Leadership Test 1

The nurse brings the patient's lunch tray into the room and sets it on the over-bed table, positioning it so that it is comfortable for the patient to eat. The patient sweeps the tray off the table, screaming "Get this slop out of here! I'm not hungry." What response by the nurse reflects therapeutic communication? (Select all that apply) 1. "You seem angry. Would you like to talk about what's bothering you?" 2. "That behavior in unacceptable. You could simply ask me to remove the tray." 3. "Why did you do that? Now I have to clean up that mess." 4. "How would you feel in my place if someone did that to you?" 5. "You need to eat to maintain your strength. I'll get another tray."

1. "You seem angry. Would you like to talk about what's bothering you?" 2. "That behavior in unacceptable. You could simply ask me to remove the tray."

To achieve self-actualization, which of the following must take place? 1. All of the prior needs of the hierarchy must have been met. 2. Only one of the prior needs must have been met. 3. Only the need for self-esteem must have been met. 4. It is of no particular importance whether or not any of the previous needs have been met.

1. All of the prior needs of the hierarchy must have been met.

Which type of communication is a characteristic of Theory Y people? 1. Assertive 2. Aggressive 3. Social 4. Passive-aggressive

1. Assertive

Which of the following types of communication often is not a natural behavior for nurses? 1. Assertive communication 2. Aggressive communication 3. Caring communication 4. Subjective communication

1. Assertive communication

What are causative factors for how conflict occurs in the nurse's work environment? (Select all that apply.) 1. Competitve actions of incompatibles 2. Mental struggle between opposing internal or external demands 3. Hostile encounter or collision 4. Intrinsic human behavior 5. Mental illness

1. Competitve actions of incompatibles 2. Mental struggle between opposing internal or external demands 3. Hostile encounter or collision

What are the never-changing rules of conflict the nurse must know about a conflict situation? (Select all that apply.) 1. Conflict is inevitable. 2. Results of conflict can be constructive. 3. Conflict is often best managed by ignoring it. 4. Violence is sometimes essential to conflict. 5. Conflict is an indication of a lack of education.

1. Conflict is inevitable. 2. Results of conflict can be constructive.

The nurse recognizes the nurse manager demonstrates Theory X behavior when the manager exhibits what behavior? (Select all that apply.) 1. Control used to increase productivity 2. Force used to make nurses work harder 3. Frequent direction provided to tell nurses what to do 4. Expects staff nurses to accept responsibility 5. Believes nurses like their work

1. Control used to increase productivity 2. Force used to make nurses work harder 3. Frequent direction provided to tell nurses what to do

The nurse is negotiating as the first step toward conflict resolution after finding two coworkers arguing in the medication room. What rules must the nurse know to negotiate successfully between these two coworkers? (Select all that apply.) 1. Don't take what is said personally. 2. Don't get defensive. 3. Identify the need being expressed. 4. Determine which person is willing to concede their need. 5. Be prepared to choose a winner.

1. Don't take what is said personally. 2. Don't get defensive. 3. Identify the need being expressed.

Dysfunctional behaviors indicate dysfunction in the group. What can an effective LPN manager do when dysfunction occurs? 1. Give the team his or her time and support. 2. Do the work himself or herself so that it gets done. 3. Go to the administrator and report on specific people who are showing these behaviors. 4. Require that the team ignore these behaviors and continue to move ahead.

1. Give the team his or her time and support.

What are some of the characteristics the nurse looks for in a high-performance team? (Select all that apply.) 1. Holding a clear and elevating goal 2. Cost-driven structure 3. Adequate quantity of team members 4. Ability to collaborate 5. External support and recognition

1. Holding a clear and elevating goal 5. External support and recognition

The nurse is a member of a newly formed team that is meeting to develop their team's goals. What features should the goal have? (Select all that apply.) 1. Importance and meaning 2. Elevating and inspiring 3. Clear and easy to understand 4. Assigned to specific individuals 5. Monetary value and costs

1. Importance and meaning 2. Elevating and inspiring 3. Clear and easy to understand

In which of the following situations is conflict always present? 1. Lose-lose 2. Yield-lose 3. Win-yield 4. Win-lose

1. Lose-lose

The nurse manager observes the nurses working on the unit and determines the team is working successfully when what behaviors are noted? (Select all that apply.) 1. Newly hired nurses are welcomed into the group. 2. All nurses chip in to help when a nurse has a busy assignment. 3. The group meetings always run over because they have so much to say to one another. 4. The nurses often throw parties to celebrate each other's special occasions. 5. Nurses often show up at staff meetings even when an agenda is not announced.

1. Newly hired nurses are welcomed into the group. 2. All nurses chip in to help when a nurse has a busy assignment. 4. The nurses often throw parties to celebrate each other's special occasions.

The new graduate LPN is taking a job in a local clinic. How can the nurse discover group norms in the new job? 1. Observing the behavior of the group 2. Ask the human resources department 3. Perform an Internet search for clinic group norms 4. Read the policy and procedure manual

1. Observing the behavior of the group

What characteristics would the Newtonian nurse use when providing patient care? (Select all that apply.) 1. Orderly 2. Compartmentalized 3. Predictable 4. Unquestioning 5. Chaotic

1. Orderly 2. Compartmentalized 3. Predictable 4. Unquestioning

What historical factors contributed to oppressed nursing behavior? (Select all that apply.) 1. Physicians were leaders and decision makers. 2. Nurses served as handmaidens to the physicians. 3. Nurses were educated to do what they were told without question. 4. Nurses had to manage jobs, families, and homes. 5. Nurses were expected to maintain an attractive appearance.

1. Physicians were leaders and decision makers. 2. Nurses served as handmaidens to the physicians. 3. Nurses were educated to do what they were told without question.

