The 3 to 11 shift LPN/LVN charge nurse on a 20-bed nursing home unit is asked by the only other staff member on duty, a nursing assistant, "Will it be all right if I go home tonight while you are giving report to the night shift?
My husband needs the car so he can go to work." The best response by the charge nurse is
a. "It's all right tonight, but don't make a habit of it."
b. "Sure, our residents will be sound asleep by 11 PM."
c. "Have you lost your mind? What would happen if the owner dropped in for a surprise visit?"
d. "That won't be possible. You must be here to answer lights while I give report to the night staff."
ANS: D
The LPN/LVN is not responsible for the problems the nursing assistant (NA) has at home and must uphold institutional policies. This response sets limits and explains the reason the NA is needed on the unit. Responding not to make a habit of it and stating that it is permissible because the residents will be sound asleep by 11 PM create an unsafe environment for residents. The remaining option does not explain the major reason the NA is needed on the unit.
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