chapter 4 - Chapter 4: The Leadership Role of the Licensed...

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Chapter 4: The Leadership Role of the Licensed Practical Nurse MULTIPLE CHOICE 1. The LPN, as a regular staff member, knows all the patients and anticipates many of their needs. Other staff members are comfortable asking for advice. The advice is given freely with clear explanation and/or demonstration. This nurse can be said to be acting in the role of: 1. self-appointed teacher. 2. management-assigned instructor. 3. informal leadership. 4. designated supervisor. ANS: 3 Informal leaders are not appointed but are recognized by their peers as knowledgeable and skillful. PTS: 1 DIF: Cognitive Level: Application REF: 37 OBJ: 1 TOP: Informal Leadership KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment 2. A case conference is called to plan for a patient who has caused stress in the staff with con- stant calls and trivial requests. The nurse leader expresses personal views, leads the discus- sion about approaches to the problem, and then makes the decision for care based on the dis- cussion. This is an example of: 1. autocratic leadership. 2. democratic leadership. 3. laissez-faire leadership. 4. participative leadership. ANS: 4 Participative leadership encourages group involvement and suggestion, but the decision is made by the leader. PTS: 1 DIF: Cognitive Level: Application REF: 38 OBJ: 2 TOP: Leadership Styles KEY: Nursing Process Step: Planning MSC: NCLEX: Safe, Effective Care Environment 3. To meet patient care needs, the LPN receives authority to delegate care to unlicensed per- sonnel from: 1. the MD or RN who hired them. 2. the National Nurse Practice Act. 3. the 1994 Entry Level Competencies Report. 4. the Nurse Practice Act of the individual state. ANS: 4 Delegation of responsibilities must be in accordance with the state’s Nurse Practice Act.
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PTS: 1 DIF: Cognitive Level: Knowledge REF: 44 OBJ: 6 TOP: Delegation by LPN KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment 4. When the staff complains about being pulled to other areas to work without prior notice, the leader agrees with their request to develop a more effective system and does so with assist- ance and input from the entire staff. This is an example of leadership theory: 1. X. 2. Y. 3. Z. 4. Not representative of any theory. ANS: 3 Theory Z involves all workers in every phase of the operation. Theory X assumes that all workers desire direction. Theory Y assumes that all work gives satisfaction. PTS: 1 DIF: Cognitive Level: Comprehension REF: 40 OBJ: 3 TOP: Leadership Styles KEY: Nursing Process Step: Planning MSC: NCLEX: Safe, Effective Care Environment 5. The LPN in charge of two wards on the evening shift notices that two of the nursing assist- ants (NAs) are constantly bickering. This appears to be interfering with patient care time. Both units are extremely busy with care needs. The solution that reflects the process of ac-
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This note was uploaded on 10/14/2010 for the course HNSC HNSC 6.1 taught by Professor Katz during the Spring '10 term at CUNY Brooklyn.

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chapter 4 - Chapter 4: The Leadership Role of the Licensed...

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