QUIZ 2 STUDY GUIDE

Question 1

Five rights of delegation:

Answer 1

1. Right task
2. Right circumstance
3. Right person
4. Right direction and communication
5. Right supervision and evaluation

Question 2

Five stages of nursing ability: “NACPE”

Answer 2

1. Novice nurse
2. Advanced beginner
3. Competent nurse
4. Proficient nurse
5. Expert nurse

Question 3

Novice nurse:

Answer 3

Can be students or newly licensed nurse who have minimal clinical experience

Question 4

Advanced beginner nurse:

Answer 4

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.

Question 5

Competent nurse:

Answer 5

2-3 years of experience

Question 6

Proficient nurse:

Answer 6

Significant amount of experience upon which to base their practice

Question 7

Expert nurse:

Answer 7

Garnered a wealth of experience so they can view situations historically and process information efficiently.

Question 8

Qualities for effective collaboration:

Answer 8

1. Good communication skills
2. Assertiveness
3. Conflict negotiation skills
4. Leadership skills
5. Professional presence
6. Decision making and critical thinking

Question 9

Behavioral change strategies:

Answer 9

1. Rationale empirical
2. Normative reeducative
3. Power coercive

Question 10

Rational empirical:

Answer 10

The manager provides factual information to support the change used when resistance to change is minimal (rationalizing).

Question 11

Normative reeducative:

Answer 11

The manager focuses on interpersonal relationships to promote change.

Question 12

Power coercive:

Answer 12

The manager uses rewards to promote change. Used when individuals are highly resistant to change.

Question 13

Lewis’s change theory:

Answer 13

A common model for promoting planned changed, which has three stages.
1. Unfreezing
2. Change/movement
3. Refreezing

Question 14

Unfreezing:

Answer 14

Need for change is identified

Question 15

Change/movement:

Answer 15

Strategies (driving forces) that overcome resistance to change (restraining forces) are identified and implemented

Question 16

Refreezing:

Answer 16

The change is integrated and the system is re-stabilized.

Question 17

Stages if change for individual change with 5 stages:

Answer 17

1. Pre-contemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance

Question 18

Pre-contemplation:

Answer 18

No intent to change is present or has been considered

Question 19

Contemplation:

Answer 19

The individual considers adapting a change

Question 20

Preparation:

Answer 20

The individual intends to implement the change in the near future

Question 21

Action:

Answer 21

The individual implements the change

Question 22

Maintenance:

Answer 22

The individual continues the new behavior without relapse

Question 23

Stages of team forming:

Answer 23

1. Forming
2. Storming
3. Norming
4. Performing

Question 24

Forming:

Answer 24

Members of the team get to know each other. The leader defines tasks for the team and offers direction

Question 25

Storming:

Answer 25

Conflict arises, and team members begin to express polarized views. The team establishes rules, and members begin to take on various roles.

Question 26

Norming:

Answer 26

The team establishes rules. Members show respect for one another and begging to accomplish some of the tasks

Question 27

Performing:

Answer 27

The team focuses on accomplishments of tasks

Question 28

Principles of case management:

Answer 28

1. Case management focuses on managed care of the patient through collaboration of the health team in acute or post acute settings.
2. The goal of CM is to avoid fragmentation of care and control cost

Question 29

Discharge planning:

Answer 29

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