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Level 3 > Leadership Exam 1 > Flashcards

Leadership Exam 1 Flashcards

1
Q

What kind of leader empowers and inspires followers to achieve a common, long-term goal?

A

transformational

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2
Q

What kind of leader focuses on immediate problems, maintains the status quo, and uses rewards to motivate others?

A

transactional

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3
Q

What kind of leader inspires others to follow them by modeling a strong internal moral code?

A

authentic

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4
Q

What is management?

A

the process of planning, organizing, directing, and coordinating the work within an organization

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5
Q

What is leadership?

A

the ability to inspire others to achieve the desired outcome

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6
Q

Are effective leaders always in a management position?

A

NO

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7
Q

Who holds a formal position of power and authority?

A

Managers

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8
Q

What leadership style makes decisions for the group, uses coercion, and communication goes down the chain of command?

A

autocratic/authoritarian

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9
Q

When is an autocratic/authoritarian leadership style useful?

A
  • crisis
  • bureaucratic settings
  • employees with little/no formal education
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10
Q

What leadership style includes the group in decision-making, motivates by supporting staff achievements, and communication goes up and down the chain of command?

A

democratic

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11
Q

What leadership style makes very few decisions, does little planning, leaves motivation and responsibilities up to individuals, and communication goes up and down the chain of command and between groups?

A

Laissez-Faire

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12
Q

When is Laissez-Faire leadership effective?

A
  • only if an informal leader evolves
  • professional employees
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13
Q

Does delegation transfer authority and responsibility?

A

YES

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14
Q

Does delegation transfer accountability?

A

NO

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15
Q

What CAN’T an RN delegate?

A
  • nursing process
  • client education
  • clinical judgement
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16
Q

RN’s CANNOT delegate something that needs TAPE. What does this stand for?

A

T: teaching
A: assessment
P: planning
E: evaluating

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17
Q

What are the five rights of delegation?

A
  • right task
  • right circumstance
  • right person
  • right direction/communication
  • right supervision/evaluation
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18
Q

What makes a task the “right task” to delegate?

A
  • repetitive
  • requires little supervision
  • relatively noninvasive
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19
Q

How do you know if it is the “right circumstance” to delegate?

A
  • assess health status/complexity
  • assess skill level and workload of AP/LVN
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20
Q

How do you know if you are delegating to the “right person”

A
  • assess the scope of practice
  • assess competency/training
  • review team member’s performance
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21
Q

What should be communicated when delegating?

A
  • data that needs to be collected
  • method and timeline for reporting
  • specific tasks to be performed
  • expected results, timeliness, expectations for follow up
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22
Q

What should be done when supervising/evaluating delegation?

A
  • monitor performance
  • provide feedback
  • intervene if necessary
  • evaluate if outcomes were met
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23
Q

What can be delegated to a UAP?

A
  • ADL’s
  • bathing, grooming, dressing
  • toileting
  • ambulating, positioning
  • feeding (w/o swallow precautions)
  • bedmaking, other routine tasks
  • specimen collection, I&O’s
  • vitals (of stable clients)
  • postmortem care
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24
Q

What can be delegated to an LVN?

A
  • monitoring findings (for RN’s ongoing assessment)
  • reinforcing patient teaching (from standard care plan)
  • trach care
  • suctioning
  • checking NG tube patency
  • administering enteral feedings
  • inserting urinary catheter
  • administering meds ( NOT IV in some states)
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25
Q

Does assigning involve transferring authority and responsibility?

A

YES

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26
Q

Does assigning involve transferring accountability?

A

YES

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27
Q

When should the client’s condition/level of care needed, specific care, and precaution needs be considered?

A

assigning

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28
Q

What healthcare team member factors should be considered when assigning?

A
  • knowledge/skill level
  • supervision needed
  • staff mixing
  • nurse-to-client ratio
  • similar experience
  • familiarity with the unit
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29
Q

What is a good nurse-to-client ration?

A
  • 1 stable to 1 unstable
  • 2 unstable to 0 other patients
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30
Q

What can be done to deter disruptive behavior?

A
  • an environment of mutual respect
  • model appropriate behavior
  • support zero tolerance for disruptive behavior
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31
Q

What is an action that is rude, intimidating, and insulting that can include teasing, joking, dirty looks, and uninvited touching?

A

incivility

32
Q

What can lateral violence also be referred to as?

A

horizontal abuse/hostility

33
Q

Who does lateral violence occur between?

A

individuals at the same level

34
Q

What are the common behaviors of lateral violence?

A
  • verbal abuse
  • undermining activities
  • sabotage
  • gossip
  • withholding information
  • ostracism (exclusion)
35
Q

What is behavior that is persistent and relentless and is aimed at an individual who has limited ability to defend themselves?

A

bullying

36
Q

Who does bullying occur between?

A

individuals at different levels (perpetrator is at a higher level)

37
Q

How does the recipient feel when bullied?

A
  • threatened
  • disgraced
  • vulnerable
38
Q

What is expected behavior of a certain group in relation to what is considered right and wrong?

A

ethics

39
Q

What are the values and beliefs held by a person that guide behavior and decision-making?