Which area of the hierarchy would be involved when you are in danger of failing a class? 1. Safety 2. Self-actualization 3. Belonging 4. Esteem

1. Safety

The LPN is working as a team member and notices signs of a dysfunctional team. What should the LPN do? 1. Share what was seen in an open and caring manner. 2. Act as the manager to correct the problem. 3. Report the problem to the next most senior member of the team. 4. Ignore it and it will probably resolve on its own.

1. Share what was seen in an open and caring manner.

Which of the following examples is the current measure of nursing excellence in practice? 1. Statistics demonstrating positive patient outcomes 2. Staffing ratio of one nurse to five patients 3. Hospital cleanliness 4. Nurses wearing white uniforms and caps

1. Statistics demonstrating positive patient outcomes

Which of the following stages will some members of the team attempt to avoid? 1. Storming 2. Norming 3. Performing 4. Forming

1. Storming

Category-two conflict, or mental struggle resulting from incompatible or opposing needs, drives, wishes, or internal or external demands, is best demonstrated by which scenario? 1. Students compete for front-row seating in the classroom. 2. A student disagrees with an instructor's point of view. 3. A student is unhappy with her clinical assignment due to attitudes of staff. 4. Two nurses bicker over who gets which patient assignments.

1. Students compete for front-row seating in the classroom.

The nurse manager identifies a staff nurse as dissatisfied according to Herzberg's theory when what behavior is observed? (Select all that apply.) 1. The employee calls in sick frequently. 2. The employee filed multiple grievances in a few months. 3. The nurse does not contribute in a meaningful way. 4. The nurse does not make a difference in the work environment. 5. The nurse submits a letter of resignation.

1. The employee calls in sick frequently. 2. The employee filed multiple grievances in a few months. 5. The nurse submits a letter of resignation.

When effective communication occurs, which of the following is true? 1. The message is understood by the sender and the receiver. 2. The message is fully understood by the receiver. 3. The message is fully understood by the sender. 4. Communication is effective by telling someone what to do.

1. The message is understood by the sender and the receiver.

Which of the following conflict management strategies is considered the most desirable? 1. Win-win 2. Win-yield 3. Win-lose 4. Yield-lose

1. Win-win

Which of the following best describes the most honest form of communication? 1. Your body language as you explain the dressing change you are doing 2. The instructions you give the patient on his or her discharge from the hospital 3. Listening to your instructor as he or she explains directions for the test 4. Talking with your friends at lunch about your final exam results

1. Your body language as you explain the dressing change you are doing

Before LPNs can delegate a function to the CNA, they must: 1. assess the patient carefully. 2. evaluate the patient carefully. 3. plan the care for the patient. 4. write out instructions for the CNA.

1. assess the patient carefully.

The use of "I" messages by the nurse means that the nurse has developed the ability to: 1. be assertive. 2. manage others. 3. give excellent directions. 4. be a leader.

1. be assertive

As an LPN charge nurse, one of the best actions you can take when there is a problem of scarce resources is to: 1. be proactive and manage potential conflict. 2. wait until a decision has to be made. 3. keep everyone at a distance. 4. do nothing and wait until your supervisor gives you directions.

1. be proactive and manage potential conflict.

When you accept a bad situation as okay, you are demonstrating: 1. belief in a lesser value. 2. belief in superiority of decisions. 3. belief in codependency. 4. belief in horizontal hostility.

1. belief in a lesser value.

Newtonian nurses are considered to be good at: 1. following orders and taking direction. 2. creative problem-solving. 3. focusing on patient outcome. 4. taking time to sit with families and provide emotional support.

1. following orders and taking direction.

Conflict is best handled by: 1. managing it. 2. avoidance behavior. 3. aggressive management. 4. passive management.

1. managing it.

Herzberg's theory of motivation is focused on: 1. motivating all people at their jobs. 2. motivating people in their personal lives. 3. motivating males in their jobs. 4. motivating factory workers on the job.

1. motivating all people at their jobs.

You are a good listener when: 1. others frequently come to you for advice. 2. you cut off a speaker to tell your own story. 3. you nod along to everything that is said. 4. you always give your opinion. 5. you listen both with your ears and visually.

1. others frequently come to you for advice. 5. you listen both with your ears and visually.

An example of a communication block is: 1. preconceived opinions. 2. physical disabilities. 3. good emotional health. 4. bad hygiene. 5. missed phone calls.

1. preconceived opinions. 2. physical disabilities.

The stage in which groups share ideas and form goals is called: 1. storming. 2. norming. 3. performing. 4. forming.

1. storming.

Much of the chaos that is present in healthcare comes from: 1. the mix of Newtonian and New Science nurses and doctors. 2. the demands of health maintenance organizations. 3. the lack of healthcare coverage for many Americans. 4. the opposition of some physicians to the insurance companies.

1. the mix of Newtonian and New Science nurses and doctors.

When the licensed practical nurse (LPN) manager is involved in building and maintaining a team, the LPN usually works with: 1. the registered nurse (RN). 2. the physician. 3. the administrator. 4. other LPNs.

1. the registered nurse (RN).

The physician stands in the hallway speaking to the nurses in a loud voice saying, "I don't know why you nurses don't follow the orders I've written. Can't you read?" Which response by the nurse demonstrates assertiveness? (Select all that apply) 1. "You're such a jerk. Lower your voice!" 2. "We are all professionals here and there is no need to shout." 3. "I know you're angry but your behavior is inappropriate." 4. "If you would like to discuss the problem professionally we'll be glad to listen." 5. "If you treat your wife like this I know why you're getting a divorce."

2. "We are all professionals here and there is no need to shout." 3. "If you would like to discuss the problem professionally we'll be glad to listen." 4. "If you would like to discuss the problem professionally we'll be glad to listen."

What commonly happens when failed communication occurs? 1. Nothing. Most people are able to forget about it. 2. A "mind tape" results, which is played over and over to justify what was done. 3. The reason for the failed communication is determined quickly and dismissed. 4. It can take a lot of energy and time to resolve. 5. People hold grudges against each other for not understanding what was said.

