The instructor tells an SP/VN, "You have functioned at a substandard level of clinical performance recently. Now you have a chance to redeem yourself. I'm assigning you to a complex nursing situation

I expect you to function without asking for assistance." What is the most accurate assessment of the instructor's action?

a. The action will enable the instructor to determine whether the student should pass or fail the course.
b. The instructor is accountable for making an unsafe patient care assignment.
c. It is an acceptable teaching practice to challenge students to higher levels of performance.
d. The instructor should be investigated for fraud by the state board of nursing.


ANS: B
Assigning an SP/VN to a complex nursing situation shows poor judgment. A complex nursing situation involves a patient whose clinical condition is unpredictable. Nursing care expectations are beyond what the LPN/LVN has learned during the educational program. An instructor is expected to make patient assignments based on student knowledge and ability to give safe nursing care and is expected to provide necessary supervision.

Nursing

You might also like to view...

A patient receiving a unit of packed red blood cells for hypovolemic shock is demonstrating signs of a transfusion reaction. In which order should the nurse provide care to this patient?

1: Stop the transfusion and notify the physician 2: Compare the blood slip with the unit of blood 3: Assess vital signs and associated manifestations 4: Save the blood bag and tubing for laboratory analysis 5: Collect urine and venous blood samples according to policy

Nursing

What is the primary focus of nurse-run clinics?

a. Health promotion b. Disease cure c. Pregnancy counseling services d. Cost control

Nursing

Which of the following conditions may result in a collapsed lung?

a. Pulmonary embolus. b. Pleural effusion. c. Paracentesis. d. Pneumothorax.

Nursing

A nurse delegates the task of neonatal vital-sign assessment to a nurse technician. Which instruction will the nurse give to the technician prior to assign care?

1. Report any neonate using abdominal muscles to breathe. 2. Report any neonate with apnea for 10 seconds. 3. Count respirations for 15 seconds and multiply by 4 to get the rate for 1 minute. 4. Report any neonate with a breathing pause that lasts 20 seconds or longer.

Nursing