The Health Insurance Portability and Accountability Act rules:

focus primarily on protection of patient privacy.

Proximate cause means:

cause & effect relationship between the act & the injury can be identified.

Which of following is true regarding informed consent?

pt is informed, he or she has the right to revoke consent at any time.

The U.S. Census Bureau predicts that by the year 2050:

50% of the population will be members of an ethnic minority.

A nurse’s leadership skills need improvement if:

the nurse makes a nursing assistant cry.

Which statement about culture will help the nurse implement culturally competent care?

Each culture measures other cultures using its own ways as the norm.

The fundamental requirement for assuming practice role of LPN charge nurse is

licensure in the state of practice.

What LPN charge nurse behavior will best accomplish the goal of promoting team building?

Encouraging politeness, cooperation, respect, and trust

One advantage of a contemporary organizational structure is that the:

nursing assistant reports to the charge nurse.

To discover the expanded role of the practical nurse, the LPN should investigate

the state’s Nurse Practice Act.

The action the LPN charge nurse takes independently that would most likely require conflict resolution on the unit

eliminating morning breaks & adding 10 minutes to the lunch hour.

The LPN charge nurse notices a nursing assistant has not weighed her assigned residents. Best nursing statement:

“I need you to weigh assigned residents & report to me by 10 AM."

A patient who requires a kosher diet may:

eat meat a few minutes after drinking milk.

What duty would exceed LPN scope of practice if included in the job description for an LPN charge nurse?

Independently developing written treatment protocols.

When a patient is asked about religious preference, she states, “I am agnostic.” The nurse’s best interpretation of this

is patient believes existence of God can neither be proved nor disproved.

Which situation would the LPN charge nurse violate OBRA provisions?

Letting unit secretary (No CNA instruction) bathe & ambulate pt.

Which of the following is an example of breach of duty?

The LPN/LVN does not perform duties according to the standard of care.

How should an LPN/LVN explain the term accountability to a student nurse?

Accountability, assuming personal responsibility for one’s nursing action

Which of the following is an example of the process of socialization?

The student nurse learns how to think and act like a nurse.

How would a culturally competent care plan differ from a standard care plan?

It would contain adaptations that recognize the pt's cultural preferences.

How can the LPN charge nurse meet needs for affiliation among staff on their shift?

Arrange a social gathering for the staff on the shift.

To function within the scope of law, a nurse must know that the legal duties/functions of the nurse in a given state

are determined by the Nurse Practice Act of the state.

A nurse is caring for Orthodox Jewish pt. who has terminal cancer. The nurse shows cultural sensitivity toward pt:

by saying, “Would you like me to ask your rabbi to come to visit you?”

A nurse is found liable for battery. What does this mean?

The nurse, without consent, touched the patient in a way that caused harm.

A risk management strategy a nurse can use to prevent being named in malpractice lawsuits is

maintaining good relationships with patients and families.

Besides racial and ethnic groups, cultural diversity also includes:

lifestyle, age, and economic status.

When documenting patient behavior, the LPN/LVN should

record all interventions performed and patient instruction given.

In a personalistic health belief system, disease is:

treated with curing rituals, amulets, or herbs.

Which of the following illustrates dysfunctional job behavior?

2 aides don't get along, charge nurse assigns them to different halls.

Socialization is the process by which a person of one culture learns to:

function within a larger culture.

A student nurse asks, “Does ethnocentrism have any negative consequences?” The most accurate reply?

ethnocentrism may give rise to prejudice which may result in discrimination

The priority step the LPN charge nurse should take before delegating one of the charges to another LPN on staff is to:

check Nurse Practice Act to see whether an LPN charge can delegate duties

The new Joint Commission Patient Safety Goals are the result of studies on

causes of serious harm and death to patients.

A patient following a kosher diet consumes a breakfast of toast, eggs, and turkey bacon. The LPN/LVN is aware that 6

hours must pass before the patient is offered milk.

