Author Question: The licensed practical/vocational nurse (LP/VN) is caring for a group of clients and delegates tasks ... (Read 17 times)

soccerdreamer_17 · **on:** Jul 17, 2018

The licensed practical/vocational nurse (LP/VN) is caring for a group of clients and delegates tasks to the nursing assistant (NA). Which action by the NA requires the LP/VN to intervene immediately?

A) Gather extra linens and store them in the client's room
B) Prepare a client for an enema without first properly identifying the client
C) Take 15 extra minutes on her lunch, making the other NAs' breaks late
D) Fail to clock out and is walking out the door to go home

Question 2

Near the end of an interview with the director of an assisted living facility, the nurse asks for a job description for the position. The director said that since it is a small facility, they do not feel they need written job descriptions.

Which response would be most appropriate?
A) I prefer an informal work environment and from what you've told me, this would be perfect for me.
B) I really would like to work here but I would need to read a written job description before I would consider a position.
C) Thank you for your time but I would not take a job that doesn't have a written description of the job.
D) My teachers told me not to take a job that doesn't have a written job description.

Ptupou85 · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

Ans: B
Feedback:
The LP/VN needs to intervene immediately when the NA is preparing the wrong client for the enema. The other actions necessitate action, but not immediate action because it does not directly affect the client. The LP/VN needs to discuss with the NA that storing additional linens in a client's room decreases supplies available that may be needed for other clients, and once the supplies are in the client's room they cannot be used for the care of another client. Taking extra time on a lunch break is not being a good follower, so team work principles need to be reinforced. There are alternative ways to deal with a failure to clock out in the system, so this is not a priority situation to be addressed.

Answer to Question 2

Ans: B
Feedback:
No matter how informal, a job description outlines what an employer expects. Without this, the employer can arbitrarily make all sorts of job requirements. A written job description is necessary and serves as a sort of contract describing what the nurse will do in return for a salary. Outright refusal is rather negative and closes the door on this employer even if they do eventually write a job description. Deferring to a teacher's instructions does not demonstrate autonomy or independent thinking.