A resident asks an LPN/LVN, What is meant by the ...

[dejastew]

A resident asks an LPN/LVN, What is meant by the practical/vocational nurse's standard of care in a long-term care agency?
 
  The LPN/LVN should respond, The practical/vocational nurse who provides care for residents in a long-term care agency must implement care that is consistent with
 
  a. shortcuts acceptable to the agency that allow nurses to assume larger and more complex patient assignments.
  b. care that an ordinary, prudent LPN/LVN with the same education and experience would perform in similar circumstances.
  c. the minimum competency necessary to function as a health care giver in the state in which the nurse resides.
  d. customs of the agency in which the nurse is employed.

Question 2

A new LPN/LVN passes the NCLEX-PN examination and obtains licensure in state X. The LPN/LVN wishes to work in a state other than state X but is unsure of how to proceed. Which statement provides sound advice in this situation?
 
  a. The effect of current national licensure allows a nurse licensed in one state to work in any other state for a maximum of 2 years without applying for endorsement.
  b. The nurse can work legally in any state that borders state X without applying for endorsement.
  c. The nurse should contact the state board of nursing of the state in which she wishes to work to determine whether they have multistate licensure with state X.
  d. The nurse should apply to take the NCLEX-PN examination in the state in which she wishes to work.

[Kaytorgator]

Answer to Question 1

ANS: B
This is the standard used by the courts, and it is the same regardless of the type of agency in which the nurse is employed. The other options do not define the nurse's standard of care.

Answer to Question 2

ANS: C
The state board of nursing of the state in which the LPN/LVN wishes to work can provide the essential information. Eighteen states have mutual recognition compacts, and Minnesota has a border recognition agreement. National licensure does not exist. A nurse working legally in any state that borders state X without applying for endorsement describes a border recognition agreement, such as the one in existence in Minnesota. It is unnecessary for a nurse to apply to take the NCLEX-PN examination; nurses can obtain endorsement without retaking the NCLEX-PN examination.

[dejastew]

Excellent

[Sarahjh]

TYSM