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Leadership Ch. 7, 10, 11 & 17

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Questions 94

Answers

1
The Health Insurance Portability and Accountability Act rules:
focus primarily on protection of patient privacy.
reduce paperwork related to health care.
do not allow patients to request changes to their medical record.
enable the LPN/LVN to provide records to patients for review.
2
Proximate cause means:
it is likely that the injury to pt. was not caused by the nurses' action.
the nurse intentionally caused injury with forethought.
causation of injury was in approximate timeframe that allows legal action.
cause & effect relationship between the act & the injury can be identified.
3
Which of following is true regarding informed consent?
Informed consent must be obtained for surgical procedures only.
Parents can give informed consent for treatment of their children.
pt is informed, he or she has the right to revoke consent at any time.
Informed consent means the patient is informed in medical language.
4
The LPN day shift charge nurse in a nursing home usually reports to the
administrator of the nursing home.
board of directors of the nursing home.
owner of the nursing home.
RN manager of the unit.
5
The U.S. Census Bureau predicts that by the year 2050:
50% of the population will be members of an ethnic minority.
80% of the population will be of Hispanic heritage.
25% of the population will be members of an ethnic minority.
80% of the population will be of European ancestry.
6
What is the second step in problem solving?
Define the problem.
Evaluate the plan.
Select the interventions
Collect data.
7
A nurse’s leadership skills need improvement if:
coworkers thank the nurse for helping them.
the nurse makes a nursing assistant cry.
the nurse calls in extra staff to help with increased patient load.
the nurse is often asked to help others.
8
A behavior to avoid when interacting with a person of a different culture is
diversity.
stereotyping.
acculturation.
behavior based on unbiased attitudes.
9
Select the patient who would benefit least from the nurse reading from the New Testament.
Miss C, who is a Jehovah’s Witness
Mrs. A of the Assembly of God
Mr. D, who is an Orthodox Jew
Mr. B, who is Roman Catholic
10
Which statement about culture will help the nurse implement culturally competent care?
Stereotypes about cultures can be accepted as true.
Cultural diversity is based entirely on race.
Each culture measures other cultures using its own ways as the norm.
Culture is primarily based on genetic inheritance.
11
Which quality is rarely found in democratic leaders?
Effective communication
Assertiveness
Desire for new learning
Arrogance
12
The fundamental requirement for assuming practice role of LPN charge nurse is
the ability to coordinate patient care services.
a knowledge of the principles of delegation.
licensure in the state of practice.
experience with resident assignment.
13
What LPN charge nurse behavior will best accomplish the goal of promoting team building?
Encouraging politeness, cooperation, respect, and trust
Not using manipulative rewards to change staff behaviors.
Using “I” statements when talking about the unit’s goals.
Assuming each nursing assistant is fully informed about the unit’s mission
14
One advantage of a contemporary organizational structure is that the:
middle manager positions have been eliminated.
charge nurse positions have been eliminated.
nursing assistant reports to the charge nurse.
nursing manager reports to the director of nursing.
15
To discover the expanded role of the practical nurse, the LPN should investigate
information gained from LPNs working in various clinical settings.
the opinions of MDs who service area extended care facilities.
the state’s Nurse Practice Act.
job descriptions for practical nurse in local health care agencies
16
The action the LPN charge nurse takes independently that would most likely require conflict resolution on the unit
organizing shift activities before morning report.
eliminating morning breaks & adding 10 minutes to the lunch hour.
making sure the necessary equipment & supplies are available.
creating a calm, supportive environment.
17
Hinduism is based on a belief in:
the Four Noble Truths.
reincarnation.
jihad.
The Five Pillars.
18
The LPN charge nurse notices a nursing assistant has not weighed her assigned residents. Best nursing statement:
“You didn’t weigh assigned residents this AM. Get with the program."
"Not weighing residents is example of you goofing off."
“I need you to weigh assigned residents & report to me by 10 AM."
