At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment, the RN assumes:
sole responsibility and accountability for the patient's wellbeing.
responsibility for their tasks, but accountability lies with the charge nurse.
accountability for their tasks, but overall responsibility lies with the charge nurse.
neither responsibility nor accountability for the patient's wellbeing.
The Correct Answer is C
A. While the RN is responsible for the care of the patients, the charge nurse also retains overall responsibility, making this statement inaccurate.
B. The RN does have responsibility for their specific tasks, but the accountability remains shared, particularly for the overall patient care.
C. The RN is accountable for their tasks and patient outcomes, while the charge nurse maintains overall responsibility for the unit's operations and patient care.
D. The RN assumes both responsibility and accountability to some extent, especially in their assigned patient care.
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Correct Answer is B
Explanation
A. This statement involves critical thinking and interpretation of assessment findings, which should be performed by the RN.
B. Asking the LPN to verify the medications the client is taking is appropriate delegation since it involves a task that LPNs are qualified to perform and does not require complex decision-making.
C. Documenting the admission assessment should be completed by the RN, especially if it involves interpreting the findings.
D. Performing the initial assessment is a responsibility of the RN, as it requires comprehensive assessment skills and clinical judgment.
Correct Answer is B
Explanation
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.