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Collaboration: Leading And Managing

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Question 1
Free
Multiple Choice

To discover the expanded role of the practical nurse, the LPN/LVN should investigate

Choose correct answer/s
A

the state's Nurse Practice Act.

B

job descriptions for the practical nurse in local health care agencies.

C

information gained from practical nurses working in various clinical settings.

D

the opinions of physicians who service area nursing homes and extended care facilities.

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Question 2
Free
Multiple Choice

The LPN/LVN day shift charge nurse in a nursing home usually reports to the

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A

owner of the nursing home.

B

administrator of the nursing home.

C

RN manager of the unit.

D

board of directors of the nursing home.

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Question 3
Free
Multiple Choice

The LPN/LVN nursing home charge nurse usually tells nursing assistants what to do and offers little opportunity for input or suggestions for how to improve care. This leadership style is called

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A

autocratic.

B

democratic.

C

situational.

D

laissez-faire.

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Question 4
Free
Multiple Choice

The LPN/LVN nursing home charge nurse encourages nursing assistants to make suggestions regarding improvement of nursing care and shows concern for the staff. This leadership style is called

Choose correct answer/s
A

laissez-faire.

B

democratic.

C

autocratic.

D

situational.

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Question 5
Free
Multiple Choice

A nursing assistant states, "I have never learned how to transfer a resident with end-stage Parkinson's disease from the bed to the chair." The nursing assistant refuses to transfer the resident at this time. Select the appropriate approach for the LPN/LVN charge nurse to take.

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A

Reprimand the nursing assistant for not performing the job.

B

Encourage the nursing assistant to carry through with the transfer.

C

Arrange to teach the nursing assistant how to transfer the resident.

D

Mention that nursing assistants can be charged with insubordination if they do not perform their jobs.

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Question 6
Multiple Choice

A nursing assistant (NA) did an exceptionally good job by encouraging a resident to leave his room and go to an activity. Select the response by the LPN/LVN charge nurse that would best encourage the employee to continue this effort.

Choose correct answer/s
A
Write a note for the NA's file explaining that she did not leave the resident in his room.
B
Tell the NA she is a great nursing assistant and that the charge nurse wished all assistants were like her.
C
Report the NA's good efforts to the nursing home's administrator and board of directors.
D
Tell the NA that the charge nurse knows how hard she worked to get the resident out of his room and how pleased the nurse is that the NA is concerned with the resident's need for socialization.
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Question 7
Multiple Choice

LPN/LVNs functioning in an expanded role are most often employed in

Choose correct answer/s
A
critical care units.
B
pediatric clinics.
C
home health care.
D
long-term care.
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Question 8
Multiple Choice

Which understanding about leadership would help the LPN/LVN become a more skillful leader?

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A
Leaders in nursing are appointed by management to accomplish organizational goals.
B
Leaders rarely take risks and virtually never make mistakes.
C
Leaders have little confidence in themselves until they develop a power base.
D
Leaders see change as challenging and providing opportunities for improving quality of care.
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Question 9
Multiple Choice

Which quality is rarely found in democratic leaders?

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A
Assertiveness
B
Arrogance
C
Desire for new learning
D
Effective communication
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Question 10
Multiple Choice

For an LPN/LVN to motivate staff members to meet the goals of the organization, it is helpful if the nurse

Choose correct answer/s
A
practices intimidation.
B
understands work motivators.
C
offers laissez-faire leadership.
D
emphasizes policies rather than people.
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Question 11
Multiple Choice

The LPN/LVN charge nurse asks the nurse manager, "How can I motivate the nursing assistants on my shift?" The best answer would be:

Choose correct answer/s
A
"Motivation is an inner force. You can't motivate someone else, but understanding the things that are important to workers can be helpful."
B
"Encouragement is the only way. If you praise and encourage the workers, you will have them eating out of your hand and doing their best."
C
"Money is the only thing that motivates workers. Since you can't set a higher salary, you can't change their motivation."
D
"Communicate! Communicate! Communicate! Be clear and specific. Spell things out. Give the impression that you know what you're talking about at all times."
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Question 12
Multiple Choice

What LPN/LVN charge nurse behavior will best accomplish the goal of promoting team building?

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A
Using "I" statements exclusively when talking about the unit's mission and goals
B
Never using rewards to change nursing assistant behaviors because this strategy is manipulative
C
Assuming each nursing assistant is fully informed about the unit's mission and goals
D
Encouraging politeness, cooperation, respect, and trust
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Question 13
Multiple Choice

The LPN/LVN spends time exploring the agency mission statement with the nursing assistants who work that shift. They create a list of ways they can contribute to achieving the agency goals. This process is called

Choose correct answer/s
A
stress management.
B
problem solving.
C
team building.
D
conflict resolution.
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Question 14
Multiple Choice

The LPN/LVN notices that the nursing assistants are taking longer breaks than agency policy permits and wishes to change this behavior as quickly as possible. The LPN/LVN's initial actions should be to

Choose correct answer/s
A
verbally confront the employees with their behavior.
B
write reprimands to be placed in each employee's file.
C
ask for in-service classes on time management.
D
determine the reason staff members are taking longer breaks.
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Question 15
Multiple Choice

The LPN/LVN reads this statement, "Stress is the body's reaction to the mind's analysis of a situation." The LPN/LVN concludes that the critical factor to teach nursing assistants to help them control their stress levels is to

Choose correct answer/s
A
manage how they think about a situation.
B
consider the stressful situation as subjectively as possible.
C
focus on developing good clinical skills.
D
apply time management principles.
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Question 16
Multiple Choice

Which behavior should the LPN/LVN charge nurse identify as dysfunctional behavior that violates OBRA regulations by threatening resident quality of life, health, or safety?

Choose correct answer/s
A
The nursing assistant praises a resident who is having poststroke speech therapy for attempts to communicate verbally.
B
The nursing assistant asks to talk to the LPN/LVN charge nurse about changes the nursing assistant would like to make in a resident's plan of care.
C
The nursing assistant uses a sharp tone of voice and body posture, suggesting impatience when feeding a resident.
D
The nursing assistant offers to help coworkers after finishing his resident care assignment.
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Question 17
Multiple Choice

The action the LPN/LVN charge nurse takes independently that would most likely require conflict resolution at the unit level is

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A
organizing shift activities before morning report.
B
making sure the necessary equipment and supplies are available.
C
eliminating morning breaks and adding 10 minutes to the lunch hour.
D
creating a calm, supportive environment.
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Question 18
Multiple Choice

Which of the following is an example of objective, rational thinking rather than subjective, irrational thinking about nursing assistants whom the LPN/LVN charge nurse supervises?

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A
"I want nursing assistants to be on time for report."
B
"Neat appearance means good clinical skills."
C
"Nursing assistants who are late intend to take advantage of coworkers."
D
"Beware of nursing assistants who smile a lot. They're manipulative."
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Question 19
Multiple Choice

How can the LPN/LVN charge nurse meet needs for affiliation among staff on their shift?

Choose correct answer/s
A
Reorient all staff to policies and shift routine.
B
Encourage attendance at continuing education seminars.
C
Arrange a social gathering for the staff on the shift.
D
Offer training in violence prevention.
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Question 20
Multiple Choice

The LPN/LVN charge nurse notices that a nursing assistant has not weighed her assigned residents. The best statement by the nurse is:

Choose correct answer/s
A
"You didn't weigh your assigned residents this morning. Let's get with the program."
B
"I need to have you weigh your assigned residents and report to me by 10 AM."
C
"Would you mind explaining why you didn't weigh your residents today?"
D
"You've been goofing off lately. Not weighing your assigned residents is a good example of this."
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