nursing leadership and management (exam 1)

Question 1

attempt to influence the beliefs, opinions, or behaviors of a person or group. Guide people and groups to accomplish common goals and may not have formal authority but are still able to influence others.

Answer 1

leader

Question 2

coordinate people, time, and supplies to achieve desired outcomes in a defined area of responsibility. Have an appointed management position and a formal line of authority and accountability.

Answer 2

manager

Question 3

ability to guide or influence others

Answer 3

leadership

Question 4

practiced by the nurse who is appointed to an approved position and is given authority by the organization to act

Answer 4

formal leadership

Question 5

exercised by the person who has no official authority to act but can influence others in the work group.

Answer 5

informal leadership

Question 6

coordination of resources (time, people, supplies) to achieve outcomes.

Answer 6

management

Question 7

ability to reward people for compliance: money, desired scheduling or assignments, acknowledgement of accomplishments privately and publicly.

Answer 7

reward power

Question 8

opposite of reward power; based on fear of punishment for failure to comply, threats to or actual withheld/delayed pay increases; unwarranted verbal and written warnings and possibly termination. BULLYING

Answer 8

coercive power

Question 9

power comes from the official position in which others are obligated to comply. Example: manager position

Answer 9

legitimate power

Question 10

ability to influence others due to respect and admiration from others who want to emulate the leader’s actions. Role Model

Answer 10

referent power

Question 11

“Knowledge is Power” – based on knowledge, skills, and information expertise (work on unit for 15 years; consulted by new grads)

Answer 11

expert power

Question 12

Like expert power, but based on holding any form of knowledge that others need

Answer 12

informational power

Question 13

“Who you know”. Power based on a person’s affiliation with others who are perceived as being powerful.

Answer 13

connection power

Question 14

what are the types of power?

Answer 14

reward
coercive
legitimate
referent
expert
informational
connection

Question 15

decide in advance what to do; how, when, and where it is to be done; and who is to do it.

Answer 15

planning

Question 16

All management functions are based on planning. Important components of planning:

Answer 16

Mission and philosophy

Strategic planning: long range; extends 3-5 years into future

Goal and objectives: state actions necessary to achieve the strategic plan

Operational planning: encompasses the day-to-day activities of the organization.

Question 17

establish formal structure to define the lines of authority, communication, and decision making. Define roles and responsibilities for each level of management and staff. Coordinate activities with other departments. Communicate to ensure a smooth workforce.

Answer 17

organizing

Question 18

determine the # and type of staff needed. Recruit, interview, select, and assign personnel. Orient, train, socialize, and develop staff members. Implement ongoing staff development programs. Implement creative and flexible scheduling.

Answer 18

staffing

Question 19

RN work satisfaction factors:

Answer 19

Leaders who inspire vision and excitement

Collab decision making

Fairness of the workload and salary

Appreciation and positive recognition

Open communication and being informed

Mentorship and professional development opportunities

Challenging work and control over nursing practice

Support for good nurse DR relations

Adequate staffing

Agreeable work hours, flexible scheduling, and paid time off

Strong group cohesion and respectful relations

Ongoing feedback about performance

Question 20

clearly communicate performance expectations. Role model expected behaviors. Manage conflict and facilitate collaboration. Create a motivating climate and team spirit:

Answer 20

directing

Question 21

+ reinforcement in the form of a sincere thank you is a powerful motivational resource. For + reinforcement to be effective, it must:

Answer 21

Be specific, with praise given for a particular task

Occur as close as possible to the time of the achievement

Be spontaneous and unpredictable

Be given for a genuine accomplishment

Question 22

ensure that employees accomplish goals while maintaining high-quality performance. Establish performance or outcome standards. Measure and evaluate performance against established standards. Determine an action plan to improve performance.

Answer 22

controlling

Question 23

what are the management functions?

Answer 23

planning, organizing, staffing, directing, and controlling

Question 24

committed to organizational goals and clearly communicate vision and direction. Empower the work group to accomplish goals. Impart meaning and challenge to work. Are admired and emulated. Provide mentoring to individual staff members based on need. Achieve higher levels of staff satisfaction and greater work group effectiveness.

Answer 24

transformational leadership

Question 25

makes all decisions with no staff input and uses the position to accomplish goals

Answer 25

authoritarian

Question 26

encourages staff involvement in goal setting, problem solving, and decision making

Answer 26

democratic

Question 27

provides little direction or guidance and will forgo decision making

Answer 27

Laissez faire

Question 28

what are the types of management theory?

Answer 28

authoritarian
democratic
laissez faire

Today’s health care system requires democratic (or participative) management. Depending on the situation, the nurse manager may need to use different types of management styles.

Question 29

how do you be a good follower?

Answer 29

Enthusiasm: cheerful attitude

Set the example

Know your responsibilities

Exhibit leadership PRIDE: personal responsibility in developing excellence in everyone.

Initiate followers: don’t wait to be told what to do

Life-long learners

Emotional awareness: self-awareness of emotions; self-regulation of emotions; motivation; empathy; social skills

Seek to serve: assist others when necessary; put others 1st

Question 30

what are examples of bullying?

Answer 30

invalid criticism or unjustified blame, profane or disrespectful language, being gossiped about or being the target of rumors, being yelled or shouted at in a hostile way, being sworn at or verbally abused, being assigned undesirable work differently from the rest of your colleagues, being put down or humiliated in front of others. ALSO known as lateral violence or disruptive behaviors.

Question 31

Consequence of bullying are significant:

Answer 31

Victims may have probs with poor physical health, feelings of self-blame, reduced self-esteem, and work-withdrawal

Distress and low morale among other staff

Lower productivity and higher cost for the organization

Patient safety and quality concerns

Question 32

Steps to address bullying by people:

Answer 32

Recognize that bullying is occurring

Realize that the victim is NOT the source of the prob

Recognize that bullying is about control and has nothing to do with the victims’ performance

The victim should keep a record of the nature of the bullying (dates, times, places, what was said or done, and who was present)

Know and follow the organizational policy on bullying and incivility in the workplace.

Question 33

Steps to address bullying by employers:

Answer 33

Implement and enforce 0 tolerance anti-bullying policies

Be sure everyone is aware of what bullying is and encourage reporting

Question 34

what should the nurse create in regards to bullying?

Answer 34

Create an environment where staff feel free to discuss challenges related to incivility and bullying with their supervisors. Promote a culture of respect and an expectation of professional demeanor for all.

Question 35

7 dimensions of the Hospital Consumer Assessment of Healthcare Providers and Systems (HSAHPS) standardized patient satisfaction survey:

Answer 35

Communication with nurses

Communication with DR

Responsiveness of hospital staff

Pain management

Communication about meds

Cleanliness and quietness of hospital environment

Discharge info