ch11-21

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

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."

The nurse is working on a busy unit that is short-staffed. Which of the following patient assessments is the highest priority? 1. A patient with chest pain radiating to the left arm and diaphoresis 2. A confused patient crying out for her husband who died several years ago 3. A patient with an elevated temperature requiring an antipyretic 4. A postoperative patient in severe pain 5. A patient who is to be discharged tomorrow and needing self-care teaching

1. A patient with chest pain radiating to the left arm and diaphoresis

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.

Effective delegation involves which of the following? 1. Clear identification of the delegated task 2. Accurate documentation 3. The ability to reward positive behavior of a staff member 4. The assignment of a specific number of in-service education hours

1. Clear identification of the delegated task

When a nurse uses ethical reasoning, the nurse does which of the following? 1. Clearly identifies the issue based on the perspective of the persons involved 2. Follows gut reaction and trusts instincts 3. Ignores personal values 4. Puts a plan into action but does not need to evaluate the plan

1. Clearly identifies the issue based on the perspective of the persons involved

When setting nursing priorities, which factors must be considered? 1. Compassion and patient needs 2. Patient and family requests 3. Physician's orders and patient status 4. Knowledge base and nursing theories

1. Compassion and patient needs

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

The nurse manager is preparing to hold a counseling session with a certified nursing assistant who has been consistently coming to work late. What strategies should the nurse manager use? (Select all that apply.) 1. Conduct counseling in private 2. Keep session brief 3. Avoid wording that will seem confrontational 4. Emphasize the negative behavior repeatedly 5. Sympathize with the employee

1. Conduct counseling in private 2. Keep session brief 3. Avoid wording that will seem confrontational

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 serving on a committee to implement new cardiorespiratory monitors in the unit. What actions can the committee recommend to avoid the common mistakes that can occur during the change process? (Select all that apply.) 1. Identify the pros and cons of the new system as compared to the old system. 2. Allow adequate time for the staff to learn how to work the monitors before installing them. 3. Provide a resource person knowledgeable about the new monitors when they are put in use. 4. Keeping the old procedure in place for use of the monitors to prevent confusion 5. Install the new monitors the day after informing the unit about the change.

1. Identify the pros and cons of the new system as compared to the old system. 2. Allow adequate time for the staff to learn how to work the monitors before installing them. 3. Provide a resource person knowledgeable about the new monitors when they are put in use.

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

What does the nurse need to put in place in order for the environment to be considered empowering? (Select all that apply.) 1. Incorporate the staff's input into unit decisions 2. Share information with staff regarding patients assigned to them 3. Use staffing models based on empowerment 4. Let staff make all unit decisions 5. Hold monthly staff meetings

1. Incorporate the staff's input into unit decisions 2. Share information with staff regarding patients assigned to them 3. Use staffing models based on empowerment

The nurse is caring for a patient whose left leg was amputated below the knee following a skiing accident. The nurse recognizes the patient is experiencing a transition to his new body image when observing what characteristics? (Select all that apply.) 1. Irritability 2. Anxiety 3. Asking how he will do the things he used to do 4. Depression 5. Wanting to spend all his time in physical therapy

1. Irritability 2. Anxiety 3. Asking how he will do the things he used to do 4. Depression

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

Learning to set meaningful priorities will help the nurse to do what? 1. Make decisions quickly 2. Make correct decisions 3. Incorporate patients in the decision-making process 4. Become a better member of the healthcare team

1. Make decisions quickly

A nurse gives a diabetic inpatient an injection of regular insulin as ordered. The patient is not checked for 4 hours. The patient is found dead due to insulin shock. What does this demonstrate? 1. Negligence 2. Libel 3. Slander 4. Acting outside the scope of practice

1. Negligence

A resident in a long-term care facility is status poststroke and has difficulty swallowing. She is left to eat her meal on her own and has a choking incident in which she aspirates a portion of her meal. What does this constitute? 1. Negligence 2. Libel 3. Slander 4. Acting outside the scope of practice

1. Negligence

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

Which of the following is a characteristic of effective people? 1. Opportunity-oriented 2. Problem-oriented 3. Management-oriented 4. People-oriented

1. Opportunity-oriented

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 statement about empowerment is accurate? 1. Others can create conditions that make it easier for us to empower ourselves. 2. Empowerment can only come from others. 3. Empowerment can only come from within oneself. 4. Empowerment leads to self-confidence.

1. Others can create conditions that make it easier for us to empower ourselves.

The new graduate LPN accepts a position as a staff nurse in a hospice home-care unit. Upon attending the first staff meeting the nurse learns there has been a problem with keeping nurses safe when visiting certain areas of town, and the nurses are requesting improvement. What role can this new graduate expect to take in the change process? 1. Participate in the change process. 2. Identify needed changes. 3. Recommend changes to improve processes. 4. Evaluate the effectiveness of change.

1. Participate in the change process.

The LPN has worked on this unit at an acute care hospital for the past four years. It is announced that the hospital wants to change the process for admitting new patients. What roles can this nurse serve in the change process? (Select all that apply.) 1. Participate in the change process. 2. Identify needed changes. 3. Recommend changes to improve processes. 4. Participate in evaluating the effectiveness of change. 5. Act as the informal leader of the group researching the needed change.