2. A "mind tape" results, which is played over and over to justify what was done. 3. The reason for the failed communication is determined quickly and dismissed.

When negative or hostile conversation occurs, which of the following actions is most appropriate? 1. Respond immediately to what is said. 2. Always stop and listen rather than responding. 3. React forcefully and negatively to what has been said. 4. Be reactive rather than proactive.

2. Always stop and listen rather than responding.

Regression can occur in the four stages of team development. Which of the following is a possible reason for this? 1. The team is required to work beyond scheduled hours. 2. Change in members due to job changes. 3. The administrator makes too many visits to the unit. 4. The goals of the team remain the same.

2. Change in members due to job changes.

When team members or a nursing unit work together and make decisions as a group, this team demonstrates what type of environment? 1. Autocratic 2. Collaborative 3. Professional 4. Relaxed

2. Collaborative

A student nurse who normally attends classes during the day attends an evening class. On returning to the day class, the student tells classmates how different the evening class is; the evening students just shout out answers in discussions and are far more casual. What is this student describing? 1. Functional behavior 2. Group norms 3. Dysfunctional behavior 4. A group in transition

2. Group norms

When an LPN distances coworkers, what is the result? (Select all that apply.) 1. It brings the staff too close together. 2. It causes others on the staff to feel left out. 3. It increases personal conflicts among staff. 4. It causes the rest of the staff to "white out." 5. It creates a warm, caring workplace.

2. It causes others on the staff to feel left out. 3. It increases personal conflicts among staff.

Which of the following techniques should be used when a staff member has lost his or her temper? 1. Do what comes naturally and respond with anger. 2. Listen in a respectful, polite way. 3. Ask the staff member why he or she is angry. 4. Refuse to listen to this person because he or she is simply too upset at this point.

2. Listen in a respectful, polite way.

Which of the following is critical to communication? 1. Using professional terms when talking to a patient 2. Listening carefully to your staff member as he or she shares a problem 3. Hearing what another nurse tells you as you continue to prepare a medication 4. Having the ability to calm an angry family member

2. Listening carefully to your staff member as he or she shares a problem.

When chaos exists in your work situation, what will happen? 1. Total disruption of patient care 2. People will self-organize 3. Failure of the staff to cooperate with each other 4. The nurse manager will delegate certain functions

2. People will self-organize

Which of the following types of needs are most people more tolerant of? 1. Psychological 2. Physiological 3. Safety and security 4. Self-actualization

2. Physiological

In the ideal work situation what description of conflict is best? 1. There is no conflict and everyone gets along. 2. Some conflict is beneficial to the organization. 3. Frequent conflict arises and almost everyone conflicts daily. 4. A constant state of conflict with many angry people

2. Some conflict is beneficial to the organization.

Licensed nurses have the authority to delegate duties. Which of the following gives nurses that authority? 1. The state health department 2. The Nurse Practice Act 3. The American Hospital Association 4. The American Nurses Association

2. The Nurse Practice Act

Which of the following is a characteristic of a Theory X manager? 1. The manager respects others. 2. The manager believes in punishment. 3. The manager believes that people like to work. 4. The manager believes that people lack ambition.

2. The manager believes in punishment. 4. The manager believes that people lack ambition.

The nurse has delegated ambulating a patient to a certified nursing assistant. What statement is true regarding the nurse's legal obligation to the patient? (Select all that apply.) 1. The nurse is responsible for performing the task. 2. The nurse is accountable for the safety of the patient. 3. The nurse is accountable for making sure the task is performed safely. 4. If the patient falls the nurse is accountable and responsible for any patient injury. 5. If the patient falls the CNA is not responsible or accountable.

2. The nurse is accountable for the safety of the patient. 3. The nurse is accountable for making sure the task is performed safely.

Which of the following situations best describes feedback? 1. The answers the patient gives to your questions. 2. The patient explains what another nurse taught him. 3. The doctor gives you an order and leaves the unit. 4. You recognize the patient does not speak English well, but you explain and hope for the best.

2. The patient explains what another nurse taught him.

Which of the following theories will help you develop a positive approach to conflict? 1. Caring theory 2. Transactional analysis theory 3. Maslow's theory 4. Lewin's theory

2. Transactional analysis theory

Category-three conflict is best demonstrated by which scenario? 1. Students compete to register early for favorite classes. 2. Two nurse's aides argue about whose turn it is to take care of a belligerent patient. 3. A husband and wife argue about the time the wife spends on her nursing studies. 4. Faculty compete for merit raises.

2. Two nurse's aides argue about whose turn it is to take care of a belligerent patient.

In order for you, as an LPN nurse manager, to create a motivational environment, you must be: 1. strong and aggressive. 2. a caring professional. 3. an effective organizer. 4. an able enforcer of rules and regulations.

2. a caring professional.

McGregor's Theory X and Theory Y focus on: 1. a nurse manager's ability to manage. 2. a nurse manager's attitudes about people. 3. a nurse manager's ability to supervise. 4. a nurse manager's ability to accept responsibility.

2. a nurse manager's attitudes about people.

You can meet your patient's belonging needs by: 1. performing all care efficiently. 2. being a good listener and providing emotional support. 3. maintaining confidentiality. 4. giving a back massage.

2. being a good listener and providing emotional support.

One characteristic of a high performance team is both an elevating and a __________ goal. 1. specific 2. clear 3. unified 4. single

2. clear

A rule of delegation is: 1. choose only the best person for the job. 2. determine if the person is qualified to perform the task. 3. follow the procedure in your policy manual. 4. delegate only to other nurses.

2. determine if the person is qualified to perform the task.

The New Science Age stresses: 1. predictability. 2. empowerment for everyone. 3. order. 4. paperwork.

2. empowerment for everyone.

New Science nursing is: 1. procedure oriented. 2. focused on person outcomes. 3. focused on rules and regulations. 4. time-oriented.

2. focused on person outcomes.

