Final Flashcards

1
Q

Contingency Theory

A

Acts differently depending on the TASK at hand

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2
Q

Situational Theory

A

Treat PEOPLE differently based on their character traits

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3
Q

Transformational Theory

A

BOTH leaders and followers have the ability to raise EACH OTHEHR to higher levels of motivation and molarity

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4
Q

Which kind of theory builds on contingency and situational theories?

A

Transformational Theory

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5
Q

Which kind of theory sees leadership as a 2-way street?

A

Transformational Theory

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6
Q

Focus of a TRANSFORMATIONAL leader

A

:)

  • focus on larger picture (rather than individual tasks)
  • identifies COMMON VALUES
  • has long-term vision
  • EXAMINES EFFECTS
  • EMPOWERS
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7
Q

Focus of a TRANSACTIONAL leader

A

:(

  • focus on getting things done
  • care taker
  • uses trade-offs to meet goals
  • does not identify common values
  • EXAMINES CAUSES
  • uses contingency reward
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8
Q

What is the purpose of the Nurse Licensure?

A

Protection of the PUBLIC

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9
Q

What establishes the legal definition of delegation?

A

NPA

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10
Q

What creates guidelines for delegation?

A

ANA

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11
Q

Negligence

A

Omission of doing something that a reasonable nurse would do

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12
Q

Malpractice

A

Active failure of a person with professional training to act in a reasonable and prudent manner

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13
Q

5 components of malpractice

A
  • standard of care
  • breach in the standard of care
  • possibility of harm due to the care delivered
  • link between harm and injury
  • actual injury occurred
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14
Q

Where do incident reports go?

A

Risk management (NOT patient record)

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15
Q

What is the system of principles that governs the actions of nurses in relation to patients, families, HCPs, policy makers, and society?

A

Nursing ethics

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16
Q

NY State Nurse Practice Act Definition of Professional Nursing

A

Diagnosing and treating human responses to actual or potential health problems through such services

  • case finding
  • health teaching/counseling
  • provision of care
  • executing medical regimens prescribed by a licensed provider
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17
Q

What can you use to guide ethical decision-making?

A
  • nursing ethics (9 provisions)

- ADPIE (nursing process)

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18
Q

MORAL decision making model

A
  • massage the idea
  • outline options
  • review criteria, resolve
  • affirm a position, act
  • look back
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19
Q

Advocacy involves

A
  • helping others to grow and self-actualize

- make sure they have enough info to make INFORMED DECISIONS

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20
Q

Nurses must advocate for.. (4)

A
  • self
  • patients
  • subordinates
  • profession
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21
Q

What critical leadership skill determines success of a leader/manager?

A

Communication

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22
Q

What should senders seek when a message is sent?

A

Feedback

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23
Q

Listening GRRRR

A
  • greet
  • respectful listening
  • review (summarize message)
  • recommend / request more info
  • reward (thank you)
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24
Q

Is conflict natural?

A

Yes

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25
Q

Too little conflict

A

Organizational stasis

26
Q

Too much conflict

A

Organizational chaos

27
Q

In Conflict Theory, conflict is seen as…

A

Neither good or bad because it can PRODUCE GROWTH or be DESTRUCTIVE

28
Q

What is smoothing?

A

One party pacifies other party by focusing on agreement rather than differences to minimize emotional conflict

29
Q

Formalization of Structure

A

Formal vs Informal

30
Q

In a complex and bureaucratic structure, employees are hired based on

A

Technical competence

31
Q

What kind of centralization of decision making do magnet organizations have?

A

Decentralized

32
Q

Top Level managers

A

CEO, board of directors, administration

33
Q

Middle-Level managers

A

Nursing supervisors, department heads

34
Q

First Line managers

A

Charge nurse, team leader, case manager

35
Q

Types of Organizational Structures (3)

A
  • Functional
  • Service Line
  • Flat
36
Q

Functional Organizational Structures

A
  • organized by SPECIALITIES (nursing = general component)
37
Q

Service Line

A
  • focus on functions to PRODUCE a specific SERVICE (nursing is spread out through structure of designated product line)
38
Q

Flat

A
  • focus on delegation of decision-making to professionals doing the work
  • better for quality improvement
  • increased impact of RN voices
39
Q

Leadership

A

Ability to get things done through others willingly

40
Q

Who challenges the status quo?

A

Leaders

41
Q

Power

A

Authority and ability to get things accomplished

42
Q

What could happen with a wide authority-power gap?

A

Organizational chaos

43
Q

In fee for service reimbursement what is there a lack of?

A

Incentive for focused, efficient care

44
Q

DRG/Propsective Payment System dramatically decreased …

A

length of hospital stay

45
Q

Planning Hierarchy (6)

A
  • Mission
  • Goals (desired result)
  • Objectives (how goal will be achieved)
  • Policies (plans in statement form)
  • Procedures (step-by-step process)
  • Rules
46
Q

What is a strategy for assessing, implementing, and evaluating the cost-effectiveness of patient care?

A

Critical Pathways

47
Q

Critical Pathways

A

Predetermined courses of progress that patients should make for a SPECIFIC diagnosis or surgery

48
Q

Methods of Budgeting

A
  • Incremental
  • Flexible
  • Performance
  • Zero Based
49
Q

Incremental

A
  • easiest
  • based on last year + this year’s inflation rate
  • good for stable organizations that haven’t changed much
50
Q

Flexible

A
  • based on historical trends

- good for nurse managers

51
Q

Performance

A
  • compares last time to now

- good for nurse managers

52
Q

Zero-Based

A
  • Hardest, most time intensive

- good for brand new organizations

53
Q

Discipline involves

A

training –> bring about desired behaviors

54
Q

Punishment

A

undesirable event that follows unacceptable behavior

55
Q

4 Standards of Effective Communication

A
  • Brief
  • Timely
  • Clear
  • Complete
56
Q

Quality Health Care

A

Degree to which health services for individual and populations INCREASE the likelihood of desired health outcomes/consistent with professional knowledge

57
Q

ACA –> TRIPLE AIM

A
  • improve quality
  • increase access
  • lower costs
58
Q

QSEN

A
  • core knowledge, skills, and attitudes that should be mastered by nursing students
59
Q

Key of Quality Control

A

Systems Thinking

  • recognize patterns and repetitions in interactions
  • understanding how actions reinforce or counteract each other
60
Q

3 steps of quality control process

A
  • standard is determined
  • info/data collected
  • corrective action, education