Ch 58: Professional Roles and Leadership

13. Which employment setting would likely involve a daytime schedule with weekends off, and would focus on prevention and patient teaching? a. Long-term care b. Health care provider's office c. Hospice setting d. Adult day care

ANS: B Health care provider offices typically involve a daytime schedule with most weekends off. The setting focuses on prevention and includes opportunities for patient teaching. page: 2022

19. Physical, emotional, and spiritual exhaustion can occur among caregivers and appears more often in people who have excessive expectations of themselves. This situation is called: a. excessiveness. b. burnout. c. fatigue. d. weariness.

ANS: B Physical, emotional, and spiritual exhaustion among caregivers is sometimes called burnout. Page 2032

18. The type of leadership that uses four different styles—directing, coaching, supporting, and delegating—is: a. autocratic. b. situational. c. democratic. d. authoritative.

ANS: B Situational leadership identifies four typical styles for leaders. Page 2027

25. The setting in which a new graduate may learn skills not normally acquired in an LPN/LVN program, will likely have a daytime schedule with weekends off, and will focus on prevention is a(n): a. outpatient clinic. b. physician's office. c. home care setting. d. adult day care.

ANS: B Skills may be taught by the physician, and the schedule of primarily days can be considered an advantage.

3. When a nurse encounters a problem, it is best to follow the chain of command. Problems can best be resolved most disagreements by: a. agreement. b. argument. c. communication. d. withdrawing.

ANS: C Most problems can best be resolved by communication at the most basic level. Page 2015

5. When a resumé reflects too many job changes, the employer may question it. It is best to remain at the first place of employment for at least: a. 6 months. b. 3 months. c. 1 year. d. 2 years.

ANS: C Resigning from a position properly is another skill that the LPN/LVN will need to have. Employers will sometimes question a resumé that reflects frequent job changes; therefore, it is best to remain at the first place of employment at least 1 year. Page 2016

8.A nurse/The graduate may practice in another state if he or she has passed the NCLEX- PN® examination in his or her own state and meets the other state's educational requirements. This licensure from one state to another is called: a. auxiliary. b. co-licensure. c. endorsement. d. qualified licensure.

ANS: C This licensure from one state to another is called endorsement. Page 2020

27. A medication station that dispenses medicine after being accessed from a computer screen is called .

ANS: Pyxis Newer medication dispensing systems, such as computer-assisted or electronic devices, are variations of unit-dose and floor-stock systems. page 2030

26. After transcribing each order in a list of orders, the nurse should the order.

ANS: check off The nurse should check off each order as it is transcribed to ensure that each order is implemented. REF: Page 2029

28. The experienced nurse who assists a novice to learn the skills of the profession is called a(n) .

ANS: mentor The nurse who guides a novice in the skills of the profession is called a mentor. Page 2021

24. Employment of LPN/LVNs in the hospital setting is at a high level because their salaries are lower than RNs, which helps hospitals to provide cost-effective care. The specialty of the LPN/LVN is: a. excellent bedside care. b. individualized patient care. c. specialized patient care. d. customized patient care.

ANS: A Employment of LPNs/LVNs in hospital settings is at a high level. Because of health care economics, hospitals are responsible for providing quality care as economically as possible. Under the supervision of an RN, the LPN/LVN is legally able to provide most bedside care to patients in the hospital setting. Because the LPN/LVN salary is less than that of the RN, it makes economic sense to employ a number of LPNs/LVNs. It also makes sense because the LPN/LVN is prepared to give excellent bedside care. This is his or her specialty.

14. A setting in which a new graduate has a very good salary, the opportunity to refuse to take an assignment, and more flexibility in one's personal schedule but with an uncertainty of work availability is a(n): a. temporary agency. b. outpatient surgery. c. outpatient clinic. d. adult day care center.

ANS: A In a temporary agency, the salary is good, and an LPN/LVN has the right to refuse assignments. However, the disadvantage is the uncertainty of work availability. Page 2024

7. The organization that specifically supports and meets the needs of the LVN/LPN is the: a. NAPNES. b. NLN. c. ANA. d. NFLPN.

