Midterm Flashcards
Nursing metaparadigm
Nursing (actions).
Person (recipients of care)
Environment (internal and external factors)
Health (defined by person)
Transactional vs. transformational
Transactional- exchange between leader and employee. Needs for empl are ID. Then rewards are given for performance. (Hierarchical organization).
Transformational- consultative and collaborative. Challenging the process. Motivating tans inspiring shared vision. Bring everyone together. Empowering others to act. Modeling change. Praising the employee.
Leadership vs management
Leadership- establishing direction. Aligning people. Motivating and inspiring. Produce change.
Management- planning and budgeting. Organizing and staffing. Controlling and problem solving. Produces a degree of predictability and order. Produce short term results.
Nursing levels of management
First- Nurse manager
Middle- director
Upper- executive
Tasks of managers
Clinical nursing practice. Pt care delivery. Use of human, fiscal, other resources. Personnel development. Compliance with regulatory and professional standards. Fostering interdisciplinary, collaborative relationships. Strategic planning.
Roles of CDC
Agency charged with the promotion of health and quality of life through the prevention and control of disease, injury and disability. Created infection control standards that are part of accreditation and practice standards.
Accreditation vs regulation
Accreditation- process validates the effectiveness and safety of care being rendered. Helps for marketing excellence.
Regulation- health care organizations are responsible for the level of competency. Emphasize specific job related aspects of safety and infection prevention and control. Methods of training. When and how to report adverse and sentinel events.
Progressive discipline
Progressive discipline is defined as a process or method that attempts to address and correct an employee’s work performance or inappropriate workplace behavior by providing clear and constructive feedback through a series of increasingly formal steps.
Role of BON
Uncovering suspected substance issues, unsafe practice. Nurse referred for assistance and monitored by the state. Accreditation and regulation of schools.
Steps to licensure
Apply for licensure through the NMBON.
Register for NCLEX.
Receive confirmation of registration for Pearson VUE. Receive eligibility from the state.
Receive authorization to test from Pearson.
Schedule a test time. Present one form of ID.
NMBON oversight of licenses and programs
Nursing, UAP, lactation, dialysis, med techs.
Organization charts
Practice, collaboration, communication, and professional development.
Impact of structure on nursing care
Improving the experience of care, improving the health of the population, reducing per capital costs.
Health care organizations focus of oversight, efficiency, and stakeholder satisfaction.
Centralized vs decentralized
C- hierarchy that follows a chain of command and is characterized by top-down decision making. The more decision making that is pushed down than the more decentralized it becomes.
D- lower level managers and staff have an increased opportunity for shared governance and report greater job satisfaction scores.
Patient care delivery models/systems
Delineates RN authority and accountability for clinical decision making.
Context of care, way care is delivered, care competencies required, and expected outcomes of care.
Workplace violence
Right to a safe work place.
Offensive language, to homicide.
NIOSH-institute for occupational safety and health.
Violence by stranger, pt’s, co-workers, and personal relations.
De-escalation
Present a calm, caring attitude.
• Do not match the threats.
• Do not give orders.
• Acknowledge the person’s feelings (e.g., “I know you are frustrated”).
• Avoid any behavior that may be interpreted as aggressive (e.g., moving rapidly, getting too close, touching, or speaking loudly).
Be alert.
• Evaluate each situation for potential violence when you enter a room or begin to relate to a staff member, patient, or visitor.
• Be vigilant throughout the encounter.
• Do not isolate yourself with a potentially violent person.
• Always keep an open path for exiting—do not let the potentially violent person stand between you and the door.
Take these steps if you cannot defuse the situation quickly.
• Remove yourself from the situation.
Call security. Report to your manager.
Conflict resolution
Determine the basis of the conflict. (Interpersonal, group, organizational).
Analyze the source of the conflict.(cultural, perception, roles, communication).
Consider alternative approaches.(avoiding, accommodate, compromise, competing).
Locating policies
Intranet
Anti discrimination
regardless of race, color, national origin, religion, sex, age, or disability. These laws are enforced by the U.S. Equal Employment Opportunity Commission (EEOC).
-Age, wages based on gender, sexual harassment.
Strategic plan
Where the organization/department is going over the next year or longer. And how.
Mission statement, challenges and strategy, goals short and long, policies, needed resources, key assumptions.
Purpose of planning
Increase chance of success. Force analytical thinking, knowledge of current evidence, eval of alternatives.
