Exam #1 Flashcards

1
Q

What is Emotional Intelligence (EQ)?

A

Self-mastery or the ability to understand and control what we feel (our emotions) and the way we act (our response to these emotions)

  • -The “It” factor, affects how we manage behavior, negotiate complex social situations, and make decisions.
  • -most important leadership competency
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2
Q

What are the 4 components of EQ?

Emotional intelligence

A

Self Awareness
Self Management
Social Awareness
Relationship Management

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3
Q

What is social Awareness?

A

Social Awareness is our ability to recognize our own emotions and how they affect our:

  • -thoughts/behaviors
  • -Strengths/weaknesses
  • -Self Confidence
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4
Q

What is Self Management?

A

Self Management is our ability to:

  • -control impulsive feelings and behaviors
  • -manage our emotions
  • -take initiative
  • -follow through on commitments
  • -adapt to change
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5
Q

What is Social Awareness?

A

Social Awareness is understanding:

  • -emotions, needs, and concerns of others
  • -pick up emotional cues
  • -feel comfortable socially
  • -recognize the power dynamics in an organization
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6
Q

What is relationship Management?

A

Relationship Management is knowing how to:

  • -develop and maintain good relationships
  • -communicate clearly
  • -inspire and influence others
  • -work well in a team
  • -manage conflicts
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7
Q

What are the consequences of a lack in emotional intelligence (EQ)?

A

A lack of emotional intelligence can result in:

  • -higher staff turnover
  • -reduced engagement
  • -poor work relationships
  • -unhealthy work environment
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8
Q

What are the 6 suggestions to developing emotional intelligence?

A
  1. Seek feedback on your behavior
  2. evaluate all negative feedback and reactions
  3. Self-reflect on how you have managed your emotions in highly charged situations
  4. Assess how you manage your stress level and whether it interferes with relationships
  5. determine your EQ strengths and weakness and develop a personal action plan
  6. Do cognitive rehearsals– assess how you respond if you are loosing control of a situation

requires intentionality—stepping back and asking yourself what you would do differently in future situations

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9
Q

What is motivation?

A

Motivation is the art of getting people to do what you want them to do because they want to do it
–intrinsic quality

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10
Q

What are the 3 key elements needed to promote motivation?

A

Autonomy-urge to direct own life, feeling involved and valued
Mastery-getting better and better at something that matters
Purpose-yearning to connect to something larger than ourselves.

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11
Q

What were the 4 suggestions for managers to promote autonomy to staff?

A
  • lead with questions not answers
  • engage in dialogue and debate
  • conduct autopsies without blame
  • make it easier for staff to talk about problems they see and solutions they recommend
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12
Q

What are the 9 things that make good employees quit?

People don’t leave jobs, they leave managers

A
  1. They overwork people
  2. They don’t recognize contributions and reward good work
  3. They don’t care about their employees
  4. They don’t honor their commitments
  5. They hire and promote the wrong people
  6. They don’t let people pursue their passions
  7. They fail to develop people’s skills
  8. They fail to engage their creativity
  9. They fail to challenge people intellectually
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13
Q

Florence Nightingale (1859)

A

“Putting the client in the best possible condition of nature to act upon him”

Crimean War- brought about basic concepts on nursing
–nurturing, nutrition, environmental cleanliness, and charting

Infection control, assessment, self care, therapeutic communication, spirituality, recording

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14
Q

Virginia Henderson (1966)

A

“The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recover that he would perform unaided if he had the necessary strength, will, or knowledge.”

**20th century Nightingale; utilized textbook on Nursing Fundamentals

emphasized independence so that recovery would be successful, categorized nursing to pt needs in 14 components similar to Maslow’s, relationship between all needs.

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15
Q

Martha Rogers (1988)

A

“the process by which this body of knowledge, nursing science, is used for the purpose of assisting human being to achieve maximum health within the potential of each person”

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16
Q

Lillian Wald

A

development of the Henry Street Settlement: a role model for contemporary community health; bringing healthcare to people

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17
Q

Margret Sanger

A

Political activist: brought birth control to those who needed/wanted it; leader in child labor laws

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18
Q

Mary Mahoney

A

1st black women as a nurse in the US.

