Chapter 57: Professional Roles and Leadership

An employee failed to perform the duties listed in the employment contract. What is the term for this failure?

Breach of contract

Technical and scientific changes have resulted in a multiplicity and complexity of functions placed on nurses, and sometimes job descriptions have not been rewritten. What is true of the role of the LPN/LVN?

It is constantly changing

In what setting can the LPN/LVN's management and leadership skills be developed best?

Long-term care facility

Which organization specifically supports and meets the needs of the LVN/LPN?

NAPNES

What type of leadership involves a leader who displays little trust or confidence in employees and therefore makes all the decisions?

Autocratic

What is the physical, emotional, and spiritual exhaustion that can occur among caregivers?

Burnout

What is the best way to resolve most disagreements?

Communication

A nurse may practice in another state if he or she has passed the NCLEX-PN examination in the nurse's own state and meets the other state's educational requirements. What is the process of transferring licensure from one state to another called?

Endorsement

Which health care employment setting would provide the nurse a very good salary, the opportunity to refuse to take an assignment, and more flexibility in the personal schedule but with an uncertainty of work availability?

Temporary agency

Which employment setting would likely involve a daytime schedule with weekends off, and would focus on prevention and patient teaching?

Physician's office

What type of leadership uses four different styles—directing, coaching, supporting, and delegating?

Situational

Which setting provides greater nurse autonomy and continuity of care and is less costly for insurance companies?

Home health

A new graduate who has achieved the goal of getting others to do something that is believed necessary has demonstrated what skill?

Leadership

In what employment setting does the nurse give 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?

Private duty nursing

What is the correct term for a concise, one- or two-page summary of educational and work experience, activities and honors, and concrete skills and interests?

Résumé

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 d. Negative outlook e. Changes in eating habits ANS: A, B, D, E

Which questions should the nurse consider before delegating care to another team member? (Select all that apply.)

a. Is this the right task? c. Is this the right person? d. Is this the right supervision? e. Is this the right circumstance? ANS: A, C, D, E

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 ANS: A, B, C

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 e. Conferring with team members ANS: A, B, C, E

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

ANS: mentor

Which actions would best aid the new nurse in coping with working the night shift? (Select all that apply.)

b. Use dark shades to block out light when sleeping d. Wear sunglasses on the drive home from work ANS: B, D

When a résumé reflects too many job changes, the employer may question it. How long should an employee remain at the first place of employment?

1 year

Why is it important for new graduates to purchase their own malpractice insurance rather than depend on an institutional policy?

A private policy will carry personal liability coverage.

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

ANS: check off

What is the term for the commission of an act that a prudent nurse should not have done, or the omission of an act a prudent nurse should have done, that results in injury or harm to another person?

Negligence

What is the name of the licensing law that defines the title and regulations governing the practice of nursing and states the requirements for licensure?

Nurse practice act

What is another term for promotion?

Advancement

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." c. "The maximum time allowed for testing is 5 hours." e. "My state board of nursing must approve my application to test." ANS: A, C, E