The 3 to 11 shift LPN/LVN charge nurse on a 20-bed nursing home ...

[kellyjaisingh]

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
  a. It's all right tonight, but don't make a habit of it.
  b. Sure, our residents will be sound asleep by 11 PM.
  c. Have you lost your mind? What would happen if the owner dropped in for a surprise visit?
  d. That won't be possible. You must be here to answer lights while I give report to the night staff.

Question 2

Which duty would exceed the LPN/LVN scope of practice if included in the job description for an LPN/LVN charge nurse?
 
  a. Assigning patient care
  b. Independently developing written treatment protocols
  c. Assisting physicians in diagnostic and therapeutic measures
  d. Maintaining a safe and hazard-free environment

[aloop]

Answer to Question 1

ANS: D
The LPN/LVN is not responsible for the problems the nursing assistant (NA) has at home and must uphold institutional policies. This response sets limits and explains the reason the NA is needed on the unit. Responding not to make a habit of it and stating that it is permissible because the residents will be sound asleep by 11 PM create an unsafe environment for residents. The remaining option does not explain the major reason the NA is needed on the unit.

Answer to Question 2

ANS: B
Treatment protocols are written by members of the treatment team who are professionals, often with input from the LPN/LVN. The other options are within the scope of practice of the LPN/LVN.