The licensed practical nurse (LPN) with 20 years of experience approaches the new graduate registered nurse (RN) during orientation. The LPN states, "The only difference between you and me is the size of our paychecks." What would be the best response for the new graduate RN to make initially?

Question

Quizplus · Accepted Answer

Team building involves recognizing that everyone has personal strengths and specific skill sets that together can be used to provide quality client care. The new graduate should recognize the contributions of the LPN and give respect to the LPN rather than initially be confrontational. Emphasizing common goals, such as safe, quality client care, is usually more effective than debating personnel qualifications. (Option A) The LPN knows that the RN is the manager. This response might have been appropriate if the LPN had refused a direct delegation or showed some other disregard of the RN's team management. The RN should focus on the value the RN has for the LPN. (Option B) The LPN knows that the RN has more education. The real need is not to clarify educational preparation. The RN must focus on the common good rather than argue. The LPN could be making this statement due to feeling threatened, disrespected, or underappreciated. Demonstrating respect and willingness to use the LPN's strengths is more effective in team building. (Option C) The LPN knows that they have different scopes of practice. This response might have been appropriate if the RN had found the LPN doing something outside of the LPN's legal scope of practice. The RN needs to focus on the common good rather than reemphasize the obvious. Educational objective: When initially confronted by other team members about qualifications or experience, the RN should emphasize the common goal of working toward safe, quality client care.

The Licensed Practical Nurse (LPN) with 20 Years of Experience