ATI Leadership & Management: Chapter 1 (Leading and Managing Client Care) Flashcards
The nurse manager is preparing a presentation on management styles to the board of directors. Match the scenario with the most effective management style: Autocratic/Authoritarian, Democratic, or Laissez-Faire.
a. Nursing manager and team of nurses collaborating on a policy for trauma informed work environments.
b. The nurse leading a resuscitation effort on a client who recently experienced MI.
c. Charge nurse wanting to implement new policy with a team of RNs who are motivated and work independently.
d. Unit manager facilitating a care conference with staff nurses working together to make client centered decisions.
Autocratic/ Authoritarian: B
Democratic: A, D
Laissez-Faire: C
The Laissez-Faire style is most effective when dealing with professionals who are motivated and can work independently. The democratic style is most effective when including staff in a group of decision using collaboration and communication. The autocratic/ authoritarian style is most effective when there is a crisis situation.
A nurse is developing a presentation about the Clinical Judgement Measurement Model. Which steps of the nursing process should the nurse identify as correlating with the two steps of the CJMM, analyze cues and prioritize hypothesis?
a. Assessment
b. Analysis
c. Planning
d. Implementation
a. Assessment correlates to the CJMM step of recognizing cues.
b. CORRECT: The nurse should identify that the nursing process step of analysis correlates to the CJMM step of analyzing cues and prioritizing hypotheses.
c. The nursing process step of planning correlates to the CJMM step of generating solutions.
d. The nursing process step of implementation correlates to the CJMM step of take action.
A nurse on a med-surg unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the LPN?
a. Obtain vital signs for a client who is 2 hr post procedure following a cardiac catheterization.
b. Administer a unit of packed red blood cells to a client who has cancer.
c. Instruct a client who is scheduled for a discharge in the performance of wound care.
d. Develop a plan of care for a newly admitted client who has pneumonia.
a. CORRECT: When taking action, the nurse should identify that it is within the scope of pracitce of the LPN to monitor a client who is 2 hr post procedure for cardia catheterization, because this client is considered stable.
b. The RN is responsible for asminstering blood components, including packed RBCs
c. The RN is responsible for client education. It is within the scope of practice for the LPN to reinforce but not provide inital client education.
d. The RN is responsible for developing a plan of care for a client. It is within the scope of practice for the LPN to suggest additions.
A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following information should the manager include in the plan? (SATA)
a. Skill proficiency
b. Assignment to a preceptor
c. Budgetary principals
d. Computerized charting
e. Socialization into unit culture
f. Facility policies and procedures.
a. CORRECT: When generating solutions, the nurse manager should identify that the purpose of orientation is to assist the newly licensed nurse to transition from the rolde of employee and licenced nurse. Inclue evaluation of skill proficiency and provide additional instruction as indicated.
b. CORRECT: The nurse manager should include assignment of a preceptor to ease the transition of the newly licensed nurse.
c. Budgetary principles are an administrative skill that is usually the responsibility of the unit manager.
d. CORRECT: The nurse manager should include computerized charting, which is an essential skill for the newly licensed nurse,
e. CORRECT: The nurse manager should include socialization to the unit.
f. CORRECT: The nurse manager should include information about facility policies and procedures, which is essential information for the newly licensed nurse.
A nurse on a unit notices that the unit manager does not intervene when there is conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating?
a. Avoidance
b. Smoothing
c. Cooperating
d. Negotiating
a. CORRECT: When analyzing cues, the nurse should identify that the goal in resolving conflict is a win-win situation. The unit manager is using an ineffective strategy, avoidance, to deal with this conflict. Although the unit manager is aware of the conflict, they are not attempting to resolve it.
b. When smoothing is used, one person attempts to “smooth” the other party and/or point out areas in which the parties agree. This is typically a lose-lose situation.
c. When cooperating is used, one party allows the other party to win. This is a lose-win situation.
d. When negotiating is used, each party gives up something. If one party gives up more than the other, this can become a win-lose situation.
An experienced nurse on an urology unit arrive to work on night shift. The unit manager immediately asks the nurse to float to the pediatric intensive care unit to take a client assignment. The nurse has always maintained a positive attitude when asked to work on another med-surg unit but states they do not feel comfortable in the pediatric ICU setting. Match the scenario to the appropriate negotiating example.
1. Compromising/ negotiating
2. Competing/ Coercing
3. Collaborating
4. Cooperating/ Accommodating
a. The unit manager informs the nurse they will risk disciplanry action if they do not accept the assignment.
b. The nurse agrees to float to the pediatric ICU to work in a supportive role but will not take assigned clients.
c. The nurse offers to work on another med-surg unit if someone from that unit will float to pediatric ICU.
d. The nurse agrees to orient to the pediatric ICU to become competent for future assignment and the nurse manager enlists the services of staffing agency that provides pediatric nurses on an as needed basis.
1: C
2: A
3: D
4: B
