Advancement and Leadership in Nursing: Exam Preparation, Exams of Nursing

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Ch. 103 Advancement and Leadership in

Nursing Final Exam with complete

solutions 2024/

Which type of leaders would most likely base decisions on policy and protocols? a) autocratic b) bureaucratic c) democratic d) Laissez-faire - ANSWER✓✓-b) bureaucratic The National Association for Practical Nurse Education and Service (NAPNES) offers certification programs for LPNs. What criteria does NAPNES state as a component of the content of the examination to be certified as a CLTC (certified in long-term care)? a) general principles of pharmacology b) leadership and management c) drug therapy and infection d) medicare and prospective payment plans - ANSWER✓✓-b) leadership and management The charge nurse completes a plan of assistance for a staff member and asks that the document be signed. By signing the document, what does the employee's signature imply? a) approves the terms of the plan b) agrees that the plan is justified c) agrees to comply with the terms of the plan d) acknowledges receiving the information included in the plan - ANSWER✓✓-d) acknowledges receiving the information included in the plan

The charge nurse in a long-term care facility is conducting client care evaluations. What will the nurse do when performing this role? Select all that apply. a) determine bed assignments b) modify client care plans c) identify therapeutic goals for clients d) discuss performance reviews with staff members e) teach an in service education class. - ANSWER✓✓-b) modify client care plans d) discuss performance reviews with staff members The nurse is preparing a plan of assistance for a staff member who, after an oral and written reprimand, is still displaying serious deficiencies in client care. Which element is included in the plan? Select all that apply a) statement describing deficiencies b) timeline for the improvement to be apparent c) employee actions required to correct the deficiencies d) formal date for termination if improvements are not apparent e) description of potential consequences resulting from the deficiencies. - ANSWER✓✓-a) statement describing deficiencies b) timeline for the improvement to be apparent c) employee actions required to correct the deficiencies e) description of potential consequences resulting from the deficiencies. A nurse is functioning as a manager in a healthcare facility. What should the nurse do when coordinating the staff activities in order to be an efficient manager? a) motivate staff to give quality nursing care. b) develop plans for staff members c) develop plans for emergencies d) review staff performance regularly - ANSWER✓✓-a) motivate staff to give quality nursing care. A charge nurse in an extended-care facility (ECF) is to evaluate a staff member while on shift. What aspect of the evaluation is most important for improving performance in the future? a) inform the staff member of the evaluation process b) observe the staff member providing care for a particular client c) note the positive aspects of the staff members work

d) hold debriefing sessions with the member after observations. - ANSWER✓✓-d) hold debriefing sessions with the member after observations. An LPN wishes to take up the position of team leader and asks for suggestions from an experienced nurse. What role should the experienced nurse suggest the LPN to perform? a) take charge as nurse providing IV therapy. b) supervise unlicensed assistive personnel (UAP) c) work as a nurse providing specialty care to pediatrics d) assign clients to individual teams of a nursing home. - ANSWER✓✓-b) supervise unlicensed assistive personnel (UAP) The nurse is preparing to conduct performance reviews of staff members. Which action is included in the protocol for this activity? a) observing the staff person providing a variety of interventions for one client b) writing down a few notes after all the observation are made c) creating a summary evaluation of the employee after the specified interval. d) scheduling time to meet with the staff person to discuss the results of the review. - ANSWER✓✓-c) creating a summary evaluation of the employee after the specified interval. A nurse is working as a team leader in a healthcare facility. What duties will this nurse most likely perform? Select all that apply. a) allow team members to make decisions during non life threatening situation b) send all client acuity reports to administration c) encourage the healthcare staff to implement their own plans d) check whether the temperature of the medication refrigerator is correct e) check if the medication dispensing machine is functioning properly - ANSWER✓✓-b) send all client acuity reports to administration d) check whether the temperature of the medication refrigerator is correct e) check if the medication dispensing machine is functioning properly The LV/LPN is interested in obtaining certification in long-term care. What set of qualifications is the nurse required to meet? Select all that apply. a) have an active LV/LPN license b) have 1 year full time practice in long term care within the past 3 years. c) have endorsement letters of reference d) have 40 hours of continuing education credits related to long term care

