Chapter 1: Managing Client Care Flashcards
The process of planning, organizing, directing, and coordinating the work within an organization
Management
The ability to inspire others to achieve a desired outcome
Leadership
What type of leadership style makes decisions for the group, motivates by coercion, and communicates down the chain of command?
Autocratic/authoritarian
Which type of leadership style yields high work output by staff, is good for crisis situations and bureaucratic settings, and is effective for employees with little or no formal education?
Autocratic/authoritarian
Leadership style that includes the group when decisions are made, motivates by supporting staff achievements, and communicates up and down the chain of command
Democratic
With the democratic leadership style, work output by staff is usually of good quality when _________ and _________ are necessary
Cooperation; collaboration
Leadership style that makes very few decisions, does little planning, communicates up and down the chain of command, and makes motivation the responsibility of individual staff members
Laissez-faire
Work output is _____ with Laissez-faire leadership and is effective with _________ _________
Low; professional employees
__________ leaders empower and inspire followers to achieve a common, long-term vision
Transformational
_________ leaders focus on immediate problems, maintaining the status quo and using rewards to motivate followers
Transactional
_________ leaders inspire others to follow them by modeling a strong internal moral code
Authentic
What are the five major management functions?
Planning, organizing, staffing, directing, controlling
Identify the management function: The decisions regarding what needs to be done, how it will be done, and who is going to do it
Planning
Identify the management function: The organizational structure that determines the lines of authority, channels of communication, and where decisions are made
Organizing
Identify the management function: The acquisition and management of adequate staff and staffing mix
Staffing
Identify the management function: The leadership role assumed by a manager that influences and motivates staff to perform assigned roles
Directing
Identify the management function: The evaluation of staff performance and evaluation of unit goals to ensure identified outcomes are being met
Controlling
The process of transferring the authority, accountability, and responsibility of client care to another member of the health care team
Assigning
The process of transferring the authority and responsibility to another team member to complete a task, while retaining the accountability
Delegating
The process of directing, monitoring, and evaluating the performance of tasks by another member of the health care team
Supervising
What can RN’s NOT delegate?
The nursing process, client education, or tasks that require clinical judgement to PNs or APs
List the five rights of delegation
Right: task, circumstance, person, direction/communication, supervision/evaluation
Examples of tasks nurses can delegate to practical nurses
Monitoring findings to ONGOING assessments, REINFORCE client teaching, trach care, suctioning, checking NG tube patency, administering enteral feedings, inserting catheter, administering meds (excluding IV in some states)
Examples of tasks nurses can delegate to assistive personnel
ADLs, bathing, grooming, dressing, toileting, ambulating, feeding (WITHOUT swallow precautions), positioning, routine tasks, bed making, specimen collection, I&Os, vital signs (for STABLE clients)
What are the five stages of conflict?
Latent, perceived, felt, manifest, and conflict aftermath
Stage of conflict in which conflict has not yet developed, but factors are present that have a high likelihood of causing conflict to occur
Latent
Stage of conflict in which a party perceives that a problem is present, though an actual conflict might not actually exist
Perceived conflict
Stage of conflict in which those involved begin to feel an emotional response to the conflict
Felt conflict
Stage of conflict in which the parties involved are aware of the conflict and positive or negative actions are taken
Manifest conflict
The completion of the conflict, which can be positive or negative
Conflict aftermath
Negotiation strategy where both parties know there is a conflict, but the refuse to face it or work toward a resolution (lose-lose)
Avoiding/withdrawing
Negotiation strategy where one party attempts to “smooth” another party by trying to satisfy the other party, often to preserve or maintain a peaceful work environment (lose-lose)
Smoothing
Negotiation strategy where one party pursues a desired solution at the expense of others (win-lose)
Competing/coercing
Negotiation strategy where one party sacrifices something, allowing the other party to get what it wants (lose-win; opposite of competing)
Cooperating/accommodating
Negotiation strategy where each party gives up something equally important (win/lose-win/lose)
Compromising/negotiating
Negotiation strategy when both parties set aside their original individual goals and work together to achieve a new common goal (win-win)
Collaborating