California Nursing Home Administrator License Practice Exam

Which of the following tasks can nurses do in an assisted living facility?

1. Apply topical creams and change bandages

2. Direct unlicensed staff on giving PRN medications

3. Take telephone orders

4. Decide on reporting unusual reactions to medications

The correct answer is: Take telephone orders

In an assisted living facility, nurses have a defined scope of practice that includes critical responsibilities such as taking telephone orders from physicians. This is an essential function as it allows for timely medical decisions and interventions to be made, which is particularly important in facilities where residents may require prompt adjustments to their care plans. Taking telephone orders involves significant training and licensure, ensuring that the nurse possesses the necessary clinical knowledge to interpret and implement the orders accurately. In contrast, the other tasks mentioned typically fall outside the specific capabilities or legal scope of practice for nurses in assisted living settings. For example, applying topical creams and changing bandages may be within a nurse's scope, but in many assisted living facilities, these tasks can also be performed by trained unlicensed staff under the direction of nurses. Similarly, directing unlicensed staff on administering PRN (as needed) medications is often restricted due to the complexities involved in medication management, which requires a licensed professional to oversee administration. Lastly, decisions regarding reporting unusual reactions to medications may involve clinical judgment that requires thorough assessment and could necessitate further authorization or collaboration with physicians. Thus, taking telephone orders aligns clearly with the core responsibilities of nursing practice in ensuring effective communication and continuity of care within the healthcare team.