Leadership Exam 1

Question 1

Why create a document that lists organization’s values?

Answer 1

Establish consonant organizational culture

Question 2

Nurse leader at staff meetings should encourage?

Answer 2

Relevant questions respectfully

Question 3

Blame game examples (2)

Answer 3

Med Errors

Workarounds

Question 4

Work Arounds (with example)

Answer 4

improvised response to breakdown work w/out correcting underlying problem
(plugging of machine)

Question 5

5 R’s of ▲

Answer 5

Re-engineering organization - efficiency
Re-designing workforce - business model
Re-regulating practice - licensing
Rightsizing workforce  - good budgeting
Restructuring education - continuous

Question 6

Change makes a…?

Answer 6

DIFFERENCE!

Question 7

Plan, Do, Study, Act model is used to…?

and (4)

Answer 7

test change
Plan - stated with predictions
Do - test w/ data collection
Study - analysis of data
Act - change based on previous

Question 8

Lewin’s Change Theory (4)

Answer 8

Unfreezing - status quo
Moving - action plan/working stage implemented
Refreezing - preventing past, begins at start
Force field analysis - ↑driving/↓restraining forces (or both!)

Question 9

6 Pillars of Institute of Medicin

Answer 9

Safe
Effective
Efficient
Timely
Patient Centered
Equitable

Question 10

Magnet Nursing

Answer 10

recognition program where forces of magnetism create excellence (nurse, govt, BSNs, staffing ratios).

Question 11

Transformational Leadership Theory

Answer 11

focus on leaders who embrace change, reward/guide self aware staff to take risks to improve

THEY CREATE VISIONS AND GOALS

Question 12

Clinical Pathways

Answer 12

sequence and time interventions “cookbook” medicine

goal is to manage cost but maximize efficiency

Question 13

What do vision statements describe?

Answer 13

Where organization wants to be.

Question 14

Innovators %
Adopters
Early Majority
Late Majority
Laggards

Answer 14

2.5
13.5 - Maloney’s 16%
34
34
16

Once 16% hit, need to focus on SOCIAL PROFF to accelerate ▲

Question 15

Successful leadership qualities (5)

Answer 15

foundational thinking - address issues
personal disciplines - act on own strengths/weakness
systems thinking - consider whole
succession planning - promote via role model
change management - plan, support, adapt ▲

Question 16

PICO Components

Answer 16

patient
intervention
comparison
outcome

Question 17

Autocratic
Bureaucratic
Laissez-faire leadership

Answer 17

makes decisions by ordering, assumes external motivation
relies on rules/policy to give direction
assumes internal motivation/recognition, lets staff do

Question 18

Country Club
Team
Organizational
Impoverished
Authority-Obedience Management Styles

Answer 18

Top left = + people, - production
Bottom right = +production, - people

Country Club Team
Org.
Impoverished Authority

Question 19

Connective Leadership Theory

Answer 19

nurturing environment based on emotions, self-awareness, and interconnectedness

Question 20

Transformational Leadership Theory

Answer 20

MOST accepted

Leaders empower/motivate staff via recognition

Question 21

Leaders v. Managers

Answer 21

Leaders maintain charge
Managers maintain equilibrium

NEED BOTH

Question 22

Peter Principles

Answer 22

staff can be promoted but not competent to fill new position (not everyone is a leader)

Question 23

Policy Making Process (basically ADPIE)

Answer 23

define problem
specify criteria
display solutions
implement
evaluate

Question 24

Complementary/Dual operating system

Answer 24

Management hierarchy working with strategy network

Question 25

David Harkin's ▲ Adoption Curve (5)

Answer 25

``` ignore complain plead sulk accept Inevitable, but we can control the speed. ```

Question 26

Project Plan focus vs. Strategic Plan focs

Answer 26

focus on operation/completing work | focus on long term goal/vision

Question 27

4 Major Phases staff nurses should be included in?

Answer 27

Application/Designation Documentation Site Visit Review/Decision

Question 28

Magnet Hospital

Answer 28

discrete departments with nurse researchers

Question 29

Focus of "Healthy People 2020"

Answer 29

Eliminate health disparities

Question 30

IOM Elements of Quality Care

Answer 30

Staying healthy Getting better Living with illness Coping with end of life

Question 31

Patient Protection and Quality Improvement Act improves safety by...?

Answer 31

encouraging voluntary/confidential reporting of events that adversely affect patients

Question 32

Social Security Tax Equity Consolidated Omnibus Medicare Catastrophic Act Breakdown

Answer 32

established medicare/medicaid established reimbursement for the above ED care is not optional Elderly should pay more for medicare = repealled

Question 33

Balanced Budget Medicare Prescription Patient Protection/Affordable Care Act Breakdown

Answer 33

increase medicare contracting medicare can cover prescriptions Obama care, ↑ affordability of health care

Question 34

Patient Centered care

Answer 34

identify, respect, and care about pt differences, values, preferences, expressed needs; relieve pain and suffering; coordinate continuous care; listen to, clearly inform, communicate with, educate, share in management... and so on! (from IOM)

Question 35

Scope of Clinical Pathways (3)

Answer 35

inpatient care complete episode of care specialized applications

Question 36

Practice guidelines

Answer 36

statements that help practitioners make decisions on clinical conditions

Question 37

Aone Guiding Principles

Answer 37

Guide nurse leader in achieving a diverse work force by being a resource advocate

Question 38

3 factors of Health Literacy

Answer 38

Accessing care illness management general information processing

Question 39

4 Areas covered by JC

Answer 39

Emergency Management HR Environment of Care Information Management