Prep U Chapter 6: Leadership Roles and
Management Functions
A client is being discharged after being treated for an exacerbation of chronic obstructive lung disease
(COPD). Which action should the licensed practical nurse/licensed vocational nurse (LPN/LVN) take to
prevent the client from needing another admission within 30 days for the same health problem? -
correct answer - Ask the team leader if the client can have a referral to home care.
Explanation:
A provision in the Patient Protection and Affordable Care Act has created a financial penalty for
excessive unplanned readmissions within 30 days for clients with chronic obstructive lung disease
(COPD). Because of this, the LPN/LVN should suggest a way for the client to be healthy at home for
longer than 30 days. This would be done by asking if the client could have a referral to home care.
The client needing hospitalization within 30 days would not be denied. The organization just will not
receive full payment for the care. The client would not be penalized. Giving the client additional
medication is not cost effective for the organization. Suggesting that the discharge be delayed is not a
prudent use of hospital resources and would be inappropriate for the LPN/LVN to do.
A client is being discharged after being treated for an exacerbation of chronic obstructive lung disease
(COPD). Which action should the licensed practical nurse/licensed vocational nurse (LPN/LVN) take to
prevent the client from needing another admission within 30 days for the same health problem? -
correct answer Ask the team leader if the client can have a referral to home care.
A committee is evaluating a number of LPN/LVNs who have applied to be team leaders. The committee
recognizes that which LPN/LVN will have more difficulty in the leadership role if what is identified as a
way of managing time on a day-to-day basis? - correct answer The LPN/LVN who manages by crisis and
completes tasks as the necessity of the task occurs
A committee is evaluating a number of LPN/LVNs who have applied to be team leaders. The committee
recognizes that which LPN/LVN will have more difficulty in the leadership role if what is identified as a
way of managing time on a day-to-day basis? - correct answer The LPN/LVN who manages by crisis and
completes tasks as the necessity of the task occurs
,A director of nursing suggests that a staff nurse apply for a leadership position in an acute care facility.
Which quality did the director of nursing identify in the nurse to make this recommendation? Select all
that apply. - correct answer loyalty
integrity
charisma
empowerment
A licensed practical nurse/licensed vocational nurse (LPN/LVN) is hired to provide care to residents of a
long-term care facility. Which activity will the LPN/LVN perform when managing the care of a group of
residents? - correct answer Oversee the work of unlicensed assistive personnel (UAPs).
A licensed practical nurse/licensed vocational nurse (LPN/LVN) is hired to work in a multiple-physician
medical practice. Which role should the LPN/LVN be prepared to perform? - correct answer - Function as
the office manager.
Explanation:
In other health care settings, the role of the LPN/LVN may be extended. In medical offices, an LPN/LVN
may be the office manager, coordinating certain aspects of the office work such as scheduling and
coordinating work assignments. The LPN/LVN would oversee the work of other employees who would
validate client's insurance information, call for preauthorization for diagnostic tests, and provide
telephone messages to the physicians.
A new nurse asks a mentor for advice about the best ways to manage time. Which of the following
techniques would the nurse mentor be most likely to recommend? - correct answer - Use a worksheet
to identify specific tasks.
Explanation:
The following techniques are useful in learning to manage time: (1) assess expectations for the shift,
doing so in a chart that identifies specific periods (e.g., 30-minute increments)
(2) use a worksheet to identify specific tasks and important assessments that need to be done for that
particular shift
,(3) prioritize tasks that need to be accomplished
(4) write things down to remember later for charting and reporting
(5) develop efficiency and the ability to multitask, which means engaging in more than one task at a time
(6) delegate appropriate tasks to appropriate personnel.
A new nurse asks a mentor for advice about the best ways to manage time. Which of the following
techniques would the nurse mentor be most likely to recommend? - correct answer Use a worksheet to
identify specific tasks.
A new nurse asks a mentor for advice about the best ways to manage time. Which of the following
techniques would the nurse mentor be most likely to recommend? - correct answer Use a worksheet to
identify specific tasks.
