Chapter 17: Collaboration: 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 not possibilities based on the description given in
the scenario.
DIF: Cognitive Level: Application REF: p. 237 OBJ: 4
TOP: Autocratic leadership style KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
,4. The LPN/LVN nursing home charge nurse encourages nursing assistants to make suggestions
regarding improvement of nursing care and shows concern for the staff. This leadership style
is called
a. laissez-faire.
b. democratic.
c. autocratic.
d. situational.
ANS: B
Democratic leadership style is demonstrated when the nurse is concerned about the work to be
done and is also concerned about the team performing the work. The team is encouraged to
participate in decision making about resident care. The other options are not possibilities
based on the scenario description.
DIF: Cognitive Level: Application REF: p. 237 OBJ: 4
TOP: Democratic leadership style KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
5. A nursing assistant states, “I have never learned how to transfer a resident with end-stage
Parkinson’s disease from the bed to the chair.” The nursing assistant refuses to transfer the
resident at this time. Select the appropriate approach for the LPN/LVN charge nurse to take.
a. Reprimand the nursing assistant for not performing the job.
b. Encourage the nursing assistant to carry through with the transfer.
c. Arrange to teach the nursing assistant how to transfer the resident.
d. Mention that nursing assistants can be charged with insubordination if they do not
perform their jobs.
ANS: C
The nursing assistant should not perform tasks for which he or she has not been trained. The
nurse should arrange to teach the nursing assistant so that he or she can safely perform the
duty. Reprimanding the nursing assistant for not performing the job is unnecessary.
Encouraging the nursing assistant to carry through with the transfer is unwise and unsafe.
Mentioning that nursing assistants can be charged with insubordination if they do not perform
their jobs is threatening.
DIF: Cognitive Level: Application REF: p. 240 OBJ: 7
TOP: Problem-solving KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
6. A nursing assistant (NA) did an exceptionally good job by encouraging a resident to leave his
room and go to an activity. Select the response by the LPN/LVN charge nurse that would best
encourage the employee to continue this effort.
a. Write a note for the NA’s file explaining that she did not leave the resident in his
room.
b. Tell the NA she is a great nursing assistant and that the charge nurse wished all
assistants were like her.
c. Report the NA’s good efforts to the nursing home’s administrator and board of
directors.
d. Tell the NA that the charge nurse knows how hard she worked to get the resident
out of his room and how pleased the nurse is that the NA is concerned with the
, resident’s need for socialization.
ANS: D
Providing positive reinforcement for the specific behaviors used makes it more likely that the
NA will use these strategies in the future. The LPN/LVN’s communication is straightforward
and assertive. Writing a note for the NA’s file explaining that she did not leave the resident in
his room would not be effective as a motivator. Telling the NA she is a great nursing assistant
and the charge nurse wished all assistants were like her is not specific enough. Reporting the
NA’s good efforts to the nursing home administrator and board of directors is not necessary at
this point.
DIF: Cognitive Level: Application REF: p. 240 OBJ: 7
TOP: Communication KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment
7. LPN/LVNs functioning in an expanded role are most often employed in
a. critical care units.
b. pediatric clinics.
c. home health care.
d. long-term care.
ANS: D
Long-term care lends itself to the use of LPN/LVNs functioning in the expanded role. The
other practice environments involve patients who are less stable and therefore require greater
direct supervision by the RN.
DIF: Cognitive Level: Comprehension REF: p. 235 OBJ: 1 | 2
TOP: Expanded role of the LPN/LVN KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment
8. Which understanding about leadership would help the LPN/LVN become a more skillful
leader?
a. Leaders in nursing are appointed by management to accomplish organizational
goals.
b. Leaders rarely take risks and virtually never make mistakes.
c. Leaders have little confidence in themselves until they develop a power base.
d. Leaders see change as challenging and providing opportunities for improving
quality of care.
ANS: D
The only accurate statement is that leaders see change as challenging and providing
opportunities for improving quality of care.
DIF: Cognitive Level: Comprehension REF: p. 236 OBJ: 3 | 6
TOP: Leadership KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment
9. Which quality is rarely found in democratic leaders?
a. Assertiveness
b. Arrogance
c. Desire for new learning
d. Effective communication
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 not possibilities based on the description given in
the scenario.
