Which of these tasks is appropriate for the RN to delegate to a licensed practical nurse/license
vocational nurse (LPN/LVN)?
a. Documenting patient teaching about a routine surgical procedure
b. Teaching a patient how to self-administer insulin
c. Administering an oral medication to a patient
d. Completing the initial assessment and plan of care - correct answer c.
Administering an oral medication to a patient
All of these nursing actions are included in the plan of care for a patient who is malnourished.
Which action is appropriate for the RN to delegate to a nursing assistant?
a. Assist the patient in choosing high-nutrition items from the menu.
b. Monitor the patient for skin breakdown over the bony prominences.
c. Assess the patient's strength while ambulating the patient in the room.
d. Offer the patient the ordered nutritional supplement between meals - correct answer
d. Offer the patient the ordered nutritional supplement between meals.
A nurse manager must confront an employee about excessive absenteeism. During the
confrontation with this employee, which introductory statement is most appropriate?
a. "Is there something occurring in your life that is interfering with your attendance at
work?"
b. "What is your understanding of our absenteeism policy and being placed on
probation?"
c. "You are always calling in sick and leaving the staff in a real mess."
,d. "Let's pull the policy manual out and read the absenteeism policy together." - correct answer
a. "Is there something occurring in your life that is interfering with your attendance at
work?"
A nurse is assigned to care for a patient who has been admitted with an opiate overdose and
tells the nursing supervisor, "This is a waste of my time. The patient will be back on the
needle right after being discharged." The most appropriate response by the nursing supervisor
is
a. "Your lack of professionalism will make it difficult for you to provide adequate
care."
b. "You know we are obligated to provide appropriate care no matter how we feel."
c. "It is important to recognize these feelings and then figure out how to deal with
them."
d. "Since you feel so strongly, perhaps you should be assigned to care for a different
patient." - correct answer c. "It is important to recognize these feelings and then
figure out how to deal with
them."
A charge nurse and staff nurse are in disagreement over the team assignment for the shift that
is about to begin. What is the charge nurse's best first step to resolving the conflict
collaboratively?
a. Determine the shared goal.
b. Open a respectful dialogue to bring forth each point of view.
c. Design a plan to meet the shared goal.
d. Determine the roles of those involved in the plan. - correct answer b. Open a
respectful dialogue to bring forth each point of view.
Nurse A is in conflict with Nurse B regarding holiday scheduling. Because Nurse A really
, wants to avoid being in this conflict, and because Nurse A just wants to fill the holiday
schedule, Nurse A agrees to give up one favored holiday. This is an example of which type of
conflict resolution?
a. Competition resolution
b. Win-win resolution
c. Sacrifice resolution
d. Active resolution - correct answer c. Sacrifice resolution
Holiday scheduling is always a sensitive issue on the nursing unit, and the manager is trying
something different this year. The manager says that whoever works the most extra shifts
when asked to do so will get first pick for the holiday schedule. Which type of conflict
resolution does this represent?
a. Competition resolution
b. Win-win resolution
c. Sacrifice resolution
d. Active resolution - correct answer a. Competition resolution
Which of these nursing interventions for the patient who has had right-sided
breast-conservation surgery and axillary lymph node dissection is appropriate to assign to an
LPN/LVN?
a. Teaching the patient how to avoid injury to the right arm
b. Administering an analgesic 30 minutes before the scheduled arm exercises
c. Assessing the patient's range of motion for the right arm
d. Evaluating the patient's understanding of discharge instructions about drain care - correct answer
b. Administering an analgesic 30 minutes before the scheduled arm exercises