Question 1

The nurse recognizes that the use of the democratic approach in leadership will:

Accepted Answer

A)  cause team members to feel that their feelings are secondary to the accomplishment of the goal. 
B)  cause mistakes to be discovered and pointed out. 
C)  take more time to accomplish goals. 
D)  use the leader's skills and knowledge. 
A)  cause team members to feel that their feelings are secondary to the accomplishment of the goal. 
B)  cause mistakes to be discovered and pointed out. 
C)  take more time to accomplish goals. 
D)  use the leader's skills and knowledge. C

Question 2

The nurse receiving a telephone order from a primary care provider who is following the Joint Commission International Center for Patient Safety should:

Accepted Answer

A)  enter the order into the CPOE system, enter the order to the medical record, and ask the primary care provider if he/she will confirm the order. 
B)  write the order down from the primary care provider, repeat the order to the primary care provider, and then enter the order to the medical record. 
C)  enter the order into the CPOE system and then read back the order to the primary care provider. 
D)  write the telephone order verbatim as the primary care provider gives it and then read it back to the charge nurse. 
A)  enter the order into the CPOE system, enter the order to the medical record, and ask the primary care provider if he/she will confirm the order. 
B)  write the order down from the primary care provider, repeat the order to the primary care provider, and then enter the order to the medical record. 
C)  enter the order into the CPOE system and then read back the order to the primary care provider. 
D)  write the telephone order verbatim as the primary care provider gives it and then read it back to the charge nurse. C

Question 3

The nurse in a long-term care facility is aware that the accuracy and comprehensiveness of the Minimum Data Set (MDS) facilitate the:

Accepted Answer

A)  patient receiving the appropriate treatments. 
B)  effectiveness of the planning for quality improvement. 
C)  reimbursement to the facility from Medicare and Medicaid payments. 
D)  enhancement of the database for procedures related to risk management. 
A)  patient receiving the appropriate treatments. 
B)  effectiveness of the planning for quality improvement. 
C)  reimbursement to the facility from Medicare and Medicaid payments. 
D)  enhancement of the database for procedures related to risk management. C

Question 4

The best description of an autocratic leader is a leader who:

Accepted Answer

A)  is permissive. 
B)  has confidence in the staff. 
C)  tightly controls team members. 
D)  accepts all responsibility for the team. 
A)  is permissive. 
B)  has confidence in the staff. 
C)  tightly controls team members. 
D)  accepts all responsibility for the team.

Question 5

The nurse is aware that the best way to evaluate an unlicensed assistive personnel's (UAP's) ability to perform a skill or task is to:

Accepted Answer

A)  obtain verbal confirmation from another nurse that the nursing assistant is proficient. 
B)  review documentation that the nursing assistant is competent in skills. 
C)  observe the nursing assistant performing the skill or task. 
D)  demonstrate the skill to the nursing assistant before his demonstration. 
A)  obtain verbal confirmation from another nurse that the nursing assistant is proficient. 
B)  review documentation that the nursing assistant is competent in skills. 
C)  observe the nursing assistant performing the skill or task. 
D)  demonstrate the skill to the nursing assistant before his demonstration.

Question 6

The nurse recognizes that one of the responsibilities of a charge nurse as opposed to the team leader is that the charge nurse is responsible for:

Accepted Answer

A)  evaluating members of the health care team. 
B)  evaluating unlicensed assistive personnel. 
C)  making rounds and assessing all patients on the unit. 
D)  collaborating with primary care providers and other health team members. 
A)  evaluating members of the health care team. 
B)  evaluating unlicensed assistive personnel. 
C)  making rounds and assessing all patients on the unit. 
D)  collaborating with primary care providers and other health team members.

Question 7

The nurse is initially guided in the process of delegation to an unlicensed assistive personnel (UAP) by the:

Accepted Answer

A)  state's nurse practice act. 
B)  competencies of the UAP. 
C)  policies of the facility. 
D)  needs of the patient. 
A)  state's nurse practice act. 
B)  competencies of the UAP. 
C)  policies of the facility. 
D)  needs of the patient.

Question 8

The best communication given by the nurse to the unlicensed assistive personnel (UAP) would be:

Accepted Answer

A)  "Let me know if my patient's temperature is high." 
B)  "Please measure each urine output and report it to me." 
C)  "Tell me if the patient seems more uncomfortable." 
D)  "Notify me when the dressing needs to be changed." 
A)  "Let me know if my patient's temperature is high." 
B)  "Please measure each urine output and report it to me." 
C)  "Tell me if the patient seems more uncomfortable." 
D)  "Notify me when the dressing needs to be changed."