The most effective way for you, the charge nurse, to manage perceived conflict is to: 1. wait until the argument takes place, because you are only relying on your feelings. 2. have individual conversations with those you think sense these feelings. 3. bring everyone together in the same meeting to express feelings. 4. be aggressive in getting answers to your questions.

2. have individual conversations with those you think sense these feelings.

Maslow's theory of human motivation is important because: 1. it identifies motivation in the workplace. 2. it helps explain what motivates behavior in individuals based on need. 3. it identifies the needs of patients when they are ill. 4. it identifies problems faced by all humans.

2. it helps explain what motivates behavior in individuals based on need.

Category one, or the conflict from competitive or opposing actions, is shown by: (Select all that apply.) 1. two friends who have a disagreement. 2. racial prejudice. 3. students who compete for an "A" in a course. 4. an ongoing feud between two neighbors. 5. an argument between siblings.

2. racial prejudice. 4. an ongoing feud between two neighbors.

There are four stages of team development. Stage one, which is called forming, allows: 1. the formation of goals. 2. team members time to get to know each other. 3. the establishment of work schedules. 4. the definition of roles for each team member.

2. team members time to get to know each other.

Teamwork is critical in the healthcare system today because: 1. health maintenance organizations and insurance companies require teamwork. 2. teams can address the diversity in care, as well as plan and process additional needs. 3. teamwork is required by the Nurse Practice Act. 4. teams are required by most healthcare regulatory agencies.

2. teams can address the diversity in care, as well as plan and process additional needs.

You get certain benefits when you delegate functions to the CNA. One is: 1. you will have more time to relax. 2. you create an empowering environment for the CNA by teaching what you know. 3. you will finally be able to take breaks and lunch. 4. you will be able to write a better evaluation of the CNA.

2. you create an empowering environment for the CNA by teaching what you know.

Therapeutic communication is used when: 1. you ask another student to explain the action of carbamazepine (Tegretol) to you. 2. you spend time talking to patients about their feelings and listening to their concerns. 3. you listen carefully while the doctor explains to you what is to be done for your patient. 4. you and your patient talk about the results of Sunday's football game.

2. you spend time talking to patients about their feelings and listening to their concerns.

What is one of the functions of a healthcare team? 1. Reward nurses for a job well done. 2. Protect nurses in employment disputes. 3. Allow both team and individual growth for the improvement of overall healthcare. 4. Outline employment requirements for nurses in specialty areas.

3. Allow both team and individual growth for the improvement of overall healthcare.

You are working as a staff nurse on a 20-bed medical-surgical unit in the hospital. One of the registered nurses (RNs) called in sick, no unit secretary has arrived, doctors have been in early, and a stack of charts needs attention. In addition, there are some very ill patients who require immediate attention. The staff currently consists of one RN, you (the licensed practical nurse [LPN]), and two certified nursing assistants (CNAs). A unit secretary has been promised but has not come yet. Which of the following terms best describes the situation? 1. Newtonian 2. Empowerment 3. Chaos 4. Quantum mechanics

3. Chaos

What is the primary term for defining the view of the universe according to quantum physics? 1. Compartmentalized 2. Subatomic 3. Chaotic 4. Orderly

3. Chaotic

A New Science nurse manager provides which of the following environments for employees? 1. Controlled 2. Relaxed 3. Empowering 4. Pleasant

3. Empowering

Why is Maslow's hierarchy of needs so important to licensed practical nurses (LPNs)? 1. It enables them to label the behavior of a patient. 2. It enables them to judge the patient's behavior. 3. It enables them to understand that each behavior is motivated by a need. 4. It enables them to make assumptions about their patient.

3. It enables them to understand that each behavior is motivated by a need.

The nurse overhears the nursing supervisor tell a certified nursing assistant (CNA) that she is hopeless and will never function competently. The nurse knows that labeling this CNA will have what impact on motivation? 1. It will challenge the CNA to do better. 2. It will anger the CNA and motivate her to get even. 3. It will demotivate the CNA and cause her to stop trying to improve. 4. It will not have any impact on the CNA's motivation.

3. It will demotivate the CNA and cause her to stop trying to improve.

Which of the following is an example of a job hygiene factor? 1. A clean facility 2. Cleanliness of the staff 3. Job security 4. Advancement in the workplace

3. Job security

The nurse needs to delegate care of a patient to the certified nursing assistant (CNA). Care of which patient would be most appropriate to delegate? 1. Mrs. Smith, who is being discharged today 2. Mr. Jones, who was admitted last night after experiencing a right-sided stroke 3. Mrs. Franklin, who is bedridden and requires total am care 4. Mr. Morrison, who is going to surgery today to have his fractured hip repaired

3. Mrs. Franklin, who is bedridden and requires total am care

Which of the following is a characteristic of the Newtonian Age? 1. Industrialization 2. Chaos 3. Organization 4. Unpredictability

3. Organization

A coworker makes nasty comments to the nurse and the nurse notices the coworker shooting dirty looks at the nurse. The nurse approaches the coworker and says, "You seem angry with me. Can we talk about what's bothering you?" The coworker responds, "I'm not angry with you. Everything is fine." What behavior is this coworker demonstrating? 1. Conflict management 2. Conflict control 3. Passive-aggressive 4. Aggressive

3. Passive-aggressive

In which stage is the team most productive? 1. Storming 2. Norming 3. Performing 4. Forming

3. Performing

The nurse is working on a team whose leader is more focused on earning recognition than on the goals of the team. What important characteristic is missing and causing this team to perform poorly? 1. External support 2. Standards of excellence 3. Principled leadership 4. Competent team members

3. Principled leadership

The nurse belongs to a group in the performing stage. What will the nurse anticipate if two members of the team leave the group and new members join? 1. The team will dissolve. 2. The team will become dysfunctional. 3. The team will regress to a previous stage. 4. There will be no significant change.

