Chapter 58 Professional Roles and leadership
laissez-faire style
"free-run style" or "permissive leadership". Chooses to avoid responsibility by delegating all decision making to the grp. Wants everyone to feel free to do their own job
which organizations are totally committed to practical and vocational nursing and its continuing education?
NAPNES-National Association for Practical Nurse Education and Services NFLPN- National federation of Licensed practical nurses
Which organization has membership limited to only LPN/LVN students and graduates?
NFLPN is the National Federation of Licensed Practical Nurses. It was founded in 1949 and its membership is limited to LPN students and graduates. NLN is the National League of Nursing that accredits schools of nursing. NAPNES is the National Association for Practical Nurse Education and Service. It was founded in 1941 to promote understanding of practical schools and continuing education for LPNs. ANA is the American Nurses Association.
What is the NCLEX exam?
National Council Licensure Examination Licensure that is granted by the state that determines if you are prepare to practice as a nurse
Which act of the state legislature delineates the legal scope of the practice of nursing within the geopgraphic boundaries of the jurisdiction?
Nurse practice Act
The new graduate has passed state boards and is going to work in a hospital. If the graduate has questions regarding his or her scope of practice, what licensing law governs the scope of practice?
Nurse practice act The nurse practice act is the licensing law that delineates the legal scope of practice in each state
Nurse Practice Act
it defines the title and the regulations governing the practice of nursing. The act delineates the legal scope of the practice of nursing within the geographic boundaries.
reciprocity
mutual exchange/agreement to exchange privileges, dependence or relationships such as an agreement between two governing bodies to accept the credentials of caregivers licensed in each others state.
The style of leadership that takes into account the style of the leader, the maturity of the group, and the circumstances at hand is which type of leadership style?
Situational
resume
is a one-or-two page summary of educational and professional experiences, activities and honors and concrete skills and interests.
ceritification
is a process by which the nurse is granted recognition for competency in a specific are of nursing
contract
is a promise or a set of promises between two or more people that creates a legal relationship with legal obligation between them.
A licensed practical nurse is precepting a student assigned to care for a client with chronic pain. Which statement, if made by the student, indicates the need for further teaching regarding pain management?
"I will be sure to cue in to any indicators that the client may be exaggerating their pain."
Which statement best reflects the autocratic style of leadership?
"I'll consider each of your requests and then give you the guidelines for establishing new acuity rating for our patients."
The student nurse demonstrates understanding of the NCLEX-PN with which statement?
"The NCLEX-PN measures the LVN students entry-level competencies."
A graduating LPN/LVN student is preparing to take the NCLEX-PN examination. The student knows that he or she will have a minimum and maximum number of questions on the examination. What is the minimum number of questions?
85 questions The minimum number of questions for the NCLEX-PN is 85, with 60 being "real" and 25 being tryout questions.
interview
A face-to-face or telephone questioning of a respondent to obtain desired information.
What is a mentor?
A mentor is a nurse with more experience and knowledge who is willing to help a novice nurse learn the skills of the profession through counseling, role modeling, and teaching
What would the nurse wish to consider when obtaining malpractice insurance?
A separate personal malpractice insurance policy in addition to the employers policy is a personal choice.
interview process
Arrive on time, Know the institution, Make good impression, Market yourself, practice role playing
Management in nursing uses different leadership styles. What style is a people-centered approach allowing employees more control and individual participation in the decision-making process?
Democratic: Democratic style is a people-centered approach that allows employees more control and individual participation in the decision-making process.
impaired nurse
At any given time, an estimated 10% to 15% of nurses are impaired or in a recovery program It is the nurse's responsibility to avoid the abuse of prescription or nonprescription medications Referral to state board of nursing
A client experiences cardiac arrest. The nurse leader quickly responds to the emergency and assigns clearly defined tasks to the work group. In this situation, the nurse is implementing which leadership style?
Autocratic
HIPAA
Health Insurance Portability and Accountability Act of 1996 ~All information the patient gives is confidential ~Information may be exchanged with the health care team only in the performance of your duties ~Releasing any information to anyone other than the health care team without the consent of the patient is a violation of the right to privacy
To settle a conflict between tow staff members, the nurse manager should focus on which strategy?
Identifying the real issues and assisting in solving them
autocratic style
Leader retains all authority and responsibility and is concerned primarily with task and goal accomplishment. One way communication w/ the grp. They take quick action and excel in time of crisis.
Leadership and Management
Leadership Getting others to want to do something you are convinced should be done Management Handles the day-to-day operations to achieve a desired outcome
A new LPN/LVN is seeking a place of employment. Which type of facility allows an LPN/LVN to advance to charge nurse and supervisory capacity with RN supervision?
Long-term care facility In long-term care facilities, the LPN is the backbone and has the opportunity to advance to supervisor under an RN direction.
The nurse has delegated several nursing tasks to staff members. Which is the nurse's primary responsibility after the delegation of tasks?
Perform follow-up with each staff member regarding the performance and outcome of the task.
symptoms of burnout
Physical: Fatigue and change in sleeping, eating Psychological: Negative outlook and forgetting
Which is a primary function of the LVN?
Providing direct patient care
Endorsement/reciprocity
Recognition of the license of a health practitioner in one state by another state -Must meet the state's licensing requirements
When transcribing orders, the LVN knows that which health care provider order takes priority?
STAT order
The nurse has just received a new health care provider's orders on a patient. Which type of order will the nurse transcribe first?
