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4th Year PRELIMS > FINALS Leadership > Flashcards

FINALS Leadership Flashcards

1
Q

What is Total Patient Care in nursing?

A

A model where the registered nurse assumes full responsibility for all aspects of patient care during a shift.

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2
Q

Name one advantage of the Total Patient Care model.

A

Provides continuity for the shift and clear responsibility.

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3
Q

What is Functional Nursing?

A

A model where staff members are assigned specific tasks, such as administering medications or taking vital signs.

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4
Q

What is a disadvantage of Functional Nursing?

A

It can lead to fragmentation and gaps in patient care.

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5
Q

What is Team or Modular Nursing?

A

A model where an RN team leader coordinates care for a group of patients with other team members.

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6
Q

What is a key advantage of Team Nursing?

A

It can be cost-effective and satisfying for staff and patients if executed well.

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7
Q

Define Primary Nursing.

A

A model where registered nurses assume 24/7 accountability for a specific group of patients.

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8
Q

What is a disadvantage of Primary Nursing?

A

Requires a high mix of RNs and can be difficult with flexible scheduling.

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8
Q

What is Case Management in nursing?

A

A model where an RN Case Manager oversees the care and resource use for individual patients across the care continuum.

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9
Q

Name one responsibility of nursing leadership when selecting a care delivery model.

A

Assessing whether staff is ready and trained for the new model.

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10
Q

What is the difference between ethics and morality?

A

Ethics involve critical reflection on moral issues, while morality refers to social consensus about right and wrong behavior.

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11
Q

What are the principles of nursing ethics?

A

Principles that reinforce nurses’ ideals and motives to maximize their service effectiveness.

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12
Q

What is beneficence?

A

Acting in ways that benefit patients, including doing good and preventing harm.

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12
Q

Define autonomy in healthcare.

A

The right of individuals to make decisions about their own well-being free from coercion.

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13
Q

What are the four elements of autonomy?

A

Respect for the person, determination of goals, capacity to decide on action, and freedom to act on choices.

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14
Q

What does nonmaleficence mean?

A

The obligation to avoid causing harm to patients.

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15
Q

Define veracity in nursing practice.

A

The practice of telling the truth to maintain trust and effective communication with patients.

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16
Q

What is paternalism in healthcare?

A

Restricting a patient’s autonomy to protect them from harm, similar to a parental approach.

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17
Q

What is the ethical principle of justice?

A

Ensuring fair, equitable, and appropriate treatment for all individuals.

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17
Q

What does the Nightingale Pledge emphasize?

A

Maintaining confidentiality and elevating professional standards.

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18
Q

What is fidelity in nursing?

A

Faithfulness to commitments, including promises to patients and adherence to ethical principles.

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19
Q

Define confidentiality in nursing ethics.

A

The duty to protect private patient information from unauthorized disclosure.

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20
Q

What is veracity’s role in patient trust?

A

Ensures honesty and transparency to maintain the patient-provider relationship.

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21
Q

What is the Golden Rule in moral principles?

A

Do unto others as you would like others to do unto you.

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22
Q

What is the principle of nonmaleficence?

A

To prevent or avoid causing harm to patients.

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23
Q

What is the Doctrine of Force Majeure?

A

Excuses liability for failure to perform due to unforeseeable events like natural disasters.

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23
Q

What is the Philippine Nursing Act of 2002 also known as?

A

Republic Act No. 9173.

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24
Q

What are the four elements of malpractice?

A

Duty of care, breach of duty, causation, and proof of injury.

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24
Q

What does the Doctrine of Res Ipsa Loquitur state?

A

The thing speaks for itself,” indicating negligence in situations where harm would not occur without negligence.

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25
Q

What is an unintentional tort?

A

Acts of negligence or malpractice that result in harm to a patient.

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26
Q

What is informed consent?

A

The patient’s agreement to a procedure after understanding the risks, benefits, and alternatives.

