PNR 205 Leadership Exam V2
1. Which statement correctly describes delegation?: Delegation increases patient satisfaction
2. If allowed by the nurse practice act of the state who can an LPN delegatetoo?: CNA/UAP
3. A client is left sitting in the middle of their room without access to food, water or call bell.
This is an example of?: False imprisonment
4. Before the LPN put down the clients siderail he check to see if the patients arm was clear.
This is an example of?: nonmaleficence which means do no harm. Allow any harm to come to
patient.
5. Fidelity: Be truthful to all.
be true) includes HIPPA, for instance if we take care of a patient in the ER depart-ment and
then they are transferred to med surg, they are no longer our patient andtherefore we have no
right or access to them
challenges each practical/vocational nurse to be faithful to the charge of acting in the client's
best interest when the capacity to make free choice is no longer availableto the client.
6. Justice: Means treating all the same
(fair to all) All patients have the right to the same care and treatment, even thefrequent flier in
the ER who may be coming into the ER to get their meds everymonth. Alcoholics, etc.
Equality for all
means that SPNs/SVNs and LPNs/LVNs must deliver fair and equal treatment to allclients,
recognizing and avoiding personal bias. For example, each client with the same diagnosis
should receive the same level of care.
7. A -------- leader is concerned with the task: Autocratic
8. Which best describes a laissez-faire style of leadership: I will let you decidedthe best answer
9. Which best describes a manager?: Planning and directing to meet client andinstituitional
outcomes.
10. Which best describes a leader?: Can be an informal role that is given to aperson by a
group of workers.
11. An individual is born with leadership skills and they cannot be learned.True or False?:
False
12. Which best describes a democratic leader?: Shares responsibility and au-thority with
employees
13. Which involves varying your leadership styles to meet the demands of thework
environment?: Situational
14. What is the first step in the problem solving process?: Collect Data
15. Which best defines an assignment?: Work is distributed among team mem-bers for the
,shift
16. Why is delegation important?: Increases the effectiveness and efficiency ofthe LPN
17. Which client would be the highest priority for care?: A resident attempted toflee the
building several times on the last shift.
18. Which is not one of the rights of delegation?: Right equipment
19. Which decesion to delegate a nursing responsibility is incorrect?: Thenurse is unavailable
to supervise
20. Which duties should not be delegated: Complex sterile technique procedures
21. Which is not included in determining the level of competence for a delega-tion?: What
activities does the nurse dislike
22. True or false a delegation can be refused: True
23. Which of the following statements indicate the best understanding of safe delegation?:
Delegated duty depends on state law, facility policies, residentcondition.
24. Which of the following priority actions best contribute to safe client as- signment to
UAP's?: Job descriptions and skills checklist are used to clarify whois competent.
25. When delegating a task what should not be included?: Give partial directions
26. Delegation is an easy skill to learn true or false: False
27. Ethics: 1. Personal ethics and professional ethics. Professional ethics are things that are
lawful that we can do. Ethics what is right or wrong. Ethics is what we shoulddo.
A system of standards or moral principles that direct actions as being right or wrong.Ethics is
concerned with the ways people, either individually or as a group decide the following:
What actions are right or wrong
If one has the right to do somethingIf one has the duty to do something
28. Ethical responsibilities of Nursing: Client AdvocacyAccountability
Owning up to my actionsColleague Reporting
System based issues - new procedures
29. Colleague Reporting: For example narcotics are missing from the pixsys andyour
colleague is involve in it. It is your ETHICAL responsibility to report this. Becauseif you then do
not report it and take the keys and move on to your shift it will look like you took the drugs
and it will fall on you. This is part of the checks and balancesystem.
System based issues/New procedures
30. Personal vs Proffesional ethics: Personal ethics provide personal guidelinesfor living.
You ultimately choose what your personal code of ethics includes. Your personal code of
ethics will influence your nursing ethics. Sometimes personal ethics conflict with the law. (
, Your states Nurse Practice Act). Always look at your job description and if there is something
in that job description that you do not personally agree with, then that may not be the setting for
you. For example if you areagainst abortion and your job description states you are to be
involved in abortion procedures this is an example of personal ethics versus professional
ethics.
