Chapter 36 Leadership and Professional Development

Chapter 36 Leadership and Professional Development

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)Because of high vacancies in licensed staff positions, a long-term healthcare facility has decided totemporarily shift from a team approach to a more functional approach to provide nursing care.The LPN/LVN expects that this change will result in him or her having: (Select all that apply.)1)A)Less time available to interact with residents.B)An increased scope of practice.C)Decreased responsibility for care that involves the residents’ activities of daily living.D)Increased leadership responsibilities.E)To administer medications to a larger number or residents.F)More responsibility for resident assessment.Answer:D, EExplanation:A)The functional approach to nursing care focuses on tasks rather than on oneperson being responsible for the total care of a resident. Traditionally, infunctional nursing, the licensed nurse is responsible for medication administrationand treatments for a larger group of clients. The LPN/LVN will not have moreresponsibility for assessment because the licensed nurse is always responsible forassessment. It is likely the nurse will have a larger number of residents to assess.The same is true for nursing care that involves activities of daily living. Thiscontinues to be part of the licensed nurse’s expected activities. The licensednurse’s scope of practice does not change with a change in nursing care delivery.It is incorrect to assume that because the licensed nurse will be responsible forcertain tasks for a larger number of clients, this will result in reduced availabletime for nurse-resident interaction.AssessmentSafe, Effective Care Environment-Coordinated CareApplicationB)The functional approach to nursing care focuses on tasks rather than on oneperson being responsible for the total care of a resident. Traditionally, infunctional nursing, the licensed nurse is responsible for medication administrationand treatments for a larger group of clients. The LPN/LVN will not have moreresponsibility for assessment because the licensed nurse is always responsible forassessment. It is likely the nurse will have a larger number of residents to assess.The same is true for nursing care that involves activities of daily living. Thiscontinues to be part of the licensed nurse’s expected activities. The licensednurse’s scope of practice does not change with a change in nursing care delivery.It is incorrect to assume that because the licensed nurse will be responsible forcertain tasks for a larger number of clients, this will result in reduced availabletime for nurse-resident interaction.AssessmentSafe, Effective Care Environment-Coordinated CareApplication1
C)The functional approach to nursing care focuses on tasks rather than on oneperson being responsible for the total care of a resident. Traditionally, infunctional nursing, the licensed nurse is responsible for medication administrationand treatments for a larger group of clients. The LPN/LVN will not have moreresponsibility for assessment because the licensed nurse is always responsible forassessment. It is likely the nurse will have a larger number of residents to assess.The same is true for nursing care that involves activities of daily living. Thiscontinues to be part of the licensed nurse’s expected activities. The licensednurse’s scope of practice does not change with a change in nursing care delivery.It is incorrect to assume that because the licensed nurse will be responsible forcertain tasks for a larger number of clients, this will result in reduced availabletime for nurse-resident interaction.AssessmentSafe, Effective Care Environment-Coordinated CareApplicationD)The functional approach to nursing care focuses on tasks rather than on oneperson being responsible for the total care of a resident. Traditionally, infunctional nursing, the licensed nurse is responsible for medication administrationand treatments for a larger group of clients. The LPN/LVN will not have moreresponsibility for assessment because the licensed nurse is always responsible forassessment. It is likely the nurse will have a larger number of residents to assess.The same is true for nursing care that involves activities of daily living. Thiscontinues to be part of the licensed nurse’s expected activities. The licensednurse’s scope of practice does not change with a change in nursing care delivery.It is incorrect to assume that because the licensed nurse will be responsible forcertain tasks for a larger number of clients, this will result in reduced availabletime for nurse-resident interaction.AssessmentSafe, Effective Care Environment-Coordinated CareApplicationE)The functional approach to nursing care focuses on tasks rather than on oneperson being responsible for the total care of a resident. Traditionally, infunctional nursing, the licensed nurse is responsible for medication administrationand treatments for a larger group of clients. The LPN/LVN will not have moreresponsibility for assessment because the licensed nurse is always responsible forassessment. It is likely the nurse will have a larger number of residents to assess.The same is true for nursing care that involves activities of daily living. Thiscontinues to be part of the licensed nurse’s expected activities. The licensednurse’s scope of practice does not change with a change in nursing care delivery.It is incorrect to assume that because the licensed nurse will be responsible forcertain tasks for a larger number of clients, this will result in reduced availabletime for nurse-resident interaction.AssessmentSafe, Effective Care Environment-Coordinated CareApplication2
F)The functional approach to nursing care focuses on tasks rather than on oneperson being responsible for the total care of a resident. Traditionally, infunctional nursing, the licensed nurse is responsible for medication administrationand treatments for a larger group of clients. The LPN/LVN will not have moreresponsibility for assessment because the licensed nurse is always responsible forassessment. It is likely the nurse will have a larger number of residents to assess.The same is true for nursing care that involves activities of daily living. Thiscontinues to be part of the licensed nurse’s expected activities. The licensednurse’s scope of practice does not change with a change in nursing care delivery.It is incorrect to assume that because the licensed nurse will be responsible forcertain tasks for a larger number of clients, this will result in reduced availabletime for nurse-resident interaction.AssessmentSafe, Effective Care Environment-Coordinated CareApplication2)An LPN/LVN is in charge of a unit during the evening shift