Leadership and Management Exam|
Ati Leadership and Management
Proctored Exam Questions and Correct
Answers 2023-2024 with Rationales
How can the LPN/LVN charge nurse meet needs for affiliation among staff on their
shift?
a.
Reorient all staff to policies and shift routine.
b.
Encourage attendance at continuing education seminars.
c.
Arrange a social gathering for the staff on the shift.
d.
Offer training in violence prevention. - ANSWERS-.ANS: C
Affiliation needs are met by providing for good interpersonal relationships among staff.
Planning a social gathering is a way of meeting affiliation needs. Reorienting all staff to
policies and shift routine is probably unnecessary and would not address affiliation
needs. Encouraging attendance at continuing education seminars addresses level 4
needs for recognition, growth, and responsibility. Offering training in violence prevention
addresses level 2 safety needs.
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.
- ANSWERS-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
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. - ANSWERS-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
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. - ANSWERS-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
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. - ANSWERS-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.
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. - ANSWERS-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
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. - ANSWERS-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.
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. - ANSWERS-ANS: D
The only accurate statement is that leaders see change as challenging and providing
opportunities for improving quality of care.
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. - ANSWERS-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
Which quality is rarely found in democratic leaders?
a.
Assertiveness
b.
Arrogance
c.
Desire for new learning
d.
Effective communication - ANSWERS-ANS: B
Arrogance is an undesirable quality. The other options are desirable qualities consistent
with the democratic leadership style.
For an LPN/LVN to motivate staff members to meet the goals of the organization, it is
helpful if the nurse
a.
practices intimidation.
b.
understands work motivators.
c.
offers laissez-faire leadership.
d.
emphasizes policies rather than people. - ANSWERS-ANS: B
By understanding what motivates an employee, the nurse is better able to select
appropriate motivational strategies. Intimidation is not an effective motivator. Laissez-
faire leadership does not focus on motivating staff. People-oriented leaders are better at
motivating workers
The LPN/LVN spends time exploring the agency mission statement with the nursing
assistants who work that shift. They create a list of ways they can contribute to
achieving the agency goals. This process is called
a.
stress management.
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