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27
Q

What is an intentional tort?

A

Willful acts that violate another’s rights, such as assault or defamation.

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28
Q

What are the legal risks of telephone orders in nursing?

A

Misunderstanding or misinterpretation, requiring proper documentation and physician follow-up.

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29
Q

What does the phrase “If it wasn’t charted, it wasn’t done” signify?

A

The importance of thorough and accurate documentation in nursing.

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30
Q

What is the liability of nursing students in clinical settings?

A

They must perform duties under supervision and within their level of competency.

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31
Q

What is negligence in nursing?

A

Failure to act as a reasonably prudent nurse would in a similar situation.

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31
Q

What is a breach of duty in malpractice?

A

Failure to meet the standard of care expected in a nursing role.

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32
Q

What is the role of the Board of Nursing?

A

To regulate the nursing profession, including licensure, discipline, and practice standards.

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33
Q

What is the Doctrine of Respondeat Superior?

A

Employers are held liable for the actions of employees performed within the scope of employment.

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34
Q

What does the Doctrine of Force Majeure protect against?

A

Liability in cases where unforeseen events prevent fulfilling obligations.

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35
Q

What is the purpose of medical record documentation?

A

To provide a legal and scientific record of patient care.

35
Q

Define informed consent in nursing.

A

A patient’s voluntary agreement to a procedure after understanding the risks, benefits, and alternatives.

36
Q

How can nurses avoid legal issues with telephone orders?

A

By reading back the order, documenting it clearly, and obtaining the physician’s signature within 24 hours.

36
Q

What is libel in legal terms?

A

Written defamation that damages a person’s reputation.

37
Q

What is a common risk of malpractice in nursing?

A

Medication errors or failure to monitor a patient’s condition.

38
Q

What are the qualities of effective nurse leaders?

A

Strong communication, critical thinking, decision-making, and delegation skills.

39
Q

What is the Halo Effect in leadership?

A

The tendency to let one positive trait influence overall judgment of a person.

40
Q

What are the four types of law relevant to nursing?

A

Statutory, regulatory, civil, and criminal law.

41
Q

What is the purpose of risk management in nursing?

A

To identify and mitigate risks to ensure patient safety and reduce legal exposure.

42
Q

What is the role of the nurse in patient advocacy?

A

Ensuring that patients’ needs and rights are respected and communicated effectively.

42
Q

What is the first step in solving an ethical dilemma?

A

Clearly identifying the issue and considering all possible consequences.

43
Q

What is transformational leadership?

A

A style that inspires and motivates staff to achieve goals and embrace change.

44
Q

What is scope of practice?

A

The legal and professional boundaries within which a nurse can perform duties.

44
Q

Define situational leadership in nursing.

A

Adapting leadership style to fit the needs of the team and specific situations.

45
Q

Name a skill essential for effective delegation.

A

Clear communication of tasks and expectations.

45
Q

How should leaders handle high patient acuity levels?

A

By ensuring proper staffing and effective delegation.

46
Q

What is delegation in nursing?

A

Transferring the authority to perform specific tasks to competent individuals.

47
Q

What does situational leadership require?

A

Adapting leadership style based on the team’s needs and the circumstances.

48
Q

What is the importance of conflict resolution in nursing management?

A

It ensures teamwork and maintains a positive work environment.

49
Q

What is the role of a charge nurse?

A

Supervising staff, managing resources, and coordinating patient care on the unit.

50
Q

What is included in the Patient’s Bill of Rights?

A

The right to informed consent, privacy, and respectful care, among others.

51
Q

What is a patient’s responsibility in healthcare?

A

Providing accurate information, complying with instructions, and respecting hospital rules.

52
Q

What does the right to autonomy ensure for patients?

A

Freedom to make decisions about their own care.

53
Q

What is the purpose of advance directives?

A

To communicate a patient’s wishes regarding end-of-life care.

54
Q

What is distributive justice in healthcare?

A

The fair distribution of resources and services.

