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?
Perform the task yourself, and have the LPN watch.
Reassure the LPN that they are likely being overly self-critical and encourage them to perform the task alone.
Observe the LPN, then provide positive feedback after the task is completed.
Protect patient safety by prohibiting the LPN from performing tracheostomy care until the LPN feels confident.
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 D
Explanation
A. Involving nonprofessional workers can lead to resistance, but it is not the primary factor when considering the overall impact of change.
B. Interdisciplinary collaboration can present challenges, but it does not inherently lead to resistance. Many professionals recognize the value of collaboration.
C. While involving many layers can complicate change, it does not necessarily result in resistance if there is clear communication and support.
D. Change that threatens personal security, whether physical, emotional, or job-related, is most likely to evoke resistance as individuals often prioritize their sense of safety and stability.
Correct Answer is C
Explanation
A. While workplace advocacy may involve support in labor disputes, it is broader and focuses more on equipping nurses rather than just representing them in conflicts.
B. Negotiating employment contracts is not the primary focus of workplace advocacy; instead, it emphasizes providing resources and support to nurses.
C. Workplace advocacy aims to equip nurses with tools and resources to adapt to rapidly changing healthcare environments, ensuring they can deliver effective care despite challenges.
D. Although creating professional practice climates is important, the immediate goal of workplace advocacy is to equip nurses for the current demands they face rather than solely focusing on the environment