1. Participate in the change process. 3. Recommend changes to improve processes. 4. Participate in evaluating the effectiveness of change.

What best demonstrates the student nurse performing in an ethical manner in the clinical setting? 1. Performing procedures as taught 2. Talking with patients 3. Using the personal cell phone as infrequently as possible 4. Visiting with family members

1. Performing procedures as taught

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.

The nurse working in a long-term care facility has joined a committee with the goal of implementing electronic medical records within the next six months. The committee is planning how best to prepare staff for the change. What type of change is occurring? 1. Planned change 2. Change by drift 3. Accidental change 4. Occidental change

1. Planned change

The nurse's personal values help the nurse determine what? 1. Priorities 2. Culture 3. Ability to work on a team 4. What grade will be earned in class

1. Priorities

Your orientation as a nurse manager in a long-term care facility was done quickly. You are unsure of some of the regulations relating to your new position. As a responsible nurse manager, what should you do to remedy this situation? 1. Review your agency regulations and know the Nurse Practice Act. 2. When a situation comes up, ask the staff what the normal procedure is. 3. Call the state board of nursing. 4. Call the state department of health.

1. Review your agency regulations and know the Nurse Practice Act.

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.

What has happened in the process of refreezing? 1. The change has occurred and has been formalized. 2. The change has met resistance and has been suspended. 3. The change has been discussed but has not been implemented. 4. All driving and restraining forces have been identified.

1. The change has occurred and has been formalized.

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 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.

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.

Using animals for research studies for human drugs is an example of which theory? 1. Utilitarianism 2. Deontology 3. Permission to treat 4. Informed consent

1. Utilitarianism

The nurse is going to delegate bathing a patient to another member of the team. What information should the nurse communicate when delegating? (Select all that apply.) 1. What is to be done 2. When to seek help 3. Any expected abnormal findings 4. How long they have to do the job 5. When the job is to be complete

1. What is to be done 2. When to seek help 3. Any expected abnormal findings 5. When the job is to be complete

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

How can nurses help to empower patients to make better decisions about their own care? 1. Working as a partner with the patient 2. Telling the patient they need to take more responsibility for self-care 3. Asking the patient why they make so many poor decisions 4. Working with the health care team to provide quality care

1. Working as a partner with the patient

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

A performance plan for improvement should include: 1. a time frame for achieving each goal. 2. behavioral characteristics. 3. personality characteristics. 4. a job description.

1. a time frame for achieving each goal.

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.

Manipulative use of reward power turns into: 1. coercion. 2. anger. 3. frustration. 4. powerlessness.

1. coercion.

Ethical dilemmas are situations that result in a _____ of two or more fundamental values. 1. conflict 2. blending 3. change 4. discussion

1. conflict

In order to gain the cooperation of staff members, you ask for their input on patient care and share information regarding patient care. These actions are examples of: 1. empowerment. 2. delegation. 3. accountability. 4. teaching.

1. empowerment.

Your classmate, who is also a good friend, tells you this morning that she didn't have time to study for the anatomy and physiology test because her daughter was sick all night. She sits next to you in class and asks you to position your answer sheet so that she can copy your answers. You reply that you are very sorry, but that you do not feel it would be appropriate behavior to do so. You suggest that your friend talk to the instructor to see if she can take the test at a later time. Your actions exhibit: 1. ethical behavior. 2. unethical behavior. 3. abuse of power. 4. deontology.

1. ethical behavior.

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.

An LPN on the unit has a name tag that has her name and RN listed after it. She doesn't change it because she is an RN student. This is an example of: 1. fraud. 2. negligence. 3. battery. 4. against medical advice.

1. fraud.

A single mother is staying with her 8-month-old daughter, admitted for dehydration secondary to gastroenteritis. After the third hospital day, the exhausted mother states she would like to go home to shower and get clean clothes, but she does not want to leave her daughter. The nurse should: 1. inquire if another family member is available to stay in her absence. 2. offer to stay with her child while the mother is gone. 3. advise the mother to wait until the child falls asleep before she leaves. 4. suggest that someone bring the mother clothes and tell her she can shower at the hospital.

1. inquire if another family member is available to stay in her absence.

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.

Patient assignments are best made by delegating tasks based on: 1. patient acuity. 2. patient age. 3. staff ages. 4. medical diagnoses.

1. patient acuity.

Negative use of power helps: (Select all that apply.) 1. personal gain. 2. professional gain. 3. meet the needs of the group. 4. group harmony. 5. promote the ideas of an individual without regard for the group.

1. personal gain. 5. promote the ideas of an individual without regard for the group.

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.

When a manager uses the contrast effect in performance analysis, this refers to: 1. rating an employee by comparison with other employees. 2. the ratings being all higher or lower than the expected average. 3. allowing past performance ratings to influence current ratings. 4. rating all areas at average or midpoint.

1. rating an employee by comparison with other employees.

Kurt Lewin's theory of change involves three phases. He called these three phases unfreezing, moving, and __________. 1. refreezing 2. completed 3. restraining 4. driving

1. refreezing

The LPN manager must support the staff as they make the second phase of change, which is moving. In order for this stage to be effective, the manager should: 1. spend time teaching the staff. 2. implement the change prior to unfreezing. 3. criticize mistakes that are made. 4. pay attention to any signs of hyperenergy.