e) have 5 years of medical surgical nursing experience - ANSWER✓✓- a) have an active LV/LPN license b) have 1 year full time practice in long term care within the past 3 years. c) have endorsement letters of reference A nursing team is providing care in an assisted living cottage house facility. What are the duties of the charge nurse with respect to implementing care for the 12 clients in the cottage? Select all that apply. a) developing plans to meet the needs of all clients b) develop plans to handle complex types of emergency c) assigning staff based on the requirements of the clients and the abilities of the staff members. d) assisting staff members to provide care for the clients e) preparing reports on nurses duties, clients and conferences. - ANSWER✓✓-a) developing plans to meet the needs of all clients c) assigning staff based on the requirements of the clients and the abilities of the staff members. d) assisting staff members to provide care for the clients e) preparing reports on nurses duties, clients and conferences. Which is the best example of effective management? a) a nurse uses the skills of value clarification when making choices b) a nurse motivates others to guide and work with clients c) a nurse inspires other nurses to go into management d) a nurse develops strong personal values. - ANSWER✓✓-b) a nurse motivates others to guide and work with clients Today, the LV/LPN is expected to assume a leadership role in some healthcare settings. In which settings would the nurse most likely assume this role? Select all that apply. a) hospital b) long term care facility c) extended care facility d) short term rehabilitation facility e) subacute care facility - ANSWER✓✓-b) long term care facility c) extended care facility A student is researching the one-plus-one program to an advanced nursing career. Which is a step in this program? a) students are eligible to take the NCLEX-PN examination after the first year.

b) nurses are licensed as LV/LPNs after the second year of education c) after 18 months of the program the students are awarded a temporary LV/LPNs d) the nurse must move on to the second year of the program without interruption. - ANSWER✓✓-a) students are eligible to take the NCLEX-PN examination after the first year. An employee is showing deficiencies in the technical skills involved in everyday nursing care. Which is the first action the nurse manage should implement? a) oral reprimand b) written reprimand c) plan of assistance d) performance review - ANSWER✓✓-a) oral reprimand A new nursing graduate who wants to obtain a certificate as a licensed practical nurse (LPN) is seeking guidance from a senior nurse on the examination to be taken. What examination should the nurse tell the graduate to take? a) national council licensure examination (NCLEX) b) the national federation of licensed professional nurses (NFLPN) c) national association for practical nurse education and services (NAPNES) d) examination conducted by education resources, inc. (ERI) - ANSWER✓✓-a) national council licensure examination (NCLEX) A nurse is promoted to the position of manager in a healthcare facility. What is a role specific to the manager? a) act as decision maker in case of confusion b) use role models to influence staff members c) plan and organize work for staff members d) coordinate the activities of all staff member - ANSWER✓✓-d) coordinate the activities of all staff member A nurse manager allows the nurses on staff to choose their own clients and work out schedules together. Which styles of leadership is this nurse displaying? a) autocractic b) bureaucratic c) democratic d) Laissez-faire - ANSWER✓✓-d) Laissez-faire The LPN is becoming certified in long-term care (gerontology). Which accurately describes a qualification for this process? a) the nurse must first achieve a RN degree.

b) the nurse must have practiced in the field for 2 years. c) the nurse must furnished letters of reference d) the nurse must have worked in long term care with the last 5 years. - ANSWER✓✓-c) the nurse must furnished letters of reference The student nurse is choosing a career path in nursing that includes advanced degrees. Which accurately describes the type of programs available to nurses? a) nursing programs will not enroll students who have a bachelors degree in a major other than nursing. b) accelerated RN courses usually last about 3 years and sometimes can result in a masters degree c) an LPN with an associate degree in another field can often obtain a bachelors degree in nursing in less time than the usual required 4 years d) a nurse with an LPN degree can pursue a career in teaching and being teaching in some programs while working on an advanced degree. - ANSWER✓✓-c) an LPN with an associate degree in another field can often obtain a bachelors degree in nursing in less time than the usual required 4 years A team leader in a healthcare facility is using an autocratic leadership style. What should the team leader do when dealing with a life-threatening emergency situation? a) refer to a procedural manual on actions to be taken b) discuss with staff steps to follow to save the client c) instruct the staff members on duties they need to do. d) encourage the staff members to set individual goals. - ANSWER✓✓-c) instruct the staff members on duties they need to do.