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NCLEX > Leadership/Community > Flashcards

Leadership/Community Flashcards

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1
Q

1 essential component of leadership?

A

Effective communication

other essential components: Conflict manager, Knowledge/competence/ Role model, Delegation, Identifies goals/objectives, Motivation, Proactive, Flexible

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2
Q

Authoritative leadership style

A

the nurse manager tells the staff what needs to be done and how to perform it without getting their advice or ideas

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3
Q

Democratic leadership style

A

the nurse manager allow input and participation from staff

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4
Q

Laissez-faire leadership style

A

the nurse manager has minimal input in work, lack of organization, coordination, and planning; not much sense of direction

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5
Q

Transactional leader

A

focus on immediate problems using rewards as motivation

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6
Q

Transformational leader

A

empower and motivate followers toward a common vision

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7
Q

Intrapersonal conflict

A

conflict with self

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8
Q

Interpersonal conflict

A

conflict between two or more people

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9
Q

Intergroup conflict

A

conflict in department, organization

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10
Q

Reportable incidents

A 
Medication errors
Procedure/treatment errors
Equipment-related injuries/errors
Needlestick injuries
Client falls/injuries
Visitor/volunteer injuries
Threat made to client or staff
Loss of property (e.g., dentures, jewelry, personal wheelchair)
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11
Q

Autonomy

A

make one’s own decisions

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12
Q

Beneficence

A

do good for others

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13
Q

Confidentiality

A

Observe the privacy of another and maintain strict confidence

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14
Q

Fidelity

A

to be faithful to agreements and responsibilities, to keep promises

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15
Q

Justice

A

to be fair to all people (when allocating limited resources)

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16
Q

Nonmaleficence

A

not to harm others

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17
Q

Paternalism

A

assuming the right to make decisions for another

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18
Q

Veracity

A

to tell the truth

19
Q

Advocacy

A

the nurse assists the client to grow and develop toward self-actualization (emphasizes the values of caring, autonomy, respect, empowerment)

20
Q

Living will

A

a type of advance directive that describes how a person wants emergency and/or end-of-life care to be managed when the individual is unable to make decisions

21
Q

Durable power of attorney for health care

A

a legal document that designates a trusted individual to make health care decisions for the client

22
Q

DNR

A

Do Not Resuscitate - a legal document saying that a person does not wish to prolong life through resuscitative efforts

23
Q

Informed consent

A
  • signed by clients who are ≥ 18 , mentally competent adult, legal guardian, emancipated or married minor, parent of a minor, or court order
  • must know the procedure, risks, benefits, complications/SE, alternatives
  • nurse’s role: witness the client’s signature and make sure the provider gave necessary info and client understood and competent to sign – notify provider if clarification needed
  • *implied consent when it’s a life/limb situation
24
Q

Mandatory report what?

A

Abuse of children and older adults and Communicable diseases (syphilis, gonorrhea, chlamydia, HIV, Hep B and C, TB, Measles, Mumps, Chickenpox)

25
Q

Impaired coworker (using drugs or alcohol), what to do?

A

report to the supervisor

26
Q

Malpractice

A

an act on the part of a nurse for NOT meeting the expected standards of practice set by the nursing board = the nurse has breached her/his duty of care and this action has resulted in harm and injury

27
Q

Negligence

A

Omission of doing something which a reasonable person would do, OR doing something that a reasonable person would not do

28
Q

Emergent/Class I (red tag)

A

immediate threat to life; do not delay tx

29
Q

Urgent/Class II (yellow tag)

A

major injuries that require tx; can delay tx 30 min - 2 hr

30
Q

Nonurgent/Class III (green tag)

A

minor injuries that do not require immediate tx, can delay tx 2-4 hr

31
Q

Expectant/Class IV (black tag)

A

expected and allowed to die; prepare for morgue

32
Q

Effects of culturally competent care

A
  • promotes communication
  • promotes effective care
  • improves treatment adherence
  • mutual respect
33
Q

American culture

A
  • openly express positive/negative emotions
  • direct eye contact
  • maintain distance
  • health viewed as absence of disease/illness
34
Q

Asian culture

A
  • do not openly express feelings
  • head nodding does not mean agreement
  • do not prefer direct eye contact
  • touching someone on the head may be disrespectful
  • reject psychiatric care
  • use traditional/herbal remedies w/ medical care
  • yin (cold) and yang (hot)
  • no “hot” foods during pregnancy (chilies, ginger, animal products) – only cold foods (milk products, yogurt, sour foods and vegetables)
  • RISKS: HTN, stomach/cervical/liver cancer, osteoporosis, thalassemia anemia, TB
35
Q

Middle Eastern culture

A
  • avoid eye contact with nonrelated people of opposite gender
  • touching/exams by opposite genders prohibited
  • avoid pork/alcohol
  • (Muslims) - dying client may wish to be placed facing Mecca (usually EAST)
36
Q

Hispanic/Latino culture

A
  • needs of family take precedence
  • “hot and cold” foods
  • delay seeking healthcare
  • evil eye
  • food - fresh ingredients, beans, rice, fried foods
  • “siesta” - midday nap important for maintaining health
  • RISKS: DM, childhood obesity, HTN, Vit B12 deficiency anemia
37
Q

African American culture

A
  • church and religious life are important (prayers and visits from a minister are important)
  • chronic/congenital illnesses consider as God’s will
  • direct eye contact is rude
  • attention from family/relatives is expected when sick
  • RISKS: HTN, CAD, sickle-cell anemia, DM, prostate/breast/colorectal cancer, renal disease
38
Q

Native American culture

A
  • grandparents are decision-makers
  • shamans used
  • silence indicates respect
  • eye contact may be disrespectful
  • illness caused by supernatural forces
  • RISKS: Alcohol use disorder, Gallbladder disease, DM, CAD, TB, Maternal-infant mortality, obesity, HTN
39
Q

Catholics

A
  • avoid meat on ash wednesdays and fridays for lent
  • annointing of sick
  • sacraments before death
40
Q

Buddhism

A
  • refuse care on holy days
  • refuse analgesics
  • avoid smoking/alcohol
  • vegetarians
  • shrine to buddha placed
  • belief in karma
  • cremation preferred
  • after death, recite prayers for 1 hour
  • chanting common
  • family stays with body for 2 days
41
Q

Hinduism

A
  • no life-prolonging measures
  • vegetarians
  • soul is immortal
  • illness is punishment of past behavior
  • placed on floor while dying
  • typing thread around person while dying
  • sacred threads not removed after death
  • family bathes client
42
Q

Islam

A
  • fast during Ramadan
  • AVOID pork/alcohol
  • don’t use cough syrup
  • daily prayer rituals/privacy for prayer
43
Q

Judaism

A
  • kosher diet - avoid pork and shellfish and do not prepare and eat milk and meat at same time
  • treatments sometimes refused on sabbath
44
Q

Jehovah’s Witness

A
  • refuse blood transfusions
  • avoid foods prepared with blood or containing blood
  • can eat animal flesh drained of blood

NCLEX (24 decks)

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