exam 1

Question 1

how can care be organized according to client care needs and priorities?

Answer 1

1. what must be done immediately
2. what must be done by a specific time to ensure client safety
3. what must be done by the end of the shift
4. what can the nurse delegate?

Question 2

what are examples of what must be done immediately?

Answer 2

administration of analagesic or antiemetic and assessment of unstable client

Question 3

what are examples of what must be done by a specific time?

Answer 3

routine medication administration, vital signs, and blood glucose monitoring

Question 4

what are task factors to think about before delegating?

Answer 4

1. will the completion of task have a predictable outcome?
2. is there chance that something negative can happen to the client
3. are complex tasks required as a part of the client’s care?
4. is nursing judgment/assessment required while performing the task?
5. is there a need to provide education during the task?

Question 5

what is the right task?

Answer 5

repetitive, requires little supervision, and is relatively non invasive

Question 6

what is the right circumstance?

Answer 6

assess the complexity of care of patient and match that with demands of health care team member

Question 7

what is the right person?

Answer 7

verify the competency of health care team member and task must be within scope of practice

Question 8

what is the right direction/communication?

Answer 8

data is needed in writing or orally and has to have patient specific instruction

Question 9

what is the right supervision/evaluation?

Answer 9

monitor performance and provide feedback to health care member

Question 10

what is intrapersonal conflict?

Answer 10

conflict within oneself

example: nurse wants to move up the career ladder but sees time with family is compromised

Question 11

what is interpersonal conflict?

Answer 11

conflict between 2 or more people with differing thoughts. contribute to burnout and stress in new nurses

example: new nurse is given heavier patient assignment than others and is denied help when asked

Question 12

what is intergroup conflict?

Answer 12

between 2 or more groups

example: confusion as to whether it is the responsibility of the nursing unit or dietary department to pass meal trays

Question 13

what are the stages of conflict?

Answer 13

Lots of People Felt Mad Afterwards

Latent, Perceived, Felt, Manifest, Aftermath

Question 14

what is the latent stage?

Answer 14

actual conflict has not developed but factors are present that can develop into conflict

Question 15

what is the perceived stage of conflict?

Answer 15

someone perceives a problems is present even if conflict is not happening

example: nurse thinks that the nurse manager is unfair with scheduling but this could be because the nurse manager misunderstood the nurse’s request

Question 16

what is the felt stage of conflict?

Answer 16

those involved begin to have an emotional response

Question 17

what is the manifest stage?

Answer 17

parties involved are aware of conflict and action is taken, best case is both come toward a conflict resolution

Question 18

what is the aftermath stage?

Answer 18

completion of the conflict process so best case is that both nurse manager and nurses on unit are satisfied with the new scheduling system

Question 19

what is the avoiding/withdrawing strategy?

Answer 19

each party knows there is a conflict but they refuse to face it

Question 20

what is the smoothing strategy?

Answer 20

one party attempts to smooth another party by trying to satisfy that party

Question 21

what is the competing/coercing strategy?

Answer 21

one party pursues a desired solution at the expense of the other
example: managers use this when a quick or unpopular decision must be made

Question 22

what is the cooperating/accommodating strategy?

Answer 22

one party sacrifices something allowing the other party to get what it wants (opposite of competing)

Question 23

what is the compromising strategy?

Answer 23

each party gives up something and compromises equally

Question 24

what is the collaborating strategy?

Answer 24

both parties work together to achieve a new common goal and this is a win-win situation for both

Question 25

what are outcome indicators?

Answer 25

outcome indicators reflect client outcomes related to the standard that is under review

Question 26

what are structure indicators?

Answer 26

reflect the setting in which care is provided and the available resources

Question 27

what are process indicators?

Answer 27

reflects how client care is provided and are established by policies and procedures (CPGs)

Question 28

what are benchmarks?

Answer 28

benchmarks are goals that are set to determine at what level the outcome indicators should be met

Question 29

what is an example of a quality improvement process?

Answer 29

the use of incentive spirometers in postoperative patients can be determined to be at 92% (process indicator) but the rate of post operative pneumonia can be determined to be 8%. If the benchmark is set at 5%, the benchmark for that outcome indicator is not being met

Question 30

what is the nurse’s role in quality improvement?

Answer 30

1. serve as unit representative in developing best CPGs
2. provide patient care consistent with best practice
3. document care thoroughly
4. collect data and analyze data
5. provide training or education on data

Question 31

what are characteristics of leaders?

Answer 31

1. initiative
2. inspiration
3. energy
4. positive attitude
5. communication skills
6. respect
7. problem solving and critical thinking skills

Question 32

how does a manager plan?

Answer 32

managers plan by making decisions on what needs to be done, how it will be done, and who will do it

Question 33

how does a manager organize?

Answer 33

managers organize by having channels of communication, lines of authority, and where decisions are made

Question 34

how does a manager staff?

Answer 34

management of adequate staffing

Question 35

how does a manager direct?

Answer 35

assumes the leadership role and motivates staff to perform their assigned roles

Question 36

how does a manager control?

Answer 36

evaluates staff performance and unit goals and ensures outcomes are being met

Question 37

what are characteristics of a good manager?

Answer 37

1. have formal positions of power
2. possess clinical expertise
3. network with team
4. coach subordinates
5. make decisions on resources, budget, hiring and firing