An aspect of computer use in patient care in which the LPN may need to be proficient includes:
Scheduling admissions, discharges, and nurse staffing to keep the unit at the best occupancy and utilization.
Educating patients how to use hospital computers to access information such as discharge instructions or information relative to specific medications.
Input of data such as requests for radiographs or laboratory services.
Programming the computer to record data from primary care provider and other health care workers.
The Correct Answer is C
A. Scheduling admissions, discharges, and nurse staffing to keep the unit at the best occupancy and utilization. Scheduling and unit staffing are typically tasks for administrative staff rather than the direct responsibilities of an LPN.
B. Educating patients on how to use hospital computers to access information such as discharge instructions or information relative to specific medications. LPNs may be involved in patient education, including showing patients how to access relevant health information, making this a potential area of proficiency.
C. Input of data such as requests for radiographs or laboratory services. LPNs may be responsible for entering basic patient care data and service requests, making this a relevant skill in many clinical settings.
D. Programming the computer to record data from primary care providers and other healthcare workers. Programming tasks are typically not within the scope of LPN duties, as these require advanced computer skills beyond general data input.
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Correct Answer is D
Explanation
A. Include another person in the instruction because an 82-year-old person will be unable to master the technique. This is an assumption based on age and is incorrect. Age alone does not determine learning ability; many older adults are fully capable of learning new skills.
B. Provide written material and diagrams alone. While written materials are helpful, they should be supplemented with hands-on practice and guidance, especially for skill-based learning.
C. Speed through the details because age and experience will shorten learning time. Older adults may actually require a slower pace to absorb new information, particularly for complex tasks.
D. Slow the pace and frequently ask questions to assess comprehension. Slowing the pace and asking questions helps ensure the patient has the time needed to process the information and provides the nurse with feedback on understanding.
Correct Answer is D
Explanation
A. Avoid the use of eye contact to allow the patient to express herself without feeling stared at or demeaned.
Avoiding eye contact can make the patient feel ignored or unheard and is generally not effective in active listening.
B. Ask probing questions to direct the conversation and obtain the information needed as efficiently as possible.
Active listening involves allowing the patient to lead the conversation rather than directing it with probing questions.
C. Anticipate what the speaker is trying to say and help the patient express herself when she has difficulty with finishing a sentence.
While well-intentioned, finishing sentences can prevent the patient from expressing thoughts fully.
D. Use nonverbal cues such as leaning forward, focusing on the speaker's face, and slightly nodding to indicate that the message has been heard.