1. spend time teaching the staff. 4. pay attention to any signs of hyperenergy.

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

1. storming.

One of the things that you can do if you experience powerlessness is: 1. talk to your mentor. 2. attempt to reverse these feelings yourself. 3. get more rest. 4. exercise regularly.

1. talk to your mentor.

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 primary reason for employee counseling is: 1. to inform employees that they need to do something differently or that they have done something well. 2. to punish employees for errors. 3. to discipline employees. 4. to reward employees.

1. to inform employees that they need to do something

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.

The nurse manager gives a staff nurse a performance evaluation with several recommended areas for improvement. What should the staff nurse do to indicate that he or she appreciates the feedback and wants to improve? 1. Say, "Thank you." 2. Ask questions about how to improve. 3. Apologize for poor performance. 4. Say, "I'll do my best to get better."

2. Ask questions about how to improve.

The nurse is caring for a client admitted for complications following an abortion. The nurse values adoption over abortion. How will the nurse best serve this patient? 1. Discussing her feeling about adoption with the client 2. Asking the charge nurse for an alternate assignment 3. Clustering care so she will not have to go into the room often 4. Ask the local chapter of Planned Parenthood to meet with the client.

2. Asking the charge nurse for an alternate assignment

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.

At a staff meeting the nurse manager tells the group of nurses, "I know census was high last month, but you all did an amazing job of taking care of your patients while keeping the quality of care high. I am very proud of you." What is this manager doing? 1. Providing verbal report 2. Coaching 3. Mentoring 4. Goal setting

2. Coaching

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

Which of the following is a common mistake that can be made during the change process? 1. Failure to provide adequate meeting time 2. Failure to provide psychological safety for the staff 3. Failure to identify a mentor 4. Failure to network

2. Failure to provide psychological safety for the staff

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

The nurse is caring for a patient who has just signed an informed consent to be included in a research study for an experimental medication. The patient tells the nurse that she really doesn't want to be part of this study, but her doctor was so excited about the possibilities and talked so ideologically about how her participation could help all of mankind that she felt she couldn't decline to participate. What is the nurse's priority action? 1. Reassure the patient that she did the right thing. 2. Inform the physician the patient signed the consent under duress. 3. Document the patient's statement in the medical record. 4. Maintain the patient's confidentiality by not telling anyone what she said.

2. Inform the physician the patient signed the consent under duress.

When is it appropriate to give an employee a written warning as part of a disciplinary action? 1. After previous counseling and employee is aware of the rule being broken 2. A first occurrence of breaking a rule occurs. 3. A severe violation of a rule occurs. 4. Employee is suspected of breaking a rule.

3. A severe violation of a rule occurs.

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.

What actions can the newly graduated LPN take to improve their sense of empowerment? (Select all that apply.) 1. Take a job that will require a high level of expertise. 2. Join a nursing organization. 3. Continue to read and study new topics encountered at work. 4. Seek a mentor with expertise who works well with the LPN. 5. Handle all situations that arise at work independently.

2. Join a nursing organization. 3. Continue to read and study new topics encountered at work. 4. Seek a mentor with expertise who works well with the LPN.

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.

The staff nurses formed a committee to improve holiday scheduling. After several meetings they have designed a new schedule and are preparing to put it into action today. What phase of Lewin's change theory is this committee performing? 1. Unfreezing 2. Moving 3. Refreezing 4. Identifying driving and restraining forces

2. Moving

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

Licensed practical nurses (LPNs) should use what kind of power at the bedside? 1. Professional power 2. Personal power 3. Reward power 4. Expert power

2. Personal power

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

When you apply theory learned in your medical-surgical nursing class in a caring manner to your patient, what kind of power do you use? 1. Expert power 2. Positive power 3. Referent power 4. Information power

2. Positive power

One way to assure that you, as the nurse, have permission to treat a patient is: 1. ask the patient to sign an informed consent document each time you administer medications. 2. explain to patients the procedure you are going to do and what to expect. 3. check admitting documents for permission to treat before entering a patient's room. 4. have patient cosign physician orders and medication sheets.

2. explain to patients the procedure you are going to do and what to expect.

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.

The Nurse Practice Act is an example of which type of law? 1. Common 2. Statutory 3. Institutional policies and procedures 4. Criminal

2. Statutory

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

The LPN is asked by a physician to administer a medication that can only be administered by an RN or a physician according to facility policy. The LPN explains why she cannot give the medication, but the physician keeps insisting the LPN should give the medication while the physician supervises. What is the best resource for the LPN to use to base decision-making? 1. The physician's order 2. The facility procedure manual 3. The encouragement of peers 4. A nursing instructor

2. The facility procedure manual

Which of the following is one reason why nurses often resist change? 1. A lack of assertiveness 2. The history of nursing 3. Many nurses are passive-aggressive. 4. Change often does not work.

2. The history of nursing

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.

How does Watson's theory direct the nurse's prioritizing of patient care? 1. The patient who requests the nurse's attention the most should get it. 2. The patient who is the sickest should be cared for first. 3. The patient with the best health insurance should be cared for first. 4. The patient who can be discharged soonest should receive care first.

