Exam 3 Flashcards
1
Q
This quote implies that at birth a person is either a leader or is forever relegated to the rank of follower
A
“leaders are born not made”
2
Q
Most experts believe that almost ____ can develop leadership skills
A
everyone
3
Q
The ability of an individual to influence the behavior of others
A
Leadership
4
Q
When nurses exert leadership they inspire other health care workers to work toward one or more of several goals that include what
A
- providing high quality patient care
- maintaining a safe working environment
- developing new policies and procedures
- increasing the power of the profession
5
Q
This theory identifies qualities that are common to effective leaders
A
Trait theory
6
Q
Why is trait theory limited
A
Because it focuses only on the traits of the individual and doesn’t take into account how the person acts in specific situations
7
Q
Traits included in this theory are
- high level intelligence and skill
- self motivation and initiative
- ability to communicate well
- self-confidence
- assertiveness
- creativity
- persistence
- stress-tolerance
- willingness to take risks
- ability to accept criticism
A
Trait theory
8
Q
Leadership style theory looks at ___ leadership styles that are viewed on a ____ of leadership that ranges from a mostly ___ approach to a high ___ one
A
3
continuum
passive
controlling
9
Q
This type of leader allows the group members to determine their own goals and the methods to achieve them
permissive, nondirective, passive
A
Laissez-faire
10
Q
This type of leader has little planning, minimal decision making and a lack of involvement by the leader. This type of leadership can leave people feeling lost and frustrated because of lack of direction
A
Laissez-faire
11
Q
A key principle to this style is that all members of the group respect each other and are seen as unique and valuable. All aspects of the achieving goal process, from planning and goal setting to implementing and taking credit for the success of the project are shared by the group
A
Democratic style
12
Q
What are the hallmarks of the democratic style
A
Trust
collaboration
confidence
autonomy
13
Q
This type of leadership style is supportive, participative, and transformational
A
Democratic style
14
Q
This type of leadership style is controlling, directive, or autocratic
A
Authoritarian style
15
Q
This leadership style maintains strong control over all aspects of the group and its activities.
A
Authoritarian style
16
Q
These kinds of leaders provide direction by giving orders that the group is expected to carry out without question
A
Authoritarian leaders
17
Q
Authoritarian style of leadership consists of ___ ___ who closely monitor everything that the group members do and often make on the spot changes when they believe they know a better way to achieve a task or goal
A
Micro managers
18
Q
This is an extreme form of authoritarian style
A
Dictatorial leadership
19
Q
This leader has no regard for the feelings and needs of the group members
Achieving the goal is the only thing that matters and the dictator will use any means, including harsh criticism to do so
A
Dictatorial leadership
20
Q
A benevolent authoritarian leader uses a more ____ ___
A
Paternalistic approach
21
Q
This leader attempts to include the group’s feelings and concerns in the final decision but ultimately the leader makes all the decision
A
Benevolent authoritarian leader
22
Q
The benevolent leader is considered ___ and ___
A
Condescending and patronizing
23
Q
This works well in a research lab, they work best when the members of the group have the same level of educations as the leader and the leader performs the same tasks as the group of members
A
Laisse-faire style
24
Q
This works best with groups whose members have a relatively equal status and who know each other well because they have worker together for an extended period
A
Democratic style
25
This style works best in emergency situations when clear directions are required to save a life or prevent injury or in situations in which it is necessary to organize a large group of individuals
Authoritarian style
26
When faced with a difficult decision, ____ leaders usually avoid making a decision in the hopes that the problem will resolve itself
Laissez-faire
27
In the ___ ____ after considering all the opinions of the group members, the leader makes the final decision based on what is best to achieve the goal
Democratic style
28
In this style the final decision making authority rests with the leader alone, although input from the group may or may not be considered
Authoritarian style
29
This theory rates leaders on whether they are oriented more toward establishing relationships or achieving assigned tasks and resolving problems
Relationship-task orientation theory
30
The ___ setting often dictates whether the leader is more oriented toward building relationships or completing tasks
Work
31
Leaders with ___ relationship- ___ tasks orientations are usually well liked by their groups because of their acceptance of the group members as individuals. Consideration of their feelings, encouragement and promotion of good feelings among all the group
high
| low
32
These kinds of relationship-task leaders often sacrifice the achievement of the task or resolution of a problem when it conflicts with the feelings or good will of the group
High relationship-low task
33
This style is where the leader does all the planning with little regard to the input or feelings or the group, gives orders, and expects them to be carried out without question.
