Chapter 16 Leading, Delegating, and Collaborating

Chapter 16  Leading, Delegating, and Collaborating

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which of these tasks is appropriate for the RN to delegate to a LPN/LVN?
a.
Documenting patient teaching about a routine surgical procedure
b.
Teaching a patient how to self-administer insulin
c.
Administering an oral medication to a patient
d.
Completing the initial assessment and plan of care

ANS: C
The education and scope of practice of the LPN/LVN include administration of oral medication. Patient teaching and the initial assessment and development of the plan of care are nursing actions that require RN-level education and scope of practice.

DIF: Cognitive Level: Application REF: Page 255 OBJ: Compare leadership styles.
TOP: Leadership Styles
MSC: NCLEX: Safe, Effective Care Environment: Management of Care

2. All of these nursing actions are included in the plan of care for a patient who is malnourished. Which action is appropriate for the RN to delegate to a nursing assistant?
a.
Assist the patient in choosing high-nutrition items from the menu.
b.
Monitor the patient for skin breakdown over the bony prominences.
c.
Assess the patient’s strength while ambulating the patient in the room.
d.
Offer the patient the ordered nutritional supplement between meals.

ANS: D
Feeding the patient and assisting with oral intake are included in nursing assistant education and scope of practice. Assessing the patient’s strength and assisting the patient in choosing high-nutrition foods require LPN/LVN- or RN-level education and scope of practice.

DIF: Cognitive Level: Application REF: Page 255 OBJ: Compare leadership styles.
TOP: Leadership Styles
MSC: NCLEX: Safe, Effective Care Environment: Management of Care

3. A nurse manager must confront an employee about excessive absenteeism. During the confrontation with this employee, which introductory statement is most appropriate?
a.
“Is there something occurring in your life that is interfering with your attendance at work?”
b.
“What is your understanding of our absenteeism policy and being placed on probation?”
c.
“You are always calling in sick and leaving the staff in a real mess.”
d.
“Let’s pull the policy manual out and read the absenteeism policy together.”

ANS: A
Similar to a focused patient assessment when a complaint pain is given, a manager must also assess and gather more information about an employee’s excessive absenteeism. With this in mind, the statement asking about the employee’s life occurrences interfering with work is an appropriate way to start this conversation. Asking the employee about the absenteeism policy and offering to read the policy together give no opportunity to engage in a healthy discussion. Attacking the employee by saying “You are always calling in sick and leaving the staff in a real mess” is not a respectful and professional way to begin this conversation.

DIF: Cognitive Level: Application REF: Page 255 OBJ: Compare leadership styles.
TOP: Leadership Styles
MSC: NCLEX: Safe, Effective Care Environment: Management of Care

4. A nurse is assigned to care for a patient who has been admitted with an opiate overdose and tells the nursing supervisor, “This is a waste of my time. The patient will be back on the needle right after being discharged.” The most appropriate response by the nursing supervisor is:
a.
“Your lack of professionalism will make it difficult for you to provide adequate care.”
b.
“You know we are obligated to provide appropriate care no matter how we feel.”
c.
“It is important to recognize these feelings and then figure out how to deal with them.”
d.
“Since you feel so strongly, perhaps you should be assigned to care for a different patient.”

ANS: C
To provide nonjudgmental care for substance-abusing patients, the nurse must examine his or her own values and feelings. This statement validates the nurse’s feelings but recognizes the need to care for the patient in a nonjudgmental way. The response about the lack of professionalism is critical of the nurse and is unlikely to lead to a change in the nurse’s attitude. The response about the obligation to care for this patient is accurate but does not encourage the nurse to examine his or her own values. The response about feeling strongly about the patient would solve the immediate problem but would not encourage self-examination.

DIF: Cognitive Level: Application REF: Page 261
OBJ: Identify the leadership role in collaboration and delegation.
TOP: Leadership and Collaboration in Care
MSC: NCLEX: Safe, Effective Care Environment: Management of Care

5. A charge nurse and staff nurse are in disagreement over the team assignment for the shift that is about to begin. What is the charge nurse’s best first step to resolving the conflict collaboratively?
a.
Determine the shared goal.
b.
Open a respectful dialogue to bring forth each point of view.
c.
Design a plan to meet the shared goal.
d.
Determine the roles of those involved in the plan.

ANS: B
The steps to collaborative conflict resolution are as follows: (1) open a dialogue that brings forth and is respectful of each individual’s point of view; (2) determine a group or shared goal; (3) identify the expertise and contribution of each individual as the group agrees on the shared goal; (4) review the goal and move to accept or reject it honestly (acceptance requires the consensus of the group); (5) design a plan to meet the new goal by using the expertise of the group to design interventions to meet the goal; (6) determine the roles of the members in carrying out the interventions; a role must be within the capacity of the member and mutually accepted as fairly defined; and (7) set an evaluation point, and include all individuals in the evaluation process, maintaining respect for everyone’s input or contribution and focusing on interventions and actions rather than personalities, feelings, or prejudices.

DIF: Cognitive Level: Application REF: Page 267
OBJ: Analyze strategies for conflict management. TOP: Conflict Management
MSC: NCLEX: Safe, Effective Care Environment: Management of Care