ANS: A NAPNES is the professional organization that is specifically for LVN/LPNs. REF: Page 2017

1. When expressing interest in a job, the first letter submitted should be customized, brief, neatly typed, correctly spelled, simple, and direct. The purpose is to introduce oneself and state qualifications, interest, and availability. This is called a letter of: a. application. b. intent. c. concern. d. interest.

ANS: A The letter of application should be customized, brief, neatly typed, and correctly spelled. REF: Page 2046 TOP: New graduate

What data are necessary to compile an effective end-of-shift report? (Select all that apply.) a. Patient's mental status b. Status of lung sounds c. All pertinent nursing care d. The patient's favorite TV shows e. Visitors the patient had during the shift

ANS: A, B, C The patient's mental status, status of lung sounds, and pertinent nursing care performed during the shift should all be included in an end-of-shift report. The patient's favorite TV shows and visitors that the patient had during the shift would not normally be included in the end-of-shift report. pg 2031

29. What are principles of time management? (Select all that apply.) a. Goal setting b. Time analysis c. Priority setting d. Interruption control e. Evaluation

ANS: A, B, C, D, E All of the options are part of the time management analysis. Page 2028

30. What are duties of a team leader? (Select all that apply.) a. Receiving reports on assigned patients b. Making patient assignments for team members c. Assessing all assigned patients d. Assisting with medication administration e. Conferring with team members

ANS: A, B, C, D, E All options are the duties of a team leader. Page 2027

21. Failure by the nurse or the employer to perform duties listed in the contract results in a: a. lawsuit. b. termination. c. breach of contract. d. reprimand.

ANS: C Failure by the nurse or employer to perform contractual duties is a breach of contract.

Which questions should the nurse consider before delegating care to another team member? (Select all that apply.) a. Is this the right task? b. Is this the right time? c. Is this the right person? d. Is this the right supervision? e. Is this the right circumstance?

ANS: A, C, D, E The five rights of delegation are right task, right circumstance, right person, right direction, and right supervision. Right time is not included in the five rights of delegation. pg 2027

A nursing instructor is preparing her class for the NCLEX-PN examination. Which statements by the students indicate understanding of the testing process? (Select all that apply.) a. "It will be a computerized adaptive test." b. "I will have a maximum of 265 questions." c. "The maximum time allowed for testing is 5 hours." d. "The minimum number of questions on the test is 60." e. "My state board of nursing must approve my application to test."

ANS: A, C, E The NCLEX-PN examination is a computerized adaptive test. The minimum number of questions for the PN examination is 85, and the maximum number of questions is 205. The maximum time allowed for the test is 5 hours. The state board of nursing must approve the applicant for testing before the authorization to test is issued. pg 2019

4. A promotion is usually based on a person's qualifications, behavior, performance, and preparation. Another term for promotion is: a. reward. b. advancement. c. elevation. d. improvement.

ANS: B Advancement may result from additional preparation or additional experience. It may be gained by learning the position more thoroughly and by assuming new and greater responsibilities. Page 2013-2016

22. A contract can be written or oral, includes a set of promises between two people, and states the obligations both must fulfill. This contract establishes a relationship between the two people that is: a. binding. b. legal. c. cohesive. d. secure.

ANS: B A contract creates a legal relationship between two people.

15. A setting in which the new graduate gives total care to one patient; is totally independent; provides care in the home, hospital, or other facility; is paid directly by the patient; and is legally responsible for his or her own actions is: a. home health nursing. b. private duty nursing. c. patient care nursing. d. agency care nursing.

ANS: B The private duty nurse gives total care to one patient. Page 2024-2025

6. Technical and scientific changes have resulted in a multiplicity and complexity of functions placed on nurses, and sometimes job descriptions have not been rewritten. The role of the LPN/LVN is constantly: a. enlarging. b. changing. c. improving. d. growing.

ANS: B The role of the LPN/LVN is constantly changing. Page 2016

10. The commission of an act that a prudent nurse would not have done, or the omission of an act a prudent nurse would have done, that results in injury to a patient is termed: a. malpractice. b. negligence. c. neglect. d. disregard.