2. The patient with the best health insurance should be cared for first.

When you create empowering conditions for others, you _____ their empowerment. 1. decrease 2. facilitate 3. manage 4. change

2. facilitate

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.

Susie, an LPN, is employed in her first job. She has been there for 8 months, and yesterday she was informed that she had been chosen as employee of the month. The facility's recognition of Susie's work is an example of: 1. empowerment. 2. formal positive feedback. 3. informal positive feedback. 4. rewards.

2. formal positive feedback.

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 theory of utilitarianism states that an ethical decision is based on the greatest good for the greatest number of people. This theory often leaves out which of the following groups? 1. Elderly people 2. Those who are in a minority 3. Patients who, for the most part, can independently care for themselves 4. Certain ethnic groups

2. Those who are in a minority

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.

Your long-term care facility is making a change to the team method of caregiving. Administration holds planning meetings for all shifts and keeps all involved employees informed in writing, as well. Which of the following explains the actions of the administrator? 1. Planned change 2. Unfreezing 3. Refreezing 4. Moving

2. Unfreezing

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.

A nurse asks you to hold a patient down against his wishes while she attempts to start an IV. If you do this, you can be prosecuted for: 1. assault. 2. battery. 3. performing a procedure against medical advice. 4. libel.

2. battery.

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.

You add to your patient's empowerment when you: (Select all that apply.) 1. do everything for the patient without input from the patient. 2. believe in your patients. 3. act as a patient advocate. 4. perform all procedures without error. 5. act aloof.

2. believe in your patients. 3. act as a patient advocate.

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.

You are the nurse manager and know that you must assess a client's needs before you can delegate a task regarding that patient to a certified nursing assistant. Assessing the client's needs involves: 1. determining whether patient goals have been met. 2. gathering information about the client. 3. giving care to the client. 4. planning care and formulating the written nursing care plan.

2. gathering information about the client.

The major components of a performance analysis are: 1. personality characteristics. 2. goals or objectives. 3. behavioral characteristics. 4. performance standards.

2. goals or objectives.

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.

A nurse writes in the nursing notes that a physician is "unreasonable and refuses to prescribe morphine for a patient in pain." This is an example of: 1. informed consent. 2. libel. 3. slander. 4. negligence.

2. libel.

Counseling sessions should be private and brief. They should also be: 1. confrontational. 2. nonconfrontational. 3. empowering. 4. frequent.

2. nonconfrontational.

Personal values are: 1. customs of society. 2. personal beliefs about truth, behavior, and thoughts. 3. society's behavioral code. 4. legal standards of an action.

2. personal beliefs about truth, behavior, and thoughts.

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.

Forces that tell you not to take part in certain behaviors are: 1. subjective forces. 2. restraining forces. 3. objective forces. 4. good forces.

2. restraining forces.

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.

The emphasis in performance analysis is on: 1. the present. 2. the future. 3. the past. 4. the employee's personality.

2. the future.

David, a student practical nurse, is bathing Mr. Smith. He puts on gloves to brush Mr. Smith's dentures and keeps the same gloves on throughout the bath. His reasoning is that he will be able to get the bath finished more quickly and allow Mr. Smith to rest. This is an example of: 1. ethical behavior. 2. unethical behavior. 3. abuse of power. 4. deontology.

2. unethical behavior.

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.

The LPN is assigned to 30 residents in a LTC facility. She is administering medications and is supposed to administer a heart medication. The apical pulse must be taken before the medication is given. The nurse feels she just doesn't have time to stop and take the pulse. When she charts, she looks at the record of previous pulse counts and arrives at an average. She charts this pulse with the medication. This is an example of: 1. ethical behavior. 2. unethical behavior. 3. abuse of power. 4. deontology.

2. unethical behavior.

Empowerment comes from: 1. your instructor. 2. within yourself. 3. your classmates. 4. the director of your nursing program.

2. within yourself.

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.

As the nurse manager, when you hold staff members responsible for their actions and require them to document on flow sheets such tasks as intake, output, and personal care, which of the following terms applies? 1. Responsibility 2. Empowerment 3. Accountability 4. Delegation

3. Accountability

The nurse begins work by setting priorities of care. What intervention will be the nurse's highest priority? 1. Insert a straight catheter to relieve the patient's urinary retention. 2. Perform a bed bath to make the febrile patient more comfortable. 3. Administer a diuretic to the patient with pulmonary edema. 4. Ambulate the postoperative patient to prevent complications.

3. Administer a diuretic to the patient with pulmonary edema.

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.

Planned change usually comes from which of the following people? 1. An individual supervisor 2. An administrator 3. An administrative group 4. The director of nursing

3. An administrative group

You have received oncoming report. Using concepts of Maslow and Watson for priority setting, which client would you assess first? 1. A diabetic patient with a newly diagnosed foot ulcer 2. A patient who is 3-days postoperative following abdominal surgery with no bowel sounds 3. An asthmatic pediatric patient with expiratory wheezing 4. A cardiac client who had chest pain relieved after the third nitroglycerin 1 hour ago.

