Leadership’s major focus is on: Inspiring people Creating change Controlling others Producing a product

1. A nurse manager is informed that a large number of patients will be admitted in response to a terrorist attack. Which type of leadership style is most appropriate in this situation? Collaborative Authoritarian Laissez-faire Democratic

2. The nurse manager is experiencing staff resistance when implementing change. To overcome resistance to change, the most important action by the nurse manager is to:1. Identify the reason for resistance2. Restate the purpose of the change concisely.3. Modify the objectives to appeal to more key people4. Emphasize the positive consequences of the change

3. Leadership’s major focus is on: • Inspiring people • Creating change • Controlling others • Producing a product

4. The primary difference between effective leaders and managers is that managers always have: 1. Vision 2. Charisma 3. Confidence 4. Responsibility

5. The Licensed Practical Nurse delegates a procedure to a UAP. This act of delegation is used primarily to: • Create change • Establish a network • Improve productivity • Transfer accountability

6. The nurse manager plans to provide feedback to a subordinate who needs a change in behavior. The initial intervention by the nurse manager should be to: • Be assertive • Explore alternatives • Identify unacceptable behavior • Document the content of the counseling session

7. Which is most basic for a nurse new to a management position? • Strong interpersonal skills • Awareness of when to be confrontational • Knowledge of the role of a change agent • Recognition by peers as a leader

8. The nurse manager understands that there are “Five Rights of Delegation”: right task, right person, right communication, right time and right_____: • Supervision • Feedback • Route • Place

9. A nursing-care delivery model based on case management is: • Functional nursing • Team nursing • Critical pathways • Primary nursing

10. Several nurses complain to the nurse manager that one CNA constantly takes extensive lunch breaks. The nurse manager should: • Convene a group meeting of all CNA’s to review their responsibilities related to time management • Talk with the CNA to explore the reasons for the behavior and review expectations • Arrange a meeting with the nurses so they can confront the CNA as a group • Document the CNA behavior and place it in the personnel file

11. To ensure efficiency when managing the daily workload, the LPN should: • Give care to a patient in isolation first • Plan activities to promote nursing conveniences • Organize care around legally required activities • Perform routine bed baths between breakfast and lunch

12. An LPN supervisor communicates expectations about a task to be completed and then delegates the task. Which management function is being implemented by the supervisor? • Planning • Directing • Organizing • Controlling

13. Which statement is most significant in relation to the concept of change theory in the health-care environment? • Barriers to change can be overcome by embracing new ideas uncritically • Change generates anxiety by moving away from the comfortable • Behaviors are easy to change when change is supported • Change is most effective when spontaneous

14. A patient is to be discharged from the skilled care unit. A discharge task that the LPN can delegate to a nursing assistant is: • Teaching the patient how to measure weight using a standing scale • Obtaining the patient’s pulse, temperature and respirations • Determining if the patient knows how to measure fluid intake • Demonstrating to the patient how to use a walker

15. Management’s major focus is on: • Accomplishing an objective • Empowering others • Problem-solving • Planning

16. When planning to apply for a new position within an agency, which is the first thing a nurse should do? • Review the job description • Provide at least 3 positive references • Identify if power is associated with the position • Locate the position on the agency’s Organizational Chart

17. Lewin’s planned change theory progresses through phases. Order these statements by the LPN manager as change moves through the process: • “Let’s implement a pilot project next week” • “This is a new venture that should be exciting” • “I know it may be difficult but you are doing a great job.”

18. At the beginning of a 7 AM to 7 PM shift a nurse receives report, which is completed by 7:20 am. Place in order of priority the tasks that should be performed by the nurse: • Give a prn pain medication to a patient in pain • Change a patient’s dressing that is ordered BID • Administer the ordered 8:00 am meds • Obtain the vital signs of a patient who is complaining of shortness of breath

19. 4, 1, 3, 2 • Obtain the vital signs of a patient who is complaining of shortness of breath • Give a prn pain medication to a patient in pain • Administer the ordered 8:00 am meds • Change a patient’s dressing that is ordered BID

20. Which statement is most significant in relation to the concept of change theory in the health-care environment? • Weigh the risks and benefits • The stages of change are predictable • Change in activity results in positive outcomes • A large change is easier to accept than multiple small changes

21. Amanda is working on a busy floor. Her charge nurse asks her to take on more patients. She is already too busy. She tells her charge nurse, “Well, uh, I guess I could.” Amanda is displaying what type of behavior? 1. nonassertive 2. aggressive 3. assertive 4. none of the above

22. Amanda is working on a busy floor. Her charge nurse asks her to take on more patients. She is already too busy. She tells her charge nurse, “Well, uh, I guess I could.” Amanda is displaying what type of behavior? 1. nonassertive 2. aggressive 3. assertive 4. none of the above

23. Dr. Tingle orders a new medication for Amanda’s patient. She knows her patient is allergic to the medication. She asks Dr. Tingle if she can speak to him in the hallway. After discussing the situation, Dr. Tingle returns to the room and changes the medication. Which behavior did Amanda display? 1. nonassertive 2. aggressive 3. assertive 4. none of the above

24. Which of the following is not one of the five core skills of leadership? 1. motivates team members 2. communicates assertively 3. problem-solves efficiently • assigns all individuals equal tasks • manages stress effectively

25. Johanna is a task-centered leader. She enjoys telling someone what to do with little regard for the employee. What type of leadership style is this? 1. autocratic 2. laissez-faire 3. situational 4. democratic

26. Vicki is a charge nurse. She displays concern for the work that needs to be done, as well as the team performing the task. What type of leadership style is this? 1. autocratic 2. laissez-faire 3. situational 4. democratic

27. Which Act contains the Nursing Home Reform Act, which ensures that residents of nursing homes receive quality care? 1. OBRA 2. HCFA 3. HHS 4. NHSA

28. The purpose of this independent, not-for-profit organization is to improve quality of care by creating a safe environment for patients through the accreditation process. 1. OSHA 2. HCFA 3. The Joint Commission 4. QCSE

29. Before becoming a first-line manager in a long-term care facility, the LPN must meet the requirements as stated in: 1. NPA 2. OCHA 3. The Joint Commission 4. OSHA

30. Cindy is a charge nurse in an extended care facility. Which of the following is not a common problem that she faces when dealing with her staff? 1. nursing assistants bringing problems home 2. encouraging personal responsibilities in nursing assistants 3. dealing with demanding families 4. financial responsibilities of the facility

31. Which of the following is not delegating? 1. asking nursing assistants to do part of your job 2. sharing power with nursing assistants 3. asking nursing assistants to do duties that the LPN/LVN dislikes doing. 4. asking nursing assistants to help you perform some of your job description

32. When setting priorities for shift goals, which of the following is not a consideration? 1. life-threatening situations 2. essentials to safety 3. essentials to the medical/nursing plan of care 4. financial cost

33. Cindy is delegating duties for the nursing assistants. Which of the following is not an appropriate delegated task? 1. bed baths 2. vital signs 3. mouth care 4. initiating patient education