QUIZ 2 STUDY GUIDE Flashcards
Five rights of delegation:
- Right task
- Right circumstance
- Right person
- Right direction and communication
- Right supervision and evaluation
Five stages of nursing ability: “NACPE”
- Novice nurse
- Advanced beginner
- Competent nurse
- Proficient nurse
- Expert nurse
Novice nurse:
Can be students or newly licensed nurse who have minimal clinical experience
Advanced beginner nurse:
Most new nurses function at the level of the advanced beginner. They practice independently in the performance of many tasks and can make some clinical judgments.
Competent nurse:
2-3 years of experience
Proficient nurse:
Significant amount of experience upon which to base their practice
Expert nurse:
Garnered a wealth of experience so they can view situations historically and process information efficiently.
Qualities for effective collaboration:
- Good communication skills
- Assertiveness
- Conflict negotiation skills
- Leadership skills
- Professional presence
- Decision making and critical thinking
Behavioral change strategies:
- Rationale empirical
- Normative reeducative
- Power coercive
Rational empirical:
The manager provides factual information to support the change used when resistance to change is minimal (rationalizing).
Normative reeducative:
The manager focuses on interpersonal relationships to promote change.
Power coercive:
The manager uses rewards to promote change. Used when individuals are highly resistant to change.
Lewis’s change theory:
A common model for promoting planned changed, which has three stages.
1. Unfreezing
2. Change/movement
3. Refreezing
Unfreezing:
Need for change is identified
Change/movement:
Strategies (driving forces) that overcome resistance to change (restraining forces) are identified and implemented
Refreezing:
The change is integrated and the system is re-stabilized.
Stages if change for individual change with 5 stages:
- Pre-contemplation
- Contemplation
- Preparation
- Action
- Maintenance
Pre-contemplation:
No intent to change is present or has been considered
Contemplation:
The individual considers adapting a change
Preparation:
The individual intends to implement the change in the near future
Action:
The individual implements the change
Maintenance:
The individual continues the new behavior without relapse
Stages of team forming:
- Forming
- Storming
- Norming
- Performing
Forming:
Members of the team get to know each other. The leader defines tasks for the team and offers direction
Storming:
Conflict arises, and team members begin to express polarized views. The team establishes rules, and members begin to take on various roles.
Norming:
The team establishes rules. Members show respect for one another and begging to accomplish some of the tasks
Performing:
The team focuses on accomplishments of tasks
Principles of case management:
- Case management focuses on managed care of the patient through collaboration of the health team in acute or post acute settings.
- The goal of CM is to avoid fragmentation of care and control cost
Discharge planning:
A comprehensive DC plan includes reviewing patient info-
Current health and prognosis, religious or cultural beliefs, ability to perform ADLS, mobility status and goals, sensory/motor/physical/cognitive impairments, support systems and caregivers, financial resources and limitations, potential supports and resources in the community, internal and external home environment, need for assistance with transportation or home maintenance, need for therapy/wound care/or other services, need for medical equipment, need for PT/OT/food/rx delivery