3. An asthmatic pediatric patient with expiratory wheezing

When you are involved with a nurse manager who uses negative power, what type of communication is considered the most appropriate, and why? 1. Social—so that you can be friends with the manager 2. Aggressive—so that you can force the manager to change 3. Assertive—so that you can stand up for your rights without violating the rights of others 4. Professional—so that you can encourage this manager to change his or her methods by observing your positive behavior

3. Assertive--so that you can stand up for your rights without violating the rights of others

How do novice student nurses make ethical decisions? 1. Based on their intuition 2. Based on the class's consensus 3. Based on facts and instructor guidance 4. Based on what they think is right

3. Based on facts and instructor guidance

What is the LPN's role related to evidence-based practice? 1. Analyze the research to determine its credibility for changing practice. 2. Recommend changes to practice based on the credibility of research. 3. Be aware of research that could influence how care is delivered. 4. Ask peers to provide evidence-based research.

3. Be aware of research that could influence how care is delivered.

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.

There is a chain of command in every facility where nurses are employed. Which of the following terms refers to that chain? 1. Administrative levels 2. Managerial chain 3. Chain of power 4. Administrative chain

3. Chain of power

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

Which of the following is an important role of the nurse manager? 1. Give daily bedside care. 2. Administer medications at least 2 to 3 times weekly. 3. Coordinate the unit's activities. 4. Independently set goals.

3. Coordinate the unit's activities.

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

3. Empowering

A patient is experiencing delirium tremens as a result of alcohol withdrawal. The nurse applies soft wrist and ankle restraints without an order demonstrating what? 1. Slander 2. Libel 3. False imprisonment 4. Malpractice

3. False imprisonment

Which of the following statements is true about your personal mission statement? 1. It remains unchanged throughout your life. 2. It defines your relationship with society. 3. It describes your purpose in life. 4. It requires knowledge of triage and disaster planning.

3. It describes your purpose in life.

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 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

How does priority setting in your personal setting differ from a clinical setting? 1. Priority setting in a personal setting requires teamwork. 2. Priority setting in a personal setting requires advanced planning. 3. Priority setting in a clinical setting requires teamwork. 4. Priority setting in a clinical setting requires advanced planning.

3. Priority setting in a clinical setting requires teamwork.

The nurses have performed a comprehensive literature review and used their findings to change the facility's policy for performing tracheostomy care to make it more evidence-based. The new procedure is put in place, and they are receiving a good deal of positive feedback about the new approach. What phase of the change process are these nurses involved in? 1. Unfreezing 2. Moving 3. Refreezing 4. Identifying driving and restraining forces

3. Refreezing

You make an error while caring for a patient. Which of the following is the appropriate person to whom to report the mistake? 1. Your classmate 2. Wait until you go off duty and then report the error to your instructor. 3. Report the error to your instructor immediately. 4. Leave your clinical area immediately and go see the director of the nursing program.

3. Report the error to your instructor immediately.

The nurse manager has given a verbal warning to a nurse who calls in sick frequently, usually on scheduled Fridays or Mondays for a long weekend. When the behavior continues the manager provides a written warning. What is the next step if the employee's behavior doesn't improve? 1. Verbal warning 2. Written warning 3. Suspension 4. Termination

3. Suspension

Which of the following makes decision making during an emergency more difficult? 1. The institution's policies and procedures may not address the specific issue. 2. The situation may fit Watson's but not Maslow's theory. 3. The consequences to each decision are not known. 4. The decision may conflict with the nurse's personal values.

3. The consequences to each decision are not known.

Which of the following is a correct statement about the empowerment of a patient? 1. The nurse tells the patient what to do. 2. The nurse treats all patients the same. 3. The patient must actively participate in his or her own care. 4. The doctor tells the patient what to do without input from the patient.

3. The patient must actively participate in his or her own care.

A nursing student's friends ask her to go on a weekend camping trip. The student has a major exam on Monday. In helping set personal priorities, what should be considered? 1. The student's diminishing finances, which must last throughout the semester. 2. The student's parents' pride in her academic success. 3. The student's personal stress level as finals grades are approaching. 4. The student's friends, who have supported her in the past.

3. The student's personal stress level as finals grades are approaching.

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.

The nurse manager incorporates verbal reports and walking rounds for what purpose? 1. To provide staff members with adequate exercise 2. To introduce different staff members to promote teamwork 3. To improve communication and provide opportunities for feedback 4. To allow staff nurses to take time off from patient care

3. To improve communication and provide opportunities for feedback

As an LPN, how should you view information coming from your manager on changes in your nursing unit, as compared with information from your best friend, who is also a staff nurse? 1. Trust your friend; she really knows the truth about the changes. 2. Compare your friend's information to the information from other staff. 3. Trust your nurse manager and believe and value his or her information. 4. Trust your nurse manager only to a point, and question other nurses about information.

3. Trust your nurse manager and believe and value his or her information.

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.

The nurse works on a unit that did not have time to fully implement the change process before changing from written time cards to a time clock. What might the nurse experience as a result of this improper preparation of staff nurses? 1. Reduction in overtime and fewer payroll mistakes 2. Effective use of the time clock and reduced staff morale 3. Vandalism to the time clocks and poor morale 4. Effective use of time clocks and complaints at staff meetings

3. Vandalism to the time clocks and poor morale

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.