Stat.
burnout
State of emotional and physical exhaustion, lowered productivity, and feelings of isolation, often caused by work-related pressures
How to cope with the night shift?
Staying alert at work: sleep and eat before your shift, determine how many caffeinated beverages work for you. Getting to sleep: Make your sleeping area cool, comfortable, quiet and dark, sleep mask, earplugs, white noise machine, unplug phone. Stop drinking caffeine and avoid large greasy meals. Allow time to unwind. Balancing your life: eat right, exercise regularly and get fresh air.
The nurse coworker of an LPN/LVN confides in the LPV/LVN that he is abusing alcohol. What is the best initial action for the LPN/LVN to take?
Talk to the coworker about the states nurses assistance program for chemically impaired nurses.
The LPN/LVN is responsible for giving end-of-shift reports. There are several types of reporting systems. What is the main concept to remember no matter which system is used by an employing facility?
That confidentiality must be maintained
Why is it beneficial to become certified in other areas after becoming an LVN?
The certifications are designed to increase nursing knowledge and skills.
Nursing Licensure as an LVN
is responsible for acquiring the required number of CEU's and for ensuring that the credits are attained from approved providers. Some states required given number of hrs. per year. that can be obtained in workshops, continuation education classes or online.
What is the main purpose of state requirements that nurses be licensed to practice nursing?
To provide legal guidelines to protect the public.
What is an LVN/LPN?
Type of nurse responsible for providing patient care
The LPN/LVN is transcribing the health care provider's orders from her patient's record to the MAR and is having a difficult time reading the orders. What is the most appropriate next step for the LPN/LVN to take?
Verifying with another nurse; if still unsure, call the health care provider. If a nurse is unsure of a written order, then he or she needs to clarify the order with another nurse, and if still unclear, to call the health care provider for clarification. The nurse should never try to guess what an order says.
democratic style
a leadership style in which every member of a group has the right to participate in decision making. People centered approach that allows employees more control and individual participation in the decision making process.
end-of-shift report
a report that the nurse gives at the end of the shift to the on-coming shift. ~Report all pertinent nursing care ~Report status of lungs and bowel sounds ~Report patients mental status and LOC
advancement
a rise in a rank or importance; a promotion, progress or improvement
endorsement
a statement of recognition of the license of a health practitioner in one state by another state, the applicant needs to meet the current states licensing requirements
resignation
an act of resigning/retiring or giving up a position of employment
What can a UAP do?
because they are unlicensed, they have no scope of practice in general, nursing tasks that may be delegated include non-invasive and non-sterile treatments and non-teaching. Activities of daily living (ADl's), bathing, transferring, ambulating, feeding (w/o swallowing precautions), toileting, vital signs, height, weight, intake and output, blood glucose levels (if pt is stable), Grooming, dressing, positioning, routine task, bed making, specimen collection. These task do not require assessment, analysis, or teaching.
A nurse working the medical floor reports to his shift feeling tired, complains of feeling emotionally drained, and has trouble meeting the needs of his patients. This is an example of:
burnout. Burnout is the physical, emotional, and spiritual exhaustion of a caregiver.
Principles of Time Management
goal setting, time analysis, PRIORITY SETTING ****, INTERRUPTION CONTROL,*** evaluation
What is a quality of an effective mentor?
informative
What is battery?
intentional and wrongful physical contact involving injury or offensive contact. Ex. Restraining a client and administrating an injection against their wishes.
Situational Leadership
is a comprehensive approach that incorporates the leader's style, the maturity of the work group, and the situation at hand.
What can UAPs not do?
pass meds; preform tasks requiring scientific knowledge/technical skill; and the patient must be stable, as well as teaching.
per diem
per day, by day, as needed
The five rights of Delegation
right task (within scope of practice) right circumstance (appropriate Pt setting) right person (delegating the right task to that person) right direction/communication (Clear description of task) right supervision/evaluation (appropriate monitoring)
as necessary (prn)
shifts as needed
articulate
speak clearly, distinctly and to the point
Negligence
the commission of an act that a prudent person would not have committed or the omission of a duty that a prudent person would have fulfilled, resulting in injury or harm members, or have endangering a patients life.
What is assault?
the conduct of one person makes another person fearful and apprehensive. ex: threatening to place a nasogastric tube in a client who is refusing to eat.
transcribes
to make a written copy
preceptor
to work with during the orientation period
The LVN has been hired at a long-term care facility. The Nurse questions if the role will include supervision of other staff members. What response is most correct?
~ "You will be expected to organize and delegate as needed the care of patients on the unit of care." ~ "You will be expected to supervise any nurse on your assigned wing who has less seniority." ~ "In the long-term care setting you may find you are in a leadership role." ~ "It is expected that you would supervise those staff members having less scope of practice than the LPN/LVN
In the change of shift report, which information should the outgoing nurse pass on to the receiving nurse?
~ The patients blood glucose levels for the shift ~ The patients total intake and output for the shift.
which are functions of the state board or nursing?
~ imposing discipline on a nursing license ~ monitoring the schools of nursing within the state ~ enforcement of the states nurse practice act
Which actions demonstrate effective time management skills for the nurse?
~Anticipating possible interruptions in the plan of care for the day ~Planning care based on prioritizing the needs of the patient
State Board of Nursing
~Consists of members who represent different levels of nursing appointed by the governor ~Purpose of the board is to protect the public by administering the nurse practice act ~Board is responsible for approving schools of nursing ~Board issues and renews licenses Board has the authority to suspend or revoke a license
What would a new graduate include on a resume?
~Review of professional experience ~Education Hx