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The Leadership Role of the Licensed Practical Nurse
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The Leadership Role of the Licensed Practical Nurse Linton: Introduction to Medical-Surgical Nursing, 6th Edition
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MULTIPLE CHOICE
1. A licensed practical/vocational nurse (LPN/LVN), as a regular staff member, knows all the patients and anticipates many of their needs. Other staff members are comfortable asking for advice. The advice is given freely
with a clear explanation or demonstration or both. In what role is this nurse acting?
a. Self-appointed teacher
b. Management-assigned instructor
c. Informal leader
d. Designated supervisor
ANS:
Informal leaders are not appointed but are recognized by their peers as knowledgeable and skillful.
DIF: Cognitive Level: Comprehension REF: p. 45 OBJ: 2
TOP: Informal Leadership KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. A case conference is called to plan for a patient who has caused stress in the staff with constant calls and
trivial requests. The nurse leader expresses personal views when leading the discussion about approaches to
the problem and then makes the decision for care based on the discussion. What type of leadership style does
this exemplify?
a. Autocratic
b. Democratic
c. Laissez-faire
d. Participative
ANS:
Participative leadership encourages group involvement and suggestion, but the decision is made by the leader.
DIF: Cognitive Level: Comprehension REF: p. 46-47 OBJ: 2
TOP: Leadership Styles KEY: Nursing Process Step: Planning
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. From what source does an LPN/LVN receive authority to delegate care to unlicensed personnel?
a. Physician or registered nurse (RN) who hired them
b. National Nurse Practice Act
c. 1994 Entry Level Competencies Report
d. Nurse practice act of the individual state
ANS:
Delegation of responsibilities must be in accordance with the state’s nurse practice act.
DIF: Cognitive Level: Comprehension REF: p. 52-53 OBJ: 7
TOP: Delegation by LPN/LVN KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
4. When staff members complain about being pulled to other areas to work without prior notice, the leader
agrees with their request to develop a more effective system and does so with assistance and input from the
entire staff. Which leadership theory does this exemplify?
a. X
b. Y
c. Z
d. T
ANS:
Theory Z involves all workers in every phase of the operation. Theory X assumes that all workers desire direction. Theory Y assumes that all work gives satisfaction.
DIF: Cognitive Level: Comprehension REF: p. 48 OBJ: 2
TOP: Leadership Styles KEY: Nursing Process Step: Planning
MSC: NCLEX: Safe, Effective Care Environme...
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