Licensed practical nurses (LPNs) need to be able to identify both driving and restraining forces because they: 1. allow the LPN to be a better nurse. 2. allow the LPN to be a better manager. 3. are key factors in making planned changes. 4. allow the LPN to be more qualified for a job.

3. are key factors in making planned changes.

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

3. assertiveness.

If you have self-confidence and are empowered, you are able to: 1. give better patient care. 2. pass all of your courses with high grades. 3. control situations in your life. 4. keep things predictable.

3. control situations in your life.

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.

Increasing my self-esteem as a nurse contributes to my feelings of: 1. being "in charge." 2. being a skilled nurse. 3. empowerment. 4. being a "good" nurse.

3. empowerment.

A positive approach to discipline requires a certain focus from the manager. That focus is: 1. punitive. 2. giving criticism in a very sweet manner. 3. helping the employee to improve performance and behavior. 4. a written warning to the employee.

3. helping the employee to improve performance and behavior.

The rule that states a nurse must delegate care to another nurse while on a lunch break is an example of: 1. regulatory law. 2. statutory law. 3. institutional policies and procedures. 4. criminal law.

3. institutional policies and procedures.

One way for you, as an LPN, to be empowered would be to: (Select all that apply.) 1. run for political office in your community. 2. volunteer to work extra shifts. 3. join your professional organization. 4. find ways to become involved in LPN issues. 5. always know what to do and never ask questions.

3. join your professional organization. 4. find ways to become involved in LPN issues.

The most common reason for employee error is: 1. lack of adequate supervision. 2. lack of adequate staffing. 3. lack of knowledge. 4. lack of adequate counseling.

3. lack of knowledge.

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

3. listening.

With some nurse managers, reward power can be: 1. supportive. 2. legitimate. 3. manipulative. 4. a failure.

3. manipulative.

Referent power is demonstrated by: 1. someone with authority in an organization. 2. sharing information with employees. 3. personally knowing a well-known leader in nursing and sharing their ideas. 4. a self-confident nurse.

3. personally knowing a well-known leader in nursing and sharing their ideas.

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.

You are a nurse manager on the 11 p.m. to 7 a.m. shift. You periodically make rounds, observing and checking on your staff and residents. You do this on a regular basis throughout your shift because: 1. your facility requires you to do so. 2. the policy manual states this as a regulation. 3. you are responsible for the behavior of those you manage. 4. state law requires this action.

3. you are responsible for the behavior of those you manage.

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

The nurse has given report to the oncoming nurse. She must clock out in 10 minutes to avoid overtime, which has been looked upon as poor time management and discouraged by nursing administration. The oncoming nurse has been called away. A client who has experienced ineffective pain management during the shift is due for more medication and requests it. What is the nurse's decision-making regarding personal priorities based on? 1. Alternative plans to meet all of the objectives 2. A strong knowledge base 3. Input from others 4. A personal value system

4. A personal value system

Prior to surgery, the nurse should assure that which of the following tasks has been completed? 1. Informed consent has been signed by the patient. 2. ID band is attached to the patient. 3. The patient understands the type of surgery that is being performed. 4. All of the above are correct.

4. All of the above are correct.

The purpose of advanced directives is: 1. to give guidance to the person who has durable power of attorney. 2. to give caregivers authority to allow a patient to die with dignity. 3. to allow an individual to instruct caregivers prior to surgery what their wishes are about end-of-life decisions. 4. All of the above are correct.

4. All of the above are correct.

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.

Your hospital has moved from paper and pen documentation to computerized documentation. Although you have attended the required training session, you still feel it takes longer and is not as descriptive. What is your best response? 1. Continue charting using paper and pen. 2. Ask another nurse to chart for you in exchange for you passing her medications. 3. Resign and look for another job at a hospital with a paper documentation system. 4. Ask your supervisor for additional training on computerized documentation.

4. Ask your supervisor for additional training on computerized documentation.

Which of the following individuals cannot be sued for malpractice in the event of a case of negligence? 1. Physician 2. Pharmacist 3. Licensed practical nurse 4. Certified nursing assistant

4. Certified nursing assistant

The nurse reads a research article concluding that patients newly diagnosed with diabetes should receive a referral to a nutritionist to avoid complications. What is the nurse's priority action related to evidence-based practice after reading this article? 1. The nurse should share the article with the nurse manager and suggest changing the procedure to give referrals to all newly diagnosed diabetic patients. 2. Form a committee to talk with the physicians suggesting the need for a referral to a nutritionist for all diabetic patients on the unit. 3. Talk to the dietician and suggest he or she talk to diabetic patients who are admitted to the unit from now on. 4. Conduct a literature search to see if more articles can be found recommending the involvement of a nutritionist in care of the diabetic patient.

4. Conduct a literature search to see if more articles can be found recommending the involvement of a nutritionist in care of the diabetic patient.

The LPN is considering going back to school to become an RN. What type of decision making is required in this situation? 1. Decisions for a common problem 2. Decisions based on rules 3. Emergency decision 4. Decision allowing time to process

4. Decision allowing time to process

What is the common result when the nurse has not identified her own personal values? 1. Decisions are made in a timelier manner. 2. Patient's input can be utilized in the decision-making process. 3. The care team can be consulted for desirable outcomes. 4. Delayed decision making results in confusion.

