Nursing Jurisprudence and Ethics for Texas Nurses Practice Exam

While a LVN has a "directed" scope of practice, this is NOT true for a RN. This means that the RN

1. has full accountability for the LVN

2. is able to engage in making medical diagnoses if signed off by a physician and performed under the physician's delegation

3. is permitted to practice nursing independently within the RN's scope of practice

4. must be present in all settings to supervise the LVN's care

The correct answer is: has full accountability for the LVN

The correct answer reflects the understanding that registered nurses (RNs) can practice independently within their own established scope of practice. This autonomy allows RNs to make judgments and provide care without needing direct supervision or delegation from another healthcare provider, unlike licensed vocational nurses (LVNs), who have a more directed scope of practice and often work under the supervision of RNs or physicians. RNs are educated to handle a wider range of complex clinical situations, and their accountability extends to the complete scope of their practice rather than overseeing LVNs directly at all times. They provide comprehensive care, which can include developing care plans, performing assessments, and nursing diagnoses based on their education and the regulations governing nursing practice in Texas. Understanding the differences in scope is crucial. While LVNs operate under a more directed and delegated framework, RNs have the authority to practice independently, which enhances their capacity to respond to patient needs with greater flexibility and expertise. This is integral to the role RNs play within healthcare teams.