3. The team will regress to a previous stage.

The nurse manager has one or two staff nurses who frequently inform the manager of things that were done incorrectly on the unit even when it is a minor infraction. What does this indicate? 1. The nurse manager is trusted by these two staff nurses. 2. The nurse manager is not observing unit care closely enough. 3. There is distrust in the group due to lack of confidentiality. 4. The two nurses are disliked by the rest of the group.

3. There is distrust in the group due to lack of confidentiality.

You work on a skilled unit in a long-term care facility. Over the past several months, there has been conflict over the schedule. Your manager should use which of the following methods to resolve this conflict successfully? 1. Staff meetings so that everyone can state their complaints about the schedule 2. Ask the director of nursing to step in and settle the problem once and for all. 3. Use the process of negotiation. 4. Inform the staff that the schedule will be followed without further changes or discussion.

3. Use the process of negotiation.

What is the term for listening respectfully and not responding with anger to another who is angry? 1. Negotiation 2. Good management 3. White out 4. Brown out

3. White out

The greatest cause of conflict is: 1. uncaring and aggressive nurses. 2. managers who distance themselves. 3. an unresolved conflict. 4. a manager who uses win-lose strategies.

3. an unresolved conflict.

In the profession of nursing, it is necessary to develop: 1. leadership skills. 2. management skills. 3. assertiveness. 4. aggressive techniques.

3. assertiveness.

A basic principle of making chaos work is being able to: 1. perform procedures quickly. 2. tell your supervisor that you need help. 3. delegate properly. 4. assess your patients carefully.

3. delegate properly.

Functional behavior of a group is: 1. specific. 2. normal. 3. desirable. 4. undesirable.

3. desirable.

One of the strongest communication skills a student can have in any setting is: 1. speaking. 2. hearing. 3. listening. 4. writing.

3. listening.

As one travels up Maslow's hierarchy, the behaviors are: 1. less of a challenge to meet. 2. of equal challenge. 3. more of a challenge to meet. 4. impossible to meet.

3. more of a challenge to meet.

Theory Y managers believe that: 1. people lack motivation. 2. people cannot accept responsibility. 3. people accept responsibility. 4. people like to be directed.

3. people accept responsibility.

It is necessary for the practical nursing student to be _____ in communication with patients and families in the clinical area. 1. friendly and eager 2. cheerful and loud so the patient can hear 3. quiet and gentle 4. firm and strong

3. quiet and gentle

Poorly managed conflict: 1. is inevitable. 2. is a result of putting nurses in management roles. 3. results in lowered productivity. 4. is caused by autocratic managers.

3. results in lowered productivity.

Friendly conversation is an important skill for the student. Friendly conversation is best described as: 1. conversing politely in the clinical area. 2. talking to families about a patient's prognosis. 3. talking cheerfully to friends about your nursing classes and social events. 4. group discussions on nursing topics.

3. talking cheerfully to friends about your missing classes and social events.

The characteristic of having a results-driven structure is the responsibility of: (Select all that apply.) 1. the staff nurses. 2. the staff physicians. 3. the manager. 4. the administrator. 5. the maintenance crew.

3. the manager. 4. the administrator.

When you focus on the needs in Maslow's theory of human motivation and relate the hierarchy to your patients, you will understand: 1. how to perform procedures correctly. 2. how to follow your instructor's directions. 3. the motivation for your patient's behavior. 4. how to follow the doctor's orders.

3. the motivation for your patient's behavior.

A strong and frequent cause of conflict for licensed practical nurses (LPNs) is: 1. scarce resources. 2. family problems. 3. unclear roles. 4. competition among staff nurses.

3. unclear roles.

As a manager, it is important for you to develop skills in: 1. social communication with your staff. 2. understanding nonverbal messages from those you manage. 3. understanding nonverbal messages from both those you manage and your leaders. 4. therapeutic communication with patients.

3. understanding nonverbal messages from both those you manage and your leaders.

Well-managed conflict: 1. can stimulate competition. 2. identifies legitimate differences. 3. serves as a strong motivator for employees. 4. All of the above are correct.

4. All of the above are correct.

In which of the following situations could failed communication occur? 1. Your instructor tells you to perform a procedure but does not let you ask questions. 2. A family member yells at you because you forgot to go to the dry cleaners. 3. The patient begins to cry when you are caring for them. 4. All of the above.

4. All of the above.

You are a charge nurse in a long-term care facility and you have to talk to Betty, a certified nursing assistant, about the care of one of her residents. You and Betty sit in your office, and as you begin to talk with her, she becomes very angry and storms out of the office. What has taken place? 1. Successful communication 2. Social communication 3. Honest communication 4. Failed communication

4. Failed communication

Passive communication results in: 1. Resolving problems in the long term 2. Positive feelings 3. Keeping the peace 4. Failure to move up Maslow's hierarchy

4. Failure to move up Maslow's hierarchy

What is your responsibility in a threatening situation with a staff member on your unit? 1. Protect yourself; do not worry about others at this time. 2. Attempt to remove the person from the unit. 3. Immediately call the police. 4. Protect yourself, other employees, and patients and their families.

4. Protect yourself, other employees, and patients and their families.

Which of the following theories is the best approach for nursing today? 1. Newtonian theory 2. Caring theory 3. Maslow's theory 4. The New Science theory

4. The New Science theory

The need for belonging cannot be met unless which of the following has been met? 1. The need for esteem and self-actualization 2. The need for safety 3. The need for self-esteem 4. The need for safety and physiological needs

4. The need for safety and physiological needs

"Nurses who eat their young" is an example of what type of behavior? 1. Codependency 2. Horizontal hostility 3. Theory X 4. Theory Y

4. Theory Y

If a nursing team is successful, it is receiving support from: 1. physicians. 2. other units in the facility. 3. the owners. 4. administration.

4. administration.

Other forms of communication by the licensed practical nurse include: 1. charting on the nurse's notes. 2. reading the patient's chart. 3. taking notes during a staff meeting. 4. all of the above.

4. all of the above.

