LPN Coordinated Care 2 — Questions and Answers
Question 1: A patient is being discharged home after hip replacement surgery. Which member of the interdisciplinary team should the LPN contact to arrange home safety modifications?
- Occupational therapist (Correct answer)
- Respiratory therapist
- Dietitian
- Speech-language pathologist
Correct answer: Occupational therapist
An occupational therapist assesses and arranges home safety modifications, including grab bars and raised toilet seats, for patients following hip replacement.
Question 2: The LPN notices that a patient's care plan includes conflicting orders from two different physicians. What is the most appropriate initial action?
- Follow the most recent order
- Notify the charge nurse or supervisor immediately (Correct answer)
- Contact the pharmacy for guidance
- Implement the order that seems safest
Correct answer: Notify the charge nurse or supervisor immediately
Conflicting physician orders must be reported to the charge nurse or supervisor immediately to resolve the discrepancy through proper channels before implementing any order.
Question 3: Which document serves as the primary legal record guiding a patient's end-of-life care wishes?
- Medical power of attorney designation
- Advance directive (Correct answer)
- Discharge summary
- Care coordination plan
Correct answer: Advance directive
An advance directive is the primary legal document that outlines a patient's wishes regarding end-of-life care, including resuscitation and life support preferences.
Question 4: An LPN is part of a care conference for a patient with multiple chronic conditions. What is the LPN's primary role in this setting?
- Make final care decisions
- Lead the multidisciplinary team
- Report observations and patient responses to current care (Correct answer)
- Determine the medical diagnosis
Correct answer: Report observations and patient responses to current care
The LPN's primary role in a care conference is to share bedside observations, patient responses to treatment, and functional status updates to inform the team's decisions.
Question 5: A patient with limited English proficiency needs to consent to a procedure. What is the most appropriate action?
- Ask the patient's adult family member to translate
- Proceed with visual aids only
- Use a trained medical interpreter (Correct answer)
- Postpone the procedure indefinitely
Correct answer: Use a trained medical interpreter
A trained medical interpreter must be used to ensure accurate communication of medical information and valid informed consent for patients with limited English proficiency.
Question 6: When transferring a patient from the hospital to a skilled nursing facility, which information is most critical to include in the handoff report?
- Patient's insurance provider
- Current medications, allergies, and functional status (Correct answer)
- Patient's employment history
- Preferred room temperature
Correct answer: Current medications, allergies, and functional status
Current medications, allergies, and functional status are essential safety-critical information that must be communicated during patient transfer to prevent adverse events.
Question 7: A patient tells the LPN that the physical therapist gave instructions contradicting what the physician ordered. What should the LPN do first?
- Tell the patient to follow the physician's orders
- Document the discrepancy and notify the charge nurse (Correct answer)
- Contact the physical therapist to discuss the issue
- Ignore the comment since the PT and physician can resolve it
Correct answer: Document the discrepancy and notify the charge nurse
The LPN should document the discrepancy and notify the charge nurse so the care team can resolve the conflicting instructions through proper communication channels.
LPN Coordinated Care 2
A patient is being discharged home after hip replacement surgery.
Which member of the interdisciplinary team should the LPN contact to arrange home safety modifications?