FINALS Leadership Flashcards
What is Total Patient Care in nursing?
A model where the registered nurse assumes full responsibility for all aspects of patient care during a shift.
Name one advantage of the Total Patient Care model.
Provides continuity for the shift and clear responsibility.
What is Functional Nursing?
A model where staff members are assigned specific tasks, such as administering medications or taking vital signs.
What is a disadvantage of Functional Nursing?
It can lead to fragmentation and gaps in patient care.
What is Team or Modular Nursing?
A model where an RN team leader coordinates care for a group of patients with other team members.
What is a key advantage of Team Nursing?
It can be cost-effective and satisfying for staff and patients if executed well.
Define Primary Nursing.
A model where registered nurses assume 24/7 accountability for a specific group of patients.
What is a disadvantage of Primary Nursing?
Requires a high mix of RNs and can be difficult with flexible scheduling.
What is Case Management in nursing?
A model where an RN Case Manager oversees the care and resource use for individual patients across the care continuum.
Name one responsibility of nursing leadership when selecting a care delivery model.
Assessing whether staff is ready and trained for the new model.
What is the difference between ethics and morality?
Ethics involve critical reflection on moral issues, while morality refers to social consensus about right and wrong behavior.
What are the principles of nursing ethics?
Principles that reinforce nurses’ ideals and motives to maximize their service effectiveness.
What is beneficence?
Acting in ways that benefit patients, including doing good and preventing harm.
Define autonomy in healthcare.
The right of individuals to make decisions about their own well-being free from coercion.
What are the four elements of autonomy?
Respect for the person, determination of goals, capacity to decide on action, and freedom to act on choices.
What does nonmaleficence mean?
The obligation to avoid causing harm to patients.
Define veracity in nursing practice.
The practice of telling the truth to maintain trust and effective communication with patients.
What is paternalism in healthcare?
Restricting a patient’s autonomy to protect them from harm, similar to a parental approach.
What is the ethical principle of justice?
Ensuring fair, equitable, and appropriate treatment for all individuals.
What does the Nightingale Pledge emphasize?
Maintaining confidentiality and elevating professional standards.
What is fidelity in nursing?
Faithfulness to commitments, including promises to patients and adherence to ethical principles.
Define confidentiality in nursing ethics.
The duty to protect private patient information from unauthorized disclosure.
What is veracity’s role in patient trust?
Ensures honesty and transparency to maintain the patient-provider relationship.
What is the Golden Rule in moral principles?
Do unto others as you would like others to do unto you.
What is the principle of nonmaleficence?
To prevent or avoid causing harm to patients.
What is the Doctrine of Force Majeure?
Excuses liability for failure to perform due to unforeseeable events like natural disasters.
What is the Philippine Nursing Act of 2002 also known as?
Republic Act No. 9173.
What are the four elements of malpractice?
Duty of care, breach of duty, causation, and proof of injury.
What does the Doctrine of Res Ipsa Loquitur state?
The thing speaks for itself,” indicating negligence in situations where harm would not occur without negligence.
What is an unintentional tort?
Acts of negligence or malpractice that result in harm to a patient.
What is informed consent?
The patient’s agreement to a procedure after understanding the risks, benefits, and alternatives.
What is an intentional tort?
Willful acts that violate another’s rights, such as assault or defamation.
What are the legal risks of telephone orders in nursing?
Misunderstanding or misinterpretation, requiring proper documentation and physician follow-up.
What does the phrase “If it wasn’t charted, it wasn’t done” signify?
The importance of thorough and accurate documentation in nursing.
What is the liability of nursing students in clinical settings?
They must perform duties under supervision and within their level of competency.
What is negligence in nursing?
Failure to act as a reasonably prudent nurse would in a similar situation.
What is a breach of duty in malpractice?
Failure to meet the standard of care expected in a nursing role.
What is the role of the Board of Nursing?
To regulate the nursing profession, including licensure, discipline, and practice standards.
What is the Doctrine of Respondeat Superior?
Employers are held liable for the actions of employees performed within the scope of employment.
What does the Doctrine of Force Majeure protect against?
Liability in cases where unforeseen events prevent fulfilling obligations.
What is the purpose of medical record documentation?
To provide a legal and scientific record of patient care.
Define informed consent in nursing.
A patient’s voluntary agreement to a procedure after understanding the risks, benefits, and alternatives.
How can nurses avoid legal issues with telephone orders?
By reading back the order, documenting it clearly, and obtaining the physician’s signature within 24 hours.
What is libel in legal terms?
Written defamation that damages a person’s reputation.
What is a common risk of malpractice in nursing?
Medication errors or failure to monitor a patient’s condition.
What are the qualities of effective nurse leaders?
Strong communication, critical thinking, decision-making, and delegation skills.
What is the Halo Effect in leadership?
The tendency to let one positive trait influence overall judgment of a person.
What are the four types of law relevant to nursing?