Passive-aggressive behavior is demonstrated by the nurse who: 1. gossips about other people. 2. constantly complains during shift report. 3. complains to everyone except the right person. 4. all of the above.

4. all of the above.

An especially dangerous belief for LPNs is to: 1. believe they can make do when staffing is inadequate. 2. believe they constantly need the support and presence of another staff member to function. 3. believe that all decisions made at the top are superior to decisions made by subordinates. 4. believe it is okay to label others on the staff.

4. believe it is okay to label others on the staff.

Communication occurs when: 1. the sender understands the meaning of the communication. 2. the receiver understands the meaning of the communication. 3. the sender uses both verbal and nonverbal ways of communicating. 4. both the sender and the receiver have understood the meaning of the communication.

4. both the sender and the receiver have understood the meaning of the communication.

When negotiating because of a conflict you should: 1. quickly respond with an answer. 2. take what is said personally; after all, this conflict does affect you. 3. respond with criticism. 4. identify the need that the person is expressing.

4. identify the need that the person is expressing.

Unified commitment is a characteristic of a high-functioning team. This type of commitment requires all of the following characteristics except: 1. modesty. 2. caring. 3. mentoring. 4. individual professional goals.

4. individual professional goals.

Herzberg's motivational theory has two factors. They are: 1. Theory X and Theory Y. 2. care and support. 3. self-discipline and creativity. 4. job hygiene and job motivation.

4. job hygiene and job motivation.

An important part of assertiveness is the nurse's ability to say: 1. yes. 2. I don't understand. 3. Can you help me? 4. no.

4. no.

In order for you to understand conflict, you must be able to: 1. quickly judge the behavior of those involved. 2. identify the conflict and its category. 3. manage the conflict yourself. 4. realize that conflict is inevitable.

4. realize that conflict is inevitable.

With quantum mechanics, humans recognize: 1. orderliness. 2. mechanization. 3. structure. 4. the dynamics of life and its living qualities.

4. the dynamics of life and its living qualities.

A team member is considered competent and successful when: 1. the team member is either a RN or a LPN. 2. the team member is an expert in all areas of patient care. 3. the team member is pleasant and easy to work with. 4. the team member is expert in a skill desired by the team.

4. the team member is expert in a skill desired by the team.

As a nurse manager, you cannot motivate others without: 1. power. 2. technical skills. 3. charisma. 4. understanding.

4. understanding.

The patient tells the nurse that his insurance company requires him to pick a primary provider and asks what that means. The nurse explains explains that primary provider means choosing what? A. A doctor B. A staff nurse C. One insurance provider D. A hospital

A. A doctor

The nurse is caring for a patient who will be discharged from acute care to home. How can the nurse best advocate for this patient? A. Arranging for Meals on Wheels to provide in-home meals. B. Administering pain medication prior to discharge. C. Teaching a client how to take medications at home. D. Taking the client by wheelchair to the car.

A. Arranging for Meals on Wheels to provide in-home meals.

How can the LPN expand practice areas without advancing their career by becoming a registered nurse? A. Attain certification in a specific area. B. Work in a nursing specialty area. C. Work in the same facility for five or more years. D. Learn by watching how other nurses perform at work.

A. Attain certification in a specific area.

The new graduate nurse is asked to start an IV on a patient but isn't sure whether post-graduate certification is required to perform this skill. What is the nurse's best response? A. Check the state's Nurse Practice Act. B. Refuse to perform the skills. C. Call the school where the nurse graduated. D. Take the opportunity to practice this skill.

A. Check the stat'es Nurse Practice Act.

The LPN informs the RN that the patient is short of breath with labored breathing and is not responding to interventions. What role is the nurse performing? A. Consultant B. Advocate C. Clinician D. Collaborator

A. Consultant

What types of nursing mentors are considered toxic mentors? (Select all that apply.) A. Dumpers B. Unfriendly C. Avoiders D. Passive-aggressive E. Blockers

A. Dumpers C. Avoiders E. Blockers

The nurse asks the three major questions when searching for a job. What information received from the hiring manager would the nurse consider as answers to these questions? (Select all that apply.) A. Explanation of the type of patients the facility admits B. Description of the orientation process for new graduates C. Skills the nurse will need to function in the new job D. Hourly wage and compensation package for employees E. Number and type of staff working on the unit with the nurse

A. Explanation of the type of patients the facility admits B. Description of the orientation process for new graduates C. Skills the nurse will need to function in the new job E. Number and type of staff working on the unit with the nurse

The nurse evaluates different healthcare systems and determines that those delivering safe and high-quality care require what? (Select all that apply.) A. Health professionals such as nurses, physicians, occupational and physical therapists. B. Medical vendors such as supplies of linens, foods, medications, and supplies. C. Ancillary service professionals such as food, maintenance, and business office services. D. An adequate intake of cash to pay competitive salaries to employees E. National certification as a magnet hospital in the community.

A. Health professionals such as nurses, physicians, occupational and physical therapists. B. Medical vendors such as supplies of linens, foods, medications, and supplies. C. Ancillary service professionals such as food, maintenance, and business office services.

The LPN is offered a job working alone in an office treating patients. The only coworkers the nurse will have are secretarial and billing clerks. What will the nurse need to ask about this job to determine if it is in compliance with the Nurse Practice Act? A. Is there an RN or physician who will supervise the LPN? B. Is there adequate financial compensation for the work expected? C. Will the LPN be supervising the secretaries and billing clerks? D. How long will the LPN need to work before receiving a raise?