“Would you mind explaining why you didn’t weigh residents today?”
19
A patient who requires a kosher diet may:
eat the usual menu offered in hospitals.
eat meat a few minutes after drinking milk.
eat pork and bacon if it comes from Canada.
use the same utensils for preparing and serving meat and milk dishes.
20
LPN/LVNs functioning in an expanded role are most often employed in
long-term care.
critical care units.
home health care.
pediatric clinics.
21
Spiritual practices help individuals develop a(n):
awareness of self.
social conscience.
religious affiliation.
political awareness.
22
What duty would exceed LPN scope of practice if included in the job description for an LPN charge nurse?
Assisting physicians in diagnostic and therapeutic measures.
Independently developing written treatment protocols.
Assigning patient care
Maintaining a safe and hazard-free environment.
23
A religion in which members observe the Sabbath from sunset on Friday to sunset on Saturday is
Islam.
Seventh-Day Adventist.
Mormonism.
Catholicism.
24
When a patient is asked about religious preference, she states, “I am agnostic.” The nurse’s best interpretation of this
is the patient does not believe in God.
is patient believes existence of God can neither be proved nor disproved.
is the patient does not believe that the supernatural exists.
is the patient believes in God & Supernatural powers.
25
Which situation would the LPN charge nurse violate OBRA provisions?
Allowing a son to feed his father, who is a resident on the unit
Telling RN Supervisor that aide needs training to give an enema.
Letting a nursing aide attend a 2-hour in-service training session.
Letting unit secretary (No CNA instruction) bathe & ambulate pt.
26
Which of the following is an example of breach of duty?
The LPN/LVN delegates duties to unlicensed assistive personnel.
The LPN/LVN does not perform duties according to the standard of care.
The LPN/LVN resigns from the position.
The LPN/LVN walks off the unit during the shift.
27
Legally, student practical nurses are held to the level of performance
of the LPN/LVN.
described in syllabus of the course in which the student is enrolled.
described in job description for nursing assistants.
of the LPN/LVN instructor.
28
How should an LPN/LVN explain the term accountability to a student nurse?
Accountability, assuming personal responsibility for one’s nursing action
Accountability is shared responsibility with the MD for wrongdoing.
Accountability is the transfer of responsibility for wrong actions.
Accountability is giving up responsibility when the situation dictates
29
Which of the following is an example of the process of socialization?
nurse assesses the needs of patient who is member of another culture.
The nurse uses cultural bias when evaluating beliefs of a diverse culture.
The student nurse learns how to think and act like a nurse.
Student nurse demonstrates ethnocentrism related to health-illness beliefs.
30
How would a culturally competent care plan differ from a standard care plan?
It would provide information about nonjudgmental behaviors to use.
It would contain adaptations that recognize the pt's cultural preferences.
It would follow the legal mandates for providing care regardless of culture
It would focus on the nurse’s values, assumptions, and health beliefs.
31
How can the LPN charge nurse meet needs for affiliation among staff on their shift?
Encourage attendance at continuing education seminars.
Arrange a social gathering for the staff on the shift.
Offer training in violence prevention.
Reorient all staff to policies and shift routine.
32
The nurse who states, “I believe in the uniqueness & value of human beings” is basing care on the philosophy of
American heritage.
individual worth.
the American Health Care System Code.
civil liberties.
33
To function within the scope of law, a nurse must know that the legal duties/functions of the nurse in a given state
are determined by the Bill of Rights.
are determined by the Nurse Practice Act of the state.
are determined by the U.S. Constitution.
are determined by the bylaws of the professional organization.
34
Nurse damages a patient’s reputation by verbalizing private information about the patient to a third party. This is:
assault.
slander.
battery.
libel.
35
A nurse is caring for Orthodox Jewish pt. who has terminal cancer. The nurse shows cultural sensitivity toward pt:
by saying, "Would you like me to assist you in praying to Jesus?”
by saying, “Would you like me to bring you a copy of the New Testament?”
by saying, “Would you like me to ask your rabbi to come to visit you?”