Authoritarian style
34
Various forms of punishment are used by this leader, ranging from verbal put downs to poor performance evaluations that are used to determine pay raises
Authoritarian style leader
35
This kind of relationship-task leader combines the best of both worlds. They are open to input and actively communicates with the group members, provides constructive direction, quickly resolves conflicts and ultimately achieves creative and effective solutions to problems
High relationship-high task orientation
36
This kind of relationship-task leader combines the best of both worlds. They are open to input and actively communicates with the group members, provides constructive direction, quickly resolves conflicts and ultimately achieves creative and effective solutions to problems
High relationship-high task orientation
37
The worst leader is the person with __ relationship- ___ task orientation.
Low relationship-low task orientation
38
This kind of relationship-task leader style stimulates the laissez-faire style in which the leader is uninvolved, does no planning, has little concern for the group members feelings and accomplishes little
Low relationship-low task orientation
39
True or false: Perfect leaders are difficult to find, most use a combination of styles and adjust them to the circumstances surrounding the problem.
True
40
This theory recognizes that no one approach works in all situations. A true leader acknowledges this and adjusts the leadership style and behavior to the situation considering the many variables that may be involves. The environment is always important in exercising leadership
Situation theory
41
This theory takes the situational theory one step further. It recognizes that multiple intangibles exist whenever people interact. Factors such as sense of meaning, creativity, inspiration, and vision are all involves in creating a sense of mission that exceeds good interpersonal relationships and rewards
Transformational theory
42
This key leadership behavior states that a trusting relationship is key to the success of a leader on both individual and group levels. The leader can use the trust to build stable relationships within the group by recognizing the differences and directing people to their highest level of achievement
Establishing trust and cooperation among individuals and groups
43
Establishing trust and cooperation among individuals and groups takes some time and involves individuals recognizing that the leader is what
```
Honest
Motivated
Reliable
Predictable
Consistent
```
44
This key leadership behavior involves providing rewards for efforts that individuals make the leader provides a powerful motivation for the individual to continue working hard and being successful
Acknowledge good work and success
45
This key leadership behavior shows that you treat other people as you would want to be treated
Show respect for individuals
46
This key leadership behavior means that leaders need to demonstrate by their actions that they are working towards achieving goals at the personal, unit and organizational levels
Provide a sense of direction
47
This key leadership behavior is one of the best ways to promote better performance to provide individuals with more difficult challenges
Promote higher levels of performance
48
This key leadership behavior is to ____ before they get out of control
Resolve conflicts successfully
49
It is important to foster a culture of ___ ___ on the unit in the facility as a key leadership behavior
Cooperation and teamwork
50
This key leadership behavior must be done with groups who lack clear goals who often feel frustrated and lost. Initially, leaders must clearly identify their goals and then continually reinforce the goals or establish new goals as the old ones are reached.
Reinforce goals
51
In this key leadership behavior you use the strengths of one employee to cross train with a nurse who is weak in that skill
Develop staff strength
52
In this key leadership behavior you demonstrate ability to motivate which is an essential behavior for all levels of leaderhsip
Motivating personnel
53
What are key leadership qualities
```
Critical thinker
problem solver
integrity
active listener
skill communicator
courage
initiative
energy
optimism
perseverance
well-roundedness
coping skills
self-knowledge
```
54
A ___ can be viewed as a person who believes in the traditional social hierarchy of leaders and followers and then identifies as a follower in the structure
Follower
55
The concept of ___ is similar to followership except that it includes the idea of the follower having a title and a formal role in an organizational setting who reports to a supervision or manager
Subordinate
56
As a subordinate they want to and ______
Need to know that they are important to the organization
57
Individuals who follow are those who ___, ___, and ___ leaders
think
criticize
question
58
The ___ approach discussed for leaders is also valid when considering followers
trait
59
Although leadership skills are highly useful in management positions they move to manager involves a new set of ___ and ___ that the nurse must master
Skills and behaviors
60
This theory is concentrated on ways to complete a task most easily and effectively.
