A resident asks an LPN/LVN, "What is meant by the practical/vocational nurse's standard of care in a long-term care agency?"
The LPN/LVN should respond, "The practical/vocational nurse who provides care for residents in a long-term care agency must implement care that is consistent with
a. shortcuts acceptable to the agency that allow nurses to assume larger and more complex patient assignments."
b. care that an ordinary, prudent LPN/LVN with the same education and experience would perform in similar circumstances."
c. the minimum competency necessary to function as a health care giver in the state in which the nurse resides."
d. customs of the agency in which the nurse is employed."
ANS: B
This is the standard used by the courts, and it is the same regardless of the type of agency in which the nurse is employed. The other options do not define the nurse's standard of care.
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A 70-year-old patient covered by Medicare is being admitted for stabilization of type 2 diabetes. When asked by the family why their parent's care is being co-managed by a geriatric nurse prac-titioner and a physician, the best explanation is that
a. the geriatric nurse practitioner is specially trained to work with older patients. b. research has shown that this care model often results in shorter hospital stays. c. the physician and nurse practitioner will focus on different needs. d. Medicare encourages this team concept of patient care.
During an assessment, the patient asks why the nurse is "feeling her armpit." How should the nurse respond?
Select all that apply. 1. "I'm counting the ribs." 2. "Don't you feel your own armpits?" 3. "Breast tissue extends into this area." 4. "I'm assessing hair distribution in this area." 5. "The armpits should be part of a breast self-exam."