Chapter 41 - Professional Roles and Leadership

Reciprocity

Mutual agreement to exchange privileges, dependence or relationships 25 stars have adopted the mutual recognition licensure or an interstate compact

taking a test

NCSBN adopted computerized adaptativo testing (CAT) Max time - 5 hours Multiple choice questions Alternate - item formats (more than one answer) Hot-spot (identify area) minimum 85 questions (60 real: 25 pilot) Maximum 205 questions Pass or fail Results in 1 week or less Fail: retake after 45 days

mentor

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

State board of nursing

Provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing.

endorsement

Statement of recognition of the license of health practitioner in one state by another state, applicant needs to meet the surrender state's licensing requirements

3. The LPN/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? (Select all that apply) 1. "You you be expected to organize and delegate as needed the care of patients on the unit of care" 2. "You will be expected to supervise any nurse on your assigned wing who has less seniority" 3. The limit of charge or supervisory roles expected of the LPN/LVN is low" 4. In the long term care setting you may find you are in a leadership role" 5. It is expected that you would supervise those staff members having less scope of practice that the LPN/LVN

1,2,4,5

2. Which organizations are totally committed to practical and vocational nursing and its continuing education? (Select all the apply) 1. APNES 2.ANA 3.NFLPN 4.NCSBN

1,3

18. The nurse coworker of an LPN/LVN confides in the LPN/LVN that he is abusing alcohol. What is the best initial action for the LPN/LVN to take? 1. Talk to the coworker about the state's nurses assistance program for chemically impaired nurses 2. Immediately report this information to the nurse manager 3. Encourage the coworker to take a leave of absence from his current position 4. Report the coworker to the state board of nursing.

1. Talk to the coworker about the state's nurses assistance program for chemically impaired nurses

12. Why is is beneficial to become certified in other areas after becoming an LPN/LVN? 1. The certifications are designed to increase nursing knowledge and skill 2. The nurse will gradually be able to assume the work of an RN without becoming an RN 3. Use of the extended title(s) will improve the nurse's status among other employees and peers 4. Unless the state board of nursing acknowledges the certification, it serves no purpose

1. The certifications are designed to increase nursing knowledge and skill

10. Which actions demonstrate effective time management skills for the nurse? (Select all that apply) 1. Meeting all of the patient's major needs in the early morning hours 2. Anticipating possible interruptions in the plan of care for the day 3. Doing each of the patient's assessments and treatments individually at separate times 4. Leaving each day unplanned to allow for adaptations in treatments 5. Planning care based on prioritizing the needs of the patient.

2, 5

1. Which are the functions of the state board of nursing? (Select all that apply) 1. Assisting health care facilites in the training of nursing staff 2. Imposing discipline on a nursing license 3. Monitoring the schools of nursing within the state 4. Approving the students admitted to nursing programs in the state 5. Enforcement of the state's nurse practice act

2,3,5

15. What will an new graduate include on a resume? (Select all that apply) 1. Person to notify in an emergency 2. Review of professional experience 3. Grade transcripts from nursing schools 4. Education history 5. Only current work experience

2,4

7. Which act of the state legislature delineates the legal scope of the practice of nursing within the geographic boundaries of the jurisdiction ? 1. NLN act 2. Nurse practice Act 3. NCLEX Act 4. JCOAH Act

2. Nurse practice Act

13. Which is a primary function of the LPN/LVN? 1. Teaching professional and practical nursing students 2. Providing direct patient care 3. Being in charge in various health care settings 4. Directing nurses and other personnel who are employed in the hospital setting

2. Providing direct patient care

5. The style of leadership that takes into account the style of the leader, the maturity of the groups, and the circumstances at hand is which type of leadership style? 1. Autocratic 2. Situational 3. Democratic 4. Laissez-faire

