Leadership Exam 3
Responsibility
reliability, dependability, and obligation to accomplish work at an acceptable level
The employee is given highly detailed exact instructions to complete the task
A charge nurse is delegating to a LPN/LVN. What would be considered IMPROPER delegation for the charge nurse to delegate?
Determine whether the task is within the scope of UAP
A charge nurse is preparing to delegate tasks to UAP. What is the first action the nurse should do before delegating.
Right communication Right task Right circumstance Right person Right level of supervision
A new nurse leader has the opportunity to delegate to a member of the staff. What criteria should the nurse leader be sure are followed before doing this?
True
A nurse can have his or her license revoked if he or she is physically or mentally impaired related to age
Train the person delegating an important task. What steps should the manager take in the delegation process?
A nurse manager is considering delegating an important task. What steps should the manager take in the delegation process?
True
A nurse would be considered liable if he or she fails to report a witnessed violation of the nurse practice act
Age discrimination and Employment Act
Cannot discriminate against someone solely based on age
Hertzburg
Motivating factors
Extrinsic
Motivation enhanced by the job environment or external rewards, organization can afford it
Levels of supervision with delegation
Never delegated Unsupervised Periodic inspection Continuous supervision
The nurse delegator
The nurse delegates a task to an incompetent individual. Who is held accountable for the outcome of the task
Accountability
Nurse is legally liable for his or her actions and is answerable for the overall nursing care of his or her pts
False
Nurse leaders are responsible for licensing nurses
Equal Pay Act 1963
men and women doing equal jobs must make equal pay. If there is equal skill, equal effort, equal responsibility, and similar working conditions
It's important for managers to work with employees by being able to see collective bargaining and employee laws by four different perspectives.
The organization The work Historical/social Personal
What parts of the nursing process may not be delegated?
All, assess, analysis, planning, evaluation
External locus
Depend on fate, luck, or chance
Prioritization 2nd
Safety
True
The nurse leader should respond to resistance of authority in a calm but firm fashion
Internal locus
You decide
Sexual harassment
"Unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature when submission to or rejection of this conduct explicitly or implicitly affects an individuals employment, unreasonably interferes with an individuals work performance, or creates an intimidating, hostile, or offensive work environment."
McClelland
3 basic needs Achievements Affiliation Power
The nurse retains....
Accountability for the delegation
Affirmative Action vs Equal Opportunity
Actively seeking to feel job vacancy's with groups who are underemployment. Ex Women, minorities, and disabled
Union shop
Closed shop; all employees are required to join the union and pay dues.
6 cultural phenomena r/t delegation
Communication Space Social organization Time Environmental control Biological variation
True
Delegation by a liscensed professional such as the registered nurse to an unliscensed professional can assist with time management if the delegation has been correctly accomplished.
Union membership decreases
During economic recessions and layoffs
Vroom
Expectancy Theory, a persons expectations about his or her environment will influence their behavior
Affiliation
Family and friends is more important
Rehabilitation Act 1973
Fit for duty: in order to hold a job you have to be able to perform certain tasks. So if their disability does not allow them to do their tasks it is not discrimination. Can not discriminate if the disability is not related to the physical criteria of the job.
3 reasons to delegate
Free RN to do more skilled tasks Someone may be better at it To stretch and grow subordinates
Union member ship and activity increases sharply during times of?
High employment
State practice act
Influences your practice as a nurse
intrinsic
Internal drive to do or be something; within you, something your organization can't bring you
False
It is not imperative for nurse leaders to understand how to delegate to a diverse workforce because all health care workers receive similar training
False
It is the charge nurses responsibility to effectively delegate and provide the right direction and communication for the delegated task for the staff nurses
Delegation includes
Knowledge Practical skills Decision making, critical thinking, prioritization Ability to handle situations
National Labor Relations Board (NLRB)
Labor board formed to implement the Wagner Act. It's two major functions are to determine who should be the official bargaining unit when a new unit is formed and who should be in the unit and adjudicate unfair labor charges.
State practice act
Legal restrictions r/t delegation
Prioritization 1st
Life threatening
Any part of the nursing process...
May not be delegated
True
Nurses should be concerned with the various laws and statutes that govern health care
Agency shop
Open shop; meaning employees are not required to join the union
Prioritization 3rd
Part of plan of care
Power
People who are power oriented is motivated by power that can be gained as a result of a specific action
Grievance
Perception on the part of a union member that management has failed in some way to meet the terms of the labor agreement
Maslows hierarchy of needs
Physiological, safety, social, esteem, self actualization
Civil Rights Act
Prohibits discrimination based on factors unrelated to job qualifications; promote employment based on ability and merit
Pregnancy Discrimination Ac
Protected by law to no discrimination because someone is pregnant
Collective bargaining
Relations between employees, acting through their management representatives and organized labor
SBN Disciplinary actions
Reprimand Suspend Revocation
5 rights of delegation
Right task, circumstances, person, direction/communication, supervision/evaluation
LPN is allowed to teach from a....
Standard care plan
Gellerman
Stretching and participation
Arbitration
Terminal step in grievance procedure where a 3rd party reviews the grievance, completes fact finding and reaches a decision. Always indicates involvement of a 3rd party. May be voluntary on the part of management and labor or imposed by the gov.
Motivation
The force within the individual that influences or directs behavior
Directing
The fourth phase of management process; "Doing" phase.
False
The nurse leader understands when delegating, subordinate resistance should never occur among staff members
McGregor
Theory X and Theory Y.
Delegation
Transferring to a competent individual that authority to perform a selected nursing task in a selected situation
RNS must do initial teaching
True
Indirect delegation
Uses approval list of tasks that have been established in policies and procedures of organizations; assumes Rn knows competency level of subordinates
Direct delegation
Verbal direction by RN delegator an activity or task; RN actively decides what to delegate
Employees
What is the organizations most valuable asset
Peter Principle
When employees seek promotions they usually make a commitment to do well in that new position and they do do well! When managers push employees they lack commitment
Failure to provide adequate directions Failure to delegate Failure to release control of task Failure to provide clear directions Failure to follow up
Which of the following are delegation errors made by the nurse
Achievement
Work in improving
True
You should never delegate with step by step instructions
Primary concern of SBN
approving school of nursing Granting and revoking license Regulating the practice of nursing
Skinner
behavior modification