The registered nurse (RN) supervises a licensed practical/vocational nurse (LPN). Which statement by the LPN/VN requires follow-up by the RN?
The registered nurse (RN) supervises a licensed practical/vocational nurse (LPN). Which statement by the LPN/VN requires follow-up by the RN?
A. “I bathed the client already this morning"
[1%]
B. "I passed out letters and packages to the clients this morning.”
[2%]
C. "The client refused his prescribed valproic acid, so I snuck it into his food.”
[94%]
D. "I will be joining the clients with their games today in the day room.”
[2%]
Statistics
Subject/Lesson
Subject
Leadership & Management
Lesson
Assignment/Delegation
Client Need
Test Plan
Management of Care
Related Topic
Assignment, Delegation and Supervision
Item Type
Item Type
Analysis
Explanation
Choice C is correct. A client can refuse any medication regardless of whether they are involuntary or voluntarily admitted. The LPN/VN stated that they concealed a refused medication in the client's food and would require follow-up because this is ethically and legally inappropriate.
Choice A is incorrect. The LPN/VN can assist the clients in their activities of daily living. This statement would not require follow-up by the RN.
Choice B is incorrect. Passing out mail and packages to clients is appropriate. Refusing to distribute a client's mail or opening a client's package (or letter) is prohibited. Mail tampering, regardless of admission status, is a crime.
Choice D is incorrect. The LPN/VN can join activities with the clients to ensure their safety. This statement does not require follow-up by the RN.
Related Videos
4 Key Topics
Rights of Medication Administration
10.1 Rights of Medication Administration
LPN Delegation
15.7 Delegation
Additional Info
✓ A nurse administering medications/treatments when the client has explicitly refused would be considered battery
✓ Regardless of a client's admission status, voluntary or involuntary, the nurse should be familiar with the client's bill of rights.
