has several LPNs on the shift to supervise, which of the following responsibilities will fall to the RN?

1. Evaluating the care provided to the client.
2. Administering intramuscular (IM) medications.
3. Performing dressing changes.
4. Delegating appropriate tasks to unlicensed client care providers (such as a nurse's aide).

Question 2

According to Benner's, a nurse acting as a preceptor for nursing students in a clinical setting is showing nursing expertise belonging to:

1. Stage II
2. Stage III
3. Stage IV
4. Stage V

heyhey123 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: The RN has the knowledge and skill to make more sophisticated nursing judgments, and is responsible for assessing the client's condition, planning care, and evaluating the effect of the care provided.
Rationale 2: LPNs practice under the supervision of an RN in a hospital, nursing home, rehabilitation center, or home health agency, and usually provide basic, direct technical care to clients that can include the administration of scheduled IM medications if the institution includes that in the LPN's job description.
Rationale 3: LPNs practice under the supervision of an RN in a hospital, nursing home, rehabilitation center, or home health agency, and usually provide basic, direct technical care to clients that can include dressing changes.
Rationale 4: LPNs practice under the supervision of an RN in a hospital, nursing home, rehabilitation center, or home health agency, and usually provide basic, direct technical care to clients that can include appropriate delegation of tasks to unlicensed client care providers.

Answer to Question 2

Correct Answer: 3
Rationale: Stage IV is a proficiency stage. The person has 3 to 5 years of experience and has a holistic understanding of the client, which improves decision making and focuses on long-term goals. Stage II is advanced beginner. The person demonstrates marginally acceptable performance. Stage III is competent. The nurse has 2 or 3 years of experience and demonstrates organizational/planning abilities. Stage V is considered expert. Performance is fluid, flexible, and highly proficient. The expert nurse no longer requires rules, guidelines, or maxims to connect an understanding of the situation to appropriate action. This person has highly intuitive and analytic abilities in new situations.