A

morals

40
Q

What does the ethical theory analyze?

A
  • philosophies
  • systems
  • ideas
  • principles
    used to make judgements about what is right and wrong/good and bad
41
Q

What are two common types of ethical theory?

A
  • utilitarianism (teleological theory)
  • deontology theory
42
Q

What is utilitarianism/teleological theory?

A

decision-making based on what provides the GREATEST GOOD FOR THE GREATEST NUMBER OF PEOPLE

43
Q

What is the deontology theory?

A

decision-making based on OBLIGATIONS, DUTY, AND WHAT ONE CONSIDERS TO BE RIGHT OR WRONG

44
Q

What ethical principle is the ability of the client to make personal decisions, even when they may not be in the client’s best interest?

A

autonomy

45
Q

What ethical principle is providing care in the client’s best interest?

A

beneficience

46
Q

What ethical principle is keeping one’s promise to the client about the care offered?

A

fidelity

47
Q

What ethical principle is fair treatment related to care, time, and use of resources?

A

justice

48
Q

What ethical principle is the nurse’s obligation to do no harm?

A

nonmaleficence

49
Q

What ethical principle is the nurse’s duty to tell the truth?

A

veracity

50
Q

What makes a problem an ethical dilemma?

A
  • it cannot be solved solely by a review of scientific data
  • there is conflict between two moral imperative
  • the answer will affect the situation/client
51
Q

What do nurses act as when working with an ethical dilemma?

A
  • an agent for the client
  • a decision-maker regarding nursing practice
52
Q

Should you prioritize systemic or local?

A

systemic

53
Q

Should you prioritize chronic or acute?

A

acute

54
Q

Should you prioritize potential or actual problems?

A

actual

55
Q

What are the ABCDE’s?

A
  • airway
  • breathing
  • circulation
  • disability
  • exposure
56
Q

What should be assessed first when prioritizing?

A

safety risks (compare and prioritize greatest risk first)

57
Q

Who gets priority in mass casualty/disaster triage situations?

A

clients who have a reasonable chance of survival with prompt intervention

58
Q

Who is the lowest priority in mass casualty/disaster triage situations?

A

clients who have a limited likelihood of survival even with intense intervention

59
Q

What interventions should be exhausted first?

A

least restrictive/invasive

60
Q

How should care be organized for optimal time management?

A
  1. immediately
  2. by a specific time
  3. by the end of the shift
  4. what can be delegated
61
Q

When should documentation be done to save time?

A

immediately after

62
Q

What tasks should be done first to save time?

A

hardest

63
Q

What should be used to plan care to save time?

A

organizational sheets

64
Q

What are codes 1-3 of the ANA COE?

A

the basic values and commitments of the nurse

65
Q

What is code 4 of the ANA COE?

A

the nurses accountability to practice

66
Q

What are codes 5 & 6 of the ANA COE?

A

the ethical issues related to duty and loyalty, a healthy self, and a healthy workplace

67
Q

What are codes 7-9 of the ANA COE?

A
  • ethical issues beyond patient encounters
  • the nurse’s obligation to address social justice issues through direct action and involvement in health policy
  • the responsibility to contribute to nursing knowledge through scholarly inquiry and research
68
Q

What does provision 1 of the ANA COE say?

A

The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.

Ethical commitment: autonomy, beneficence, veracity, fidelity

69
Q

What does provision 2 of the ANA COE say?

A

The nurse’s primary commitment is to the patient, rather an individual, family, group, community, or population.

Ethical commitment: nonmaleficence, justice, veracity

70
Q

What does provision 3 of the ANA COE say?

A

The nurse promotes, advocates for, and protects the rights, health, and safety of the patient

71
Q

What does provision 4 of the ANA COE say?

A
  • The nurse has the authority, accountability, and responsibility for nursing practice.
  • makes decisions, takes action consistent with the obligation to promote health and provide optimal care.
72
Q

What does provision 5 of the ANA COE say?

A

The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of
character and integrity, maintain competence, and continue personal and
professional growth.

73
Q

What does provision 6 of the ANA COE say?

A

The nurse, through individual and collective effort, establishes, maintains,
and improves the ethical environment of the work setting and conditions
of employment that is conducive to safe, quality health care.

74
Q

What does provision 7 of the ANA COE say?

A
  • The nurse, in all roles and settings, advances the profession through
    research and scholarly inquiry, professional standards development, and
    the generation of both nursing and health policy.
  • Know and tell evidence-based practice; develop institutional practice
    standards; nursing and health policy development/revision.
75
Q

What does provision 8 of the ANA COE say?

A
  • The nurse collaborates with other health professionals and the public to
    protect human rights, promote health diplomacy, and reduce health
    disparities.
  • Human and health disparities
76
Q

What does provision 9 of the ANA COE say?

A
  • The profession of nursing, collectively through its professional
    organizations must articulate nursing values, maintain the integrity of the
    profession, and integrate principles of social justice into nursing and
    health policy.
  • Unified voice, create global policy change, personal awareness of
    professional documents, responsibility to address the unjust

Level 3 (29 decks)

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