Deck 103: Qualifications and Responsibilities in Nursing Leadership and Management

Question 1

The LPN is becoming certified in long-term care (gerontology). Which accurately describes a qualification for this process?

A) The nurse must first achieve a RN degree.
B) The nurse must have practiced in the field for 2 years.
C) The nurse must furnished letters of reference.
D) The nurse must have worked in long-term care within the last 5 years.

Answer 1

The nurse must furnished letters of reference.

Question 2

A new nursing graduate who wants to obtain a certificate as a licensed practical nurse (LPN) is seeking guidance from a senior nurse on the examination to be taken. What examination should the nurse tell the graduate to take?

A) National Council Licensure Examination (NCLEX)
B) The National Federation of Licensed Professional Nurses (NFLPN)
C) National Association for Practical Nurse Education and Services (NAPNES)
D) Examination conducted by Educational Resources, Inc. (ERI)

Answer 2

National Council Licensure Examination (NCLEX)

Question 3

The National Association for Practical Nurse Education and Service (NAPNES) offers certification programs for LPNs. What criteria does NAPNES state as a component of the content of the examination to be certified as a CLTC (certified in long-term care)?

A) General principles of pharmacology
B) Leadership and management
C) Drug therapy and infection
D) Medicare and Prospective Payment Plans

Answer 3

Leadership and management

Question 4

A student is researching the one-plus-one program to an advanced nursing career. Which is a step in this program?

A) Students are eligible to take the NCLEX-PN examination after the first year.
B) Nurses are licensed as LV/LPNs after the second year of education.
C) After 18 months of the program the students are awarded a temporary LV/LPNs.
D) The nurse must move on to the second year of the program without interruption.

Question 5

The student nurse is choosing a career path in nursing that includes advanced degrees. Which accurately describes the type of programs available to nurses?

A) Nursing programs will not enroll students who have a bachelor's degree in a major other than nursing.
B) Accelerated RN courses usually last about 3 years and sometimes can result in a master's degree.
C) An LPN with an associate degree in another field can often obtain a bachelor's degree in nursing in less time than the usual required 4 years.
D) A nurse with an LPN degree can pursue a career in teaching and begin teaching in some programs while working on an advanced degree.

Question 6

Which nurse would most likely need to take a refresher course as a requirement to licensure?

A) A nurse who did not pass the NCLEX examination on the first attempt
B) A nurse who took a year off following graduation
C) A practicing nurse who wants to pursue a position as a nursing educator
D) A nurse whose license is revoked

Question 7

Today, the LV/LPN is expected to assume a leadership role in some healthcare settings. In which settings would the nurse most likely assume this role? Select all that apply.

A) Hospital
B) Long-term care facility
C) Extended-care facility
D) Parish nursing
E) Subacute-care facility
F) Short-term rehabilitation facility

Question 8

Nurses must upgrade all skills when working in a healthcare setting. For which nursing skills is it a priority to be upgraded to meet the increasing client acuity in extended care?

A) Cognitive skills
B) Technical skills
C) Leadership skills
D) Legal/ethical skills

Question 9

A nurse caring for clients in an extended-care facility is considered a leader. Which best describes the function of a leader?

A) Influencing others
B) Controlling others
C) Directing others
D) Organizing workloads

Question 10

Which is the best example of effective management?

A) A nurse uses the skills of value clarification when making choices.
B) A nurse motivates others to guide and work with clients.
C) A nurse inspires other nurses to go into management.
D) A nurse develops strong personal values.

Question 11

A team leader in a healthcare facility is using an autocratic leadership style. What should the team leader do when dealing with a life-threatening emergency situation?

A) Refer to a procedural manual on actions to be taken.
B) Discuss with staff steps to follow to save the client.
C) Instruct the staff members on duties they need to do.
D) Encourage the staff members to set individual goals.

Question 12

A nurse manager allows the nurses on staff to choose their own clients and work out schedules together. Which styles of leadership is this nurse displaying?

A) Autocratic
B) Bureaucratic
C) Democratic
D) Laissez-faire

Question 13

Which type of leaders would most likely base decisions on policy and protocols?

A) Autocratic
B) Bureaucratic
C) Democratic
D) Laissez-faire

Question 14

A nurse is promoted to the position of manager in a healthcare facility. What is a role
Specific to the manager?

