Ch 6: Leadership Roles

A new nurse asks a mentor for advice about the best ways to manage time. Which of the following techniques would the nurse mentor be most likely to recommend?

Use a worksheet to identify specific tasks.

Delegation is an integral part of nursing, regardless of the educational level of the nurse. Additionally, the proper use of delegation assures timely, cost-effective care. Which "rights" are included in the five rights of delegation?

All of the responses are correct.

What is correct about fiscal accountability for staffing?

A critical responsibility of mangers

Mr. David Collins is a 43-year-old client who lives in the rehab center where you work three 12 hour shifts per week. He has a history of quadriplegia resulting from a motorcycle crash in 1999. A nurse at a rehab center is in the midst of assessing client with a history of quadriplegia who reminds the nurse that the client hasn't had a bath yet today. The nurse asks the CNA to complete the bath before lunch. What does this action demonstrate?

All of the options are correct.

The LPN is in the midst of a client's assessment when the client mentions not having had a bath yet today. The LPN asks the CNA to complete the client's bath before lunch. Just before lunch the LPN checks in with the client about the bath. What does this behavior demonstrate?

All of the responses are correct.

Nurse L. is having an exceptionally busy shift on an obstetrical unit. Which of the following tasks is Nurse L. justified in delegating to an unlicensed care provider?

Emptying a patient's Foley catheter bag and reporting the volume to Nurse L.

When delegating tasks to unlicensed assistive personnel, a licensed practical nurse (LPN) should assess the situation. Which of the following is the first step involved in assessing the situation?

Know the client's needs and priorities.

A patient wants to sign them self out of the hospital against medical advice (AMA). After talking with the patient at length, you determine that the patient is fully aware of all the ramifications of this decision. What would the nurse as a patient advocate?

Make sure the patient has a follow-up appointment

In light of the recent transition to a new skill mix that increases the role of unlicensed care providers, the nurse manager of the unit has enacted new policies and procedures to maximize both patient safety and staff performance during the transition to the new model. Which of the following skills has the nurse demonstrated?

Management skills

Prior to delegating a task to a UAP, the LPN knows that the five rights of delegation are similar to what other operation commonly used in caring for clients?

Nursing process

The RN who is assisting a new LPN/LVN team leader to understand the five rights of delegation knows that this new team leader needs further teaching if what is identified as one of the five rights of delegation?

Right price

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 take?

Supervise unlicensed assistive personnel (UAP)

Prior to delegating any task to a UAP, which information must be known by the LPN/LVN team leader?

The nurse practice act of the state the LPN/LVN practices

What does one realizes when examining leaders and managers?

There is a need to integrate management and leadership.

What is a distinguishing trait of integrated leader-managers? Select all that apply.

They influence others beyond their own group. They emphasize vision, values, and motivation.

Pre-shift team report occurs with each shift change at the acute care facility. The team discusses the upcoming duties for the shift, making sure delegated tasks are clearly understood and all questions are answered. During this process, which function of LPN/LVNs as team leaders is taking place?

collaboration

The supervisor invests a good deal of time and energy in talking with staff to gather data for departmental goals, promoting teamwork, and encouraging open communication. Although these are important aspects of her job, what is her primary function as department manager?

accountability for the accomplishment of tasks

The nurse accidentally left a confidential lab report on a table in one of the exam rooms. The nurse is attending to another client in that room and realizes the mistake when the client says, "I didn't know that my neighbor was one of your patients. I must have just missed her!" The nurse plans to tell her supervisor about the mistake immediately upon finishing with this client. This is an example of:

accountability.

A nurse informs the client that he has no choice and must take his bath in the morning. What type of leadership does this exemplify?

autocratic

A nurse manager informs the staff members during a meeting that unlicensed assistive personnel will no longer be allowed to check patients' blood glucose levels. The nurse manager informs the group this was a new policy on the unit, and discussions will not change the enforcement of this policy. What type of leadership style is the nurse manager demonstrating?

autocratic

A nurse manager makes all of the decisions for staff activities. What type of leadership is demonstrated by this action?

autocratic

Pre-shift team report occurs with each shift change at the acute care facility where a nurse is employed as a LPN/LVN. The team takes report together and discusses the upcoming duties for the nurse's shift, making sure delegated tasks are clearly understood and all questions are answered. During this time, which management technique is being employed?

collaboration

An LPN has just been named team leader, and is determined to establish a leadership style that encourages input from staff and focuses on effective communication and teamwork. Which leadership style will the LPN be using?

democratic

There has been a lot of frustration in the department related to a new manager who doesn't seem to want to take responsibility or provide direction for the team. This "hands-off" approach by the new manager exemplifies which leadership style?

laissez-faire

Due to many changes within the healthcare facility, employee morale is low. High client loads, frequent call-offs, and increasing acuity levels all contribute to the sense of discouragement within the unit. An LPN begins to place small, anonymous "thank-you" gifts in staff members' mailboxes a few times a week and monitors their reactions. Within a month, attitudes are more positive, staff members are bringing treats to share, and teamwork has improved. These actions represent:

leadership.

In an annual message to hospital staff, the CEO indicated that additional cost-saving measures would be implemented to decrease the need for staff reductions to balance the budget. The nurse manager instructs the unit team to be more prudent in the use of supplies and to make sure to maintain all equipment properly to avoid expensive repairs or replacements. Which aspect of team leadership does this demonstrate?

resource management

An LPN working in a longterm care facility checks with the UAPs on the team to make sure that all their assigned clients have been given needed help with bathing and dressing before morning medications are distributed. The LPN's actions involve which aspect of the job?

supervision

An 85-year-old client has had two recurrences of breast cancer. She has gone through surgery, radiation, and chemotherapy. The most recent finding is that the cancer has metastasized. Her oncologist recommends another round of aggressive chemotherapy and her family agrees. The client has indicated to the nurse that she wants no extra measures for her care. She continues to ask her physician and family to admit her to hospice for end-of-life care. The nurse should:

support the client's decision.