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You are supervising a new graduate LPN who is ordered to perform tracheostomy care. The LPN states that she has performed this procedure only a handful of times, and completes the task slowly. Which of the following actions made by you is most appropriate?

A.

Perform the task yourself, and have the LPN watch.

B.

Reassure the LPN that they are likely being overly self-critical and encourage them to perform the task alone.

C.

Observe the LPN, then provide positive feedback after the task is completed.

D.

Protect patient safety by prohibiting the LPN from performing tracheostomy care until the LPN feels confident.

Answer and Explanation

The Correct Answer is C

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.


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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.

Correct Answer is B

Explanation

A. While private compliments can be valuable, they may not have the same impact as immediate, specific feedback given in the moment.

B. Acknowledging the nurse's performance immediately after they provide exceptional care reinforces positive behavior and allows for specific feedback, which can enhance the nurse's confidence and motivation.

C. While sending an email is a nice gesture, it lacks the immediacy and personal touch that can significantly impact the nurse's morale at that moment.

D. Praising the nurse during a performance review is important, but it delays recognition of their hard work and may not provide the immediate reinforcement that can influence their practice positively.

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