by saying “I’m sure you will go to heaven. You’re a good person.”
36
A nurse is found liable for battery. What does this mean?
The nurse, without consent, touched the patient in a way that caused harm.
The nurse threatened the patient, causing fear of bodily harm.
The nurse detained the patient against his will.
A nurse incorrectly performed a procedure within her scope of practice.
37
A risk management strategy a nurse can use to prevent being named in malpractice lawsuits is
maintaining good relationships with patients and families.
requesting supervision for all care.
carrying malpractice insurance.
not signing her or his name to patient medical records.
38
To provide spiritual care for a Muslim patient, the nurse recognizes that those who believe in Islam refer to God as
Brahma.
Redeemer.
Moroni.
Allah.
39
Besides racial and ethnic groups, cultural diversity also includes:
herbal wraps and massages.
prejudice, bigotry, and discrimination.
lifestyle, age, and economic status.
nutrition and exercise.
40
When documenting patient behavior, the LPN/LVN should
record subjective interpretations of patient behavior.
use Wite-Out to erase errors in documentation.
record all interventions performed and patient instruction given.
41
In a personalistic health belief system, disease is:
caused by structural abnormalities or germs.
prevented by a balance of hot and cold.
treated with curing rituals, amulets, or herbs.
treated with medication and surgery.
42
Which of the following illustrates dysfunctional job behavior?
nursing aide calls in sick, so all the nurses pitch in to take vital signs.
nurse makes a priority list of patients to medicate during a 1‑hour period.
nurse said patient slept well when he received sleeping pill before 11 pm.
2 aides don't get along, charge nurse assigns them to different halls.
43
Socialization is the process by which a person of one culture learns to:
function within a larger culture.
disregard other cultures or beliefs.
discriminate against other cultures.
adopt the beliefs of a dominant culture.
44
A student nurse asks, “Does ethnocentrism have any negative consequences?” The most accurate reply?
ethnocentrism has only positive consequences associated with ethnic pride
ethnocentrism may give rise to prejudice which may result in discrimination
prejudice has no relationship to ethnocentrism and discrimination.
discrimination is the basis for ethnocentrism and prejudice.
45
A leadership style that focuses on both task & the employee is the
laissez-faire style.
democratic style.
autocratic style.
situational style.
46
The priority step the LPN charge nurse should take before delegating one of the charges to another LPN on staff is to:
check Nurse Practice Act to see whether an LPN charge can delegate duties
delegate both the task and the responsibility that goes with the task.
determine directions that will be provided to who the task is delegated to
determine if the LPN is competent to perform the task to be delegated.
47
The process of giving up parts of one’s culture and adopting some of a new culture is called:
culture.
stereotyping.
assimilation.
repatterning.
48
The LPN charge usually tells nursing assistants what to do & offers little opportunity for input how to improve care?
situational.
autocratic.
laissez-faire.
democratic.
49
The new Joint Commission Patient Safety Goals are the result of studies on
violations of HIPAA rules of patient privacy.
causes of serious harm and death to patients.
retention rates of LPNs and LVNs.
lawsuits filed against health care workers.
50
Which program addresses the quality of life, health, and safety of extended-care residents?
OBRA
Medicare
HCFA
Medicaid
51
A patient following a kosher diet consumes a breakfast of toast, eggs, and turkey bacon. The LPN/LVN is aware that 6
hours must pass before the patient is offered coffee.
hours must pass before the patient is offered juice.
hours must pass before the patient is offered water.
hours must pass before the patient is offered milk.
52
With regard to HIPAA implementation, the LPN/LVN who is newly employed at a health care agency should
realize that enough was learned about provisions of the act in school
operate on the assumption that all agency privacy practices are similar.
be aware each agency interprets HIPAA provisions differently.
depend on HIPAA website to provide all necessary job-related information.
53
The essential daily needs of all people include:
love and affection.
balance of yin and yang.
nutrition and elimination.
medications and herbal teas.
54
The codes of ethics of practical/vocational nursing organizations include the expectation that nurses will