31. Nonmaleficence: do no harm
32. Beneficence: Do good, is what Im doing going to benifit my patient?
33. Autonomy: Free to choose, this includes privacyThinking through all the facts
Deciding of the basis of an independent thinking processActing based on a personal decision
Undertaking a decision voluntarily without pressure, direct or subtle from anyoneelse.
An example would be a patient going into surgery and the nurse asks the patient if they are
willing to take blood products during the surgery. Does the patient have the
right to refuse blood products and just have the surgery? -YES
Make sure the patient has enough information to make an informed decision.
34. Beneficent Paternalism: a disrespectful attitude toward the client and what theclient has to
contribute to personal care and recovery. It is an "I know what's best for you" attitude that
discounts the client's knowledge of self. It can be used for good in an emergency situation
such as obtaining a court order to save the life of a child's against a parents wishes. Beneficent
Paternalism is most used in extremecircumstances. Beneficent Paternalism DOES NOT
support autonomy. Informationis usually presented to a court in these circumstances. It should
always be done in good faith because we as health care professionals are trying to do what it
bestfor the child. In instance like this a disrespectful attitude as mentioned in the first sentence
is a good thing. But it is still considered a disrespectful attitude.
When is it justified? - Say for instance when a childs parents wont allow them to have blood
products because of their religion and this is putting the childs life at risk. This is when it would
be justified.
The health care provider tells the patient what they should have. All the information is
presented before a court of law.
35. Which advance directive allows a client to choose a proxy?: Durable MedicalPower of
Attorney
36. Which term describes a competent clients agreement to a procedure afterthe required
information is explained?: Informed Consent
37. What is authorized consent?: Parents cannot give informed consent for the treatment of
their children, but they can authorize treatment for their children up to acertain age; this is
called authorized consent. Courts of law recognize that parentsgenerally authorize what is
appropriate for their children. In most states, "minor" is defined as younger than age 18. Some
states allow minors to give their own consentfor treatment of substance abuse, mental health
problems, and sexually transmitteddiseases (STDs). Emancipated minors (legal mechanism) are
1. Which statement correctly describes delegation?: Delegation increases patient satisfaction
2. If allowed by the nurse practice act of the state who can an LPN delegatetoo?: CNA/UAP
3. A client is left sitting in the middle of their room without access to food, water or call bell.
This is an example of?: False imprisonment
4. Before the LPN put down the clients siderail he check to see if the patients arm was clear.
This is an example of?: nonmaleficence which means do no harm. Allow any harm to come to
patient.
5. Fidelity: Be truthful to all.
be true) includes HIPPA, for instance if we take care of a patient in the ER depart-ment and
then they are transferred to med surg, they are no longer our patient andtherefore we have no
right or access to them
challenges each practical/vocational nurse to be faithful to the charge of acting in the client's
best interest when the capacity to make free choice is no longer availableto the client.
6. Justice: Means treating all the same
(fair to all) All patients have the right to the same care and treatment, even thefrequent flier in
the ER who may be coming into the ER to get their meds everymonth. Alcoholics, etc.
Equality for all
means that SPNs/SVNs and LPNs/LVNs must deliver fair and equal treatment to allclients,
recognizing and avoiding personal bias. For example, each client with the same diagnosis
should receive the same level of care.
7. A -------- leader is concerned with the task: Autocratic
8. Which best describes a laissez-faire style of leadership: I will let you decidedthe best answer
9. Which best describes a manager?: Planning and directing to meet client andinstituitional
outcomes.
10. Which best describes a leader?: Can be an informal role that is given to aperson by a
group of workers.
11. An individual is born with leadership skills and they cannot be learned.True or False?:
False
12. Which best describes a democratic leader?: Shares responsibility and au-thority with
employees
13. Which involves varying your leadership styles to meet the demands of thework
environment?: Situational
14. What is the first step in the problem solving process?: Collect Data
15. Which best defines an assignment?: Work is distributed among team mem-bers for the
,shift
16. Why is delegation important?: Increases the effectiveness and efficiency ofthe LPN
17. Which client would be the highest priority for care?: A resident attempted toflee the
building several times on the last shift.