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19
Q

Mildred Montag

A

Developed the 1st associate degree program; proposed 2 levels of nursing

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20
Q

Adelaide Nutting

A

1st graduate of John Hopkins School of Nursing

  • superintendent of nursing
  • developed the 3 yr, 8 HR/day that became the diploma nursing
  • created Dept of Nursing at Columbia University; believed hospitals should not take ownership in education of nurses
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21
Q

Jean Watson

A
  • The theory of caring in nursing
  • Caring complements curing
  • An environment of caring allows for an individual to decide on how to care for themselves
  • caring has no sociocultural borders
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22
Q

Patricia Benner

A

Novice to expert
Excellence and power in nursing
Levels of learning
Civility

(Nursing eats their young!)

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23
Q

Hildegard Peplau

A

Mother of Psychiatric nursing
Interpersonal relationship theory
Nurse-client relationship
Listening as a key to care

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24
Q

Ida Jean Orlando

A

theory of nursing process
Meeting immediate needs
Recognizing subtle clues as a cry for help
How people perceive a situation as it relates to health

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25
Q

Nola Pender

A
  • Health promotion model
  • each person has a unique personal experience that influences subsequent actions
  • nurse’s influence people
  • self initiation is essential to change behavior
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26
Q

Madeleine Leninger

A

Culture Care theory
Provides culturally congruent nursing care
Culturalogical assessments (demographics, socioeconomic, foods, gender considerations)
Cultural Competency is the outcome of the nurse

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27
Q

Margret Newman

A

Health as an expanding consciousness
Health of the individuals in the presence of illness or not
People are looking for the meaning of life and we need to assist them

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28
Q

Dorothy Johnson

A

Behavioral System model
A steady stet is maintained through adjusting and adapting to internal and external forces
Health is stability and balance, nursing is needed when they do not exist

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29
Q

Imogene King

A

Open system theory
Human beings are open systems that constantly interact with the environment
Everyone brings different values, ideals, and attitudes to every situation
Nurse’s work with individuals to set individual goals

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30
Q

Myra Levine

A

Conservation model
Wholeness exists when the interaction or constant adaptations to the environment permits the assurance of integrity
Each individual brings a number of adaptions

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31
Q

Betty Neuman

A

Each individual is a complete system with interrelated parts
Our focus should be on stress and stress reduction
We should maintain a balance between internal and external environments in order to reach harmony

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32
Q

Dorothea Orem

A

Self care model
Self care comprises those activities performed independently by an individual to promote a d maintain persons’ well being
The nurse then meets the self care needs by acting or doing for; guiding, teaching, supporting, or providing the environment to promote patient’s ability

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33
Q

Sister Callista Roy

A

Adaptation model
The person is an open adaptive system with input who adapts by processes or control mechanisms
The output can be either adaptive responses or ineffective responses
Nursing activities direct adaptation

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34
Q

Leadership

A

The ability to influence the behavior of others

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35
Q

Leadership competencies

A

Diagnose: ability to understand the situation you want to influence

Adapt: Make changes that will close the gap between current and where you want to be

Communicate: if you do not communicate effectively, you will not met your goal

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36
Q

That theories:

A

Attention: communicate a sense of goal direction

Meaning: create and communicate meaning and purpose

Trust: demonstrate reliability and consistency

Self: know themselves and work within their strengths and weaknesses

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37
Q

Autocratic leadership

A

Authoritarian- does not recognize others or their creativity

high degree of control
Leader assumes responsibility
Very efficient

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38
Q

Democratic Leadership

A

Participative: flexible but not efficient, gives people the ability to think and increases motivation

Moderate degree of control
Shared responsibility
Less efficient that authoritarian