Time-Motion theory
61
In time-motion theory, efforts resulted in ____ productivity but ____ employee satisfaction
Increase
| Decreased
62
From this viewpoint management can be defined as planning, organizing, commanding, coordinating, and controlling the work of any particular group of employees
Time-motion theory
63
In the time motion approach, providing the right incentives, primarily money is expected to ___ employee productivity. They implement new procedures by first ensuring they comply with standards of care
Increase
64
In this theory the limits of the time-motion approach became evident; researchers observed that some lower paid employee groups had higher levels of productivity than other with higher pay who were doing the same jobs
Human Interaction Theory
65
It appeared that factors such as employees' attitudes, fears, hopes, personal problems, social status in the group and visions strongly ___ how they work
Influenced
66
Key behaviors of managers are being ___, identifies ___ ___ and are ___ ___
optimistic
restraining forces
goal oriented
67
Can be exerted either formally or informally. Often the most effective leaders in a group are not the ones who are officially designated as the leader
Leadership
68
___ are given the title by some higher authority and have formally designated authority to supervise a group of employees in the achievement of a task
Managers
69
Managers can be held formally ___ for the quality, quantity, and cost of the work that they supervised employees produce
Responsible
70
The most effective managers will have ___________
Highly developed leadership skills
71
By virtue of their title and position, even managers with poor leadership skill are still the official authority although their effectiveness is ___
Reduced
72
The process of decision making at the top levels of an organization that ensure that the organization achieves its goals and produces high-quality outcomes by defining expectations, delegating power to key personnel and overseeing administrative process
Governance in the health care setting
73
This is where the power authority are transferred to the nursing staff, not primarily to nurse administration
Shared governance
74
What are the two key elements of a budget
Income and expenses
75
What are the two key tasks of managers
Running of the shift (solving problems, developing personnel, and delegating tasks)
Budget preparation and planning for staffing of the unit
76
One of the tasks assigned to most nurse managers is creating ___
Budgets
77
What is the goal of creating a budget
To pay all the expenses while not excessing the amount of income
78
This is the budget the manager develops which helps the nurse manager to manage unit the unit to produce the highest quality care in most economic manner
Operational budget
79
The budget should focus on the ___ but yet remain ___
institution
| realistic
80
The nurse manager must always work within the historical context of ___ budgets so that they can better identify areas where there were problems with expenditures
Past
81
All facilities use a ______ format for budgets
Standardized
82
Budgets are not ___. Over the course of time period when they are implemented they must be evaluated and updated
Static
83
These were implemented in several states in attempt to ensure that there were enough RNs on the floor to adequately care for clients
Mandatory staffing ratios
84
The key elements to be considered in staffing are client ___ as the primary consideration when doing staffing is client ___, layout of the unit, and ancillary support
acuity
| safety
85
This theory is defined as the ability to influence the choices people make among a number of possible choices open to them
Motivational theory
86
This theory has some similarities to Maslow's particularly in their applications. This theory believes that people have two different categories of needs that are fundamentally different from each other
Herzberg's Motivation-Hygiene theory
87
According to Herzberg if these needs are not met, the person feels dissatisfied with his/her job and focuses more on the environment than the work that is supposed to be done
Needs dissatisfiers or hygiene factors
88
Hygiene factors are related to the ___ ___ and include _____, job security, status in the organization, work conditions, policies, and relationship with coworkers. They only serve as negative motivators when they are not met
work environment
| salary/benefits
89
____ or ___ focus primarily on the work.
Satisfiers or needs motivators
90
Herzberg concludes that employers must satisfy the hygiene factors as a minimum requirement before there can be any ___ in productivity
Increase
91
Goal of education and growth is always to produce ___ in the individual.
