Deck 12: Management and Leadership Role of the Licensed Practicalvocational Nurse

Question 1

While handling an acute patient care situation the charge nurse starts giving orders to staff and directs others to pick up supplies. What type of management style is this nurse using?
1) Permissive
2) Democratic
3) Laissez-faire
4) Authoritarian

Answer 1

4

Question 2

The nurse manager has one expert certified nursing assistant (CNA), two advanced beginner CNAs, two proficient CNAs, one competent CNA, and one novice CNA assigned for the day shift. Who should be paired with the novice CNA?
1) Expert CNA
2) Proficient CNA
3) Competent CNA
4) Advanced beginner CNA

Answer 2

1

Question 3

A nursing assistant is having trouble staying awake on the night shift and is found sleeping in the day room. What should the nurse do?
1) Encourage the nursing assistant to work day shifts.
2) Review options and provide the employee with a written warning.
3) Ask the other assistants to cover for the employee who is sleeping.
4) Suggest changing daytime activities so sleep can occur when not working.

Answer 3

2

Question 4

A staff member states the following: "When you take responsibility for my tasks, I feel threatened and unprofessional. We should try to talk about events that occur so that we can resolve them together." What type of communication has occurred?
1) Passive
2) Assertive
3) Nonverbal
4) Aggressive

Question 5

The nurse hears about an afternoon shift nursing assistant using the telephone in one of the resident's rooms to talk to friends and not completing assigned resident care duties. What is the most important action of the nurse before confronting the assistant?
1) Review the facility's guidelines for probation.
2) Visit each of the residents in the assistant's care assignment.
3) Call the nursing supervisor to initiate the termination process.
4) Write a detailed narrative of the nursing assistant's complaints.

Question 6

The family of a nursing home resident is yelling at the nurses' station about the substandard care being provided to the resident. What action should the nurse take first?
1) Listen to the family member.
2) Move the conversation to a private area.
3) Offer the family member a chair to sit down.
4) Tell the family member to wait in the resident's room.

Question 7

The charge nurse intends to use the planning loop for a staff scheduling issue. What information should the nurse collect first?
1) Number of staff available to work
2) Dates for the next charge nurse meetings
3) Number of care plans completed on residents
4) Expected time the pharmacy will deliver medications

Question 8

A reliable CNA who is liked by most staff and some patients is very loud and gregarious while at work, which frequently causes a problem. During the annual evaluation this issue is not addressed. What does this say about the employee's behavior?
1) This is appropriate because the employee is reliable.
2) This is appropriate because the employee cannot change her personality.
3) This should be ignored because for the last 2 weeks it has not been a problem.
4) This is inappropriate because the manager is not helping the employee improve and is being too lenient.

Question 9

A nurse manager follows the multicratic leadership style. Which situation is an inappropriate use of this style?
1) Manager directs staff during an emergency situation
2) Manager encourages staff to self-schedule for shifts
3) Manager insists that a resident get dressed for breakfast
4) Manager asks staff for opinions on implementing a new policy

Question 10

The licensed nurse is considering delegating tasks to assistive personnel. What needs to be done before performing this delegation? Select all that apply.
1) Review position descriptions.
2) Check for appropriate supplies.
3) Study the policy and procedure manual.
4) Ask the medical director for permission.
5) Analyze the times scheduled for staff lunches.

Question 11

The nurse manager is reviewing items to be completed. Which should the manager keep in mind when identifying priorities?
1) Upper management
2) The entire organization
3) The staff, because happy staff give good care
4) The person most likely to sue the organization

Question 12

The charge nurse gathers the nursing staff in the conference room to discuss a patient care situation. A subcommittee of team members is formed to implement specific recommendations. What type of management style is being used by the charge nurse?
1) Permissive
2) Democratic
3) Laissez-faire
4) Authoritarian

Question 13

A nursing assistant with an evaluation due in 2 weeks came in early to help with a staffing crisis and saved a choking family member by performing the Heimlich maneuver. The evaluation is certain to be full of high praise for skills and teamwork. Is this an appropriate evaluation?
1) This is a fair evaluation because of care provided over the last 2 weeks.
2) This is a situation in which a halo effect is influencing the entire evaluation.
3) This is a situation in which a leniency error is influencing the entire evaluation.
4) This is a fair evaluation because of no problems with the employee over the entire year.

Question 14

A resident who has a body mass index of 33 must be transferred to a chair. The charge nurse assigns a novice CNA who is 5 foot 1 inch tall and of slight build. What should be done about this situation?
1) Tell the staff nurse to transfer the resident to the chair.
2) Nothing, because the CNA must learn to manage all types of residents.
3) Remind the charge nurse of the resident's size so the assignment can be changed.
4) Consider terminating the CNA for inability to provide care to all types of residents.

Question 15

The administrator of a skilled nursing facility is implementing a clinical ladder for licensed and certified staff. What should the administrator expect as benefits of this model? Select all that apply.
1) Improved morale
2) Less overtime pay
3) Improved staff health
4) Improved patient care
5) Less employee turnover