lOMoAR cPSD| 66549320
Key Points Chapter 1
• The roles that LVNs/LPNs may assume are specified in their state nurse practice
act.
• Medical-surgical nursing employs an array of knowledge and skill to provide care
for adult patients with a variety of conditions requiring medical and/or surgical
management.
• The standards for nursing practice and educational competencies of graduates of
LVN/LPN programs are defined by the National Association for Practical Nurse
Education and Service (NAPNES, 2007).
• Medical-surgical practice requires knowledge of an array of medical-surgical
conditions including the related pathophysiology, manifestations, complications,
treatments, nursing interventions, and expected patient responses.
• Ethical dilemmas are perplexing situations because ethics does not prescribe one
right answer.
• Principles of ethics include autonomy (respect individual rights), beneficence (act
in the patient's best interests), justice (consider fairness, equity, appropriateness),
nonmaleficence (do no harm), confidentiality (protect patient privacy), and
veracity (be truthful, honest).
• Nurses are obliged to know their legal functions and limitations to protect both
their patients and themselves.
, lOMoAR cPSD| 66549320
• A tort is a civil wrong against a person or property such as restraining or
medicating a patient against his or her wishes.
• Criteria for malpractice include the following: the nurse owed a duty to the
patient, the nurse did not carry out that duty, the patient was injured, and the
injury was caused by the nurse's failure to carry out that duty.
• Nursing students are held to the same standard of care as are licensed nurses.
• An LVN/LPN who makes assignments or delegates tasks to other providers is
accountable not only for his or her own actions but also for the actions of the staff
he or she is directing.
• A leader creates a vision that, when combined with unifying values, creates a
mission for the group to work toward.
• The role of the manager is to focus on the day-to- day work of the organization.
• SBAR (situation, background, assessment, recommendation) is a systematic
communication that facilitates the exchange of important information between
professionals.
• When a conflict occurs, it creates stress and negative feelings that can adversely
affect the work situation.
• The stages of conflict are frustration, conceptualization, action, and outcomes.
• Approaches to conflict resolution include accommodation, collaboration,
compromise, competition, and avoidance
, lOMoAR cPSD| 66549320
• Safety requires that all health care agency staff understand the procedures to
follow in case of disasters in addition to everyday safety related to handling
equipment, using proper procedures, and working with potentially dangerous
drugs.
Additional Learning Resources
Go to your Study Guide for additional learning activities to help you master this
chapter content.
®
Review Questions for the NCLEX Examination
1. What is the best source of information regarding the roles of the LVN/LPN in a
medical-surgical setting?
1. The Human Resources department of the employing agency
2. The State Board of Nursing
3. Other staff members working on the same unit 4. Medical-surgical nursing
textbooks
NCLEX Client Need: Safe and Effective Care Environment: Coordinated Care
2. Which of the following are characteristics of an effective leader and manager?
(Select all that apply.)
1. Is a role model for staff
2. Has a graduate nursing degree
, lOMoAR cPSD| 66549320
3. Focuses on team development
4. Motivates and empowers others
5. Uses only an autocratic approach in decision making.
NCLEX Client Need: Safe and Effective Care Environment: Coordinated Care
3. When preparing to administer medications, the nurse carefully confirms the drug
order and the patient's identity. This is an example of which ethical principle?
1. Nonmaleficence 2. Veracity
3. Autonomy
4. Justice
NCLEX Client Need: Safe and Effective Care Environment: Coordinated Care
4. A nurse uses his cell phone to take a photograph with a celebrity patient. The
nurse posts the photograph on social media. This may be considered:
1. Malpractice 2. Negligence 3. Assault
4. Tort
NCLEX Client Need: Safe and Effective Care Environment: Coordinated
Care
5. Essential elements of effective delegation by the LVN/LPN include which of
the following? (Select all that apply.)
1. Knowledge of each patient's condition
Key Points Chapter 1
• The roles that LVNs/LPNs may assume are specified in their state nurse practice
act.
• Medical-surgical nursing employs an array of knowledge and skill to provide care
for adult patients with a variety of conditions requiring medical and/or surgical
management.
• The standards for nursing practice and educational competencies of graduates of
LVN/LPN programs are defined by the National Association for Practical Nurse
Education and Service (NAPNES, 2007).
• Medical-surgical practice requires knowledge of an array of medical-surgical
conditions including the related pathophysiology, manifestations, complications,
treatments, nursing interventions, and expected patient responses.
• Ethical dilemmas are perplexing situations because ethics does not prescribe one
right answer.
• Principles of ethics include autonomy (respect individual rights), beneficence (act
in the patient's best interests), justice (consider fairness, equity, appropriateness),
nonmaleficence (do no harm), confidentiality (protect patient privacy), and
veracity (be truthful, honest).
• Nurses are obliged to know their legal functions and limitations to protect both
their patients and themselves.
, lOMoAR cPSD| 66549320
• A tort is a civil wrong against a person or property such as restraining or
medicating a patient against his or her wishes.
• Criteria for malpractice include the following: the nurse owed a duty to the
patient, the nurse did not carry out that duty, the patient was injured, and the
injury was caused by the nurse's failure to carry out that duty.
• Nursing students are held to the same standard of care as are licensed nurses.
• An LVN/LPN who makes assignments or delegates tasks to other providers is
accountable not only for his or her own actions but also for the actions of the staff
he or she is directing.
• A leader creates a vision that, when combined with unifying values, creates a
mission for the group to work toward.
• The role of the manager is to focus on the day-to- day work of the organization.
• SBAR (situation, background, assessment, recommendation) is a systematic
communication that facilitates the exchange of important information between
professionals.
• When a conflict occurs, it creates stress and negative feelings that can adversely
affect the work situation.
• The stages of conflict are frustration, conceptualization, action, and outcomes.
• Approaches to conflict resolution include accommodation, collaboration,
compromise, competition, and avoidance
, lOMoAR cPSD| 66549320
• Safety requires that all health care agency staff understand the procedures to
follow in case of disasters in addition to everyday safety related to handling
equipment, using proper procedures, and working with potentially dangerous
drugs.
Additional Learning Resources
Go to your Study Guide for additional learning activities to help you master this
chapter content.
®
Review Questions for the NCLEX Examination
1. What is the best source of information regarding the roles of the LVN/LPN in a
medical-surgical setting?
1. The Human Resources department of the employing agency
2. The State Board of Nursing
3. Other staff members working on the same unit 4. Medical-surgical nursing
textbooks
NCLEX Client Need: Safe and Effective Care Environment: Coordinated Care
2. Which of the following are characteristics of an effective leader and manager?
(Select all that apply.)
1. Is a role model for staff
2. Has a graduate nursing degree
, lOMoAR cPSD| 66549320
3. Focuses on team development
4. Motivates and empowers others
5. Uses only an autocratic approach in decision making.
NCLEX Client Need: Safe and Effective Care Environment: Coordinated Care
3. When preparing to administer medications, the nurse carefully confirms the drug
order and the patient's identity. This is an example of which ethical principle?
1. Nonmaleficence 2. Veracity
3. Autonomy
4. Justice
NCLEX Client Need: Safe and Effective Care Environment: Coordinated Care
4. A nurse uses his cell phone to take a photograph with a celebrity patient. The
nurse posts the photograph on social media. This may be considered:
1. Malpractice 2. Negligence 3. Assault
4. Tort
NCLEX Client Need: Safe and Effective Care Environment: Coordinated
Care
5. Essential elements of effective delegation by the LVN/LPN include which of
the following? (Select all that apply.)
1. Knowledge of each patient's condition