Change
92
____ people to change is one of the most challenging and most important functions of leadership
Motivating
93
Two primary sources bring about change :
External forces
| Internal forces
94
Change can be ___ or ____
Planned or unplanned
95
This is change that is more productive and occurs when there is a directed and designed implementation of some element within the organization
Planned change
96
This change is sometimes called reactive change; occurs when a problem forces a person or organization into a situation in which it must respond
Unplanned change
97
A group exists when __ or more people interact and are held together by a common bond or interest .
3
98
True or false: Groups establish and exert their power through a set of unique behaviors or norms that their members are expected to follow
True
99
Norms that members of a group are expected to follow may be
Formal or informal
Written or unwritten
Promulgated or merely understood
100
Nurses who do not learn and fail to display the expected ___ behaviors may be ostracized from the group, thus making the work environment psychologically uncomfortable and perhaps even physically difficult
Group
101
This involves many factors including methods of communication, professional behaviors, professional growth, flexibility, problem solving, participation, and competition. The ability to understand and use the elements of group dynamic has a direct relationship to the behaviors, cooperation and effectiveness of the team. Often when a team labels an individual member as difficult it most likely means that the individual is not following one or more of the informal, unwritten group norms
Group dynamics
102
This is the cornerstone of nursing practice
Communication
103
Nurses must be able to communicate with clients, family members, physicians, peers and associates in effective and constructive manner to achieve their goals of ___ ___ care
High-quality
104
In the health care system RNs are called on to ____ or lead a growing number of assistive and unlicensed personnel
Supervise
105
One of the keys to good leadership is the ability to ___ to people what they must do to provide the required care and how the care should be given
Communicate
106
This is an interactive sharing of information requiring a sender, message, and a receiver
Communication
107
This process happens when the receiver thinks about the info, understands it, and forms an idea based on the message
Encoding
108
On the ___ side these can be factors such as unclear speech, convoluted and confused message, monotone voice, poor sentence structure inappropriate use of terminology or jargon or lack of knowledge about the topic.
Sender's
109
On the ___ side factors that may interfere with encoding include lack of attention, prejudice and bias, preoccupation with another problem, or even physical factors such as pain drowsiness or impairment of the senses.
Receiver's
110
True or false: Effective communication requires understanding that the perceptions, emotions, and participation of both parties are interactive and have an effect on the transmission of the message. Nurses often encounter situations that require clarification of the information for accuracy and encoding.
True
111
This type of communication style is the preferred style in most settings
Assertive communication
112
This style of communication involves interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that doesn't violate the rights of others
Assertive communication
113
Assertive communication is ___, ___, and accurately ___ feelings, beliefs, ideas and opinions.
Honest, direct, expresses
114
___ communication always implies that the individual has the choice to voice an opinion, sometimes forcefully, and to not say anything at all.
Assertive
115
One of the keys to assertive communication is that the individual is in ___ of the communication and it not merely ___ to another's emotions
Control
| reacting
116
The goal of assertive communication is to __ an I ___ you ___ situations and encourage an I __ you ___ outcome
prevent
win, lose
win, win
117
This style of communication is referred to as submissive communication
Nonassertive communication
118
When people display submissive behavior or use a submissive communication style, they allow their rights to be ____. Their requests and demands are ____ to others without regard to their own feelings and needs and refer situations to others
Violated by others
| surrendered
119
Many experts believe that submissive behavior and communication patterns are a ___ mechanism that helps insecure people maintain their ___-___ by avoiding negative criticisms and disagreement from others
Protective
| self-esteem
120
In other situations, submissive behavior and communication patterns may be a means of ___ by way of passive aggressive behavior
Manipulation
121
Because of fear of displeasing, personal rejection, and future retaliation ____ communicators dismiss their own feelings as being unimportant
Submissive
122
At a deeper level ___ behavior and communication merely reinforce feelings of powerlessness, helplessness and decreased self worth
Submissive
123
Submissive communication traders ability to choose what is best for ___ of conflict
avoidance
124
Every communication by a submissive person becomes an I ___ you ___ situation
lose, win
125
This kind of communication permits individuals to honestly express their ideas and opinions while resecting the others rights, ideas, and opinions
