Leadership & Management

Question 1

Management

Answer 1

the process of coordination and integration of resources through planning, organizing, coordinating, directing and controlling to accomplish specific institutional goals and objectives.

Question 2

Leadership

Answer 2

Process of influencing people to accomplish goals

Question 3

leader

Answer 3

informs others of the goal to be obtained to solutions can be co-created in the best manner to serve clinical and organizational needs

Question 4

motivator

Answer 4

motivates others assertively toward the objective at hand

Question 5

communicator

Answer 5

deals with people skillfully: coach, communicate, and counsel

Question 6

Decision maker

Answer 6

uses critical thinking skills in decision making

Question 7

followers

Answer 7

engages with others who are leading or managing in contribution to problem identification, completing tasks, and providing feedback

Question 8

goals/vision/holistic vew

Answer 8

engage others to asses the current reality, determine and specify a desired end point state, and then strategize to reduce the difference

Question 9

Delegation

Answer 9

transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome

Question 10

responsibility

Answer 10

obligation involved when one accepts an assignment

Question 11

accountability

Answer 11

being responsible and answerable for the actions or inactions of self of others in the context of delegation

Question 12

authority

Answer 12

right to act or command the action of others, based on the Texas Nurse Practice Act

Question 13

Supervision

Answer 13

the provision of guidance or direction, over-sight, evaluation, and follow-up by the licensed nurse for the accomplishment of a delegated nursing task by a UAP

Question 14

Competence

Answer 14

the ability to perform a skill according to a set of procedural standard

Question 15

Delegation Decision Tree

Answer 15

Assess and Plan
Communication
Surveillance/Supervision
Evaluation and Feedback

Question 16

other definitions of accountability

Answer 16

“Being answerable for what one has done, and standing behind that decision and/or action” (Hansten & Jackson, 2009, p. 79)
“Being responsible and answerable for actions or inactions of self or others in the context of delegation” (NCSBN, 1995, p. 1)
The delegate is accountable for accepting the delegation and for his/her own actions in carrying out the task (NCSBN, 1995, p. 3)

Question 17

You are accountable for:

Answer 17

Deciding to delegate
Assessing patient’s needs
Planning desired outcomes
Assessing competency of delegate
Giving clear directions and obtaining acceptance from delegate
Following up and providing feedback

Question 18

5 Rights of Delegation

Answer 18

Deciding to delegate
Assessing patient’s needs
Planning desired outcomes
Assessing competency of delegate
Giving clear directions and obtaining acceptance from delegate
Following up and providing feedback

Question 19

factors to assess before delegating

Answer 19

Potential for harm
Complexity of the task
Amount of problem solving
Unpredictability of outcome
Level of patient interaction

Question 20

RN v. LVN

Answer 20

RN’s- assess, plan care, monitor, and evaluate all patients, especially complex, unstable patients with unpredictable outcomes.
LVN’s- care for stable patients with predictable outcomes, they work under the direction of the RN and are responsible for their action within their scope of practice.

Question 21

Cannot Delegate

Answer 21

Assessments that identify needs or problems or diagnose human responses
Any aspect of planning
Health counseling, teaching, or referrals to other health care providers
Therapeutic nursing techniques and comprehensive care planning

Question 22

How to give/receive feedback effectively

Answer 22

Ask for input
Give credit for effort
Share perceptions
Explore differing points of view
Determine what steps are needed for desired outcomes
Revisit plan and results achieved

Question 23

Commonly delegated tasks

Answer 23

Non-invasive and Non-sterile treatments
Vitals signs, height, weight, intake and output, glucometer
Ambulation, positioning, turning
Transporting of client within the facility
Personal hygiene and elimination, activities of daily living
Feeding, cutting up food, or placing meal trays at bedside
Socialization activities

Question 24

Under delegation

Answer 24

The delegator fails to transfer full authority to the delegate.
The delegator take back responsibility for aspects of the task.
The delegator fails to equip and direct the delegate.

Question 25

Over delegation

Answer 25

Over delegation occurs when the delegator loses control over a situation by providing the delegate with too much authority or too much responsibility. This places the delegator at a risky position, increasing potential for liability

Question 26

Delegation Dont’s

Answer 26

Assessment
Formulation of a nursing care plan
Implementation  of parts of the nursing care plan
Responsibility and accountability of health education
Dosage calculations
Injectable medications (except insulin)
Medications via a non-permanent tube
Verbal and telephone orders
Initial dose