Chapter 17 Pearson Custom For Older Adult Nursing Care By Nancy J.Brown And Linda

Chapter 17 Pearson Custom For Older Adult Nursing Care By Nancy J.Brown And Linda

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

Which of the following statements is true in regard to LPNs (LVNs) in management positions?

1. LPNs/LVNs are not allowed in management positions as mandated by the National Federation of Licensed Practical Nurses (NFLPN).
2. The LPN (LVN) is defined as an “informal leader” by the state’s Nurse Practice Act.
3. LPNs (LVNs) have a limited ability to delegate, depending on the state’s Nurse Practice Act in which they are practicing.
4. LPNs (LVNs) are only allowed in management positions if they have passed a national certification test on management.

Correct Answer: 3

Rationale 1: The NFLPN is a certification organization, not one regulating management positions.

Rationale 2: No Nurse Practice Act defines the LPN’s and LVN’s role as an informal leader.

Rationale 3: Correct. Each state’s Nurse Practice Act defines what the LPN or LPN can do.

Rationale 4: LPNs and LVNs do not have to pass a national certification test on management to hold management positions.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts:

Learning Outcome: Define the role of the LPN or LVN as a nurse manager in long-term care.

 

Question 2

Type: MCSA

The LPN (LVN) in the United States today is most likely going to work with what population and in what setting?

1. Pediatric/Hospitals
2. Adolescents/Clinics
3. Older Adults/Hospitals
4. Older Adults/Long-term care

Correct Answer: 4

Rationale 1: LPN and LVN graduates primarily work in long-term care with stable, chronically ill older adults aged 65 to 85, not with children or those in hospitals.

Rationale 2: LPN and LVN graduates primarily work in long-term care with stable, chronically ill older adults aged 65 to 85, not with adolescents or those in clinics.

Rationale 3: LPN and LVN graduates primarily work with stable, chronically ill older adults aged 65 to 85 in long-term care, not in hospitals.

Rationale 4: Correct. LPN and LVN graduates primarily work in long-term care with stable, chronically ill older adults aged 65 to 85. They most often work in long-term care facilities.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts:

Learning Outcome: Define the role of the LPN or LVN as a nurse manager in long-term care.

 

Question 3

Type: Matching

There are many leadership styles in management. Match the following leadership styles with the correct definition in the right-hand column.

1. Laissez faire
2. Democratic
3. Transformational
4. Autocratic
5. Multicratic

_____	1. Manager makes the decisions; task oriented; manager wants job done his or her way.
_____	2. Leaders do not manage, supervise or direct. Staff is in charge. Used by leaders who want staff to like them.
_____	3. Leaders energetic/enthusiastic; excellent communicators; want to see everyone on the team succeed.
_____	4. Leader includes staff in decision making; Leader makes final decision; Leader knows staff well and teamwork is encouraged.
_____	5. Leader includes staff in decision making; Leader makes final decision; Leader knows staff well and teamwork is encouraged.

 

Correct Answer: A–2, B-4, C-3, D-1, E-5

 

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts:

Learning Outcome: Explain five different leadership styles.

 

Question 4

Type: MCSA

An LPN (LVN) nurse manager of a long-term care facility holds a team meeting with a group of nursing assistants to discuss the problem of clients not receiving fresh water during the day. The manager asks the staff to break up into small groups and brainstorm ideas on how to take care of the client’s hydration needs more efficiently. After receiving the ideas, the group discusses each and the manager decides on the final plan. What leadership style is the manager practicing with this group of nursing assistants?

1. Autocratic
2. Laissez faire
3. Transformational
4. Democratic

Correct Answer: 4

Rationale 1: In the autocratic style, there would not have been input from the staff. This was a democratic style.

Rationale 2: In the laissez faire style, there would not have been any guidance or decision making from the leader. This was a democratic style.

Rationale 3: There is not enough information in the situation to evaluate the leader’s communication style or attitude as transformational. This was a democratic style.

Rationale 4: Correct. The leader in this case included the staff in the decision making, encouraged teamwork by breaking the staff up into groups, yet made the final decision. This is the definition of a democratic leadership style.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts:

Learning Outcome: Explain five different leadership styles.