A. Is there an RN or physician who will supervise the LPN?

The actual practice of nursing requires extensive use of what type of knowledge? A. Knowing that B. Knowing how C. Knowing why D. Knowing when

A. Knowing that

The student nurse is applying knowledge learned in class to the care of a patient. What type of knowledge is the student nurse using? A. Knowing that B. Knowing how C. Knowing why D. Knowing when

A. Knowing that

What nursing organization limits membership exclusively to LPNs? A. National Federation of Licensed Practical Nurses (NFLPN) B. American Nurses Association (ANA) C. National League for Nursing (NLN) D. National Association for Practical Nurse Education and Services (NAPNES)

A. National Federation of Licensed Practical Nurses (NFLPN)

What events might threaten the nurse's need for sense of safety and security when starting the first job after graduation? (Select all that apply.) A. Passing medications for a team independently B. Choosing benefits from the options provided by the facility C. Eating lunch with new coworkers for the first time D. Performing a complex procedure without assistance E. Challenging a physician's order that is unsafe

A. Passing medications for a team independently D. Performing a complex procedure without assistance E. Challenging a physician's order that is unsafe

The nurse works in a clinic and provides classes to reduce the spread of sexually transmitted infection and unwanted pregnancy. What level of healthcare services are these classes? A. Primary B. Secondary C. Tertiary D. Primary and Secondary

A. Primary

What is a major source of stress on the current U.S. healthcare system? A. Rising cost of providing healthcare to all citizens. B. Lack of adequate education for healthcare professionals. C. Inadequate number of hospital beds across the country. D. Increasing cost of malpractice insurance.

A. Rising cost of providing healthcare to all citizens.

Which patient would the nurse expect to have Medicare as their health insurance? (Select all that apply.) A. The 83-year-old patient diagnosed with heart failure. B. The 35-year-old patient who is a quadriplegic. C. The 53-year-old with end-stage renal disease receiving dialysis. D. The 19 year old diagnosed with attention deficit disorder. E. The 6 year old admitted to the hospital diagnosed with appendicitis.

A. The 83-year-old patient diagnosed with heart failure. B. The 35-year-old patient who is a quadriplegic. C. The 53-year-old with end-stage renal disease receiving dialysis.

The LPN requires what skills to successfully manage care? A. The ability to organize and prioritize tasks B. The ability to work weekends and off shifts C. The ability to develop a comprehensive care plan D. Close relationship with the supervising RN

A. The ability to organize and prioritize tasks

The nurse is involved in an active discussion with people in the community about healthcare systems in the United States. The nurse explains characteristics that cause problems in the current system, including what? (Select all that apply.) A. There is no central agency to govern healthcare systems. B. Access to healthcare is governed by ability to pay. C. Insurance payers must approve most procedures and services. D. Prejudice prevents some groups from receiving adequate care. E. People have no faith in the quality of patient care at local hospitals.

A. There is no central agency to govern healthcare systems. B. Access to healthcare is governed by ability to pay. C. Insurance payers must approve most procedures and services.

A nurse who has experience and knowledge and is willing to help a new graduate is called what? A. An instructor B. A mentor C. An in-service educator D. A teaching assistant

B. A mentor

The U.S. healthcare system is based on what fiscal approach? A. Healthcare is a basic right provided to all equally B. Ability to pay determines access to care. C. Only the rich are entitled to healthcare. D. Health insurance is required to obtain care.

B. Ability to pay determines access to care.

Which statement about the U.S. healthcare system made by the nurse is untrue and inaccurate? A. There is no central agency to govern healthcare systems. B. Access to healthcare is available to all persons regardless of ability to pay. C. Legal risk must be considered when providing healthcare. D. High-tech equipment is available but payment for its use is troublesome to the system.

B. Access to healthcare is available to all persons regardless of ability to pay.

The charge nurse tells the graduate nurse to talk to a dying patient's family, who are very upset. The graduate says, "What should I say? I've never dealt with a situation like this before." The charge nurse assures the graduate everything will be fine. What type of mentor is this charge nurse? A. Avoider B. Dumper C. Destroyer D. Blocker

B. Dumper

After the student graduates and begins to practice the healing art in the real world of nursing, he or she develops what type of knowledge? A. Knowing that B. Knowing how C. Knowing why D. Knowing when

B. Knowing how

The physician asks the nurse to perform a procedure. The nurse is unsure whether nurses are allowed to perform this procedure. What is the nurse's best source of information to determine whether the procedure can legally be performed by the nurse? A. Ask another nurse with more experience B. Nurse Practice Act C. Call the nursing instructor D. Call any school of nursing

B. Nurse Practice Act

2. Why is it important for nurses to have some understanding of healthcare issues in the United States? A. The nurse has the responsibility of doing the paperwork related to the patient's insurance. B. Reimbursement often influences the services that can be offered to the public. C. The LPN will determine the quality of care to deliver based on the patient's insurance. D. The practical nurse cannot graduate until proficiency on this topic is displayed.

B. Reimbursement often influences the services that can be offered to the public.

A new graduate accepts a job that provides a strong support system, giving the nurse a sense of what? A. Financial security B. Safety C. Love and sense of belonging D. Health and well being

B. Safety

What level of Maslow's hierarchy of needs is most threatened when the new graduate nurse begins working? A. Physiological needs B. Safety needs C. Love and belonging needs D. Self-actualization needs

B. Safety needs

The nurse contacts a reporter at a local television station to correct some misinformation included in the news last evening. What role is the nurse filling? A. Clinician B. Collaborator C. Advocate D. Manager

C. Advocate

The nurse working in the long-term care facility reviews a physician order that the nurse feels is unsafe. The physician is contacted and upholds the order. What should the nurse do? A. Carry out the order and document the order was questioned with the physician. B. Refuse to carry out the order and document the rationale for why it was not done. C. Consult the RN supervisor and explain the situation and the physician's response. D. Explain the dilemma to the patient and ask the patient to give permission for the order to be done.

