Exam 1

Question 1

Triple aim in healthcare

Answer 1

Access
Quality
Cost of care

Question 2

use of individual traits and abilities to interpret and emerging situation and address the situation in the absence of a script or defined plan

Answer 2

Leadership

Question 3

act f any individual who guides others through a series of routines, procedures, or practice guidelines

Answer 3

management

Question 4

requires active engagement and preparation by group members, just as accountable as leading or managing

Answer 4

followership

Question 5

Leaders have a certain set of physical and emotional characteristics that are crucial for inspiring others toward a common goal. some theorists believe that traits are innate and cannot be learned, others believe that leadership traits can be developed in each individual

Answer 5

Trait theories

Question 6

style theories focus on what leaders do in relational and contextual terms. THe achievement of satisfactory performance measures requires supervisors with their subordinated while comprehending the factors in the work environment that influence outcomes

Answer 6

Style theories

Question 7

refers to a process whereby the leader attend to the needs and motives of followers so that the interaction raises each to high levels of motivation and morality. The leader is a role model who inspires followers through displayed optimism, provides intellectual stimulation and encourages follower creativity

Answer 7

transformational theories

Question 8

people are motivated by a hierarchy of human needs

Answer 8

hierarchy of needs theory

Question 9

Hygiene factors, such as working conditions, salary, status, and security motivate worker by meeting safety and security needs and avoiding job dissatisfaction. Motivator factors, such as achievement, recognition, and satisfaction of the work itself, promote job enrichment by creating job satisfaction

Answer 9

Two-factor theory

Question 10

individuals perceived needs influence their behavior

Answer 10

Expectancy theory

Question 11

is an operant approach to organizational behavior

Answer 11

OB modification

Question 12

promotes the idea that the world is full of systems that interact and adapt through relationships

Answer 12

complexity theory

Question 13

View of the world (or organization) as multiple visible and invisible part that interact constantly

Answer 13

systems thinking

Question 14

Primary federal agency devoted to quality, safety, efficiency, and effectiveness of health care
Uses teamSTEPPS

Answer 14

Agency for healthcare research and quality (AHRQ)

Question 15

Membership-based organization designed to develop and implement a national strategy for healthcare quality management and reporting
Nurse-sensitive care standards

Answer 15

National quality forum (NQF)

Question 16

Not-for-profit organization that accredits healthcare organizations
Has deemed status from center for medicare and medicaid services

Answer 16

the joint commission (TJC)

Question 17

International organization that provides accreditation in a variety of fields
Direct competitor to joint commission, survey annually

Answer 17

DNV/NIAHO

Question 18

Prepare future nurses with knowledge, skills, and attitudes needed to continuously improve the quality and safety of healthcare systems

Answer 18

Quality and safety education fro nurses (QSEN)

Question 19

Not-for-profit

Dedicated to rapidly improving care through mechanisms such as rapid cycle change projects

Answer 19

institute for healthcare improvement

Question 20

is an individual who works with others to develop a clear vision of the preferred future and to make that vision happen

Answer 20

leader

Question 21

Focuses on what is thought of as the traditional boss image; CNO and other managers convey that they are in charge of the decisions

Answer 21

Transactional

Question 22

Relies on the group to provide input toward creating goals and setting standards; staff members value the organization as their own and expect to help shape its future

Answer 22

Transformational

Question 23

Motivates through rewards for desired work
Monitors performance and focuses on problems
Reactive to problems

Answer 23

Transactional

Question 24

Challenges the process
Brings people together
Empowers others
Models the way
Attends to personal things

Answer 24

Transformational

Question 25

Fulfills the contract or gets punished Does the work and gets paid Errors are corrected in a reactive manner

Answer 25

Transactional

Question 26

``` Shares the vision Has increased self-worth Challenging and meaningful work Coaching and mentoring happen Feels valued ```

Answer 26

Transformational

Question 27

Work is supervised and completed according to rules Deadlines are met Limited job satisfaction Low to stable level of commitment

Answer 27

Transactional

Question 28

