Nokea
A nurse manager who denies vacation time to an employee who failed to meet expectations is exhibiting what type of power?
- A. Legitimate
- B. Coercive
- C. Reward
- D. Referent
Correct Answer: B
Rationale: Coercive power is the ability to threaten or punish someone who fails to meet expectations. Legitimate power is obtained through a designated position. Reward power occurs when a person attains power through the ability to grant favors or rewards. Referent power is the power a person has because of an association with others who are powerful.
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An LPN is a team leader for three nursing assistants covering a unit in a long-term care facility. At the beginning of each shift, the LPN instructs the nursing assistants to decide among themselves their client assignments. The LPN administers the clients' medications and some treatments but rarely checks in with the nursing assistants during the shift. The LPN's behavior reflects which managerial style?
- A. Authoritarian
- B. Laissez-faire
- C. Democratic
- D. Multicratic
Correct Answer: B
Rationale: Laissez-faire leadership involves the least structure and control. In this scenario, the LPN allows the nursing assistants to make their own assignments and rarely checks in with them during the shift. This allows for minimal communication, which is one of the characteristics of the laissez-faire leadership style. Authoritarian leadership entails strong control by the manager over the work group, which is not demonstrated in this scenario. Democratic leadership involves more participation in decision-making by the work group. Although the nursing assistants decided among themselves about the client assignments, the LPN did not participate in the decision-making at all. There is also no communication between the nursing assistants and the LPN, which is not a characteristic of the democratic leadership style. Multicratic leadership allows a leader to determine which approach is best for a particular circumstance. This characteristic is not demonstrated in the scenario.
Which of the following would be considered an indirect activity that may be delegated to unlicensed assistive personnel?
- A. Delivering meal trays
- B. Obtaining vital signs
- C. Ambulation
- D. Specimen collection
Correct Answer: A
Rationale: Indirect activities are focused on environmental tasks, such as cleaning equipment, emptying trash or soiled linen receptacles, and delivering meal trays. Direct activities are those that help clients meet basic needs, including vital signs, weights, specimen collection, and ambulation.
The LPN is assigning clients on a rehabilitation unit. Which of the following nursing actions should the LPN complete prior to assigning any delegated task?
- A. Complete nursing report
- B. Review physician notes
- C. Assess the clients
- D. Obtain feedback from the CAN
Correct Answer: C
Rationale: Assessing the client prior to delegation assures the right person, task, and circumstance. The licensed nurse should assess the appropriateness of assignment to meet the skills of the person being delegated to. Completing nursing report provides information about the client, which the assessment phase confirms. Reviewing physician notes provides updated information regarding medical prescriptions. Obtaining feedback on the assignment from CNA provides information on skill level.
Which statement best demonstrates a combination of leadership and management skills when teaching a client with uncontrolled diabetes?
- A. Although you have learned to check your blood sugar every morning, it is also important to recognize its overall effect on your health.'
- B. Once you have the lancet in the device, hold it against the finger and press the button.'
- C. Because Thanksgiving is next week, evaluate the amount of simple sugars in the desserts and eat those in moderation.'
- D. I will notify your health care provider of your blood glucose reading and request a referral for a dietitian to improve your knowledge of calorie-controlled diets.'
Correct Answer: A
Rationale: It is important for the nurse to acknowledge that the client has learned to check their blood sugar but also to stress the importance of recognizing the blood sugar level's overall effect on the client's health. Teaching the client how to obtain a glucose level and providing feedback uses management but not leadership. Providing teaching about simple sugars, notifying the client's health care provider, and requesting a referral for a dietitian are all examples of managing the client's care but do not address seeing the big picture, which is characteristic of leadership.
The LPN on the clinical unit is discussing client medication administration. The medication nurse states, 'I crushed the medication because the nurse on the prior shift told me to do it.' This statement indicates a lack of which of the following?
- A. Responsibility
- B. Management
- C. Accountability
- D. Leadership
Correct Answer: C
Rationale: Accountability means being answerable for one's actions. Following another's actions and using that as a rationale is not being accountable for the action taken. Responsibility is the duty or assignment to a specific task. Management entails assigning functions to meet particular objectives. Leadership provides guidance to achieve common goals.