C. Consult the RN supervisor and explain the situation and the physician's response.

What role is not appropriate for the LPN to participate in? A. Administering medications B. Dressing Changes C. Designing a research study D. Reporting patient changes

C. Designing a research study

The new graduate accepts a position at a facility and is assigned a preceptor to act as a mentor during the orientation process. After two weeks on orientation the graduate overhears the preceptor telling a coworker, "This new graduate I'm working with is never going to make it as a nurse. She doesn't know what she is doing." What type of mentor is this preceptor? A. Avoider B. Dumper C. Destroyer D. Blocker

C. Destroyer

How long should the nurse's career plan extend? A. One year B. Two years C. Five years D. Ten years

C. Five years

Why is networking important for the novice nurse? A. Networking helps the nurse get the desired job just by knowing the right person. B. Networking educates the nurse on what institutions should be avoided. C. Networking is an effective way to informally share goals, concerns, or desires. D. Networking helps the nurse to get the best salary and benefit package.

C. Networking is an effective way to informally share goals, concerns, or desires.

Why is it important for the new graduate LPN to seek a job with strong support systems? A. Support systems will make the job easier. B. Social needs will be met more effectively. C. Support systems will help ensure job safety. D. Self-esteem needs will be met more effectively.

C. Support systems will help ensure job safety.

The nurse assists a patient to receive hospice care for a terminal illness, which is classified as what level of healthcare services? A. Primary B. Secondary C. Tertiary D. Primary and Tertiary

C. Tertiary

The nurse was originally licensed in one state and is accepting a job in a different state. What statement regarding the nurse's practice in the new state is accurate? A. Every state's Nurse Practice Act is the same so the nurse's practice will not change. B. The nurse will need to take the NCLEX-PN again in the new state. C. The nurse is responsible for understanding the Nurse Practice Act in the new state. D. The nurse will need to take a quiz regarding differences in the Nurse Practice Act in the new state.

C. Th nurse is responsible for understanding the Nurse Practice Act in the new state.

Under the Patient Protection and Affordable Care Act what will happen to individuals who do not purchase health insurance? A. They cannot receive medical care. B. They can be arrested and jailed. C. They are fined for noncompliance D. They are charged more for healthcare.

C. They are fined for noncompliance.

The new graduate would like to work on an obstetrics unit in the local hospital. After applying for several jobs, the long-term care facility offers the graduate a position caring for older residents. What is the nurse's best action? A. Thank the facility for the job offer but explain that caring for older adults is not the job desired. B. Take the job caring for older adults temporarily until a better job in the desired field is offered. C. Refuse the job by explaining that another job has been offered to avoid hurting feelings. D. Accept the job and work there for one or two years to gain experience before applying for a different job.

D. Accept the job and work there for one or two years to gain experience before applying for a different job.

The nurser plans a patient-care meeting that includes all of the physicians, physical therapists, and respiratory therapists involved in a patient's care as well as the patient's primary nurses. What role is the nurse performing? A. Consultant B. Advocate C. Clinician D. Collaborator

D. Collaborator

The nurse sits with a patient who is tearful after receiving a diagnosis of new onset multiple sclerosis. The patient is fearful of further physical degeneration, and the nurse listens and helps the patient express her fears. What role is the nurse performing? A. Consultant B. Advocate C. Researcher D. Counselor

D. Counselor

The nurse sets a goal in a career plan to be working as a charge nurse in one year. When the year has passed and the nurse is not working as a charge nurse, what priority action should the nurse take? A. Complain to the nursing supervisor because the nurse's talents are not being fully utilized. B. Quit this job and find another job in a facility where nurses are promoted faster. C. Determine which of the nurse's coworkers is most likely saying bad things about the nurse. D. Determine the reasons why the nurse hasn't been promoted and create an action plan.

D. Determine the reasons why the nurse hasn't been promoted and create an action plan.

The patient no longer requires acute care but is unable to receive the complex care required in the patient's home. The nurse may arrange for this patient for this patient to be transferred to what type of facility? A. Hospice B. Home Healthcare C. Assisted-living center D. Extended-care facility

D. Extended-care facility

How can the new graduate LPN best meet the ongoing educational requirements of the nursing profession? A. Sit in on the classes taken during nursing school as a refresher course. B. Share ideas with coworkers during quiet times at work. C. Ask your nursing supervisor to teach you about new things. D. Join a professional organization to attend seminars.

D. Join a professional organization to attend seminars.

The nurse is preparing staff assignments as the charge nurse for the shift. What role is the nurse performing? A. Clinician B. Collaborator C. Advocate D. Manager

D. Manager

The nurse works in the local hospital emergency room, treating patients with serious illnesses as well as those requiring teaching to prevent injury. What level of healthcare services is the nurse providing? A. Primary B. Secondary C. Tertiary D. Primary and Secondary

D. Primary and Secondary

The nurse is attending a class on insurance and learns about Medicaid, which is financed by what part of the government? A. State B. Federal C. County D. State and Federal

D. State and Federal

The patient asks the nurse how most people can afford medical insurance. The nurse explains many people get medical insurance from what source? A. The primary care physician B. The local clinic C. Social security office D. The employer

D. The employer

The new graduate nurse is looking for a mentor and is considering several coworkers. Which experienced nurse would make the best mentor for the new graduate? A. The nurse who has a great sense of humor and always invites the new grad to go out after work. B. The nurse who says graduate nurses are poorly prepared and attended the same school as the graduate. C. The nurse who is always delegating to the graduate tasks like making beds and feeding patients. D. The nurse who is very skillful and often calls the graduate over to teach something new.

D. The nurse who is very skillful and often calls the graduate over to teach something new.

What patient would be appropriately transferred to an assisted living facility by the nurse? A. The patient requiring ongoing skilled-nursing observation B. The patient recovered enough to return to work and daily life. C. The child burned in a fire who lost both parents to the tragedy. D. The patient who needs minimal assistance in performing activities of daily living but cannot live alone.

D. The patient who needs minimal assistance in performing activities of daily living but cannot live alone.

The nurse explains that the primary purpose of the Patient Protection and Affordable Care Act is what? A. To protect providers from lawsuits when providing first aid at an accident. B. To mandate states provide Medicaid to all who cannot afford healthcare. C. To require illegal immigrants to pay in advance for any healthcare needed. D. To reduce the number of Americans without health insurance.

D. To reduce the number of Americans without health insurance.