Assertive communication
126
____ communication asserts the speaker's legitimate rights and opinions with little regard or respect for the rights and opinions of others and easily becomes a communication blocker
Aggressive
127
This communication is used to humiliates, dominate, control, or embarrass the other person or lower that person's self-esteem
Aggressive communication
128
I win you lose situation
Aggressive communication
129
Experts view aggressive communication as a ____ mechanism that compensates for a person's own insecurities and others view it as a form of ____
Protective
| bullying
130
This kind of communication can take on different forms like screaming, sarcasm, rudeness, belittling jokes and even direct personal insults
Aggressive communication
131
Aggressive communication is an expression of the ___ feelings of power, domination and low ___
Negative
| self-esteem
132
Anything done or said that interferes with communication
Communication blocker
133
Actions and speech that encourage and build communication are called
Communication builders
134
Communication builders are often called
Therapeutic communication techniques
135
Other factors such as the ___ the communication is taking place in, ___ ___ of the parties communicating, grief and change experiences, and people feeling ___ can also block communication
Environment
stress levels
anger
136
When facilitating communication remember SOILER=
```
Sit
Open Posture
Invite the client to speak
Lean toward client
Eye contact if appropriate
Relax
```
137
Nurses need to able to ___ ___ that produce stress, recognize the ___ shown by someone in a stressful situation, know how to reduce stress, and be able to use appropriate communication techniques with someone under stress
identify situations
| symptoms
138
People who are ___ always always find it difficult if not impossible to successfully communicate
Angry
139
True of false: anger can be negative or positive
True
140
When anger is used it ___ productive manner, it can promote change and release tension it can be used to increase other attention, initiate communication, problem-solve, and energize the change process
positive
141
Anger that is used ___ is very destructive, it ___ communication, makes coworkers fearful, and erodes relationships with others
negatively
142
____ management is considered more emotionally charged than problem solving.
Conflict
143
The steps of conflict management and problem solving are almost ___ to those of the nursing process with an addition of the use of assertive behaviors and communication when discussing the issues
identical
144
In the work environment primary contributing factors include ___ issues ___, lack of ___ and ____ issues
emotional
insecurity
skills
diversity
145
___ is often a symptom of some deeper problem and the conflict really never gets resolved without dealing with the underlying issue
Conflict
146
Using ___ skills is a key element in conflict and crisis resolution and removing themselves from the conflict they are less likely to take things personally and more likely to begin to focus on the underlying issues causing the problems than on the other person's behavior
Coping
147
Reasons people give for not ___ conflicts
- fear of retaliation
- fear of ridicule
- fear of alienating others
- mistaken belief that they're unable to handle the conflict of the situation
- feeling that they don't have the right to speak up
- past negative experiences with conflict situations
- family background and experiences
- lack of education and kills in conflict resolution
Resolving
148
___ simply means that people are different from each other. It is multifaceted issue that involves many areas of people's lives, including culture, values, life experiences, instinctual responses, learned behaviors, personal strengths and weaknesses and native abilities or skills
Diversity
149
To communicate effectively both parties need to recognize that the other person is ___
Different
150
Conflicts based on diversity can be resolved by ___ the diversity and then using it to promote teamwork, improve communication and increase productivity
Recognizing
151
This is a form of communication
Behavior
152
In dealing with a group labeled as ___ our goals are to change our response to the behaviors and attempt to change the behaviors they are displaying
Difficult
153
____ is often misused to mean that an individual is outgoing, humorous, and generally friendly to other people some say that so and so has no ___ at all when they mean they are quiet and withdrawn
Personality
| Personality
154
The truth is that everyone has a ____
Personality
155
all children are genetically stamped in the womb with innate ____ that help them survive in a world that they really don't understand and is very frightening to them
Emotions
156
Feelings of anger, jealousy, selfishness and self-centeredness along with their behavioral expressions help children manipulate adults, particularly the parents and ___ with what is to them a big and hostile environment
Cope
157
Some people go through their whole lives using ___-___ coping mechanisms and behaviors to deal with the adult world
Child-like
158
The lack of developed coping mechanisms results in responses that are ___ or over ___
Inappropriate
| emotional
159
Child-like coping mechanisms don't work very well and people who use these end up getting labeled as ___ people.
