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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
Too little conflict
Organizational stasis
26
Too much conflict
Organizational chaos
27
In Conflict Theory, conflict is seen as...
Neither good or bad because it can PRODUCE GROWTH or be DESTRUCTIVE
28
What is smoothing?
One party pacifies other party by focusing on agreement rather than differences to minimize emotional conflict
29
Formalization of Structure
Formal vs Informal
30
In a complex and bureaucratic structure, employees are hired based on
Technical competence
31
What kind of centralization of decision making do magnet organizations have?
Decentralized
32
Top Level managers
CEO, board of directors, administration
33
Middle-Level managers
Nursing supervisors, department heads
34
First Line managers
Charge nurse, team leader, case manager
35
Types of Organizational Structures (3)
- Functional - Service Line - Flat
36
Functional Organizational Structures
- organized by SPECIALITIES (nursing = general component)
37
Service Line
- focus on functions to PRODUCE a specific SERVICE (nursing is spread out through structure of designated product line)
38
Flat
- focus on delegation of decision-making to professionals doing the work - better for quality improvement - increased impact of RN voices
39
Leadership
Ability to get things done through others willingly
40
Who challenges the status quo?
Leaders
41
Power
Authority and ability to get things accomplished
42
What could happen with a wide authority-power gap?
Organizational chaos
43
In fee for service reimbursement what is there a lack of?
Incentive for focused, efficient care
44
DRG/Propsective Payment System dramatically decreased ...
length of hospital stay
45
Planning Hierarchy (6)
- Mission - Goals (desired result) - Objectives (how goal will be achieved) - Policies (plans in statement form) - Procedures (step-by-step process) - Rules
46
What is a strategy for assessing, implementing, and evaluating the cost-effectiveness of patient care?
Critical Pathways
47
Critical Pathways
Predetermined courses of progress that patients should make for a SPECIFIC diagnosis or surgery
48
Methods of Budgeting
- Incremental - Flexible - Performance - Zero Based
49
Incremental
- easiest - based on last year + this year's inflation rate - good for stable organizations that haven't changed much
50
Flexible
- based on historical trends | - good for nurse managers
51
Performance
- compares last time to now | - good for nurse managers
52
Zero-Based
- Hardest, most time intensive | - good for brand new organizations
53
Discipline involves
training --> bring about desired behaviors
54
Punishment
undesirable event that follows unacceptable behavior
55
4 Standards of Effective Communication
- Brief - Timely - Clear - Complete
56
Quality Health Care
Degree to which health services for individual and populations INCREASE the likelihood of desired health outcomes/consistent with professional knowledge
57
ACA --> TRIPLE AIM
- improve quality - increase access - lower costs
58
QSEN
- core knowledge, skills, and attitudes that should be mastered by nursing students
59
Key of Quality Control
Systems Thinking - recognize patterns and repetitions in interactions - understanding how actions reinforce or counteract each other
60
3 steps of quality control process
- standard is determined - info/data collected - corrective action, education

Leadership (2 decks)

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