Statutory, regulatory, civil, and criminal law.
What is the purpose of risk management in nursing?
To identify and mitigate risks to ensure patient safety and reduce legal exposure.
What is the role of the nurse in patient advocacy?
Ensuring that patients’ needs and rights are respected and communicated effectively.
What is the first step in solving an ethical dilemma?
Clearly identifying the issue and considering all possible consequences.
What is transformational leadership?
A style that inspires and motivates staff to achieve goals and embrace change.
What is scope of practice?
The legal and professional boundaries within which a nurse can perform duties.
Define situational leadership in nursing.
Adapting leadership style to fit the needs of the team and specific situations.
Name a skill essential for effective delegation.
Clear communication of tasks and expectations.
How should leaders handle high patient acuity levels?
By ensuring proper staffing and effective delegation.
What is delegation in nursing?
Transferring the authority to perform specific tasks to competent individuals.
What does situational leadership require?
Adapting leadership style based on the team’s needs and the circumstances.
What is the importance of conflict resolution in nursing management?
It ensures teamwork and maintains a positive work environment.
What is the role of a charge nurse?
Supervising staff, managing resources, and coordinating patient care on the unit.
What is included in the Patient’s Bill of Rights?
The right to informed consent, privacy, and respectful care, among others.
What is a patient’s responsibility in healthcare?
Providing accurate information, complying with instructions, and respecting hospital rules.
What does the right to autonomy ensure for patients?
Freedom to make decisions about their own care.
What is the purpose of advance directives?
To communicate a patient’s wishes regarding end-of-life care.
What is distributive justice in healthcare?
The fair distribution of resources and services.
What is the right to informed consent?
The patient’s right to understand treatment options, risks, and benefits before agreeing to care.
What is the right to privacy in healthcare?
Ensuring that a patient’s medical information is kept confidential.
What is the responsibility of a patient regarding hospital rules?
To follow rules and regulations to ensure effective and safe care.
Who can provide consent for a minor’s medical treatment?
A parent or legal guardian, unless the minor is emancipated.
What is the principle of proportionality in ethical decision-making?
Choosing actions where the good outweighs the harm.
What should be included in the explanation of patient rights?
Clear communication about rights to participation, decision-making, and access to medical records.
What is the ethical dilemma of withholding versus withdrawing treatment?
Deciding whether to not start or stop a treatment when recovery is unlikely.
What is the principle of beneficence?
Acting in the best interest of the patient to promote well-being.
Define the ethical concept of stewardship.
Managing resources responsibly to benefit individuals and society.
What is the ethical theory of utilitarianism?
Choosing actions that result in the greatest good for the greatest number.
What is the nurse’s role in patient advocacy?
To act as a voice for the patient, ensuring their needs and preferences are respected.
What is the right to pain management?
The right of patients to receive appropriate assessment and treatment for pain.
How should nurses handle patient grievances?
By addressing complaints promptly and ensuring resolution.
What is the right to discharge in patient care?
The patient’s right to leave the hospital when appropriate.
What is the right to access medical records?
Patients have the right to view and obtain copies of their health information.
What is the importance of accurate charting?
It serves as a legal record and ensures continuity of care.
What should nurses avoid in documentation?
Erasing entries, using vague phrases, or leaving gaps in records.
What is the role of SBAR in communication?
It standardizes communication with Situation, Background, Assessment, and Recommendation.
What should a nurse document during patient care?
Observations, actions taken, and the patient’s response.
How can poor communication lead to legal issues?
Miscommunication can result in errors and compromise patient safety.
What is lifelong learning in nursing?
Continuously updating knowledge and skills to improve practice.
Why is competency assessment important?
It ensures nurses provide safe and effective care.
What is the purpose of clinical supervision for nursing students?
To guide and evaluate their practice and decision-making.
What does evidence-based practice involve?
Integrating research findings into clinical decision-making.
Why is reflective practice important in nursing?
It promotes self-awareness and improvement in care delivery.
What is critical thinking in nursing?
The ability to analyze and evaluate information to make sound decisions.
How can nurses prioritize patient care?
By using frameworks like Maslow’s Hierarchy of Needs.
What is clinical reasoning?
Applying critical thinking to patient-specific situations for effective outcomes.
How does a nurse manage a rapidly changing situation?
By assessing, planning, and implementing interventions promptly.
What is root cause analysis in healthcare?
Identifying underlying causes of errors to prevent recurrence.
What is the Doctrine of Epikia?
Allowing exceptions to general rules in ethical decision-making.
Define moral distress in nursing.
Feeling conflicted when unable to act according to ethical beliefs.
What is distributive justice?
Fair distribution of resources based on need.
What is the nurse’s responsibility during a Code Blue?
To perform CPR and assist the team in life-saving interventions.
Why is cultural competence important in nursing?
It ensures care is respectful and responsive to diverse patient needs.
