Chapter 1: Managing Client Care

Question 1

The process of planning, organizing, directing, and coordinating the work within an organization

Answer 1

Management

Question 2

The ability to inspire others to achieve a desired outcome

Answer 2

Leadership

Question 3

What type of leadership style makes decisions for the group, motivates by coercion, and communicates down the chain of command?

Answer 3

Autocratic/authoritarian

Question 4

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?

Answer 4

Autocratic/authoritarian

Question 5

Leadership style that includes the group when decisions are made, motivates by supporting staff achievements, and communicates up and down the chain of command

Answer 5

Democratic

Question 6

With the democratic leadership style, work output by staff is usually of good quality when _________ and _________ are necessary

Answer 6

Cooperation; collaboration

Question 7

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

Answer 7

Laissez-faire

Question 8

Work output is _____ with Laissez-faire leadership and is effective with _________ _________

Answer 8

Low; professional employees

Question 9

__________ leaders empower and inspire followers to achieve a common, long-term vision

Answer 9

Transformational

Question 10

_________ leaders focus on immediate problems, maintaining the status quo and using rewards to motivate followers

Answer 10

Transactional

Question 11

_________ leaders inspire others to follow them by modeling a strong internal moral code

Answer 11

Authentic

Question 12

What are the five major management functions?

Answer 12

Planning, organizing, staffing, directing, controlling

Question 13

Identify the management function: The decisions regarding what needs to be done, how it will be done, and who is going to do it

Answer 13

Planning

Question 14

Identify the management function: The organizational structure that determines the lines of authority, channels of communication, and where decisions are made

Answer 14

Organizing

Question 15

Identify the management function: The acquisition and management of adequate staff and staffing mix

Answer 15

Staffing

Question 16

Identify the management function: The leadership role assumed by a manager that influences and motivates staff to perform assigned roles

Answer 16

Directing

Question 17

Identify the management function: The evaluation of staff performance and evaluation of unit goals to ensure identified outcomes are being met

Answer 17

Controlling

Question 18

The process of transferring the authority, accountability, and responsibility of client care to another member of the health care team

Answer 18

Assigning

Question 19

The process of transferring the authority and responsibility to another team member to complete a task, while retaining the accountability

Answer 19

Delegating

Question 20

The process of directing, monitoring, and evaluating the performance of tasks by another member of the health care team

Answer 20

Supervising

Question 21

What can RN’s NOT delegate?

Answer 21

The nursing process, client education, or tasks that require clinical judgement to PNs or APs

Question 22

List the five rights of delegation

Answer 22

Right: task, circumstance, person, direction/communication, supervision/evaluation

Question 23

Examples of tasks nurses can delegate to practical nurses

Answer 23

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)

Question 24

Examples of tasks nurses can delegate to assistive personnel

Answer 24

ADLs, bathing, grooming, dressing, toileting, ambulating, feeding (WITHOUT swallow precautions), positioning, routine tasks, bed making, specimen collection, I&Os, vital signs (for STABLE clients)

Question 25

What are the five stages of conflict?

Answer 25

Latent, perceived, felt, manifest, and conflict aftermath

Question 26

Stage of conflict in which conflict has not yet developed, but factors are present that have a high likelihood of causing conflict to occur

Answer 26

Latent

Question 27

Stage of conflict in which a party perceives that a problem is present, though an actual conflict might not actually exist

Answer 27

Perceived conflict

Question 28

Stage of conflict in which those involved begin to feel an emotional response to the conflict

Answer 28

Felt conflict

Question 29

Stage of conflict in which the parties involved are aware of the conflict and positive or negative actions are taken

Answer 29

Manifest conflict

Question 30

The completion of the conflict, which can be positive or negative

Answer 30

Conflict aftermath

Question 31

Negotiation strategy where both parties know there is a conflict, but the refuse to face it or work toward a resolution (lose-lose)

Answer 31

Avoiding/withdrawing

Question 32

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)

Answer 32

Smoothing

Question 33

Negotiation strategy where one party pursues a desired solution at the expense of others (win-lose)

Answer 33

Competing/coercing

Question 34

Negotiation strategy where one party sacrifices something, allowing the other party to get what it wants (lose-win; opposite of competing)

Answer 34

Cooperating/accommodating

Question 35

Negotiation strategy where each party gives up something equally important (win/lose-win/lose)

Answer 35

Compromising/negotiating

Question 36

Negotiation strategy when both parties set aside their original individual goals and work together to achieve a new common goal (win-win)

Answer 36

Collaborating