Difficult
160
Difficult people never learned or accepted adult coping mechanisms like being able to ___ which is the opposite of __-___
Forgive
| self-centeredness
161
Generally when a person is displaying difficult behavior, they are hard to ___ with or their behavior is such that it makes it very difficult to work with them to ___ a __ or finish a task
communicate
| achieve goal
162
___ what goals difficult people are trying to achieve whether they are a client or a coworker is one of the keys to understanding them and ____ with them effectively
Identifying
| communicating
163
In working with difficult people a ____ of their backgrounds and understanding of their needs and goals better prepares the nurse to communicate in a positive way
knowledge
164
The behavior displayed by a difficult person is really a ___ of deeper underlying ___
symptom
| problem
165
Identifying the cause of the problem and the ___ the client is trying to achieve permits the nurse to treat the disease rather than just the symptom
outcomes
166
____ hierarchy of needs is one of the most effective ways to ___ client care
Maslow's
| prioritizing
167
The needs on the ___ of maslow's triangle particularly the _____ and ___ needs are necessary for the clients survival and maintenance of life and must always be met first
bottom
| physiological and safety
168
The ___ needs can't be met if the person is not able to fulfill the basic needs to stay alive and remain safe
higher
169
Maslow's hierarchy can also be used in understanding and interacting with people in the health-care setting who are displaying ____ ___
difficult behaviors
170
Understanding what causes people to behave in a difficult manner is directly related to the hierarchy of needs and differentiates the ___ between difficult coworkers and difficult clients
causality
171
The needs that are producing ____ difficult behaviors are generally related to the ___ level needs
Coworkers'
| higher
172
In the cases of difficult ___ their illnesses injuries or surgeries often threaten their ___ ___ for merely surviving physically
clients
| basic needs
173
The two most common types of difficult personalities in the work setting include the __ and the ___
persecutor
| sneak
174
The ___ is also called the dictator and generally displays an attitude of being superior to others and being in __
persecutor
| control
175
The ___ attempts to humiliate, intimidate, threaten, or demean other individuals or groups with the goals of overcoming their own lack of ___, feeling more powerful and inflating their low self-esteem
persecutor
| confidence
176
The __ attempts to maintain __ by putting others down and ruling from a command post
persecutor
| control
177
If the dictator is in a ___ position such as a charge nurse or supervision this type of behavior is called ___ violence
superior
| vertical
178
When the dictator is a ___ ___ at the same authority level the behavior is referred to as ___ or ___ violence
fellow employee
| lateral or horizontal
179
The __ is devious, underhanded, and often malicious to fulfill their self-esteem needs and achieve their goal to be in control
sneak
180
The sneak is also called
double-crossers or backstabbers
181
These kinds of difficult coworkers will attack when you aren't looking and gets his or her rewards by watching you discomfort and confusion in not knowing where the attack came from
sneaks
182
The methods sneaks use are really forms of ___ which demonstrates that they are insecure and unsure of where they belong in the work setting
Manipulation
183
What are some methods used by the sneak to achieve their goals
- personal digs
- rumors
- accusations
- allegations
- finger pointing
- innuendos
184
Sneaks often appear very ___ when they are communicating face to face with you but they do not have your best interests in mind and are looking for a weakness they can exploit to lower your esteem
friendly
185
Dealing with difficult clients requires you as the nurse to provide the best care possible to assist them in overcoming their illness and help them through the ___ __ ___ by active listening to concerns and in turn trying to find solutions to overcoming it
stages of grief
186
