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Zorluk: OrtaClient Care Assignments and Collaboration

While providing care on an inpatient psychiatric unit, a practical nurse (PN) receives a list of delegated activities from the supervising nurse. Which of the following client care activities is appropriate for the PN to accept?

  1. Administering a scheduled oral antipsychotic medication and observing the client for potential adverse effects.Cevap
  2. B
    Discussing the detailed risks and alternatives of electroconvulsive therapy to ensure the client is fully informed before signing the consent.
  3. C
    Performing the initial psychological assessment and formulating the care plan for a client experiencing an acute manic episode.
  4. D
    Confirming the client's admission status over the telephone with a concerned employer who is asking about the client's absence from work.

Cevap

The activity that is appropriate for the PN to accept is administering a scheduled oral antipsychotic medication and observing the client for potential adverse effects.
Administering routine oral medications and performing focused data collection (such as observing for side effects) are fundamental skills taught in practical nursing programs. This task does not require complex clinical judgment, comprehensive assessment, or the initiation of a care plan, making it entirely appropriate for the PN to accept.

Adım Adım Çözüm

1
Analyze each delegated task against the legal scope of practice for a practical nurse.
Identify tasks that involve comprehensive assessment, initial education, or advanced clinical judgment as outside the PN scope.
The PN must ensure safe practice by only accepting assignments they are legally and educationally prepared to perform.
2
Evaluate the medication administration task.
Administering oral medications and collecting data regarding adverse effects falls well within standard PN duties.
PNs are educated in pharmacology and focused data collection.
3
Evaluate the informed consent task.
Providing initial education about risks and alternatives is the provider's responsibility, not the PN's.
The PN's role is limited to witnessing the signature and reinforcing provider teaching.
4
Evaluate the assessment and care planning task.
Initial assessments and formulating care plans require RN-level clinical judgment.
The PN cannot independently create a care plan or perform an initial admission assessment.
5
Evaluate the communication task.
Confirming admission status to an employer breaches client confidentiality.
Sharing protected health information without explicit consent violates HIPAA regulations.

Anahtar Kavram

Delegation and Scope of Practice for the Practical Nurse
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Konular

Client Care Assignments and Collaboration

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