Safe and Effective Care Environment Flashcards
7 cards from real LVN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Safe and Effective Care Environment flashcards as text
A client states, 'I do not want to be resuscitated if my heart stops.' Which document legally formalizes this wish?
Answer: A do-not-resuscitate (DNR) order written by the physician
A DNR order must be written by the physician to be legally binding and followed by the healthcare team.
An LVN is asked by a physician to perform a task outside the LVN scope of practice. The most appropriate response is to:
Answer: Decline and inform the physician it is outside the LVN scope of practice
LVNs must practice within their legal scope, and a physician order does not authorize a nurse to exceed that scope.
Which situation requires the LVN to file a mandatory report to authorities?
Answer: Suspected elder abuse observed during home health care
LVNs are mandatory reporters and must report suspected abuse or neglect of vulnerable populations such as the elderly.
A client's family member asks the LVN to share the client's diagnosis with them. The client has not provided consent. The LVN should:
Answer: Refuse to disclose and explain that client consent is required under HIPAA
HIPAA protects all patient health information; disclosure to family members requires patient authorization except in specific circumstances.
A competent adult client refuses a blood transfusion based on religious beliefs. The LVN should:
Answer: Respect the refusal, document it, and notify the physician
Competent adults have the legal right to refuse any treatment; the LVN must document the refusal and notify the care team.
Which action by the LVN best protects client confidentiality on a busy medical-surgical unit?
Answer: Using a private room or designated area for report and sensitive conversations
Sensitive conversations should occur in private areas to prevent unauthorized individuals from overhearing protected health information.
A client's durable power of attorney for healthcare (DPOA-HC) arrives at the bedside and begins making decisions. The client is currently alert and oriented. Who has decision-making authority?
Answer: The client, since they are competent to make their own decisions
A DPOA-HC only assumes decision-making authority when the client lacks capacity; a competent client retains full autonomy.