DIF: Cognitive Level: Application REF: p. 237 OBJ: 4
TOP: Autocratic leadership style KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
,4. The LPN/LVN nursing home charge nurse encourages nursing assistants to make suggestions
regarding improvement of nursing care and shows concern for the staff. This leadership style
is called
a. laissez-faire.
b. democratic.
c. autocratic.
d. situational.
ANS: B
Democratic leadership style is demonstrated when the nurse is concerned about the work to be
done and is also concerned about the team performing the work. The team is encouraged to
participate in decision making about resident care. The other options are not possibilities
based on the scenario description.
DIF: Cognitive Level: Application REF: p. 237 OBJ: 4
TOP: Democratic leadership style KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
5. A nursing assistant states, “I have never learned how to transfer a resident with end-stage
Parkinson’s disease from the bed to the chair.” The nursing assistant refuses to transfer the
resident at this time. Select the appropriate approach for the LPN/LVN charge nurse to take.
a. Reprimand the nursing assistant for not performing the job.
b. Encourage the nursing assistant to carry through with the transfer.
c. Arrange to teach the nursing assistant how to transfer the resident.
d. Mention that nursing assistants can be charged with insubordination if they do not
perform their jobs.
ANS: C
The nursing assistant should not perform tasks for which he or she has not been trained. The
nurse should arrange to teach the nursing assistant so that he or she can safely perform the
duty. Reprimanding the nursing assistant for not performing the job is unnecessary.
Encouraging the nursing assistant to carry through with the transfer is unwise and unsafe.
Mentioning that nursing assistants can be charged with insubordination if they do not perform
their jobs is threatening.
DIF: Cognitive Level: Application REF: p. 240 OBJ: 7
TOP: Problem-solving KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
6. A nursing assistant (NA) did an exceptionally good job by encouraging a resident to leave his
room and go to an activity. Select the response by the LPN/LVN charge nurse that would best
encourage the employee to continue this effort.
a. Write a note for the NA’s file explaining that she did not leave the resident in his
room.
b. Tell the NA she is a great nursing assistant and that the charge nurse wished all
assistants were like her.
c. Report the NA’s good efforts to the nursing home’s administrator and board of
directors.
d. Tell the NA that the charge nurse knows how hard she worked to get the resident
out of his room and how pleased the nurse is that the NA is concerned with the
, resident’s need for socialization.
ANS: D
Providing positive reinforcement for the specific behaviors used makes it more likely that the
NA will use these strategies in the future. The LPN/LVN’s communication is straightforward
and assertive. Writing a note for the NA’s file explaining that she did not leave the resident in
his room would not be effective as a motivator. Telling the NA she is a great nursing assistant
and the charge nurse wished all assistants were like her is not specific enough. Reporting the
NA’s good efforts to the nursing home administrator and board of directors is not necessary at
this point.
DIF: Cognitive Level: Application REF: p. 240 OBJ: 7
TOP: Communication KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment
7. LPN/LVNs functioning in an expanded role are most often employed in
a. critical care units.
b. pediatric clinics.
c. home health care.
d. long-term care.
ANS: D
Long-term care lends itself to the use of LPN/LVNs functioning in the expanded role. The
other practice environments involve patients who are less stable and therefore require greater
direct supervision by the RN.
DIF: Cognitive Level: Comprehension REF: p. 235 OBJ: 1 | 2
TOP: Expanded role of the LPN/LVN KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment
8. Which understanding about leadership would help the LPN/LVN become a more skillful
leader?
a. Leaders in nursing are appointed by management to accomplish organizational
goals.
b. Leaders rarely take risks and virtually never make mistakes.
c. Leaders have little confidence in themselves until they develop a power base.
d. Leaders see change as challenging and providing opportunities for improving
quality of care.
ANS: D
The only accurate statement is that leaders see change as challenging and providing
opportunities for improving quality of care.
DIF: Cognitive Level: Comprehension REF: p. 236 OBJ: 3 | 6
TOP: Leadership KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment
9. Which quality is rarely found in democratic leaders?
a. Assertiveness
b. Arrogance
c. Desire for new learning
d. Effective communication
