Leadership Chapter 1
logic model
schematic or picture showing intended operation of program
payoff table
show cost-profit-volume relationship
consequence table
shows how well alternatives meet objective and consequences associated
what aspect of the decision making model correlates with the EVALUATE step in the nursing process
evaluate steps and outcomes
critical thinking
more complex version of decision making and problem solving that requires higher order reasoning and a broad scope
trait that demonstrates good leadership when working with new employees
role modeling
decision tree
shows performance of alternatives in different situations
SWOT
strengths weaknesses opportunities threats
methods in improving problem solving skills
systematize data collection override bias slow thinking
problem solving
systemic analysis of a situation in an attempt to address the root problem
2A nurse makes a decision using intuitive judgment regarding a patient's rapid change in condition. What action should the nurse take after the decision?
use EBP data to validate decision
clinical reasoning
use of knowledge and experience to make decisions in care
a common flaw an pitfall in decision-making process
using first impression
decision grid
visual of alternatives compared against same criteria (apples to apples)
A nurse leader is having a discussion with a team member about changes that will be made on the unit. Which statement by the team member demonstrates the greatest problem for the leader?
"I don't think you heard what the rest of us had to say"
A staff nurse informs the nurse manager that the nurse would like to gain broader experience in other departments of the acute care facility. What response by the nurse manager demonstrates effective leadership?
"Would you be willing to help on another unit? They need a shift leader for a couple weeks."
primary quality that nurse leaders possess that allow them to obtain excellence
ability to provide clear visions, goals, and expectations
What kind of decision maker is described: makes good enough decision knowledge fragmented doesn't predict consequences only a few alternatives final choice satisficing
administrative
The nurse is admitting a new patient and is collecting data through obtaining a health history and physical assessment. What phase of the problem-solving process is the nurse focusing on with the patient?
assessing
In order to avoid the pitfalls involved in decision-making, what should the nurse manager do?
choose a decision-making style that will best fit the situation
what aspect of the decision making model correlates with the IMPLEMENT step in the nursing process
choose and implement alternative
decision making
choosing a particular course of action often times without consideration of root problem
critical elements in decision making process
clearly define objectives gather pertinent data think logically develop realistic timeline
examples of conflicts nurse leaders may face
cultural differences between members of care team novice and seasoned nurses patient's support system multigenerational nurses
A nursing staff is presently using disposable biopsy forceps in the endoscopy suite, and the nurse manager is questioning the cost-effectiveness of this practice. What would be an appropriate decision-making model to find a cost-efficient solution?
decision grid
satisficing
decision that is not ideal but adequate
program evaluation and review technique
determines timing of decision
examples of activities that demonstrate the traits of a nurse leader
est. goals for year advocation for employees providing feedback mentoring motivating
what aspect of the decision making model correlates with the PLAN step in the nursing process
identify criteria and identify alternatives
what aspect of the decision making model correlates with the ASSESS step in the nursing process
identify decision to be made and collect data
Which step in the problem-solving process assists the nurse leader to prioritize the problem or issue?
identifying problem
upper-left brained qualities
logical and rational
describe the role of negotiator
mediates internal or external conflict with various stakeholders
A nurse is caring for a patient that suddenly becomes short of breath and has a decrease in oxygen saturation to 86%. The nurse places the patient on 4 L of oxygen via nasal cannula and elevates the head of the bed. What decision tree would the nurse have used in this situation?
intuitive judgement
What kind of decision maker is described: makes decisions rationally has complete knowledge of situation has complete list of alternatives has rational ordering system selects decision of max utility
economic decision maker
A nurse is determining whether the outcomes were met for a patient preparing for discharge with an open abdominal wound and reassessing if not met. What phase of the nursing process is the nurse performing?
evaluating
most common decision making tool used by nurse leader for unit evaluation
flow chart
A nurse is educating a patient who is scheduled to undergo an open cholecystectomy how to turn, cough, and deep breathe in order to prevent complications after the procedure. What phase of the nursing process is the nurse providing?
implementation
A nurse determines that action is justified for a patient with limited mobility after an injury. After a plan for a solution has been identified, what is the next step in the problem-solving process?
implementing