A) Act as decision maker in case of confusion.
B) Use role models to influence staff members.
C) Plan and organize work for staff members.
D) Coordinate the activities of all staff members.

Question 15

A nurse is functioning as a manager in a healthcare facility. What should the nurse do when coordinating the staff activities in order to be an efficient manager?

A) Motivate staff to give quality nursing care.
B) Develop plans for staff members.
C) Develop plans for emergencies.
D) Review staff performance regularly.

Question 16

A nurse is working as a charge nurse in a healthcare facility. What is the daily duty of the charge nurse?

A) Assign clients to the appointed staff member.
B) Teach staff nurses to determine client acuity.
C) Educate staff nurses on counting narcotics.
D) Assist a nurse in performing quality checks for equipment.

Question 17

A nurse is doing telephone triage in a healthcare facility. What is a duty of this nurse?

A) Make appointments with physicians for elderly clients who call.
B) Provide suggestions to clients who require assistance in a procedure.
C) Sort calls and decide which is to be referred to emergency services.
D) Set up individual protocols to follow when assessing a call during triage.

Question 18

Many healthcare professionals work in teams when providing care for clients. Which healthcare professional is ultimately responsible for the total nursing care of clients while on duty?

A) Physician
B) Hospital administrator
C) Charge nurse
D) Licensed practical nurse

Question 19

A charge nurse (nurse manager for the unit) is working in a skilled nursing facility (SNF). What is a duty of the charge nurse?

A) Assist manager in establishing training protocols for staff nurses.
B) Have 24-hour responsibility for the working of the unit.
C) Consult the physician before taking necessary actions during emergencies.
D) Teach staff members how to check the crash carts.

Question 20

An LPN wishes to take up the position of team leader and asks for suggestions from an experienced nurse. What role should the experienced nurse suggest the LPN to perform?

A) Take charge as a nurse providing IV therapy.
B) Supervise unlicensed assistive personnel (UAP).
C) Work as a nurse providing specialty care to pediatrics.
D) Assign clients to individual teams of a nursing home.

Question 21

A charge nurse in an extended-care facility (ECF) is to evaluate a staff member while on shift. What aspect of the evaluation is most important for improving performance in the future?

A) Inform the staff member of the evaluation process.
B) Observe the staff member providing care for a particular client.
C) Note the positive aspects of the staff member's work.
D) Hold debriefing sessions with the member after observations.

Question 22

The nurse is preparing to conduct performance reviews of staff members. Which action is included in the protocol for this activity?

A) Observing the staff person providing a variety of interventions for one client.
B) Writing down a few notes after all the observations are made.
C) Creating a summary evaluation of the employee after the specified interval.
D) Scheduling time to meet with the staff person to discuss the results of the review.

Question 23

An employee is showing deficiencies in the technical skills involved in everyday nursing care. Which is the first action the nurse manage should implement?

A) Oral reprimand
B) Written reprimand
C) Plan of assistance
D) Performance review

Question 24

The nurse is preparing a plan of assistance for a staff member who, after an oral and written reprimand, is still displaying serious deficiencies in client care. Which element is included in the plan? Select all that apply

A) Statement describing deficiencies
B) Timeline for the improvement to be apparent
C) Employee actions required to correct the deficiencies
D) Formal date for termination if improvements are not apparent
E) Description of potential consequences resulting from the deficiencies

Question 25

The charge nurse completes a plan of assistance for a staff member and asks that the document be signed. By signing the document, what does the employee's signature imply?

A) Approves the terms of the plan.
B) Agrees that the plan is justified.
C) Agrees to comply with the terms of the plan.
D) Acknowledges receiving the information included in the plan.

Question 26

The charge nurse observes a life-threatening deficiency on the part of a licensed practical nurse (LPN) working on the unit. What should be the initial action of the charge nurse in response to this situation?

A) Preparing a plan of assistance for the employee.
B) Informing the director of nursing immediately.
C) Enrolling the employee in retraining classes.
D) Terminating the employee immediately.

Question 27

What is the final step of the decision-making process associated with providing nursing care for a client experiencing cardiac arrest?

A) Debrief the staff.
B) Call a code blue.
C) Assess the client.
D) Evaluate the situation as it evolves.