Remember that each person deals with all emotions differently therefore, your approach with each client who exhibits difficult behaviors will also be ___
different
187
Maslow: ensure that the ___ ___ levels are met first to ensure ability to have possibilities to meet __ levels
lowest levels
| higher
188
When establishing trust nurses must meet 4 key aspects
- respect
- consistency
- confidentiality
- loyalty
189
When helping a patient work through the stages of grief the___ ___ is to provide the best care possible so that the patient will ___ and ___ from his her illness by meeting the lowest needs of maslows
highest priority
survive
recover
190
this is a coping mechanisms to adjust to sudden traumatic situations
denial
191
Denial ___ patients from accepting the reality of their condition which may significantly alter their body image and prevent the need for them to make___ changes such as eating a restricted diet or limiting their activities after discharge
protects
| lifestyle
192
```
common __ behaviors include
refusing meds
refusing tests
pulling off monitor electrodes
not compliant
```
denial
193
When dealing with patients in denial we still must respect their ___ and right to ___-___, remember legally and ethically they have the right to refuse any and all treatment
autonomy
| self-determination
194
clients in this stage of grief are not prepared for the flood of emotions they are experiencing. they have suddenly become vulnerable and recognize that they have lost most of their control over their lives and their future
anger stage
195
Clients in the angry stage may exhibit mild sense of ___ to declarations of injustices or raging destructive behaviors that must be stopped immediately
frustration
196
Common __ behaviors include
tightening jaw, clenched fists, aggressive body language and posture, fidgeting, physiological responses (v.s.), red face, raised voice
angry
197
Angry patients will __ with most treatments and meds even if done grudgingly
comply
198
Expressions of anger need a ___ its usually a target of ___
target
| convenience
199
This stage is a form of negotiation in which two parties attempt to reach a deal that is satisfactory to both parties over some item or issues (___ ___) almost an entirely internal mental process
bargaining
| higher power
200
Clients in the bargaining stage of grief are focused on what they could have done ___ in the past to prevent what is happening to them now.
differently
201
clients in the bargaining stage can have high levels of ___ and ___ that will ultimately block their ability to successfully cope with their situation
remorse
| guilt
202
this stage is a natural response to the loss of independence, control, self-esteem and to some degree hope that the client is experiencing from their illness/injury
depression
203
one of the keys in communicating with a client in the stage of ___ is to let them talk and not interrupt.
depression
204
these are the primary behaviors of this stage of grief:
tendency to withdraw from personal relationships and to avoid interacting with others, spend much time sleeping crying and grieving
depression
205
what are the 3 primary goals that we have for clients in the depression stage
1. preventing physiological injury of the client
2. allowing the client to speak about feelings and concerns
3. helping the client cope successfully with the reality of the changes brought on by injury without experiencing sadness or grief
206
this stage of grief does not mean that the client is cure or that they've forgotten about what happened to them. this means that they are willing to deal with the future and are willing to accommodate the changes brought by the illness
acceptance
207
the stage of acceptance is a state of __ and ___ that comes from coming to terms with the reality they are facing
calm
| peace
208
Inappropriate sexual behavior or speech on the part of a coworker is really a form of ___
bullying
209
individuals who have inappropriate sexual behavior are attempting to ___ or ___ their coworkers using this behavior
coerce
| influence
210
When dealing with a coworker using inappropriate sexual behavior you need to keep a ___ ___ of the behavior with __ and ___ and what was done or said and then contact HR.
