Functions in Nursing, 11th Edition
What are the 2 factors of Leadership - ANSWER:1. Qualities related to character and
behaviors
2. Guide and influence others
List the 8 Effective leader qualities - ANSWER:1. Sincere enthusiasm
2. Decisiveness
3. Empowerment
4. Management skills
5. Integrity
6. Charisma
7. Loyalty
8. Communication skills
List the 6 assigned functions of Management - ANSWER:1. Coordinate & direct
resources
2. Setting objectives
3. Organizing
4. Motivating
5. Devising systems
6. Developing people
List the 6 Effective Management traits - ANSWER:1. Long-term thinking
2. Seeing the Big Picture
3. Influence others
4. Emphasizing vision, values
5. Politically astute
6. Embrace change or modifications
Name & define the 4 Leadership Types/Styles - ANSWER:1. Autocratic/Authoritarian
- Manager: strong control over work group; focus is on accomplishing task
2. Democratic
- Manager as colleague; decision-making by work group
- Emphasis on communication, consensus, teamwork
3. Laissez-faire or permissive management
- Manager leaves group to set goals; least structure and control
4. Multicratic or Participative or Mixed
- Combines the best of all styles
,An LPN/LVN in a health care facility is using an autocratic leadership style. What
should the nurse do when dealing with an emergency situation?
A. Refer to a procedural manual on actions to be taken.
B. Discuss with the RN steps to follow to manage the situation.
C. Instruct the staff on duties they need to do.
D. Encourage all staff to be involved in the situation. - ANSWER:C. Instruct the staff
on duties they need to do.
Rationale: Autocratic leadership entails strong control by the nurse over the staff.
The focus is on accomplishing tasks. This helps in providing immediate attention to
the client and handling the situation without confusion.
Define Power - ANSWER:Ability to control, influence, or hold authority
List the types of 8 Powers - ANSWER:1. Reward power
- ability to grant favors or rewards
2. Coercive or punishment power
- Threaten or punish someone who fails
3. Legitimate power
- virtue of management position
4. Expert power
- Knowledge, expertise, or experience
5. Motivational power
- Creates enthusiasm for a collaborative project
6. Referent power
- Association with others who are powerful; primary providers
7. Informational power
- Person has information that others have to accomplish goal.
8. Connection power
- Networking; collaboratively working toward a goal
A nurse is considered powerful by her peers because her relative is the administrator
of the facility. Which of the following best describes the type of power exhibited?
A. Coercive power
B. Referent power
C. Informational power
D. Reward power - ANSWER:B. Referent power
, Rationale: Referent power concerns the power a person has because of his or her
association with others who are powerful.
What are the LPN/LVN roles in regard to Management? - ANSWER:work with RN and
have appointed task
- Extended roles: team leaders, office managers
What are the 4 LPN/LVN Primary functions? - ANSWER:1. Delegation
- accomplishing work through others
2. Supervision
- judgment about clinical assignments and delegating
3. Responsibility
- obligated to certain activities or duties
4. Accountability
- answerable for consequences for actions
What are the 5 rights of Delegation? - ANSWER:1. Person
2. Task
3. Circumstance
4. Communication
5. Supervision
- LVN WILL BE ACCOUNTABLE & RESPONSIBLE for all that is delegated
The LPN/LVN is having an exceptionally busy shift on the skill nursing unit. Which of
the following tasks is the LPN/LVN justified in delegating to an unlicensed care
provider?
A. Emptying a client's Foley catheter and reporting the output to the LPN/LVN
B. Changing the wound dressing and reporting the color of the drainage
C. Assessing the amount of edema in the client's lower extremities
D. Giving pain medication to the client with chest pain - ANSWER:A. Emptying a
client's Foley catheter and reporting the output to the LPN/LVN
Rationale: Emptying a Foley catheter bag and reporting the volume is within the
scope of an unlicensed care provider.
What are the 6 Challenges to Leading and Managing? - ANSWER:1. Reluctance to
delegate
2. Inability to move out of client care
3. Miscommunication of directions and outcomes