``` Increased loyalty Increased commitment Increased job satisfaction Increased morale Increased performance ```

Answer 28

Transformational

Question 29

theory that focuses on increasing productivity

Answer 29

scientific management theory

Question 30

theory that describes how leaders and followers define their own roles and others roles Formal and informal leadership

Answer 30

Role theory

Question 31

Suggests that the environment and context in which people work is complex and dynamic and that this has a direct impact on organizational productivity

Answer 31

Quantum leadership

Question 32

single most important piece of legislation for nurses Set educational and examination requirements Mission is to protect the public

Answer 32

Nurse practice acts

Question 33

equates with carelessness | Usually refers to actions outside a profession

Answer 33

negligence

Question 34

Concerns professional actions Failure to act in a reasonable and prudent manner Common causes in nursing, include the failure to follow standards of care, communicate appropriately, access and monitor patients, and act as a patient advocate

Answer 34

Malpractice or professional negligence

Question 35

Established through a valid employment contract with the healthcare facility Based on standards of care or the minimum requirement for acceptable practice

Answer 35

Duty owed to the patient

Question 36

Synonymous with failing to uphold the standard of care owed the patient Generally shown at court through the testimony of expert witnesses

Answer 36

Breach of duty owed the patient

Question 37

Concept that certain events may reasonably be expected to cause specific results Based on education and prior knowledge

Answer 37

Foreseeability

Question 38

What the nurse did or failed to do must directly cause the patient's subsequent harm The harm or injury that occurs must be physical Pain and suffering are allowable harms when they accompany a physical injury

Answer 38

Causation and injury

Question 39

Individual responsibility and accountability for actions or omissions

Answer 39

Personal liability

Question 40

Employer’s accountability for the negligence of employees | Doctrine of respondeat superior (let the master answer) makes employers accountable for employees' negligence

Answer 40

Vicarious liability

Question 41

Institution’s responsibility and accountability for maintaining an environment that ensures quality health care delivery

Answer 41

Corporate liability

Question 42

Active process of directing, guiding, and influencing the outcome of an individual’s performance of an activity

Answer 42

Supervision

Question 43

Transfer of responsibility, but not of accountability, for the performance of an activity Most often encountered when working with unlicensed assistive personnel.

Answer 43

Delegation

Question 44

Transfer of responsibility and accountability for the performance of an activity

Answer 44

assignment

Question 45

This involves warning subsequent potential employers of staff incompetency or impairment

Answer 45

Failure to warn

Question 46

crimes committed against an individual or society; innocent until proven guilty beyond a reasonable doubt. Consequences range from fine to jail to death penalty

Answer 46

criminal law

Question 47

one individual sues another for money b/c of a perceived loss. Guilty verdict is based on the belief that the accused is more likely than not to have caused the injuries. Consequence is usually

Answer 47

civil law

Question 48

individual is sued by a state/federal agency responsible for enforcing statutes (The Texas Board of Nursing). Based on a clear and convincing standard. Consequence is action against nursing license

Answer 48

administrative

Question 49

duty to do good

Answer 49

beneficence

Question 50

do no harm

Answer 50

nonmalefience

Question 51

truth telling

Answer 51

veracity

Question 52

fairness

Answer 52

justice

Question 53

assisting with decision making

Answer 53

paternalism

Question 54

keepings one promise

Answer 54

fidelity

Question 55

Formal statements that articulate values and beliefs of a given profession

Answer 55

Professional codes of ethics

Question 56

Occurs when faced with situations in which two ethical principles compete

Answer 56

Moral distress

Question 57

A purposeful and goal-directed effort using a systematic process to choose among options

Answer 57

Decision making

Question 58

A decision-making step in which you make a choice that takes you from “what currently is” to “the best available option.”

Answer 58

Problem solving

Question 59

A mode of thinking, about any subject, content, or problem, in which the thinker improves the quality of their thinking by skillfully analyzing, assessing, and reconstructing it

Answer 59

Critical thinking

Question 60

Conceptualizing new and innovative approaches to a problem or issue by employing flexible and independent thinking

Answer 60

creativity