complete record
| dates and times
211
True or false: you must follow the facility's procedures for dealing with sexual misbehavior to the letter for the case to be valid
true
212
the first stage of dealing with coworker inappropriate sexual behavior is ___ the offender with a statement that the behavior is ___ and ___
confronting
inappropriate
unwanted
213
Second stage of dealing with coworker inappropriate sexual behavior is
meeting with offender, HR and yourself
214
Third stage of dealing with coworker inappropriate sexual behavior is
meeting with medical or hospital
215
when dealing with coworker inappropriate sexual behavior nurses must walk a fine line between ___ themselves and ___ quality care
protecting
| providing
216
sexual behavior from clients may be related to a stage of ___ particularly ___ but is more typically a form of behavior that is used by clients experiencing ___
grief
anger
anxiety
217
dealing with coworker inappropriate sexual behavior can decrease quality of care by making nurse feel ___ and ___ and can destroy the nurse client trust
humiliated
| objectified
218
clients with mental illnesses or who are diagnosed with __ or who have brain damage or surgery may not be able to grasp the consequences of their actions or statements and therefore can't be held ___ __ for them
dementia
| legally responsible
219
One of the most common is not most annoying types of difficult person is the constant ___ and ___
complainer
| whiner
220
The reality is that everyone complains at times as a way to reduce ___, lessen the impact of unpleasant news, and identify areas of concern. This is ___ complaining because they are useful in focusing attention on and resolving issues the person is facing
stress
| constructive
221
____ complaining is contagious and chronic complainers may seek out other chronic complainers to commiserate with them
Chronic
222
Approaches to dealing with complaining and whining behaviors
- look at the core of the complaint
- determine if it's legitimate
- find a solution
- address the issue
223
This key leadership quality says that you must be able to analyze data, organize, plan, and use creativity in the resolution of problems. This kind if quality is vital because leaders often make important decisions on the basis of incomplete data. Good leaders because they may have to have short resources
Critical thinker
224
Leaders in the health care setting face problems that arise from many sources including staffing and personnel scheduling and administrative, budget and client demands. What is this key leadership quality
Problem solver
225
Nursing is held as high __ profession. If a group observes less than complete integrity in their leader that person’s ability to lead is markedly diminished. What key leadership quality is this
Integrity
226
To be effective, leaders must be able to hear the words the person is saying and observe the body language and its underlying emotions and meaning. Leaders often fail in their leadership roles when they do not listen to the full message of the individuals they are attempting to lead. To be a good leader they must be able to listen to what their followers say. What key leadership quality is this
Active listener
227
Mistakes happens on both sides when the information being shared is incomplete or confusing. Have good communication skills to be able to get across your point. What key leadership quality is this
Skillful communicator
228
All leaders must have the ___ to maintain their convictions in the face of adversity, certain leadership positions may require a higher degree of courage. In nursing as a nurse manager, house supervisor etc., you may find yourself needing to risk offending on or the other individual or group to resolve a difficult problem. What is this key leadership quality
Courage
229
effective leadership demands that the leader be a self starter and have the ability to start projects without pressure from above. What is the key leadership quality.
Initiative
230
refers to the ability to do work and to display that energy in the form of enthusiasm for the work. Charismatic leaders are the ones who are the most energetic and enthusiastic. What key leadership quality is this
Energy
231
A positive attitude as well as a negative attitude is contagious. A leader who has an overall positive attitude and views new problems as opportunities for success will be much more successful than the leader who constantly complains about each new crisis. What key leadership quality is this
Optimism
232
leaders must be able to continue to work through difficult problems in difficult circumstances, even when others feel like quitting. What key leadership quality is this
Perseverance
233
it is important to develop and foster non-work relationships with friends and family. Time at work should be balanced with recreational, spiritual, social, and cultural activities it that complete the person and round out the personality.
What is the key leadership quality
Well-roundedness
234
People in leadership positions often experience higher levels of stress. Stress can be handled either unconsciously or consciously by bringing learned ___ skills into play. What key leadership quality is this
Coping
235
Leaders who do not know and understand themselves are less able to understand those who are working for them. Self-awareness is the beginning of self acceptance as a thinking, feeling person who interacts with other thinking feeling persons. Knowing your beliefs and knowing where you stand.
What key leadership quality is this
Self-knowledge
236
Does higher pay always mean higher productivity
NO
237
What are key behaviors of managers
- being optimistic
- identifies restraining forces
- goal directed
238
an ___ budget manages the unit to produce the highest quality of care in the most economical manner
operational
239
There are four key elements to a ___ budget:
-budget should focus on the goals of the institution but remain realistic
-the nurse manager must always work within the historical context of past budgets
-all facilities use a standardized format for budgets
-budgets are not states they need to be evaluated and updated
-
Successful
240
It is up to the manager to present needs for change in staffing ratios at the budget meeting, as most needs for change would require more nurses affecting the budget. To do so the manager must be able to present that the change would ___ quality of care for the clients.
Improve