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39
Q

Laissez-Faire

A

Non-direct: decisions may not be made, leaves people incomplete and confused; only self-motivated thrive

Little degree of control
Abdicate responsibility
Inefficient

40
Q

Motivational theories:

A

Motivates us to do well, achieve, perform

41
Q

Situational theories:

A

Adaptability is KEY
Assure readiness
Leaders need to guide, tell, direct, observe, monitor

42
Q

Transformational theories

A

Sense of mission: to do something for the good of humankind

43
Q

Moral theories

A

Deciding to remain honest, fair and socially responsible

44
Q

Caring theories

A

Servant: serve 1st, lead 2nd; make sure everyone’s needs are met

Emotional intelligence: aware of own feelings and others; calm/clearheaded/suspend judgements; welcomes constructive criticism, asks for help, juggles multiple demands, listens with meaning

45
Q

Leadership qualities:

A
Integrity 
Courage 
positive attitude
Initiative 
Optimism
Perseverance
Generosity 
Balance 
Ability to handle stress
Self awareness
46
Q

Leadership behaviors:

A
Prioritize 
Critically thinking
Solve problems
Respect and value others
Communicate a vision
Develop oneself and others
47
Q

Leadership Communication:

A

Listening
Encouraging
Shares information
Provides useful feedback

48
Q

Follower ship

A

Self directed, professional and participates through investing time and energy; wants to learn

NOT A PASSIVE ROLE

49
Q

Management:

A

Based on authority
A formally designed role
An assigned position
Usually responsible for budgets, appraising, hiring, firing
Improved by the use of effective leadership skills

Getting wrk done through others

50
Q

Leadership:

A
Based on influences and shred meaning 
An informal role 
An achieved position 
Part of every nurse's responsibility 
requires initiative and independent thinking
51
Q

Scientific management theory:

A

Efficiency focused
Goal: increase productivity
Workflow and time to complete tasks is measured and evaluated
Rewards go to those who accomplish the most

52
Q

Human relationship management: Theory X

A

Theory X

Work is something to be avoided
People want to do as little as possible
Use: control, supervision, punishment

53
Q

Human relationship management: Theory Y

A

Theory Y
Work can be rewarding
People want to do their job well
Support using guidance, development, reward

54
Q

Management: Servant

A

People have value as people
Commit to improving treatment at home
Employee is first

55
Q

Management Qualities:

A
Leadership
Professionalism
Clinical expertise 
Staff development
Financial management 
Coordination of care
56
Q

Management. Behaviors:

A
Network
Conflict resolution
Employee development 
Coaching
Rewards and punishment 
Evaluations
resource allocation
Hiring and firing
Planning 
Job analysis/redesign 
Spokes person 
Monitor 
Report
57
Q

Meaning of Law

A

Any system of regulations that govern the conduct of individuals within a community and or society in response to the need for regularity, consistency, and justice

Rules that prescribe and control social conduct in a formal and legally binding manner

58
Q

Statutory Law

A

Governs nursing
Created by legislative bodies

American disabilities act
Good Samaritan act
Nurse practice act

59
Q

Common law

A

Based on custom and usage

Develops within the court system as judicial decisions are made

60
Q

Administrative Law

A

Created by admin agencies given to governmental agencies by legislation
Board of Nursing, licensing agencies

Established through authority
City council, county boards, state government

61
Q

Sources of law:

A

Constitutional: foundation of American law, Bill of Rights, Protects citizens rights

Statues: local, state, and US congress statues, ordinances

Administrative: State boards oversee nursing licenses

62
Q

Criminal:

A

Felony
Misdemeanor
Juvenile

63
Q

Felony:

A

Homicide
Grand larceny
Nurse practice act violations

64
Q

Misdemeanors:

A

Traffic violations

Shoplifting (small amounts)

65
Q

Junvinile:

A

Carried out by a minor (under the age of 18)

66
Q

Civil law:

A

Tort
Quasi-intentional tort
Negligence
Malpractice

67
Q

Tort:

A

Legal or civil wrong carried out by one person against another or property

Nurse’s harm an individual/consumer of care (intentional or unintentional)

68
Q

Quasi-intentional tort:

A

Voluntary acts that directly cause harm or distress (defamation of character, invasion of privacy, breach of confidentiality)

69
Q

Negligence:

A

Unintentional tort of acting or failing to act as an ordinary, reasonable, prudent person, resulting in harm to the person; standard of care not provided

70
Q

Malpractice:

A

The person in charge is held accountable for those failing under them

71
Q

Good Samaritan Law:

A

When administering emergency care, nurse’s and physicians are protected as long as they behave in teh same manner as a reasonable and prudent professional would in the same/similar situation

Do not hold if payment is sought for services

72
Q

Confidentiality:

A

HIPPA: Health Insurance Portability and Accountability Act

  • preserve confidentiality and protect the privacy of health information and to improve the portability and continuation of healthcare coverage.
  • Shared information with only others that have a need to know
  • Permission is needed in order to share information
73
Q

Social Networking:

A

Use of technology has increased in violation of confidentiality

Immediate termination
Cancellation of contract

74
Q

Slander

A

Spoken word

Quasi-intentional tort

75
Q

Libel

A

Written word

Quasi-intentional tort

76
Q

False imprisionment:

A

Confining an individual against their will
Restrains, detains
Removal of pt clothes
Keeping a pt who has been medically discharged for an unreasonable amount of time

77
Q

Assault

A

Threat to do harm

78
Q

Battery

A

Touching without consent

79
Q

Standards of Practice

A

Purpose: guidelines to assure quality of care

Internal standards: 
Develop within institution 
Found in policy/procedure Manuel 
Based on current literature and research 
Nurse's responsibility to meet standards
80
Q

Bill of Rights:

A

Determined by ANA and now called Patient Care Partnership

Rights were developed utilizing the principles of autonomy

81
Q

Informed consent

A

Legal document; required physician to divulge benefits/risks etc

Allows pt to make an educated decision regarding their care

MUST BE:
Mentally competent, acting voluntarily
Client understands what they are consenting to
Consent includes risks/benefits, alternatives, risk for refusal
written document

82
Q

Implied informed consent

A

Emergency situation \ consent assumed

83
Q

PREVENT staying out of court:

A
Practice caring behaviors 
Demonstrate an interest in pt/family 
Assist pt and family in making choices
Maintain accountability 
Adhere to standards of practice
84
Q

Patient self-determination act

A

Right to exclude advance directives
Documentation must be made on all clients living wills or powers of attorney
Education must be given
respect given
Familiarize self with beliefs and culture of pt

85
Q

Mandatory overtime

A

affects pt safety

Held accountable for safety and welfare of pt

86
Q

Values

A

Judgements about the importance or unimportance of objects, ideas, attitudes, attributes

Learned; change with maturity and experience
Significant to individual
Ones beliefs are important
Clarification allows decision making to occur

87
Q

Morals

A

Founded in individual values
Good and bad behaviors

Individuals code of acceptable behaviors
Arise from conscience
Guide individual behaviors
Learned

88
Q

Values system

A

Intrinsic: related to sustained life

Extrinsic: things, people, materials

Personal: qualities important to people’s private lives

Professional: qualities important to a profession

**motivated by their values

89
Q

Ethics

A

Rightness or wrongness of human behaviors
Concerned with motivation behind behaviors

BIOETHICS: application with life or death issues

Ethical Principles: used to judge behaviors

90
Q

Autonomy

A

Respect the right to make decisions on their own

91
Q

Nonmaleficence

A

No harm done

92
Q

Beneficence

A

Good be done to benefit others

93
Q

Justice

A

Treat everyone equal

94
Q

Fidelity

A

Fulfillment of all commitments made to self or others

95
Q

Confidentiality

A

Providers are held to the strictest of confidence

96
Q

Veracity

A

Requires truthfulness

97
Q

Accountability

A

Accepting responsibility for ones own actions