leadership

Question 1

Characteristics of a Great Leader- Possesses 3 Elements: (Obama)

Answer 1

Possesses 3 Elements:
Influence/persuade
Bring groups together
Work toward a common goal

Focus on people. Management focuses on projects and bottom line.

Question 2

Setting priorities 3 Es:

Answer 2

Evaluate needed tasks
Eliminate what others can do (assign and delegate)
Time management

Question 3

ROLE OF A LEADER

Answer 3

Mentoring: help people with a sense of direction
Set missions, visions, goals, and purpose
Motivate and inspire a group to commit to its goals
Face challenges as they arise; change and innovate

Question 4

An autocratic leader (auto - self)

Answer 4

tries to move the group toward his or her goals

Question 5

A democratic leader tries to move the group toward

Answer 5

shared goals

Question 6

A laissez-faire leader makes

Answer 6

no effort to move the group

Question 7

Followership (Follow the critical thinker)

Answer 7

An active, not passive role
A valuable follower is skilled, committed and fully participates in decision making
A self-directed critical thinker
Advocates for new ideas
Takes initiative when needed without being asked

Question 8

Management

Answer 8

Managers have a formal organizational authority and accountability for the use of resources in the organization
An assigned position
May or may not possess effective leadership skills

Question 9

Business sense

Answer 9

Business sense – eliminate wasteful resources, staffing, compliance, patient outcomes, meeting organizational goals

Question 10

Effective Manager Behaviors

Answer 10

Conflict negotiation and resolution
Networks
Employee Development – supports continuing education and skills development
Promote shared governance - keeps employees engaged, motivated and share in decision making
Coaching – nurtures employees to improve personal and professional growth
Rewards and disciplines – salaries,
time off, praise and recognition

Question 11

Management Responsibilities

Answer 11

Responsible for ensuring patient care is given as effectively and efficiently as possible
( How do these 2 words and skills differ?)
Employee evaluation
Resource allocation - budget
( $$ spent vs. $$ need)
Staffing

Question 12

Management Responsibilities cont’n

Answer 12

Organizational planning
Spokesperson – between staff and upper administration
Monitoring – Quality indices (census, infection rates, errors, variances, staff attendance)
Public Relations

Question 13

What should you do if work under an ineffective manager

Answer 13

Seek other employment options
Continue doing your best
Do not take on negative behaviors
Seek support among co-workers
Consider transferring within organization

Question 14

What is essential for interaction

Answer 14

Interacting with people begins and ends with communication
Involves the spoken words
AND
Involves non-verbal cues
Paralanguage (pitch, tone, body language)
Emotional state of the person
Cultural backgrounds may interpret spoken messages differently

Question 15

Listening is the most important of all communication skills

Answer 15

Listening is the most important of all communication skills

Question 16

BASIC LISTENING SEQUENCE

Answer 16

Listen for:
Information
Emotion
Demonstrate attentiveness
Eye contact
Body language
Verify understanding
Ask questions
Repeat important points
Paraphrase and summarize

Question 17

Assertive communication (I am assertive)

Answer 17

Honest and direct
Use “I” statements to confront an issue. Requires that verbal and non-verbal messages are congruent.
As new nurses working with interdisciplinary team, assertiveness assumes even greater importance for patient advocacy.

Question 18

agressive communication

Answer 18

Forcing your ideas on another (abrasive and demanding)

Question 19

Passive (Avoider)

Answer 19

Avoids expression of ideas and feelings.
Leads to resentment, misunderstanding and may contribute to harm
Avoids conflict; people pleaser

Question 20

Passive-aggressive (Sabotager)

Answer 20

Passive on surface but brewing anger in subtle ways or behind the scene
Leads to hurt feelings, confusion, anger and resentment.

Question 21

Barriers to Communication

Answer 21

Physical barriers – noise, activity or environmental set-up
Psychological barriers – social values, emotions, judgments and cultural differences
Gender barriers – Men and women communicate differently

Question 22

Semantic barriers – Different meanings in words or symbols

Answer 22

Semantic barriers – Different meanings in words or symbols

Question 23

Phone/Verbal Orders

Answer 23

Student nurse may not take a verbal order alone; a nurse has to be present.
Verbal orders, except in an emergency, are NOT a good use of nursing time.
Ask for clarification from the person who wrote it. Don’t guess. You are legally responsible for the consequences even if there is an error. The order must be legible if written and clearly understood, including abbreviations (Joint Commission has approved list.)
Must be written exactly as communicated

Question 24

Pros and Cons of Unions

Answer 24

Pros – Protection of the right to fair treatment and the availability of a grievance process
Cons – Some RNs think it’s unprofessional to belong to a union. It separates management-level from staff-level as opposing parties. Nurses who make staffing decisions may be classified as supervisors and are therefore ineligible to join a union, separating them from their colleagues.
**contract adds a layer of rules and regulations between staff and supervisors. These rules can take up to ¼ of a manager’s time

Question 25

discharge

Answer 25

leader will help you get it done, ie transportation, etc. management will tell you to get it done.

Question 26

Autocratic
(“Controlling, Authoritarian”)

Answer 26

Focused on centralized decision making → works well in crisis situations

Question 27

Democratic
(“Participative”)

Answer 27

Employs team approach; encourages ideas and participation

Question 28

. Laissez-faire
(“Passive, Non-directive)

Answer 28

Little planning or decision making; fails to encourage

Question 29

leader

Answer 29

Focus on people
Do the right things
Influence and inspire
Innovate
Develop
What/Why

Question 30

manager

Answer 30

Focus on things
Do things right
Direct
Administer
Maintain
How/When

Question 31

Qualities of an Effective Manager

Answer 31

Leadership skills

Clinical expertise – knowledge of the field

Business sense – eliminate wasteful resources, staffing, compliance, patient outcomes, meeting organizational goals

Question 32

Interdisciplinary Team Conferences

Answer 32

Brings together the members of the treatmentteamto coordinate care and to document the communication among all members of theteamrelated to the patient’s plan of care and treatment goals → high quality patient outcome
Team members: Primary care team, bedside RN, SW, CM, dietician, pharmacist, OT/PT/RT, etc.
Allows the nurse to advocate for patient needs and concerns
Practice communication and leadership skills
Have background data
Enhance sense of teamwork, self-esteem and value to patient care **you know the patient best!!

Question 33

when you can take a verbal order

Answer 33

code blue

Question 34

feedback

Answer 34

use the sandwich method

Question 35

warnings

Answer 35

1 - verbal
2- written
3- written termination

Question 36

you can refuse an assignment when

Answer 36

you don’t have the skills

Question 37

6 qsen competencies (PEST QIC)

Answer 37

patient-centered care, teamwork and collaboration, safety, evidence-based practice, quality improvement, and informatics

Question 38

quality improvement method**(plan to study and modify it before practice)

Answer 38

it’s a planning, study result, and modify it, put into practice.