During report, the LPN/LVN relates that although her assigned ...

[P68T]

During report, the LPN/LVN relates that although her assigned patient was ambulatory, she provided a bed bath, special foot care, and nail care; she justified the care by saying that the patient seemed very tired.
 
  The nurse also mentioned that the patient had a number of personal problems for which she provided counseling. The charge nurse recognizes these behaviors as suggesting
 
  a. conscientious nursing.
  b. empathetic response.
  c. conflict avoidance.
  d. co-dependence.

Question 2

The LPN/LVN tells the charge nurse, You can be glad I'm on duty today to pick up the slack for the staff member who called in sick. It's lucky that I came in early. Oh, and by the way, I can stay late, if necessary. You know how the next shift is.
 
  They expect everything to be caught up, even if they aren't that efficient themselves. These remarks suggest that the LPN/LVN may be
 
  a. a chronic complainer.
  b. a team player.
  c. co-dependent.
  d. chemically dependent.

[AISCAMPING]

Answer to Question 1

ANS: D
Co-dependent individuals have a pathological need to be needed by others. They are often controlling, robbing patients of autonomy and opportunities to problem-solve. These behaviors go beyond conscientious nursing to the pathological; they do not suggest use of empathy; and they do not suggest conflict avoidance.

Answer to Question 2

ANS: C
Co-dependent individuals feel the fate of nursing care rests on their shoulders, feel responsible for solving the problems of others (in this case, the charge nurse's problems), engage in one-upmanship and intershift rivalries. These behaviors are evident in the scenario. Chronic complainer is incorrect because the scenario is more than an example of chronic complaining. The verbalizations do not suggest that the LPN/LVN is a team player. The verbalizations do not suggest chemical dependency.

[P68T]

Excellent

[kjohnson]

TYSM