Question 9

Which responsibilities are common to an LPN/LVN team leader in both health care facilities and medical clinics? (Select all that apply.)

Accepted Answer

A)  Organizes staff meetings. 
B)  Assists in writing policies and procedures. 
C)  Assists in resolving staff conflicts. 
D)  Prepares the schedule for patient activities. 
E)  Evaluates unlicensed assistive personnel (UAPs). 
A)  Organizes staff meetings. 
B)  Assists in writing policies and procedures. 
C)  Assists in resolving staff conflicts. 
D)  Prepares the schedule for patient activities. 
E)  Evaluates unlicensed assistive personnel (UAPs).

Question 10

A laissez faire leader would be most likely to:

Accepted Answer

A)  consult staff members. 
B)  tightly control team members. 
C)  allow team members to function independently. 
D)  set goals that are task oriented. 
A)  consult staff members. 
B)  tightly control team members. 
C)  allow team members to function independently. 
D)  set goals that are task oriented.

Question 11

Staff nurses have many responsibilities to their patients throughout their shift. However, the ______ is responsible for the total nursing care of patients during a shift and is also responsible for giving handoff reports to the oncoming shift and evaluating members of the health care team.

Accepted Answer

charge nurse
All nurses need t

Question 12

The nurse is aware that assignment of an unlicensed assistive personnel (UAP) differs from delegation in that in delegation:

Accepted Answer

A)  the nurse has transferred the authority to perform the task. 
B)  the UAPs are covered by their own certification. 
C)  the UAPs are performing activities within the scope of their job description. 
D)  the licensed person must accompany the UAP to supervise the activity. 
A)  the nurse has transferred the authority to perform the task. 
B)  the UAPs are covered by their own certification. 
C)  the UAPs are performing activities within the scope of their job description. 
D)  the licensed person must accompany the UAP to supervise the activity.

Question 13

Characteristics of effective communication would include: (Select all that apply.)

Accepted Answer

A)  using eye contact. 
B)  using concise statements when giving information. 
C)  addressing conflicts before delegation of duties. 
D)  obtaining feedback about directions given. 
E)  assigning responsibility for creation of any conflict. 
A)  using eye contact. 
B)  using concise statements when giving information. 
C)  addressing conflicts before delegation of duties. 
D)  obtaining feedback about directions given. 
E)  assigning responsibility for creation of any conflict.

Question 14

Prior to addressing a situation, the nurse is aware that an effective leader must:

Accepted Answer

A)  define the problem. 
B)  identify persons to address the problem. 
C)  know the legal implications of the problem. 
D)  look to alternatives to address the problem. 
A)  define the problem. 
B)  identify persons to address the problem. 
C)  know the legal implications of the problem. 
D)  look to alternatives to address the problem.

Question 15

A team leader of a busy oncology unit has had three unexpected discharges today and two new admissions. He needs to communicate the changes to his staff and reorganize the plan to facilitate an effective workflow for the rest of the shift. Which team communication strategy would work best in this scenario?

Accepted Answer

A)  Briefing 
B)  Call-Out 
C)  Huddle 
D)  Debrief 
A)  Briefing 
B)  Call-Out 
C)  Huddle 
D)  Debrief

Question 16

Nursing documentation that would best assist with reimbursement to a facility would be:

Accepted Answer

A)  patient was up in chair for 2 hours after breakfast. 
B)  patient was ambulated in the hall three times this shift. 
C)  patient was assisted to a recliner chair to use the oxygen concentrator. 
D)  patient received bath in shower room. 
A)  patient was up in chair for 2 hours after breakfast. 
B)  patient was ambulated in the hall three times this shift. 
C)  patient was assisted to a recliner chair to use the oxygen concentrator. 
D)  patient received bath in shower room.