ANS: B To qualify as negligence, it must be proved that a prudent member of the profession would have acted differently. Page 2021

Which actions would best aid the new nurse in coping with working the night shift? (Select all that apply.) a. Eat large meals during the night to stay awake. b. Use dark shades to block out light when sleeping. c. Obtain a prescription for sedatives to aid sleep. d. Wear sunglasses on the drive home from work. e. Go directly to bed when arriving home from work.

ANS: B, D Dark shades or room darkening blinds will block the sunshine and allow for darkness when sleeping during the daytime hours. Wear sunglasses on the drive home from work to reduce the melatonin-reducing effect of sunshine. It is best to eat light, balanced meals during the night. Sedatives and alcohol should not be used as an aid to sleep. Allow time to unwind after work before going to bed, and try to follow the same routine daily. Pg 2015

2. A concise, one-page, comprehensive, well-organized, neat, accurate summary of educational and work experience that provides prospective employers with their first impression, is called a(n): a. introduction. b. review. c. resumé. d. composite.

ANS: C A resumé is a one-page written document that contains information about the applicant's education and experience. Pages 2013

12. The setting that provides a greater nurse autonomy. relax atmosphere. and continuity of care and less costly for insurance companies: a. hospice. b. adult day care. c. home health. d. long-term care.

ANS: C The advantages of home health are a more relaxed atmosphere, decreased patient load, and less cost. Page 2023

17. The type of leadership in which the leader displays little trust or confidence in employees and therefore makes all decisions is called: a. democratic. b. laissez-faire. c. autocratic. d. authoritative.

ANS: C The autocratic leader displays little trust in employees, and therefore makes all decisions. Page 2026

9. The licensing law that (1) defines the title and regulations governing the practice of nursing and (2) states the requirements for licensure is called the: a. state practice act. b. nurse regulation act. c. nurse practice act. d. legislative act.

ANS: C The nurse practice act defines the title and regulations governing the practice of nursing. Page 2021

11. The setting in which an LPN/LVN can advance to charge nurse or staff developer and management and leadership skills can be developed, is a(n): a. acute care hospital. b. rehabilitation hospital. c. trauma center. d. long-term care facility.

ANS: D Management and leadership skills of the LPN/LVN can be developed in long-term care settings with RN supervision. Page 2023

23. Certification in long-term care (CLTC) encompasses pharmacology, aging, pediatrics, and other key topics. To be eligible for certification, a person must hold an LPN/LVN license in the United States and within the last 3 years have practiced long-term care for: a. 1000 hours. b. 1500 hours. c. 1750 hours. d. 2000 hours.

ANS: D To be eligible for CLTC, a person must have practiced long-term care for 2000 hours within the past 3 years.

What are considered duties of a team leader? (Select all that apply.) a. Receiving reports on assigned patients b. Making patient assignments for team members c. Assessing all assigned patients d. Administering medications to all patients e. Conferring with team members

ANS: A, B, C, E Receiving reports on assigned patients, making patient assignments, assessing all assigned patients, and conferring with team members are duties of the team leader. Assisting team members with medication administration is a duty of the team leader, not actually administering the medications to all the patients. page 2027

A manager is concerned that one of the nurses on the unit is experiencing burnout. Which symptoms would support the concerns? (Select all that apply.) a. Fatigue b. Forgetfulness c. Increased energy d. Negative outlook e. Changes in eating habits

ANS: A, B, D, E Symptoms of burnout include fatigue, forgetfulness, decreased energy, negative outlook, and changes in eating habits. pg 2032

20. New graduates should purchase their own malpractice insurance rather than depend on institutional insurance because their own policy will: a. not cover them unless they are on the job. b. carry liability coverage. c. protect them against all lawsuits. d. protect them from losing their license.

ANS: B The new graduate should purchase insurance in addition to that of the institution to ensure that there is personal liability coverage and also coverage should the graduate work in some other setting. Page 2031-2032

16. A new graduate attempting to get others to do something believed necessary and influencing them to follow is demonstrating what skills? a. management. b. leadership. c. influence. d. control.

ANS: B Leadership is the art of getting others to want to do something that is perceived as necessary. Page 2025