Nokea
Staff is assembling for shift assignments. Which of the following nursing action(s) identifies the manager's responsibility on the clinical unit? Select all that apply.
- A. The manager assesses the clients on the clinical unit and updates the physician.
- B. The manager assures that adequate care is given by the staff and assesses the flow of activities on the clinical unit.
- C. The manager removes the physician prescriptions from the chart and notes completion.
- D. The manager attends facility meetings and set objectives.
- E. The manager completes the first medication pass of the shift.
Correct Answer: B,D
Rationale: The key feature of the manager's position is the individual responsibility and accountability for the accomplishment of tasks on the clinical unit. Part of this responsibility includes assuring that adequate care is given by the staff and assessing the flow of activities on the clinical unit. A manager attending faculty meeting and setting objectives also reflects manager and leadership duties. The other options are task oriented, and, although the manager may assist staff, it is not the focus of the manager's responsibility.
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The leader is making all the decisions for the group. Which type of leadership is being exhibited?
- A. Authoritarian
- B. Democratic
- C. Laissez-faire
- D. Multicratic
Correct Answer: A
Rationale: Authoritarian leadership entails strong control by the manager over the work group. Democratic leadership involves more participation in decision-making by the work group. Laissez-faire leadership involves the least structure and control. Multicratic leadership allows a leader to determine which approach is best for a particular circumstance.
The LPN is caring for a full nursing assignment and delegates specific duties to the unlicensed assistive personnel (UAP). Which nursing action would best assess the competency of the UAP to complete the assignment?
- A. Ask the client if the assignments were completed.
- B. Review the documentation that the assignment was completed.
- C. Ask the UAP exactly how the assignment was completed.
- D. Observe the UAP during completion of the assignment.
Correct Answer: D
Rationale: Observing the UAP is the best way for the LPN/LVN to assess the competency of the UAP. All delegates must demonstrate knowledge and competency on how to perform a delegated responsibility. Reviewing the documentation or asking the UAP to explain how the assignment was completed will not demonstrate the UAP's competency. Asking the client if the assignment was completed may confirm its completion but does not address the UAP's competency.
The nurse is planning care for the day for a client with multiple diagnoses. Which of the following criteria should the nurse consider first when setting priorities for the care of the client?
- A. Consider the priority of maintaining vital signs.
- B. Consider the priority of symptom management.
- C. Consider the priority of management of pain.
- D. Consider the priority of preventing spread of disease.
Correct Answer: A
Rationale: When prioritizing, vital signs provide data on maintaining life and are considered first. All other options come after.
Which of the following roles of a nurse is an example of legitimate power?
- A. Director of nursing
- B. Team leader making assignments
- C. Head nurse scheduling vacations
- D. Shift supervisor
Correct Answer: A
Rationale: Legitimate power is power by virtue of the management position. Director of nursing is an example of legitimate power. Team leader making assignments is an example of reward power. Head nurse scheduling vacations is an example of coercive power. Shift supervisor is an example of referent power.
A licensed practical nurse (LPN) has delegated a task to unlicensed assistive personnel (UAP). Who is accountable for evaluating the results of the tasks?
- A. Physician
- B. Shift supervisor
- C. UAP
- D. LPN
Correct Answer: D
Rationale: An LPN or licensed vocational nurse (LVN) who delegates tasks to a UAP is accountable for evaluating the results of the tasks. The UAP is responsible for performing the actual task. The physician or shift supervisor is not accountable for evaluating the results of the tasks.