A nurse has been the Wound Care/Stoma nurse at a hospital for many years. The nurse has an amazing
rapport not only with colleagues but with clients. People seem to hang on every word of education or
encouragement the nurse offers. What type of power does the nurse wield? - correct answer expert
power
A nurse has been the Wound Care/Stoma nurse at a hospital for many years. The nurse has an amazing
rapport not only with colleagues but with clients. People seem to hang on every word of education or
encouragement the nurse offers. What type of power does the nurse wield? - correct answer expert
power
A nurse informs the client that he has no choice and must take his bath in the morning. What type of
leadership does this exemplify? - correct answer - Autocratic
Explanation:
Directive leadership describes a leader who makes all the decisions and tells followers what to do.
A nurse is considered powerful by her peers because her mother is a well-known community leader and
her aunt is an administrator at the same hospital. Which of the following is the power this nurse has? -
correct answer - Referent power
, Explanation:
Referent power concerns the power a person has because of his or her association with others who are
powerful.
Coercive or punishment power is the ability to threaten or punish someone who fails to meet
expectations.
Reward power is attained through the ability to grant favors or rewards.
Informational power exists when a person has information that others need to accomplish certain goals.
A nurse is considered powerful by her peers because her mother is a well-known community leader and
her aunt is an administrator at the same hospital. Which of the following is the power this nurse has? -
correct answer Referent power
A nurse is considered powerful by her peers because her relative is the administrator of the facility.
Which of the following best describes the type of power exhibited?
A. Coercive power
B. Referent power
C. Informational power
D. Reward power - correct answer B. Referent power
Rationale: Referent power concerns the power a person has because of his or her association with
others who are powerful.
A nurse is figuring out the best way to manage her clinical time. Place in order the sequence the nurse
should use, from first step to last. - correct answer Plan and establish priorities.
Complete the highest priority task.
Move from completing one task to beginning another.
Re-assess and reprioritize tasks based on any changes.
Management Functions
A client is being discharged after being treated for an exacerbation of chronic obstructive lung disease
(COPD). Which action should the licensed practical nurse/licensed vocational nurse (LPN/LVN) take to
prevent the client from needing another admission within 30 days for the same health problem? -
correct answer - Ask the team leader if the client can have a referral to home care.
Explanation:
A provision in the Patient Protection and Affordable Care Act has created a financial penalty for
excessive unplanned readmissions within 30 days for clients with chronic obstructive lung disease
(COPD). Because of this, the LPN/LVN should suggest a way for the client to be healthy at home for
longer than 30 days. This would be done by asking if the client could have a referral to home care.
The client needing hospitalization within 30 days would not be denied. The organization just will not
receive full payment for the care. The client would not be penalized. Giving the client additional
medication is not cost effective for the organization. Suggesting that the discharge be delayed is not a
prudent use of hospital resources and would be inappropriate for the LPN/LVN to do.
A client is being discharged after being treated for an exacerbation of chronic obstructive lung disease
(COPD). Which action should the licensed practical nurse/licensed vocational nurse (LPN/LVN) take to
prevent the client from needing another admission within 30 days for the same health problem? -
correct answer Ask the team leader if the client can have a referral to home care.
A committee is evaluating a number of LPN/LVNs who have applied to be team leaders. The committee
recognizes that which LPN/LVN will have more difficulty in the leadership role if what is identified as a
way of managing time on a day-to-day basis? - correct answer The LPN/LVN who manages by crisis and
completes tasks as the necessity of the task occurs
A committee is evaluating a number of LPN/LVNs who have applied to be team leaders. The committee
recognizes that which LPN/LVN will have more difficulty in the leadership role if what is identified as a
way of managing time on a day-to-day basis? - correct answer The LPN/LVN who manages by crisis and
completes tasks as the necessity of the task occurs
,A director of nursing suggests that a staff nurse apply for a leadership position in an acute care facility.
