Question 1

While handling an acute patient care situation the charge nurse starts giving orders to staff and directs others to pick up supplies. What type of management style is this nurse using?

Accepted Answer

The nurse is using an Authoritarian management style, characterized by making decisions independently and expecting staff to follow orders without question, which is often used in acute or emergency situations where quick, decisive action is needed.

Question 2

The nurse manager has one expert certified nursing assistant (CNA), two advanced beginner CNAs, two proficient CNAs, one competent CNA, and one novice CNA assigned for the day shift. Who should be paired with the novice CNA?

Accepted Answer

Pairing the novice CNA with the expert CNA allows for the most effective learning and mentorship opportunity, as the expert can provide the guidance, support, and knowledge necessary to help the novice develop their skills.

Question 3

A nursing assistant is having trouble staying awake on the night shift and is found sleeping in the day room. What should the nurse do?

Accepted Answer

The nurse should address the issue professionally by reviewing options and providing a written warning, as sleeping on the job is a serious concern that affects patient care and safety.

Question 4

A staff member states the following: "When you take responsibility for my tasks, I feel threatened and unprofessional. We should try to talk about events that occur so that we can resolve them together." What type of communication has occurred?

Accepted Answer

The staff member is expressing their feelings and needs directly and respectfully, without being passive or aggressive, which is characteristic of assertive communication. They are seeking a constructive resolution by suggesting a discussion, which is a hallmark of assertiveness.

Question 5

The nurse hears about an afternoon shift nursing assistant using the telephone in one of the resident's rooms to talk to friends and not completing assigned resident care duties. What is the most important action of the nurse before confronting the assistant?

Accepted Answer

Visiting each of the residents in the assistant's care assignment is crucial to assess the impact of the assistant's actions on resident care and gather firsthand information before taking further steps.

Question 6

The family of a nursing home resident is yelling at the nurses' station about the substandard care being provided to the resident. What action should the nurse take first?

Accepted Answer

The answer of The family of a nursing home resident...

Question 7

The charge nurse intends to use the planning loop for a staff scheduling issue. What information should the nurse collect first?

Accepted Answer

The planning loop for addressing a staff scheduling issue begins with understanding the resources available, in this case, the number of staff available to work. This information is crucial for effective scheduling and ensuring adequate coverage.

Question 8

A reliable CNA who is liked by most staff and some patients is very loud and gregarious while at work, which frequently causes a problem. During the annual evaluation this issue is not addressed. What does this say about the employee's behavior?

Accepted Answer

The manager's failure to address the issue of the employee being very loud and gregarious, which frequently causes a problem, indicates a lack of guidance for improvement. It suggests that the manager is being too lenient and not assisting the employee in addressing behaviors that could be disruptive or unprofessional in the workplace. Constructive feedback is essential for personal and professional development.

Question 9

A nurse manager follows the multicratic leadership style. Which situation is an inappropriate use of this style?

Accepted Answer

The multicratic leadership style involves a combination of autocratic and democratic approaches. It is inappropriate for a manager to insist that a resident get dressed for breakfast, as this situation requires a more individualized and possibly democratic approach, respecting the resident's autonomy and preferences.

Question 10

The licensed nurse is considering delegating tasks to assistive personnel. What needs to be done before performing this delegation? Select all that apply.

Accepted Answer

The nurse should review position descriptions to ensure tasks are within the assistive personnel's scope of practice and study the policy and procedure manual to understand the guidelines and limitations of delegation.

Question 11

The nurse manager is reviewing items to be completed. Which should the manager keep in mind when identifying priorities?

Accepted Answer

The nurse manager should prioritize tasks that align with the goals and needs of the entire organization to ensure efficient and effective operations.

Question 12

The charge nurse gathers the nursing staff in the conference room to discuss a patient care situation. A subcommittee of team members is formed to implement specific recommendations. What type of management style is being used by the charge nurse?

Accepted Answer

The charge nurse is using a democratic management style by involving the nursing staff in the decision-making process and forming a subcommittee to implement specific recommendations. This approach encourages team participation and collaboration.

Question 13

A nursing assistant with an evaluation due in 2 weeks came in early to help with a staffing crisis and saved a choking family member by performing the Heimlich maneuver. The evaluation is certain to be full of high praise for skills and teamwork. Is this an appropriate evaluation?

Accepted Answer

The halo effect is influencing the evaluation because the recent heroic act and extra effort are overshadowing an objective assessment of the nursing assistant's overall performance throughout the evaluation period.

Question 14

A resident who has a body mass index of 33 must be transferred to a chair. The charge nurse assigns a novice CNA who is 5 foot 1 inch tall and of slight build. What should be done about this situation?

Accepted Answer

Assigning a novice CNA of slight build to transfer a resident with a BMI of 33 could pose a risk to both the resident and the CNA. It is important to remind the charge nurse of the resident's size to ensure the assignment is appropriate and safe, allowing for a change if necessary.

Question 15

The administrator of a skilled nursing facility is implementing a clinical ladder for licensed and certified staff. What should the administrator expect as benefits of this model? Select all that apply.

Accepted Answer

A clinical ladder can improve morale by providing clear pathways for career advancement, enhance patient care by encouraging staff to develop their skills, and reduce employee turnover by increasing job satisfaction and engagement.

Quiz 12: Management and Leadership Role of the Licensed Practicalvocational Nurse