1.

To discover the expanded role of the practical nurse, the

LPN/LVN should investigate
a. the state's Nurse Practice Act.

The LPN/LVN day shift charge nurse in a nursing home

usually reports to the
c. RN manager of the unit.

The LPN/LVN nursing home charge nurse usually tells nursing

assistants what to do and offers little opportunity for input or
suggestions for how to improve care. This leadership style is
called
a. autocratic.

The LPN/LVN nursing home charge nurse encourages nursing

assistants to make suggestions regarding improvement of
nursing care and shows concern for the staff. This leadership
style is called
b. democratic.

A nursing assistant states, "I have never learned how to

transfer a resident with end-stage Parkinson's disease from
the bed to the chair." The nursing assistant refuses to transfer
the resident at this time. Select the appropriate approach for
the LPN/LVN charge nurse to take.
c. Arrange to teach the nursing assistant how to transfer the
resident.

A nursing assistant (NA) did an exceptionally good job by

encouraging a resident to leave his room and go to an activity.
Select the response by the LPN/LVN charge nurse that would
best encourage the employee to continue this effort
d. Tell the NA that the charge nurse knows how hard she worked
to get the resident out of his room and how pleased the nurse is
that the NA is concerned with the resident's need for
socialization.

LPN/LVNs functioning in an expanded role are most often

employed in
d. long-term care.

Which understanding about leadership would help the

LPN/LVN become a more skillful leader?
d. Leaders see change as challenging and providing
opportunities for improving quality of care.

Which quality is rarely found in democratic leaders?

b. Arrogance

For an LPN/LVN to motivate staff members to meet the goals

of the organization, it is helpful if the nurse
b. understands work motivators.

The LPN/LVN charge nurse asks the nurse manager, "How

can I motivate the nursing assistants on my shift?" The best
answer would be
"Motivation is an inner force. You can't motivate someone else,
but understanding the things that are important to workers can
be helpful."

What LPN/LVN charge nurse behavior will best accomplish the

goal of promoting team building?
d. Encouraging politeness, cooperation, respect, and trust

The LPN/LVN spends time exploring the agency mission

statement with the nursing assistants who work that shift. They
create a list of ways they can contribute to achieving the
agency goals. This process is called
c. team building.

The LPN/LVN notices that the nursing assistants are taking

longer breaks than agency policy permits and wishes to
change this behavior as quickly as possible. The LPN/LVN's
initial actions should be to
d. determine the reason staff members are taking longer breaks.

The LPN/LVN reads this statement, "Stress is the body's

reaction to the mind's analysis of a situation." The LPN/LVN
concludes that the critical factor to teach nursing assistants to
help them control their stress levels is to
a. manage how they think about a situation.

Which behavior should the LPN/LVN charge nurse identify as

dysfunctional behavior that violates OBRA regulations by
threatening resident quality of life, health, or safety?
c. The nursing assistant uses a sharp tone of voice and body
posture, suggesting impatience when feeding a resident.

The action the LPN/LVN charge nurse takes independently

that would most likely require conflict resolution at the unit
level is
c. eliminating morning breaks and adding 10 minutes to the
lunch hour.

Which of the following is an example of objective, rational

thinking rather than subjective, irrational thinking about nursing
assistants whom the LPN/LVN charge nurse supervises?
a. "I want nursing assistants to be on time for report."

How can the LPN/LVN charge nurse meet needs for affiliation
among staff on their shift?
c. Arrange a social gathering for the staff on the shift.

The LPN/LVN charge nurse notices that a nursing assistant

has not weighed her assigned residents. The best statement
by the nurse is
"I need to have you weigh your assigned residents and report to
me by 10 AM."

In which situation would the LPN/LVN charge nurse be in

violation of OBRA provisions?
Letting the unit secretary, who has completed 30 hours of
instruction in a CNA program, bathe and ambulate a resident

A new LPN/LVN asks the LPN/LVN charge nurse what

continuous quality improvement (CQI) is all about. The charge
nurse should explain that the focus of CQI in a health care
agency is
b. better patient care outcomes.

When conducting an employee performance evaluation

conference, the LPN/LVN charge nurse should understand
that
d. the employee should be encouraged to identify strengths and
ask questions for clarification.

The long-term care agency has recently announced that it will

soon lay off six LPN/LVNs and hire eight nursing assistants.
Today, the RN charge nurse presents the LPN/LVN charge
nurse with a certificate recognizing her ability to manage
effectively despite short staffing. The LPN/LVN responds
somewhat politely but seems more angry than pleased. In
terms of the Howlett hierarchy of needs, which of the following
is the best explanation for the employee's reaction?
b. When job security is threatened, recognition needs assume
lesser importance.

A purely task-centered leadership style that thrives on power

and involves telling someone what to do, with little regard for
the employee as a person, is the
a. autocratic style.

A people-oriented leadership style that focuses on people's

feelings but ignores the task at hand and allows people to act
without any direction is the
d. laissez-faire style.

A leadership style that focuses on both the task and the

employee is the
c. democratic style.

During an emergency, the charge nurse tells the LPN/LVN, "I

need you to place the patient on a nonrebreather mask now."
The charge nurse has little regard for the LPN/LVNs input at
this time. The charge nurse is displaying what leadership
style?
a. Autocratic

During a staff meeting, the charge nurse encourages feedback

from staff nurses about improving patient safety. The charge
nurse is displaying what leadership style?
c. democratic

A nursing instructor has instructed a student nurse to

document objectively. The student nurse demonstrates
understanding when documenting
d. "Odor of alcohol on breath; refuses to stay in assigned room."