: Leading and Managing Knecht: Success in Practical/Vocational Nursing, 8th Edition

MULTIPLE CHOICE 1. To discover the expanded role of the practical nurse, the LPN/LVN should investigate a. the state’s Nurse Practice Act. b. job descriptions for the practical nurse in local health care agencies. c. information gained from practical nurses working in various clinical settings. d. the opinions of physicians who service area nursing homes and extended care facilities. ANS: A The Nurse Practice Act of the state determines the parameters of LPN/LVN practice. The other options may be less detailed than the Nurse Practice Act, so they are not the best resources. DIF: Cognitive Level: Comprehension REF: p. 235 OBJ: 2 TOP: LPN/LVN expanded role KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment 2. The LPN/LVN day shift charge nurse in a nursing home usually reports to the a. owner of the nursing home. b. administrator of the nursing home. c. RN manager of the unit. d. board of directors of the nursing home. ANS: C Most organizational charts call for the LPN/LVN charge nurse to report to the RN manager of the unit. The other options are not logical. DIF: Cognitive Level: Comprehension REF: p. 234 OBJ: 1 | 2 TOP: Organizational charts KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3. The LPN/LVN nursing home charge nurse usually tells nursing assistants what to do and offers little opportunity for input or suggestions for how to improve care. This leadership style is called a. autocratic. b. democratic. c. situational. d. laissez-faire. ANS: A The charge nurse is task oriented and seeks no input from staff. This is consistent with autocratic leadership. The other options are n