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PNR 140 Chapter 17: Collaboration: Leading and Managing TEST BANK FOR SUCCESS IN PRACTICAL VOCATIONAL NURSING 9TH EDITION BY KNECHT LATEST UPDATE£2.59
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PNR 140
TEST BANK FOR SUCCESS IN PRACTICAL
VOCATIONAL NURSING 9TH EDITION BY KNECHT
LATEST UPDATE
Chapter 17: Collaboration:
Leading and Managing
MULTIPLE CHOICE
1. To discover the expanded role of the practical nurse, the LPN/LVN should investigate
a. the state’s Nurse Practice Act.
b. job descriptions for the practical nurse in local health care agencies.
c. information gained from practical nurses working in various clinical settings.
d. the opinions of physicians who service area nursing homes and extended care facilities.
ANS: A
The Nurse Practice Act of the state determines the parameters of LPN/LVN practice. The other
options may be less detailed than the Nurse Practice Act, so they are not the best resources.
DIF: Cognitive Level: Comprehension REF: p. 235 OBJ: 2
TOP: LPN/LVN expanded role KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment
2. The LPN/LVN day shift charge nurse in a nursing home usually reports to the
a. owner of the nursing home.
b. administrator of the nursing home.
c. RN manager of the unit.
d. board of directors of the nursing home.
ANS: C
Most organizational charts call for the LPN/LVN charge nurse to report to the RN manager of the
unit. The other options are not logical.
3. The LPN/LVN nursing home charge nurse usually tells nursing assistants what to do and offers little
opportunity for input or suggestions for how to improve care. This leadership style is called
a. autocratic.
b. democratic.
c. situational.
, d. laissez-faire.
ANS: A
The charge nurse is task oriented and seeks no input from staff. This is consistent with autocratic
leadership. The other options are not possibilities based on the description given in the scenario.
4. The LPN/LVN nursing home charge nurse encourages nursing assistants to make suggestions regarding
improvement of nursing care and shows concern for the staff. This leadership style is called
a. laissez-faire.
b. democratic.
c. autocratic.
d. situational.
ANS: B
Democratic leadership style is demonstrated when the nurse is concerned about the work to be done
and is also concerned about the team performing the work. The team is encouraged to participate in
decision making about resident care. The other options are not possibilities based on the scenario
description.
5. A nursing assistant states, “I have never learned how to transfer a resident with end-stage Parkinson’s
disease from the bed to the chair.” The nursing assistant refuses to transfer the resident at this time.
Select the appropriate approach for the LPN/LVN charge nurse to take.
a. Reprimand the nursing assistant for not performing the job.
b. Encourage the nursing assistant to carry through with the transfer.
c. Arrange to teach the nursing assistant how to transfer the resident.
d. Mention that nursing assistants can be charged with insubordination if they do not perform their
jobs.
ANS: C
The nursing assistant should not perform tasks for which he or she has not been trained. The nurse
should arrange to teach the nursing assistant so that he or she can safely perform the duty.
Reprimanding the nursing assistant for not performing the job is unnecessary.
Encouraging the nursing assistant to carry through with the transfer is unwise and unsafe.
Mentioning that nursing assistants can be charged with insubordination if they do not perform their
jobs is threatening.
DIF: Cognitive Level: Application REF: p. 240 OBJ: 7
TOP: Problem-solving KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
6. A nursing assistant (NA) did an exceptionally good job by encouraging a resident to leave his room and
, go to an activity. Select the response by the LPN/LVN charge nurse that would best encourage the
employee to continue this effort.
a. Write a note for the NA’s file explaining that she did not leave the resident in his room.
b. Tell the NA she is a great nursing assistant and that the charge nurse wished all assistants were
like her.
c. Report the NA’s good efforts to the nursing home’s administrator and board of directors.
d. Tell the NA that the charge nurse knows how hard she worked to get the resident out of his room
and how pleased the nurse is that the NA is concerned with the resident’s need for socialization.
ANS: D
Providing positive reinforcement for the specific behaviors used makes it more likely that the NA
will use these strategies in the future. The LPN/LVN’s communication is straightforward and
assertive. Writing a note for the NA’s file explaining that she did not leave the resident in his room
would not be effective as a motivator. Telling the NA she is a great nursing assistant and the charge
nurse wished all assistants were like her is not specific enough. Reporting the NA’s good efforts to
the nursing home administrator and board of directors is not necessary at this point.
DIF: Cognitive Level: Application REF: p. 240 OBJ: 7
TOP: Communication KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment
7. LPN/LVNs functioning in an expanded role are most often employed in
a. critical care units.
b. pediatric clinics.
c. home health care.
d. long-term care.
ANS: D
Long-term care lends itself to the use of LPN/LVNs functioning in the expanded role. The other
practice environments involve patients who are less stable and therefore require greater direct
supervision by the RN.
DIF: Cognitive Level: Comprehension REF: p. 235 OBJ: 1 | 2
TOP: Expanded role of the LPN/LVN KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment
8. Which understanding about leadership would help the LPN/LVN become a more skillful leader?
a. Leaders in nursing are appointed by management to accomplish organizational goals.
b. Leaders rarely take risks and virtually never make mistakes.
c. Leaders have little confidence in themselves until they develop a power base.
d. Leaders see change as challenging and providing opportunities for improving quality of care.
ANS: D
The only accurate statement is that leaders see change as challenging and providing opportunities for
improving quality of care.
DIF: Cognitive Level: Comprehension REF: p. 236 OBJ: 3 | 6
TOP: Leadership KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment
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