4. Delayed decision making results in confusion.

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

The nurse has worked as a staff nurse in the acute care facility for three years and is considering quitting and taking a job at a large clinic in town. The nurse draws up a list of pros and cons related to the job change. What part of Lewin's change theory is the nurse demonstrating? 1. Unfreezing 2. Moving 3. Refreezing 4. Identifying driving and restraining forces

4. Identifying driving and restraining forces

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.

You are an LPN employed in your first job. A resident complains to you about the care and incompetence of a nurse on the previous shift. Which of the following actions is most appropriate? 1. Discuss the situation with another staff member. 2. Argue with the resident. 3. Agree with the resident. 4. Report the incident to your head nurse or supervisor.

4. Report the incident to your head nurse or supervisor.

The nurses make walking rounds with the physician on the long-term care unit. At the completion of rounds several nurses gather in the break room and agree that they need to be more effective and efficient the next time rounds are performed. What is the first step these nurses need to take? 1. Review the process and define the problem. 2. Suggest ways to improve walking rounds. 3. Develop a plan to change the way walking rounds are performed. 4. Select an informal leader to organize the group.

4. Select an informal leader to organize the group.

Which of the following is necessary for self-empowerment? 1. Reliability 2. Responsibility 3. Efficiency 4. Self-esteem

4. Self-esteem

You are a student practical nurse assigned to a medical-surgical unit. The night before going to the clinical area, you are very tired and fail to look up your patient's diagnosis as assigned. Which of the following is appropriate? 1. Ask your friend to quickly give you the information during shift report. 2. Look up the information while your patient is eating breakfast. 3. Use break time to get the information you need. 4. Tell your instructor what happened as soon as you arrive in the clinical area.

4. Tell your instructor what happened as soon as you arrive in the clinical area.

When the nurse creates conditions in which the patient feels empowered, it has what effect on the nurse? 1. The nurse loses importance to the patient. 2. The patient leans more on the physician. 3. The nurse is seen as more competent by the physician. 4. The nurse feels empowered.

4. The nurse feels empowered.

Applying Maslow's hierarchy of needs, what patient requires the nurse's priority attention? 1. The patient who is anxious about upcoming surgery 2. The patient who is lonely and bored 3. The patient who is frightened by a new diagnosis of cancer 4. The patient who is hungry after being NPO for several days

4. The patient who is hungry after being NPO for several days

"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

Susie has just become an LPN and is at her first job on a geriatric transitional unit as a staff nurse. Mary, an expert geriatric nurse, has been asked to mentor Susie. What functions will Mary perform to best help Susie as she begins this job? 1. Direct and evaluate Susie's care. 2. Support and teach Susie. 3. Observe Susie for mistakes. 4. Wait to help until Susie asks for it.

4. Wait to help until Susie asks for it.

When a staff member makes a mistake, the nurse manager should: 1. ignore the mistake and give the person another chance. 2. punish the person. 3. call all staff members together to discuss the mistake. 4. accept the mistake and help the person learn from the mistake.

4. accept the mistake and help the person learn from the mistake.

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.

Caring theory practice requires: 1. kindness on the part of the nurse manager 2. frequent staff meetings 3. patience by the nurse 4. an awareness of the implications of change on both you and others

4. an awareness of the implications of change on both you and others

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.

A nurse works in delivery and is attending two women in labor. The patient in bed A asks how dilated the patient in bed B is. The nurse tells her, "She is farther along than you. She is 7 cm dilated and 100 percent effaced." This is an example of: 1. standard of care. 2. informed consent. 3. permission to treat. 4. breaking confidentiality.

4. breaking confidentiality.

Another term for accidental change is: 1. unintentional change. 2. unplanned change. 3. short-term change. 4. change by drift.

4. change by drift.

The night shift nurse is late in coming into work to relieve the evening shift nurse. The evening shift nurse does not leave until a replacement nurse can be found. This is an example of the theory of: 1. unethical behavior. 2. utilitarianism. 3. negligence. 4. deontology.

4. deontology.

The strongest power base for nursing is: 1. reward power. 2. information power. 3. personal power. 4. expert power.

4. expert power.

Another term for ethical behavior is: 1. mandatory. 2. lawful. 3. appropriate. 4. ideal.

4. ideal.

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.

Making a planned change in your job depends on your ability to: 1. be selective in your choices. 2. be the first to apply for a position. 3. effectively use your network. 4. make meaningful decisions.

4. make meaningful decisions.

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.

Legitimate power refers to: 1. power that comes with caring for patients. 2. power that comes with knowledge. 3. power that comes with increased education. 4. power that comes with job responsibilities.

4. power that comes with job responsibilities.

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.

Performance review is based on: 1. past reviews of the employee. 2. how the manager views the job. 3. a review of job standards. 4. the job description.

4. the job description.

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.

