Chapter 17: Collaboration: Leading and Managing Knecht: Success in Practical/Vocational Nursing, 8th Edition

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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. DIF: Cognitive Level: Comprehension REF: p. 234 OBJ: 1 | 2 TOP: Organizational charts KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 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. DIF: Cognitive Level: Application REF: p. 237 OBJ: 4 TOP: Autocratic leadership style KEY: Nursing Process Step: N/A MSC: NCLEX: N/A4. 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. DIF: Cognitive Level: Application REF: p. 237 OBJ: 4 TOP: Democratic leadership style KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 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 [Show More]

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