Chapter 58: Professional Roles and Leadership

What type of leadership uses four different styles-directing, coaching, supporting, and delegating? a. Autocratic b. Situational c. Democratic d. Authoritative

✅B. Situational Rationale: Situational leadership identifies four typical styles for leaders.

What is the best way to resolve most disagreements? a. Agreement b. Argument c. Communication d. Withdrawing

✅C. Communication Rationale: Most problems can best be resolved by communication at the most basic level.

When a resume reflects too many job changes, the employer may question it. How long should an employee remain at the first place of employment? a. 6 months b. 3 months c. 1 year d. 2 years

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

What type of leadership involves a leader who displays little trust or confidence in employees and therefore makes all the decisions? a. Democratic b. Laissez-faire c. Autocratic d. Authoritative

✅C. Autocratic Rationale: The autocratic leader displays little trust in employees, and therefore makes all decisions.

Which setting provides greater nurse autonomy and continuity of care and is less costly for insurance companies? a. Hospice b. Hospitals c. Home Health d. Long-term care

✅C. Home Health Rationale: The advantages of home health are greater nurse autonomy and continuity of care, as well as less cost to insurance.

Which organization specifically supports and meets the needs of the LVN/LPN? a. NAPNES b. NLN c. ANA d. NCLEX

✅ A. NAPNES Rationale: National Association for Practical Nurse Education and Service (NAPNES) is the professional organization that is specifically for LVN/LPNs. The National League of Nursing (NLN) and the American Nurses Association (ANA) are not specific to the LPN. The National Council Licensure Exam (NCLEX) is the test that is taken for licensure.

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? a. Auxillary b. Co-licensure c. Endorsement d. Qualified licensure

✅ C. Endorsement Rationale: This licensure transfer from one state to another is 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? a. Temporary agency b. Long-term care center c. Outpatient clinic d. Adult day care center

✅A. Temporary Agency Rationale: In a temporary agency, the salary is good, and an LPN/LVN has the right to refuse assignments. However, one disadvantage is the uncertainty of work availability.

Multiple Response Questions: What are considered duties of a team leader? (SATA) 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

✅Answer: A, B, C, and E. Rationale: Receiving reports on assigned patients, making patient assignments, assessing all 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.

Multiple Response Questions: Which actions would best aid the new nurse in coping with working the night shift? (SATA) 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

✅Answer: B and D. Rationale: 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.

Fill in the Blanks The experienced nurse who assists a novice to learn the skills of the profession is called a(n) ___________________________.

✅Answer: Mentor Rationale: The nurse who guides a novice in the skills of the profession is called a mentor.

Fill in the Blanks After ____________________ each order in a list of orders, the nurse should check off the order.

✅Answer: Transcribing Rationale: The nurse should check off each order as it is transcribed to ensure that each order is implemented.

Why is it important for new graduates to purchase their own malpractice insurance rather than depend on an institutional policy? a. A private policy will not cover them unless they are on their primary job. b. A private policy will carry personal liability coverage. c. A private policy will protect them against all lawsuits. d. A private policy will protect them from losing their license.

✅B. A private policy will carry personal liability coverage Rationale: The new graduate should purchase private malpractice insurance in addition to that of the institution to ensure that there is personal liability coverage. The private policy will cover the new graduate at any nursing job in which they are employed. No malpractice insurance policy can guarantee that there will not be any lawsuit or loss of license.

What is another term for promotion? a. Reward b. Advancement c. Lift d. Bubble

✅B. Advancement Rationale: 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.

What is the physical, emotional, and spiritual exhaustion that can occur among caregivers? a. Excessiveness b. Burnout c. Fatigue d. Weariness

✅B. Burnout Rationale: Physical, Emotional, and Spiritual exhaustion among caregivers is sometimes called burnout.

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

✅B. Health Care Provider's Office Rationale: Health care provider offices typically involve a daytime schedule with most weekends off. The setting focuses on prevention and includes opportunities for patient teaching.

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? a. It is constantly enlarging. b. It is constantly changing. c. It is constantly improving. d. It is constantly growing.

✅B. It is constantly changing. Rationale: The role of the LPN/LVN is constantly changing.

A new graduate who has achieved the goal of getting others to do something that is believed necessary has demonstrated what skill? a. Management b. Leadership c. Influence d. Control

✅B. Leadership Rationale: Leadership is the art of getting others to want to do something that is perceived as necessary.

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? a. Malpractice b. Negligence c. Neglect d. Disregard

✅B. Negligence Rationale: To qualify as negligence, it must be proved that a prudent member of the profession would have acted differently.

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? a. Home health nursing b. Private duty nursing c. Patient care nursing d. Agency care nursing

✅B. Private Duty Nursing Rationale: The private duty nurse gives total care to one patient and is paid directly by the patient or responsible party. The nurse is legally responsible for his or her own actions.

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? a. State practice Act b. Nurse regulation Act c. Nurse Practice Act d. Legislative Act

✅C. Nurse Practice Act Rationale: The nurse practice act defines the title and regulations governing the practice of 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? a. Introduction b. Review c. Resume d. Composite

✅C. Resume Rationale: A resume is a one- or two-page summary of the applicant's education and experience.

In what setting can the LPN/LVN's management and leadership skills be developed best? a. Acute care hospital b. Rehabilitation hospital c. Trauma Center d. Long-term Care Facility

✅D. Long-Term Care Facility Rationale: Management and leadership skills of the LPN/LVN can best be developed in long-term care settings with RN supervision.

An employee failed to perform the duties listed in the employment contract. What is the term for this failure? a. Lawsuit b. Termination c. Breach of contract d. Reprimand

✅D. Reprimand Rationale: Failure by the nurse or employer to perform contractual duties is known as a breach of contract. A breach of contract may result in a reprimand, termination, or lawsuit.