Which quality did the director of nursing identify in the nurse to make this recommendation? Select all
that apply. - correct answer loyalty
integrity
charisma
empowerment
A licensed practical nurse/licensed vocational nurse (LPN/LVN) is hired to provide care to residents of a
long-term care facility. Which activity will the LPN/LVN perform when managing the care of a group of
residents? - correct answer Oversee the work of unlicensed assistive personnel (UAPs).
A licensed practical nurse/licensed vocational nurse (LPN/LVN) is hired to work in a multiple-physician
medical practice. Which role should the LPN/LVN be prepared to perform? - correct answer - Function as
the office manager.
Explanation:
In other health care settings, the role of the LPN/LVN may be extended. In medical offices, an LPN/LVN
may be the office manager, coordinating certain aspects of the office work such as scheduling and
coordinating work assignments. The LPN/LVN would oversee the work of other employees who would
validate client's insurance information, call for preauthorization for diagnostic tests, and provide
telephone messages to the physicians.
A new nurse asks a mentor for advice about the best ways to manage time. Which of the following
techniques would the nurse mentor be most likely to recommend? - correct answer - Use a worksheet
to identify specific tasks.
Explanation:
The following techniques are useful in learning to manage time: (1) assess expectations for the shift,
doing so in a chart that identifies specific periods (e.g., 30-minute increments)
(2) use a worksheet to identify specific tasks and important assessments that need to be done for that
particular shift
,(3) prioritize tasks that need to be accomplished
(4) write things down to remember later for charting and reporting
(5) develop efficiency and the ability to multitask, which means engaging in more than one task at a time
(6) delegate appropriate tasks to appropriate personnel.
A new nurse asks a mentor for advice about the best ways to manage time. Which of the following
techniques would the nurse mentor be most likely to recommend? - correct answer Use a worksheet to
identify specific tasks.
A new nurse asks a mentor for advice about the best ways to manage time. Which of the following
techniques would the nurse mentor be most likely to recommend? - correct answer Use a worksheet to
identify specific tasks.
A nurse has been the Wound Care/Stoma nurse at a hospital for many years. The nurse has an amazing
rapport not only with colleagues but with clients. People seem to hang on every word of education or
encouragement the nurse offers. What type of power does the nurse wield? - correct answer expert
power
A nurse has been the Wound Care/Stoma nurse at a hospital for many years. The nurse has an amazing
rapport not only with colleagues but with clients. People seem to hang on every word of education or
encouragement the nurse offers. What type of power does the nurse wield? - correct answer expert
power
A nurse informs the client that he has no choice and must take his bath in the morning. What type of
leadership does this exemplify? - correct answer - Autocratic
Explanation:
Directive leadership describes a leader who makes all the decisions and tells followers what to do.
A nurse is considered powerful by her peers because her mother is a well-known community leader and
her aunt is an administrator at the same hospital. Which of the following is the power this nurse has? -
correct answer - Referent power
, Explanation:
Referent power concerns the power a person has because of his or her association with others who are
powerful.
Coercive or punishment power is the ability to threaten or punish someone who fails to meet
expectations.
Reward power is attained through the ability to grant favors or rewards.
Informational power exists when a person has information that others need to accomplish certain goals.
A nurse is considered powerful by her peers because her mother is a well-known community leader and
her aunt is an administrator at the same hospital. Which of the following is the power this nurse has? -
correct answer Referent power
A nurse is considered powerful by her peers because her relative is the administrator of the facility.
Which of the following best describes the type of power exhibited?
A. Coercive power
B. Referent power
C. Informational power
D. Reward power - correct answer B. Referent power
Rationale: Referent power concerns the power a person has because of his or her association with
others who are powerful.
A nurse is figuring out the best way to manage her clinical time. Place in order the sequence the nurse
should use, from first step to last. - correct answer Plan and establish priorities.
Complete the highest priority task.
Move from completing one task to beginning another.
Re-assess and reprioritize tasks based on any changes.