Which action by a nurse is necessary to provide culturally competent care? A) Acceptance of the beliefs and characteristics of a patient B) Participation in rituals and prayers of a patient C) Knowledge of customs of a patient D) Allowing all practices requested by a patient

A) Acceptance of the beliefs and characteristics of a patient

Nursing culture in the 21st century promotes which concept? A) Caring B) White uniforms C) Nursing caps D) Subservience to doctors

A) Caring

The nurse demonstrates cultural competence when including what components of cultural understanding? (Select all that apply.) A) Integration B) Intellect C) Communication D) Sensitivity E) Acceptance

A) Integration C) Communication D) Sensitivity E) Acceptance

The nurse is attempting to deliver culturally competent care to a patient from an unusual culture the nurse has never encountered before. The patient is becoming irritated. What actions might be causing barriers to cultural competence? A) Planning care according to the nurse's textbook B) Showing distaste when the patient explains her diet C) Applying what was learned on the Internet into the plan of care D) Asking the patient about their beliefs and customs E) Helping the patient choose food for tomorrow's meal

A) Planning care according to the nurse's textbook B) Showing distaste when the patient explains her diet C) Applying what was learned on the Internet into the plan of care

When assessing the patient's culture the nurse explores what factors? (Select all that apply.) A) Values B) Customs C) Communication D) Behavior E) Disease history

A) Values B) Customs C) Communication D) Behavior

A nurse manager will not allow a Muslim nurse to wear a head covering while on duty. This is an example of: A) cultural blindness. B) ethnocentrism. C) cultural shock. D) cultural competence.

A) cultural blindness.

Which of the following comments by the nurse demonstrates cultural sensitivity? A) "I ordered you a kosher meal since you are Jewish." B) "I saw in your chart you are Jewish. Do you prefer a kosher meal?" C) "What do Jewish people eat?" D) "I am Jewish too, so I know you want to keep kosher."

B) "I saw in your chart you are Jewish. Do you prefer a kosher meal?"

Which of the following examples best demonstrates the concept of cultural imposition? A) Offering spicy foods to the sick B) Baptizing comatose patients without family approval C) Asking a patient what they think caused their cancer D) Helping a son plan funeral arrangements for his father

B) Baptizing comatose patients without family approval

The nurse truly wants to learn more about the patient's culture in order to improve the quality of care delivered. What component of cultural competence is this nurse displaying? A) Cultural awareness B) Cultural desire C) Cultural knowledge D) Cultural skill

B) Cultural desire

The nurse caring for an African American patient knows this patient is at higher risk for hypertension and teaches the patient how to eat healthy to reduce this risk. This is an example of the nurse's awareness of this patient's what? A) Culture B) Ethnicity C) Race D) Dietary habits

C) Race

The patient uses terminology in describing cultural beliefs the nurse has never heard before, so the nurse goes to the Internet to better understand what the patient is talking about. What component of cultural competence is this nurse displaying? A) Cultural awareness B) Cultural desire C) Cultural knowledge D) Cultural skill

C) Cultural knowledge

The majority of North Americans belong to which cultural group? A) Asian B) Native American/Indian C) European D) African

C) European

The student nurse wishes to be culturally competent. What should the student do first? A) Discover the most predominant cultures in the community. B) Determine what cultural group is likely to be most represented in the clinical facility. C) Learn more about the student's own personal cultural background. D) Read more about different cultural beliefs in the school library.

C) Learn more about the student's own personal cultural background.

Which of the following is not an example of culture? A) A family places shoes outside their door the night before Christmas for St. Nikolas. B) A Jewish family keeps a kosher home. C) Native Americans are at greater risk for diabetes mellitus. D) A Mexican girl celebrates her womanhood with a special event in her honor.

C) Native Americans are at greater risk for diabetes mellitus.

The nurse is standing in the hallway talking to one of the residents in the long-term care facility. Every time the nurse moves closer to the patient he takes a step backward. What aspect of this patient's culture does the nurse need to consider? A) Communication needs B) Socialization needs C) Personal space needs D) Health beliefs

C) Personal space needs

Which of the following examples best describes the concept of ethnocentrism? A) Requesting people to remove their shoes prior to entering a Buddhist temple B) Providing a head covering for men and women entering a Jewish synagogue. C) Recognizing only religions that believe in Jesus as the Savior. D) Bowing the head instead of kneeling in a Catholic church.

C) Recognizing only religions that believe in Jesus as the Savior.

The growing number of elderly in our population is primarily due to: A) global warming. B) more people are graduating from college. C) improved healthcare. D) Social Security and Medicare.

C) improved healthcare.

The nurse admits a new patient and wants to deliver culturally competent care. How can the nurse best learn about the patient's culture? A) Read about it on the Internet. B) Talk with more experienced staff nurses. C) Ask the patient's family. D) Ask the patient.

D) Ask the patient.

The patient explains her belief in use of hot and cold treatments for specific diseases and uses this information when ordering the patient's meal tray. What component of cultural competence is this nurse displaying? A) Cultural awareness B) Cultural desire C) Cultural knowledge D) Cultural encounter

D) Cultural encounter

Cultural competence means the nurse will A) have a general understanding of four or more common cultures. B) be able to speak more than one language. C) develop care plans that incorporate a patient's cultural traits. D) be accepting of cultural differences of patients and coworkers.

D) be accepting of cultural differences of patients and coworkers.