Chapter 04: The Leadership Role of the Licensed Practical Nurse

Chapter 04: The Leadership Role of the Licensed Practical Nurse

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A licensed practical/vocational nurse (LPN/LVN), 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 a clear explanation or demonstration or both. In what role is this nurse acting?

a.	Self-appointed teacher
b.	Management-assigned instructor
c.	Informal leader
d.	Designated supervisor

 

 

ANS:  C

Informal leaders are not appointed but are recognized by their peers as knowledgeable and skillful.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 45               OBJ:   2

TOP:   Informal Leadership                        KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

 

2. A case conference is called to plan for a patient who has caused stress in the staff with constant calls and trivial requests. The nurse leader expresses personal views when leading the discussion about approaches to the problem and then makes the decision for care based on the discussion. What type of leadership style does this exemplify?

a.	Autocratic
b.	Democratic
c.	Laissez-faire
d.	Participative

 

 

ANS:  D

Participative leadership encourages group involvement and suggestion, but the decision is made by the leader.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 46-47         OBJ:   2

TOP:   Leadership Styles                            KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

 

3. From what source does an LPN/LVN receive authority to delegate care to unlicensed personnel?

a.	Physician or registered nurse (RN) who hired them
b.	National Nurse Practice Act
c.	1994 Entry Level Competencies Report
d.	Nurse practice act of the individual state

 

 

ANS:  D

Delegation of responsibilities must be in accordance with the state’s nurse practice act.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 52-53         OBJ:   7

TOP:   Delegation by LPN/LVN                 KEY:  Nursing Process Step: N/A

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

 

4. When staff members complain 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 assistance and input from the entire staff. Which leadership theory does this exemplify?

a.	X
b.	Y
c.	Z
d.	T

 

 

ANS:  C

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.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 48               OBJ:   2

TOP:   Leadership Styles                            KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

 

5. An LPN/LVN in charge of two units on the evening shift notices that two of the nursing assistants (NAs) are constantly bickering. This appears to be interfering with patient care time. Both units are extremely busy with care needs. Which solution best reflects the process of accommodation?

a.	Their issues are trivial and do not affect patient care actions. No time is presently available for extended discussions. Send one of the NAs to another area and allow time for both to defuse. Good patient care in an expedient manner is the priority at this time.
b.	Call the supervisor to send the arguing dissenters home.
c.	Call the dissenters into the office. Listen to their concerns and make a decision about the resolution of their trivial matters.
d.	Allow the NAs to leave the building and settle their differences before they come back. Make no notation of their absence on their timesheets or in the report.

 

 

ANS:  A

Patient care is the main priority. The leader cannot lose two caregivers but may separate them so they can provide needed patient care, accommodating both NAs by separating them.

 

DIF:    Cognitive Level: Application           REF:   p. 51               OBJ:   4

TOP:   Conflict Resolution Styles               KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment: Coordinated Care