SAMPLE NCLEX-LPN

‭6.‬ ‭Client‬ ‭Education‬ ‭:‬ ‭LPNs‬ ‭educate‬ ‭clients‬ ‭and‬ ‭families‬ ‭about‬ ‭treatment‬‭plans,‬‭medications,‬‭and‬ ‭self-care strategies.‬ ‭7.‬ ‭Documentation‬ ‭:‬ ‭LPNs‬ ‭maintain‬ ‭accurate‬ ‭and‬ ‭up-to-date‬ ‭records‬ ‭of‬ ‭client‬ ‭assessments,‬ ‭interventions, and outcomes, ensuring continuity of care.‬ ‭8.‬ ‭Advocacy‬ ‭:‬‭LPNs‬‭advocate‬‭for‬‭clients'‬‭needs‬‭and‬‭preferences,‬‭ensuring‬‭they‬‭receive‬‭appropriate‬ ‭care and services.‬ ‭Case Management‬ ‭Case‬ ‭Managers‬ ‭are‬ ‭nurses‬ ‭that‬ ‭specialize‬ ‭in‬ ‭care‬ ‭coordination‬ ‭and‬ ‭organize‬‭client‬‭care,‬‭collaborating‬ ‭with‬ ‭healthcare‬ ‭providers‬ ‭to‬ ‭ensure‬ ‭that‬ ‭clients‬ ‭receive‬ ‭the‬ ‭services‬ ‭they‬ ‭need‬ ‭in‬ ‭a‬ ‭timely‬ ‭and‬ ‭cost-effective‬ ‭manner.‬ ‭Case‬ ‭managers‬ ‭also‬ ‭advise‬ ‭clients,‬ ‭ensuring‬ ‭they‬ ‭have‬ ‭access‬‭to‬‭all‬‭necessary‬ ‭resources‬ ‭to‬ ‭improve‬ ‭their‬ ‭health‬ ‭.‬ ‭The‬ ‭case‬ ‭manager‬‭utilizes‬‭the‬‭critical‬‭pathway‬‭approach‬‭to‬‭provide‬ ‭safe‬ ‭and‬ ‭cost-effective‬ ‭individual‬ ‭care‬ ‭to‬ ‭each‬ ‭client.‬ ‭Critical‬ ‭pathways,‬ ‭also‬ ‭known‬ ‭as‬ ‭clinical‬ ‭pathways‬ ‭or‬ ‭clinical‬ ‭maps,‬ ‭are‬ ‭management‬ ‭plans‬ ‭that‬ ‭display‬ ‭goals‬ ‭for‬ ‭clients‬ ‭and‬ ‭provide‬ ‭the‬ ‭sequence and timing of actions necessary to achieve these goals with optimal efficiency‭.‬‬ ‭LPNs‬ ‭play‬ ‭a‬ ‭significant‬ ‭role‬ ‭in‬‭both‬‭direct‬‭client‬‭care‬‭and‬‭case‬‭management.‬‭In‬‭general,‬‭LPNs‬‭conduct‬ ‭more‬ ‭direct‬ ‭care‬‭than‬‭RNs,‬‭but‬‭within‬‭that‬‭role,‬‭many‬‭are‬‭also‬‭performing‬‭case‬‭management‬‭functions‬ ‭such‬‭as‬‭assessments,‬‭care‬‭planning,‬‭collaboration‬‭with‬‭other‬‭healthcare‬‭team‬‭members,‬‭and‬‭follow-ups.‬ ‭LPNs‬ ‭regularly‬ ‭assist‬‭RN‬‭Case‬‭Managers‬‭with‬‭their‬‭caseloads,‬‭particularly‬‭during‬‭busy‬‭periods.‬‭Work‬‭is‬ ‭often carried out in teams in a collaborative, negotiated environment.‬ ‭Nursing Models‬ ‭Below‬ ‭are‬ ‭the‬ ‭4‬ ‭standard‬ ‭nursing‬ ‭models‬ ‭used‬ ‭in‬ ‭today's‬ ‭healthcare‬ ‭environment.‬ ‭Each‬ ‭model‬ ‭is‬ ‭tailored‬‭to‬‭meet‬‭the‬‭needs‬‭of‬‭the‬‭individual‬‭client‬‭and‬‭the‬‭population‬‭receiving‬‭care.‬‭Nurses‬‭can‬‭take‬‭a‬ ‭holistic‬ ‭approach‬ ‭to‬ ‭providing‬ ‭care‬ ‭through‬ ‭these‬ ‭models‬ ‭while‬ ‭ensuring‬ ‭client‬ ‭safety‬ ‭and‬ ‭cost‬ ‭containment.‬ ‭1.‬ ‭Primary‬‭Nursing‬ ‭:‬‭Primary‬‭Nursing‬‭is‬‭a‬‭relationship-based‬‭practice‬‭where‬‭the‬‭Registered‬‭Nurse‬ ‭(RN)‬ ‭actively‬ ‭provides‬ ‭total‬ ‭client‬ ‭care.‬ ‭This‬ ‭approach‬ ‭is‬ ‭very‬ ‭labor-intensive‬ ‭and‬ ‭requires‬ ‭an‬ ‭appropriate‬ ‭amount‬ ‭of‬ ‭nurses.‬ ‭Organizations‬ ‭that‬ ‭utilize‬ ‭the‬ ‭primary‬ ‭nursing‬ ‭model‬ ‭do‬ ‭not‬ ‭employ LPNs.‬ ‭2.‬ ‭Team‬ ‭Nursing‬ ‭:‬ ‭Team‬ ‭Nursing‬ ‭is‬ ‭a‬ ‭model‬ ‭that‬ ‭consists‬ ‭of‬ ‭a‬ ‭team‬‭leader‬‭providing‬‭some‬‭client‬ ‭care‬ ‭while‬ ‭delegating‬ ‭specific‬ ‭tasks‬ ‭to‬ ‭other‬ ‭nursing‬ ‭members,‬ ‭including‬ ‭unlicensed‬ ‭assistive‬ ‭personnel.‬‭All‬‭Team‬‭members‬‭are‬‭working‬‭with‬‭the‬‭same‬‭plan‬‭of‬‭care‬‭to‬‭achieve‬‭the‬‭same‬‭goals‬ ‭and outcomes.‬ ‭3.‬ ‭Total‬ ‭Care‬ ‭:‬ ‭Total‬ ‭Care‬ ‭is‬ ‭a‬ ‭client-focused‬ ‭or‬ ‭case-method‬ ‭nursing‬ ‭model‬ ‭in‬ ‭which‬ ‭one‬ ‭RN‬ ‭is‬ ‭responsible‬ ‭for‬ ‭all‬ ‭aspects‬ ‭of‬ ‭a‬ ‭client's‬ ‭care.‬ ‭This‬ ‭model‬ ‭does‬ ‭not‬ ‭utilize‬ ‭LPNs‬ ‭or‬ ‭unlicensed‬ ‭assistive personnel in the acute care setting.‬

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