Question 17

When the team leader becomes concerned about the frequent tardiness of the unlicensed assistive personnel (UAP), the most appropriate documentation would be:

Accepted Answer

A)  has been late to work six times in this pay period (January 2, 4, 6, 8, 10, and 14). States she overslept. Counseled on January 9. Unit management made aware. 
B)  frequently late to work. States she overslept. Co-workers state she is working elsewhere at night. Will follow up. 
C)  tardiness is causing inability to finish assignments without assistance from others. 
D)  oversleeping and active social life have caused tardiness six times in this pay period. 
A)  has been late to work six times in this pay period (January 2, 4, 6, 8, 10, and 14). States she overslept. Counseled on January 9. Unit management made aware. 
B)  frequently late to work. States she overslept. Co-workers state she is working elsewhere at night. Will follow up. 
C)  tardiness is causing inability to finish assignments without assistance from others. 
D)  oversleeping and active social life have caused tardiness six times in this pay period.

Question 18

Important characteristics of delegation to an unlicensed assistive personnel (UAP) include: (Select all that apply.)

Accepted Answer

A)  use of effective communication. 
B)  provision of constructive criticism immediately. 
C)  direction for the desired result and time for completion. 
D)  provision of tactful feedback. 
E)  informing the patient that the delegated task will be performed by a UAP. 
A)  use of effective communication. 
B)  provision of constructive criticism immediately. 
C)  direction for the desired result and time for completion. 
D)  provision of tactful feedback. 
E)  informing the patient that the delegated task will be performed by a UAP.

Question 19

A nurse can best minimize the liability of a lawsuit against the facility by:

Accepted Answer

A)  strictly adhering to the policies and procedures of the facility. 
B)  demonstrating concern and attending to patient complaints. 
C)  advising the supervisor of significant events or problems with patient relations. 
D)  giving a copy of the policy and procedures to each patient. 
A)  strictly adhering to the policies and procedures of the facility. 
B)  demonstrating concern and attending to patient complaints. 
C)  advising the supervisor of significant events or problems with patient relations. 
D)  giving a copy of the policy and procedures to each patient.

Question 20

The team leader who is reviewing the list of the assigned patients would give priority to the patient who:

Accepted Answer

A)  has a scheduled medication due. 
B)  requires dressing changes three times a day. 
C)  is experiencing acute chest pain. 
D)  is confused and disoriented. 
A)  has a scheduled medication due. 
B)  requires dressing changes three times a day. 
C)  is experiencing acute chest pain. 
D)  is confused and disoriented.

Exam 10: Delegation, Leadership, and Management

The nurse recognizes that the use of the democratic approach in leadership will:

The nurse receiving a telephone order from a primary care provider who is following the Joint Commission International Center for Patient Safety should:

The nurse in a long-term care facility is aware that the accuracy and comprehensiveness of the Minimum Data Set (MDS) facilitate the:

The best description of an autocratic leader is a leader who:

The nurse is aware that the best way to evaluate an unlicensed assistive personnel's (UAP's) ability to perform a skill or task is to:

The nurse recognizes that one of the responsibilities of a charge nurse as opposed to the team leader is that the charge nurse is responsible for:

The nurse is initially guided in the process of delegation to an unlicensed assistive personnel (UAP) by the:

The best communication given by the nurse to the unlicensed assistive personnel (UAP) would be:

Which responsibilities are common to an LPN/LVN team leader in both health care facilities and medical clinics? (Select all that apply.)

A laissez faire leader would be most likely to:

Staff nurses have many responsibilities to their patients throughout their shift. However, the ______ is responsible for the total nursing care of patients during a shift and is also responsible for giving handoff reports to the oncoming shift and evaluating members of the health care team.

The nurse is aware that assignment of an unlicensed assistive personnel (UAP) differs from delegation in that in delegation:

Characteristics of effective communication would include: (Select all that apply.)

Prior to addressing a situation, the nurse is aware that an effective leader must:

Nursing documentation that would best assist with reimbursement to a facility would be:

When the team leader becomes concerned about the frequent tardiness of the unlicensed assistive personnel (UAP), the most appropriate documentation would be:

Important characteristics of delegation to an unlicensed assistive personnel (UAP) include: (Select all that apply.)

A nurse can best minimize the liability of a lawsuit against the facility by:

The team leader who is reviewing the list of the assigned patients would give priority to the patient who:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

The Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse Patient Relationship

Patient Education and Health Promotion

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, and End-of-Life Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Safe Lifting, Moving, and Positioning of Patients

Assisting with Hygiene Personal Care Skin Care and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting Transferring and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid-Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Nutritional Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain Comfort and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Older Adult

Common Psychosocial Care Problems of Older Adults

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