in a rehabilitation facility and isworking with two certified nursing assistants. One of the nursing assistants is scheduled to go ondinner break in 15 minutes and two of the clients assigned to this staff person will need to be fed.The meal trays are just arriving. What is the most appropriate action by the nurse at this time?2)A)Ask the CNA who is on the unit to feed both clients.B)Arrange to feed one of the clients and have the other CNA feed the second client.C)Delay serving the meal trays to the two clients until the CNA returns from dinner break.D)Ask the CNA to delay the dinner break and feed the two clients.Answer:DExplanation:A)Feeding the clients is a priority and will need to be addressed, not delayed.Initially, the best suggestion to resolve the issue is to reschedule the nursingassistant’s dinner break. Taking on the additional nursing care of another staffperson, or adding to another staff person’s assignment, is not the best use of timeand resources.ImplementationSafe, Effective Care Environment-Coordinated CareAnalysisB)Feeding the clients is a priority and will need to be addressed, not delayed.Initially, the best suggestion to resolve the issue is to reschedule the nursingassistant’s dinner break. Taking on the additional nursing care of another staffperson, or adding to another staff person’s assignment, is not the best use of timeand resources.ImplementationSafe, Effective Care Environment-Coordinated CareAnalysisC)Feeding the clients is a priority and will need to be addressed, not delayed.Initially, the best suggestion to resolve the issue is to reschedule the nursingassistant’s dinner break. Taking on the additional nursing care of another staffperson, or adding to another staff person’s assignment, is not the best use of timeand resources.ImplementationSafe, Effective Care Environment-Coordinated CareAnalysis3
D)Feeding the clients is a priority and will need to be addressed, not delayed.Initially, the best suggestion to resolve the issue is to reschedule the nursingassistant’s dinner break. Taking on the additional nursing care of another staffperson, or adding to another staff person’s assignment, is not the best use of timeand resources.ImplementationSafe, Effective Care Environment-Coordinated CareAnalysis3)An LPN/LVN is working charge for the evening shift on one unit of a skilled nursing facility. Thenurse and two certified nursing assistants (CNAs) are responsible for the care of 15 clients. TheCNAs already have their assignments. After receiving the shift report, the nurse should first planto:3)A)Visit, introduce him or herself, and briefly assess each of the 15 clients.B)Review and begin preparing the medications that will need to be given within the next hour.C)Check to see if any of the certified nursing assistants need help with their assignmentsD)Call the nursing supervisor to arrange for a registered nurse to give the intravenousmedications ordered for two of the clients.Answer:AExplanation:A)A shift-to-shift report does not provide sufficient information for the nurse toproceed in planning care, evaluating appropriateness of assignments, orperforming tasks. All nurses should initially visit each assigned client. In a shortvisit to each client, the nurse can briefly assess the environment and the client forsafety and get a sense of the client’s current status in relation to the shift report. Itis important for the nurse to arrange for the administration of the intravenousmedications early in the shift as this requires someone coming to the unit for thisprocedure. It does not have to be the nurse’s first action. Being in charge of 2unlicensed personnel does increase the number of tasks the nurse must do early ina shift. Checking with each CNA is not the best first action of those suggested.Focus on the client, not on the medications that will be administered.PlanningSafe, Effective Care Environment-Coordinated CareAnalysisB)A shift-to-shift report does not provide sufficient information for the nurse toproceed in planning care, evaluating appropriateness of assignments, orperforming tasks. All nurses should initially visit each assigned client. In a shortvisit to each client, the nurse can briefly assess the environment and the client forsafety and get a sense of the client’s current status in relation to the shift report. Itis important for the nurse to arrange for the administration of the intravenousmedications early in the shift as this requires someone coming to the unit for thisprocedure. It does not have to be the nurse’s first action. Being in charge of 2unlicensed personnel does increase the number of tasks the nurse must do early ina shift. Checking with each CNA is not the best first action of those suggested.Focus on the client, not on the medications that will be administered.PlanningSafe, Effective Care Environment-Coordinated CareAnalysis4
C)A shift-to-shift report does not provide sufficient information for the nurse toproceed in planning care, evaluating appropriateness of assignments, orperforming tasks. All nurses should initially visit each assigned client. In a shortvisit to each client, the nurse can briefly assess the environment and the client forsafety and get a sense of the client’s current status in relation to the shift report. Itis important for the nurse to arrange for the administration of the intravenousmedications early in the shift as this requires someone coming to the unit for thisprocedure. It does not have to be the nurse’s first action. Being in charge of 2unlicensed personnel does increase the number of tasks the nurse must do early ina shift. Checking with each CNA is not the best first action of those suggested.Focus on the client, not on the medications that will be administered.PlanningSafe, Effective Care Environment-Coordinated CareAnalysisD)A shift-to-shift report does not provide sufficient information for the nurse toproceed in planning care, evaluating appropriateness of assignments, orperforming tasks. All nurses should initially visit each assigned client. In a shortvisit to each client, the nurse can briefly assess the environment and the client forsafety and get a sense of the client’s current status in relation to the shift report. Itis important for the nurse to arrange for the administration of the intravenousmedications early in the shift as this requires someone coming to the unit for thisprocedure. It does not have to be the nurse’s first action. Being in charge of 2unlicensed personnel does increase the number of tasks the nurse must do early ina shift. Checking with each CNA is not the best first action of those suggested.Focus on the client, not on the medications that will be administered.PlanningSafe, Effective Care Environment-Coordinated CareAnalysis