55
Q

What is the right to informed consent?

A

The patient’s right to understand treatment options, risks, and benefits before agreeing to care.

56
Q

What is the right to privacy in healthcare?

A

Ensuring that a patient’s medical information is kept confidential.

56
Q

What is the responsibility of a patient regarding hospital rules?

A

To follow rules and regulations to ensure effective and safe care.

57
Q

Who can provide consent for a minor’s medical treatment?

A

A parent or legal guardian, unless the minor is emancipated.

58
Q

What is the principle of proportionality in ethical decision-making?

A

Choosing actions where the good outweighs the harm.

58
Q

What should be included in the explanation of patient rights?

A

Clear communication about rights to participation, decision-making, and access to medical records.

59
Q

What is the ethical dilemma of withholding versus withdrawing treatment?

A

Deciding whether to not start or stop a treatment when recovery is unlikely.

60
Q

What is the principle of beneficence?

A

Acting in the best interest of the patient to promote well-being.

60
Q

Define the ethical concept of stewardship.

A

Managing resources responsibly to benefit individuals and society.

61
Q

What is the ethical theory of utilitarianism?

A

Choosing actions that result in the greatest good for the greatest number.

62
Q

What is the nurse’s role in patient advocacy?

A

To act as a voice for the patient, ensuring their needs and preferences are respected.

63
Q

What is the right to pain management?

A

The right of patients to receive appropriate assessment and treatment for pain.

64
Q

How should nurses handle patient grievances?

A

By addressing complaints promptly and ensuring resolution.

65
Q

What is the right to discharge in patient care?

A

The patient’s right to leave the hospital when appropriate.

66
Q

What is the right to access medical records?

A

Patients have the right to view and obtain copies of their health information.

67
Q

What is the importance of accurate charting?

A

It serves as a legal record and ensures continuity of care.

68
Q

What should nurses avoid in documentation?

A

Erasing entries, using vague phrases, or leaving gaps in records.

69
Q

What is the role of SBAR in communication?

A

It standardizes communication with Situation, Background, Assessment, and Recommendation.

70
Q

What should a nurse document during patient care?

A

Observations, actions taken, and the patient’s response.

71
Q

How can poor communication lead to legal issues?

A

Miscommunication can result in errors and compromise patient safety.

72
Q

What is lifelong learning in nursing?

A

Continuously updating knowledge and skills to improve practice.

73
Q

Why is competency assessment important?

A

It ensures nurses provide safe and effective care.

74
Q

What is the purpose of clinical supervision for nursing students?

A

To guide and evaluate their practice and decision-making.

75
Q

What does evidence-based practice involve?

A

Integrating research findings into clinical decision-making.

76
Q

Why is reflective practice important in nursing?

A

It promotes self-awareness and improvement in care delivery.

76
Q

What is critical thinking in nursing?

A

The ability to analyze and evaluate information to make sound decisions.

77
Q

How can nurses prioritize patient care?

A

By using frameworks like Maslow’s Hierarchy of Needs.

78
Q

What is clinical reasoning?

A

Applying critical thinking to patient-specific situations for effective outcomes.

79
Q

How does a nurse manage a rapidly changing situation?

A

By assessing, planning, and implementing interventions promptly.

80
Q

What is root cause analysis in healthcare?

A

Identifying underlying causes of errors to prevent recurrence.

81
Q

What is the Doctrine of Epikia?

A

Allowing exceptions to general rules in ethical decision-making.

82
Q

Define moral distress in nursing.

A

Feeling conflicted when unable to act according to ethical beliefs.

83
Q

What is distributive justice?

A

Fair distribution of resources based on need.

84
Q

What is the nurse’s responsibility during a Code Blue?

A

To perform CPR and assist the team in life-saving interventions.

85
Q

Why is cultural competence important in nursing?

A

It ensures care is respectful and responsive to diverse patient needs.

4th Year PRELIMS (9 decks)

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