Establishes framework for decision making. Orients people with action. Helps with day to day and future focused managing. Help avoid crisis. Organization and individual performance management. Cost effective.
Medicaid
Medicaid- federal and state program. Low income and limited resources. Pregnant, elderly, children, disabled.
Types of health services
Primary-decrease risk for disease.(immunizations) Health maintenance. Nutrition counseling.
Secondary- disease prevention through early intervention. (Surgery)
Tertiary- long term care. (Durable medical equipment, education).
Health care funding
Non-profit and for profit.
Board of trustees.
Foundations and charities.
Warning Signs of Violence
- Attendance problems
- Carelessness at work
- History of physical violence
- Performance problems
- Personality changes
- Poor hygiene
- Substance abuse
- Social isolation (Motacki 106)
Signs of Impending
Physical Violence • Clenched jaws or fists. • Increased movement. • Increased respirations. • Pacing. • Shouting threats. • Staring or pointing. • Use of profanity. (Motacki 106)
US government
Oversees plans that assist older adults, the disabled, uninsured people.
State children’s health insurance program (SCHIP)
Uninsured kinds who are not eligible for Medicaid. They are state run.
All kids
Medicare
Largest health care financing program. This name given to a health insurance program that administered by the US gov. Covering people who are either over 65 or meet special criteria. (ESRD)
Development or inherent
Kk
Different theories
ad
Types of leaders.
Pos neg of each style
D
Impact of leaders on followers.
And
Impact of CDC on nursing
Fog
The nurse manager on the labor and delivery unit evaluates that one of the staff nurses has leadership qualities. Which of the following is a basis for this judgment?
A. The nurse works overtime every week.
B. The nurse stays long after her shift is over to chart.
C. The nurse uses a monthly forum to review current knowledge content.
D. The nurse uses a negative approach when evaluating staff skills. (Motacki 13)
C
As a nurse, you are aware that one element that is common to the nursing process and the management process is: A. Identification of needs B. Identification of resources C. Planning D. Control
C
One main difference between an ideal leader and an organization-focused manager is that an:
A. Ideal leader maintains the status quo
B. Organization-focused manager is creative
C. Ideal leader is a risk-taker
D. Organization-focused manager is a visionary
C
Which of the following is NOT the middle-level manager’s responsibility?
A. People within the departments they supervise
B. Liaison between upper management and first-level manager
C. Establishment of organizational goals
D. Activities within the departments they supervise (Motacki 13)
C
The middle-level manager:
A. Makes hospital-wide decisions
B. Supervises a number of upper-level managers
C. Is responsible for the people and activities on a 24-hours-a-day/7-days-a-week basis
D. Is responsible for their specific shift only (Motacki 14)
C
You are mentoring a new nurse. You know that which of the following is NOT a mentor’s responsibility?
A. Discuss means to correct chronic tardiness
B. Offer criticism on nursing skills
C. Perform a nurse’s probation period review
D. Evaluate the nurse’s exact break and lunch times (Motacki 14)
A
The four skill sets needed by good leaders are:
A. Self-awareness, self-management, social awareness, and relationship management
B. Self-awareness, self-management, social control, and relationship management
C. Self-awareness, self-control, social awareness, and relationship management
D. Self-awareness, self-management, social awareness, and relationship performance (Motacki 14)
A
- Ruiz (1997) defines the “four agreements” that leaders must make with themselves. They are as follows:
A. Be impeccable with your word, take nothing personally, make no assumptions, and always do your best, no more and no less
B. Be impeccable with your actions, take nothing personally, make no assumptions, and always do your best, no more and no less
C. Be impeccable with your word, take nothing personally, make assumptions, and always do your best, no more and no less
D. Be impeccable with your word, take nothing personally, make no assumptions, and be appreciative of your staff (Motacki 14)
A
Leader competencies are a necessary aspect of a leader’s role. As a leader, you are aware that the following is needed for this role:
A. A clear vision and owned purpose
B. A pessimistic attitude with colleagues
C. A negative approach with families
D. A membership with more than three committees (Motacki 14)
A
The vice president of nursing is responsible for:
A. Establishing organizational goals and strategic plans for nursing
B. Developing and maintaining daily assignments
C. Prioritizing events during disaster plan implementation
D. Overseeing the mission and vision of the organization
(Motacki 14)
A
