A nurse is instructing a newly licensed nurse about the scope and standards of nursing practice. Which of the following characteristics best describes standards of practice?
Focuses only on the ethical expectations of the nursing profession.
Lists a set of skills and responsibilities that every nurse is expected to provide regardless of their role.
Establishes a protocol for care to provide for a specific health problem.
Outlines the necessary criteria for nursing schools to receive accreditation.
The Correct Answer is B
A. While ethical expectations are part of nursing practice, standards of practice encompass more than just ethics; they include clinical competencies, accountability, and roles.
B. Standards of practice indeed outline a set of skills and responsibilities that every nurse is expected to adhere to, regardless of their specific role or specialty. This option accurately captures the comprehensive nature of nursing standards.
C. Establishing a protocol for a specific health problem is more about clinical guidelines than the broader scope of nursing standards, which apply to various scenarios beyond specific health issues.
D. The accreditation of nursing schools is separate from the standards of practice for nurses, which focus more on the competencies required in the field rather than educational criteria.
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Correct Answer is C
Explanation
A. This option suggests that the RN is solely responsible and accountable, which is not accurate in a team setting where oversight exists.
B. This option incorrectly places accountability solely with the charge nurse, whereas the RN also has accountability for the care provided to their assigned patients.
C. The RN assumes accountability for the specific tasks assigned to them while understanding that overall responsibility for patient safety and outcomes remains with the charge nurse. This reflects the collaborative nature of nursing practice.
D. This option suggests that the RN has neither responsibility nor accountability, which contradicts the professional role of a nurse who must always maintain a level of accountability for their actions and decisions regarding patient care.
Correct Answer is C
Explanation
A. Performing the task yourself takes away the opportunity for the LPN to gain hands-on experience and can create dependency rather than fostering confidence.
B. While reassurance is helpful, encouraging the LPN to perform the task alone without observation may compromise patient safety, especially given their limited experience.
C. Observing the LPN while they perform the task allows you to provide immediate feedback and support, which is crucial for their development and helps ensure patient safety during the procedure.
D. Prohibiting the LPN from performing the task without further evaluation does not support their learning and growth, as hands-on experience is essential for skill development.