utilize stereotypes in selecting best nursing care practices.
attempt to educate individuals of diverse cultures in the American way.
provide care regardless of race, creed, or cultural background.
ignore cultural uniqueness and provide the same care to all patients.
55
Which of the following is true of religious items?
They are hazardous to one’s health.
They are useless.
They may comfort a patient who is ill.
They clutter a hospital room.
56
Which statement regarding cultural diversity can be used as a basis for caregiving?
The germ theory of illness is universally accepted.
Rules regarding the appropriate amount of eye contact vary among cultures.
Silence is an indication of the patient’s dissatisfaction with care.
Personal space requirements are similar for all cultures.
57
Negligence is:
an intentional tort.
not applicable if the intent was not malicious.
falling below the standards established by law.
only applicable if harm was intended.
58
Which of the following is a Protestant denomination?
Mormonism.
Christian Science.
Assembly of God.
Catholicism.
59
A nurse is caring for a patient who follows teachings from a holy book called the Koran. What religion is this from?
Quaker
Buddhism
Islam
Hindu
60
Agnostics believe that:
there is no such thing as the supernatural.
karma determines one’s destiny.
the Five Pillars are the way to salvation.
God’s existence can be neither proved nor disproved.
61
Which information can be omitted when the LPN charge nurse gives the change-of-shift report?
Routine care for each resident
New problems for any resident
Prn medication administered
New medical orders
62
A nurse is caring for a Sunni Muslim patient. The nurse demonstrates cultural sensitivity by
allowing the patient to pray three times daily.
offering the patient food and fluids during Ramadan.
placing the patient’s dinner tray on top of the Koran.
positioning the patient’s bed in southeast direction from the United States
63
The major divisions of Christianity are Catholicism, Protestantism, and
Buddhism.
Eastern Orthodoxy.
Judaism.
Hinduism.
64
A pt. who is a member of the Mormon Church must increase fluid intake. Which beverages should the nurse offer?
Unfermented or fermented apple juice
Wine or beer
Coffee, tea, or iced tea
Fruit juice, milk, or water
65
A terminally ill pt. describes himself as “agnostic.” The nurse caring for this person can correctly assume that the pt.
will practice the rituals of a particular denomination.
does not possess spirituality.
will benefit from general spiritual care interventions.
will not experience spiritual distress.
66
The LPN charge nurse notices that a new nursing assistant has offensive body odor. The LPN/LVN charge nurse should
meet with the aide & inform her of the problem & agency expectations.
send the person to the locker room to shower and put on clean clothes.
report this finding to the RN supervisor.
terminate the nursing assistant.
67
A divorced female is an example of which type of role?
Work.
Social.
Political.
Ethnic.
68
If a nurse asks for suggestions about changing a large wound dressing, what style of leadership is this?
Laissez‑faire
Autocratic.
Democratic.
Recognition
69
Unlicensed assistive personnel:
work independently under their own licenses.
are trained under a strict, universal system that ensures their skills.
work under the license of the RN or LPN/LVN who supervises them.
can be asked to perform tasks that require critical thinking.
70
Which statement by a health care worker can the nurse identify as a stereotype?
“Assimilation requires adopting part of the dominant culture.”
“All individuals have common basic daily needs.”
“People over 65 are poor drivers.”
“Most people perceive themselves as members of the middle class.”+-
71
Which understanding about leadership would help the LPN become a more skillful leader?
Leaders in nursing are appointed by management to accomplish organization
Leaders have no confidence in themselves until they develop a power base.
Leaders rarely take risks and virtually never make mistakes.
Leaders see changes challenging & provides opportunities to improve care.
72
A nurse who angrily tells a patient, “If you don’t go to sleep, I’m going to give you an injection,” can be accused of
defamation.
breach of confidentiality.
assault.
respondeat superior.
73
An appreciation banquet for the nursing staff demonstrates which level of Howlett’s hierarchy?
Level 3.
Level 4.
Level 2.
Level 5
74
The burden of proof in a civil action:
is determined by a judge.
is determined by a preponderance of evidence.
is beyond a reasonable doubt.
must have a majority of the jury in agreement.