2. Situational

14. The student nurse demonstrates understanding of the NCLEX-PN with which statement? 1. The NCLEX-PN measures the LPN/LVN student's ability to compete in the job market 2. The NCLEX-PN mesures the LPN/LVN student's entry -level competencies 3. The NCLEX-PN measures the LPN/LVN student's proficiency - level competencies 4. The NCLEX-PN measures success of the nursing program

2. The NCLEX-PN mesures the LPN/LVN student's entry -level competencies

4. What is the main purpose of state requirements that nurses be licensed to practice nursing? 1. To protect the LNP/LVN employer and the nurse 2. To protect legal guidelines to protect the public 3. To protect the patient and employer 4. To protect the LPN/LVN from malpractice

2. To protect legal guidelines to protect the public

9. Which statement best reflects the autocratic style of leadership? 1. Everyone knows their work assignment, so lets not meet together unless we have an unexpected crisis 2. Let's discuss this case study thoroughly and decide on a plan of action as group 3. I'll consider each of you requests and then give you the guidelines for establishing new acuity ratings for our patients 4. I'll try to pair you in comparable work teams, and we'll evaluate the success of this approach in 2 weeks

3. I'll consider each of you requests and then give you the guidelines for establishing new acuity ratings for our patients

11. To settle a conflict between two staff members, the nurse manager should focus on which strategy? 1. Developing a compromise solution to solve the conflict 2. Investigating what the conflict parties want to achieve as an outcome 3. Identifying the real issues and assisting in solving them 4. Listing the number of possible solutions to the conflict

3. Identifying the real issues and assisting in solving them

8. In the change of shift report, which information should the outgoing nurse pass on to the receiving nurse? (Select all that apply) 1. The number of visitors that the patient has had during the shift 2. The amount of time the patient has been able to nap during the shift 3. The list of patient problem statements found in the care plan 4. The patient's blood glucose levels for the shift 5. The patient's total intake and output for the shift

4,5

17. What will the nurse wish to consider when obtaining malpractice insurance ? 1. Malpractice insurance is becoming less important for the nurse in today's health care environment 2. If the employer has a claims-based policy in force, a personnel policy is not necessary 3. Most employers carry insurance for the employee, which will more than cover any expenses that will be incurred 4. A seperate personal malpractice insurance policy in addition to the employer's policy is a personal choice

4. A seperate personal malpractice insurance policy in addition to the employer's policy is a personal choice

16. What is a quality of an effective mentor? 1. Inconsistent 2. Unaccountable 3. Inaccessible 4. Informative

4. Informative

6. When transcribing orders, the LPN/LVN knows that which health care provider order takes priority? 1. Prn orders 2. One time only orders 3. Routine orders 4. Stat orders

4. Stat orders

33. 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

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.

30. 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

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.

34. 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

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

32. 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?

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.

31. 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

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.

22. Which organization specifically supports and meets the needs of the LVN/LPN? A. NAPNES B. NLN C. ANA D. NCLEX

A. NAPNES

20. 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

C. Breach of contract

21. What is the best way to resolve most disagreements? A.agreement B. Argument C. Communication D. Withdrawing

C. Communication

23. 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 The nurse practice act defines the title and regulations governing the practice of nursing.

19. 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

Five rights of delegation

a) Right Task b) Right Circumstance c) Right Person d) Right Direction/Communication e) Right Supervision

27. 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 Leadership is the art of getting others to want to do something that is perceived as necessary.

24. 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 To qualify as negligence, it must be proved that a prudent member of the profession would have acted differently.

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

b. Situational Situational leadership identifies four topicals styles for leaders.

28. 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 The autocratic leader displays little trust in employees, and therefore makes all decisions.

22. 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. Auxiliary b. Co-licensure c. Endorsement d. Qualified licensure

c. Endorsement This licensure transfer from one state to another is called endorsement.

26. 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 The advantages of home health are greater nurse autonomy and continuity of care, as well as less cost to insurance.

25. 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 Management and leadership skills of the LPN/LVN can best be developed in long-term care settings with RN supervision.

Nurse Practice Act

law established to regulate nursing practice, legal scope of practice