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The licensed practical nurse (LPN) and other nursing staff on a rehabilitation unit are meeting to discuss an assigned client's progress. This is an example of which function?
- A. Time management
- B. Collaboration
- C. Advocacy
- D. Resource management
Correct Answer: B
Rationale: Collaboration involves a team effort to achieve client care outcomes. Time management involves organizing time, delegating tasks to other personnel, and optimizing available time. Advocacy is a means of promoting the cause of another person or organization. Resource management means using resources, which include money, supplies, equipment, buildings, and personnel, optimally.
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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 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 manager of the surgical unit is presenting the benefits of a new computer documentation system on reducing the nurse's time documenting, thus increasing the time to care for clients at the bedside. Increasing nurse excitement in the changes within the system is a form of which type of power?
- A. Referent power
- B. Motivational power
- C. Legitimate power
- D. Authoritarian power
Correct Answer: B
Rationale: Motivational power refers to the ability to create enthusiasm for a collaborative project or achievement of a common goal. Referent power relates to being in or associating with someone who is in the position of power. Legitimate power is afforded to the management position but is not the best answer for this scenario. Authoritarian power relates to leadership styles.
Which of the following is an advantage of democratic leadership?
- A. Tasks are accomplished without staff input.
- B. Leaders see themselves as coworkers.
- C. Quick decision making occurs.
- D. Managers provide support and freedom for employees.
Correct Answer: B
Rationale: Democratic leadership involves more participation in decision-making by the work group. Leaders with this style often see themselves as coworkers. Authoritarian leadership allows little input from staff for decisions. In laissez-faire leadership, the manager leaves the work group to set goals, make decisions, and take responsibility for their own management.
A new client charting system is in the education phase at a healthcare facility. Much discussion has been prompted regarding the new system. With which statement does the nurse best exhibit the integrated leader/manager traits?
- A. Let's look at the daily benefits of using the new technology on the clinical unit.'
- B. I am not used to the new technology, but if it better serves the client and enables easy sharing of client authorized records, I see a benefit.'
- C. New technology may be costly up front but will serve us well in the future.'
- D. I do not believe that this technology will be helpful in caring for a client because it often is down during peak use times and is difficult to train for.'
Correct Answer: B
Rationale: The traits of an integrated leader/manager combine understanding the daily operations on a clinical unit while seeing the big picture, thinking in the long term, and embracing change. Better serving the client and sharing records as needed demonstrates the willingness to think positively and take risks on improvement for the future. Focusing only on the daily benefits or only on the future impact of using the new technology each only look at one aspect of leadership and management. Stating that the new technology will not be helpful in client care is a negative statement and does not show that the manager is able to embrace change.