When documenting patient behavior, the LPN/LVN should a. ...

[lindiwe]

When documenting patient behavior, the LPN/LVN should
 
  a. record subjective interpretations of patient behavior.
  b. avoid mentioning communicating with supervisors to report changes in condition.
  c. record all interventions performed and patient instruction given.
  d. use Wite-Out to erase errors in documentation.

Question 2

Which of the following is an example of breach of duty?
 
  a. The LPN/LVN walks off the unit during the shift.
  b. The LPN/LVN resigns from the position.
  c. The LPN/LVN delegates duties to unlicensed assistive personnel.
  d. The LPN/LVN does not perform duties according to the standard of care.

[yuyiding]

Answer to Question 1

ANS: C
The nurse should record all interventions and instructions given to the patient. Legally, if it is not documented, it cannot be proved that the care was given. Documentation should be objective. All patient-related communication with supervisors or physicians should be documented. Flow sheets must be marked appropriately.

Answer to Question 2

ANS: D
Breach of duty means the nurse did not adhere to the nursing standard of care. Walking off the unit during the shift refers to abandonment. Resigning from the position is a right of the nurse. Delegating duties according to the standard of care is not a breach of duty if it is permitted by the state Nurse Practice Act and is correctly performed.

[lindiwe]

TYSM

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