75
An example of a criminal action committed by a nurse:
releasing information without patient’s consent.
discontinuing ventilator without physician’s order.
making a medication error.
restraining a patient without a physician’s order.
76
During discussion on cultural diversity, a nurse asks for an example of an ethnic group. The most accurate response?
Caucasians.
Spanish speaking.
Irish-Americans.
Homosexuals.
77
For an LPN to motivate staff members to meet the goals of the organization, it is helpful if the nurse
practices intimidation.
offers laissez-faire leadership.
emphasizes policies rather than people.
understands work motivators.
78
Civil law is concerned with
intentional and unintentional torts.
acts that threaten society.
guilt associated with criminal behavior.
decision making based on the nursing process.
79
When the LPN charge nurse makes rounds with the MD, which information should be called to the MD's attention?
The resident has a blood pressure over 120/80.
The resident demonstrates a reduced level of consciousness.
The resident demonstrates a weight increase or decrease of 1 lb.
Resident has a temperature elevation over 99° F.
80
The belief that one culture’s way of doing things is better than all other ways is known as:
enculturation.
prejudice.
ethnocentrism.
assimilation.
81
Which of the following statements is true?
Cultural background always dictates spiritual beliefs.
Work roles are more important than social roles.
Ethnic and racial backgrounds are one part of individuality.
Economic status does not affect health care options.
82
Which of the following is an effective way to provide negative feedback?
“Let me know if you need help charting I & O flow before the next shift."
“you emptied urine drainage bag by the end of shift. I appretiate that."
“Thank you for rechecking the patient’s temperature.”
“There were dirty linens on the floor in the patient’s room.”
83
The religion with the greatest number of adherents in the world is:
Judaism.
Protestantism.
islam
Catholicism.
84
A new aide arrives 1 hour late for duty on the second day of employment, giving the excuse of car trouble.
The LPN Charge Nurse should send a letter of reprimand.
The LPN Charge Nurse should give an oral reprimand
The LPN Charge Nurse should terminate the aide.
The LPN Charge Nurse should note the incident of tardiness.
85
State boards of nursing:
are responsible for the content of nursing board license exams only.
regulations are guidelines only, the nurse should refer to hospital policy.
base their disciplinary activities on common law, or case law.
issue nursing licenses, perform disciplinary actions & revoke licenses.
86
A nursing instructor has instructed a student nurse to document objectively. Which of the following shows understanding?
“Patient is noncompliant.”
“Patient is drunk, confused, and uncooperative.”
“Patient and family are nasty, abrasive, and difficult.”
“Odor of alcohol on breath; refuses to stay in assigned room.”
87
What is one question you could ask yourself to become more aware of your spirituality?
What gives my life meaning?
What do I do to express myself?
What is my favorite season?
What are my political beliefs?
88
A patient who utilizes the biomedical health belief system would be most likely to respond to interventions by a/an
physician.
herbalist.
shaman.
diviner.
89
Biomedicine is the primary health belief system in:
China and Southeast Asia.
the Caribbean and Philippines.
sub-Saharan Africa.
the United States.
90
For which patient should the nurse be most alert for emerging spiritual needs?
Miss A, who has been given the diagnosis of gallbladder disease
Mr. C, who has varicose veins
Mrs. B, who has been told she has metastatic cancer
Mr. D, who has herpes zoster
91
Common law:
always involves criminal charges.
is judge-made law.
was developed by the legislative branch of government.
always involves the Supreme Court.
92
The most appropriate way to react to a crying patient is to:
sit next to the patient.
ignore the crying and act normally.
call the RN.
attempt to cheer him/her up.
93
Which statement is true regarding durable medical power of attorney and living wills?
Pts have a voice re:medical intervention after they are incapable of acting
They set standards for care of terminally ill patients by nurses.
They prevent occurrences of intentional torts.
They complicate ethical decision making for nurses.
94
An example of statutory law is
the Nurse Practice Act.
a patient’s right to refuse treatment.
informed consent.
a hospital’s written policies and procedures.

Leadership Ch. 7, 10, 11 & 17 Flashcards | StudBud