Leadership Exam 2 Flashcards
What stage of team formation involves the members getting to know each other and the leader defining tasks/offering direction?
forming
At what stage of team formation does conflict arise?
storming
At what stage of team formation are rules established and roles are taken on?
storming
What happens in the norming stage of team formation?
- rule establishment
- members show respect for one another
- tasks begin to be accomplished
What is the focus during the performing stage of team formation?
the accomplishment of tasks
What is used to support change with the rational-empirical change strategy?
factual information
When is the rational-empirical change strategy used?
when resistance to change is minimal
What is used to support change with the normative-reduction change strategy?
interprofessional relationships
What is used to support change with the power-coercive change strategy?
rewards
When is the power-coercive change strategy used?
when individuals are highly resistant to change
How long is case management used for?
from the time the client starts receiving care until they no longer receive services
What is the goal of case management?
to avoid fragmentation of care and control cost
What is the nurse’s roles (6) om case management?
- coordinating care
- facilitating continuity of care
- improving the efficiency of care and utilization of resources
- enhancing quality of care
- limiting unnecessary costs and lengthy stays
- advocating
What are critical pathways used for?
to support the implementation of clinical guidelines and protocols
What are critical pathways usually based on?
cost and length of stay parameters
When is a variance documented?
when a client requires treatment other than what is typical or requires a longer length of stay
Who is a professional who provides expert advice in a particular area?
a consultant
What is a referral?
a formal request for service by another care provider
What are examples (6) of why a discharge referral can be made?
- canes
- walkers
- wheelchairs
- home health nurses
- hospice nurses
- home health aide
When should discharge planning start?
upon admission
When is it the nurse’s role to provide written and verbal reports of the client’s status and care needs?
transfers
What information is pertinent for a nurse to give during transfer?
- diagnosis and providers
- demographic information
- health status, plan of care, recent progress
- alterations that can precipitate immediate concern
- most recent vitals and meds
- assessment or care needed within the next few hours
- diet and activity prescriptions
- presence/need for specific equipment or adaptive devices
- family involvement and health care proxy
What does a discharge plan include a review of?
- the need for additional service
- current health and prognosis
- religious beliefs
- ability to perform ADL’s
- mobility status and goals
- sensory, motor, physical, or cognitive impairments
- support systems
What instructions should be given at discharge?
- home procedure step-by-step instructions
- medication regimen
- medication adverse effects
- names/numbers of provider and community resources
- plans for follow-up care and therapies
What does a written summary include prior to discharge?
- type
- date and time
- who accompanied a client
- how the client was transported
- condition
- destination
- disposition of valuables, meds brought from home, and prescriptions
- copy of discharge instructions
What does the PSDA say the client must be informed of upon admission?
their right to accept and refuse care
What identifies clients’ rights in the health care settings in the Patient Care Partnership?
the AHA
What should be done if the patient refuses treatment or wants to leave the hospital without approval from the provider?
- notify the provider
- discussion of potential risks/complications
- documentation
- sign an AMA form
What are some situations where advocacy would be necessary?
- end-of-life decisions
- access to healthcare
- protection of client privacy
- informed consent
- substandard practice