ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 6 : Leadership Roles and Management Functions Questions
Question 1 of 5
During which client-nurse interaction would the nurse most appropriately use the authoritarian leadership style?
Correct Answer: A
Rationale: During an emergency, such as when a wound dehiscence occurs, an authoritarian leadership style with one person in tight control of the situation is best. At this time, the focus is on accomplishing the tasks of client safety, wound care, and physician notification. All of the other interactions would best be managed with a therapeutic nurse client interaction.
Question 2 of 5
A parent of a 10-year-old client, newly diagnosed with diabetes, expresses concern that the child will not follow through with the diabetic regimen. The nurse suggests developing a calendar of daily requirements with a weekly prize for completion. Which type of power is the nurse suggesting the parent use?
Correct Answer: D
Rationale: Reward power is using rewards and favors to obtain a particular action. In this case, the parent rewards the child when the child completes the prescribed diabetic regimen. Coercive power is when a threat or punishment is used to meet expectations. Expert power results from the respected knowledge in a particular situation. It could be said that parents exert legitimate power through their position as caregivers; however, in this case, the parent is providing a reward for the child completing the daily tasks.
Question 3 of 5
The manager of the surgical unit is presenting the benefits of a new computer documentation system on reducing the nurse's time documenting, thus increasing the time to care for clients at the bedside. Increasing nurse excitement in the changes within the system is a form of which type of power?
Correct Answer: B
Rationale: Motivational power refers to the ability to create enthusiasm for a collaborative project or achievement of a common goal. Referent power relates to being in or associating with someone who is in the position of power. Legitimate power is afforded to the management position but is not the best answer for this scenario. Authoritarian power relates to leadership styles.
Question 4 of 5
The LPN is caring for a full nursing assignment and delegates specific duties to the unlicensed assistive personnel (UAP). Which nursing action would best assess the competency of the UAP to complete the assignment?
Correct Answer: D
Rationale: Observing the UAP is the best way for the LPN/LVN to assess the competency of the UAP. All delegates must demonstrate knowledge and competency on how to perform a delegated responsibility. Reviewing the documentation or asking the UAP to explain how the assignment was completed will not demonstrate the UAP's competency. Asking the client if the assignment was completed may confirm its completion but does not address the UAP's competency.
Question 5 of 5
The LPN is assigning clients on a rehabilitation unit. Which of the following nursing actions should the LPN complete prior to assigning any delegated task?
Correct Answer: C
Rationale: Assessing the client prior to delegation assures the right person, task, and circumstance. The licensed nurse should assess the appropriateness of assignment to meet the skills of the person being delegated to. Completing nursing report provides information about the client, which the assessment phase confirms. Reviewing physician notes provides updated information regarding medical prescriptions. Obtaining feedback on the assignment from CNA provides information on skill level.