18. Which is not one of the rights of delegation?: Right equipment
19. Which decesion to delegate a nursing responsibility is incorrect?: Thenurse is unavailable
to supervise
20. Which duties should not be delegated: Complex sterile technique procedures
21. Which is not included in determining the level of competence for a delega-tion?: What
activities does the nurse dislike
22. True or false a delegation can be refused: True
23. Which of the following statements indicate the best understanding of safe delegation?:
Delegated duty depends on state law, facility policies, residentcondition.
24. Which of the following priority actions best contribute to safe client as- signment to
UAP's?: Job descriptions and skills checklist are used to clarify whois competent.
25. When delegating a task what should not be included?: Give partial directions
26. Delegation is an easy skill to learn true or false: False
27. Ethics: 1. Personal ethics and professional ethics. Professional ethics are things that are
lawful that we can do. Ethics what is right or wrong. Ethics is what we shoulddo.
A system of standards or moral principles that direct actions as being right or wrong.Ethics is
concerned with the ways people, either individually or as a group decide the following:
What actions are right or wrong
If one has the right to do somethingIf one has the duty to do something
28. Ethical responsibilities of Nursing: Client AdvocacyAccountability
Owning up to my actionsColleague Reporting
System based issues - new procedures
29. Colleague Reporting: For example narcotics are missing from the pixsys andyour
colleague is involve in it. It is your ETHICAL responsibility to report this. Becauseif you then do
not report it and take the keys and move on to your shift it will look like you took the drugs
and it will fall on you. This is part of the checks and balancesystem.
System based issues/New procedures
30. Personal vs Proffesional ethics: Personal ethics provide personal guidelinesfor living.
You ultimately choose what your personal code of ethics includes. Your personal code of
ethics will influence your nursing ethics. Sometimes personal ethics conflict with the law. (
, Your states Nurse Practice Act). Always look at your job description and if there is something
in that job description that you do not personally agree with, then that may not be the setting for
you. For example if you areagainst abortion and your job description states you are to be
involved in abortion procedures this is an example of personal ethics versus professional
ethics.
31. Nonmaleficence: do no harm
32. Beneficence: Do good, is what Im doing going to benifit my patient?
33. Autonomy: Free to choose, this includes privacyThinking through all the facts
Deciding of the basis of an independent thinking processActing based on a personal decision
Undertaking a decision voluntarily without pressure, direct or subtle from anyoneelse.
An example would be a patient going into surgery and the nurse asks the patient if they are
willing to take blood products during the surgery. Does the patient have the
right to refuse blood products and just have the surgery? -YES
Make sure the patient has enough information to make an informed decision.
34. Beneficent Paternalism: a disrespectful attitude toward the client and what theclient has to
contribute to personal care and recovery. It is an "I know what's best for you" attitude that
discounts the client's knowledge of self. It can be used for good in an emergency situation
such as obtaining a court order to save the life of a child's against a parents wishes. Beneficent
Paternalism is most used in extremecircumstances. Beneficent Paternalism DOES NOT
support autonomy. Informationis usually presented to a court in these circumstances. It should
always be done in good faith because we as health care professionals are trying to do what it
bestfor the child. In instance like this a disrespectful attitude as mentioned in the first sentence
is a good thing. But it is still considered a disrespectful attitude.
When is it justified? - Say for instance when a childs parents wont allow them to have blood
products because of their religion and this is putting the childs life at risk. This is when it would
be justified.
The health care provider tells the patient what they should have. All the information is
presented before a court of law.
35. Which advance directive allows a client to choose a proxy?: Durable MedicalPower of
Attorney
36. Which term describes a competent clients agreement to a procedure afterthe required
information is explained?: Informed Consent
37. What is authorized consent?: Parents cannot give informed consent for the treatment of
their children, but they can authorize treatment for their children up to acertain age; this is
called authorized consent. Courts of law recognize that parentsgenerally authorize what is
appropriate for their children. In most states, "minor" is defined as younger than age 18. Some
states allow minors to give their own consentfor treatment of substance abuse, mental health
problems, and sexually transmitteddiseases (STDs). Emancipated minors (legal mechanism) are
