NUR312 Leadership and Informatics
Two conditions that are more likely affecting patient care in acute care institutions today as a result of our chaotic healthcare systems are: House foreclosures and bankruptcy Uncertainty and unpredictability Anxiety and depression Managed care and end-of-life care
Uncertainty and unpredictability
The concept of networking is based most prominently on the following assumptions: Sharing of information and experiences is most effective when done informally. Who one knows is important and can be helpful. People enjoy being called on to help others. The more people one claims to know ensures one of career success.
Who one knows is important and can be helpful.
An authentic leadership style can only be identified by others and consists of the following characteristics: Authoritative and confident Democratic and autonomous Sincere and honest Visionary and authoritative
Sincere and honest
Followers support leaders by: Asking questions Giving thoughtful feedback Providing encouragement when leaders take risks on behalf of the group All of the above
All of the above
Individuals who are acknowledged as leaders often: Are nurtured and guided by others Seek opportunities to "test" the leader role Study others who have been leaders All of the above
All of the above
Nursing informatics is an established and ever-evolving profession that began when computers were introduced into health care. contributes to Healthcare Informatics is important to nursing and health care as it focuses on representing nursing data, information, and knowledge. All of the above
All of the above
Professional nurses are in an excellent position to provide leadership regarding healthcare issues because of their: Skills of communication Ability to work collaboratively with others Credibility with the public All of the above
All of the above
Which of the following statement are true of the NI specialty? Informatics practices support nurses to effectively and safely care for their patients as the information that they need is made more readily available. Nurses have been actively involved in this field since computers were introduced to health care. With the advent of EHRs, it became apparent that nursing needed to develop its own terminology and NI has been instrumental in this process.. All of the above
All of the above
Environments that promote the development and enhancement of leadership: Are trusting, open, and dynamic Maintain the status quo and use previously demonstrated areas of expertise Encourage questioning and expect perfection Are highly competitive and leader-dominated, and limit interaction among members
Are trusting, open, and dynamic
Power is essential for an individual to effectively lead. However, it is significant that power is used: As an influence to direct the group and realize the vision To control the group and fulfill the vision To reward those who follow exactly the wishes of the leader To consistently strengthen the leaders power base
As an influence to direct the group and realize the vision
Many leaders feel the most important aspect of being a successful leader is: Spending 75% of their day on their job and 25% on their personal life Believing cost is the bottom line for every decision Being able to successfully communicate one's vision Never having to say "I made a mistake"
Being able to successfully communicate one's vision
In order to teach student nurses to lead more androgynously, curriculum should include: Clinical rotations where students practice the role of team leader and charge nurse Both management and leadership theories Role playing of how to manage conflict in clinical situations Correct! Clinical opportunities for students to shadow both male and female nurse leaders
Clinical opportunities for students to shadow both male and female nurse leaders
Ethical leadership combines the following elements: Altruism, empathy, and sympathy Moral values, charisma, and communication Communication, collaboration, and quality Knowledge, empathy, and collaboration
Communication, collaboration, and quality
Conflict also will always exist, particularly as resources become more scarce and new healthcare workers challenge traditional roles. It will become more and more important to have excellent: Conflict management skills Aggressive communication skills Clinical skills Anger management skill
Conflict management skills
Nurses cannot just sit around and wait for the future to happen. Each nurse needs to follow the recommendations of Bennis who suggests that exemplary leaders will act by: Creating trust and optimism Establishing an on-call list to use for staffing problems Following the organization's policies for each and every situation Delineating each staff's role in detail so there is no repetition.
Creating trust and optimism
The following are characteristics of a leader who is prepared to shape a preferred future for nursing: Credibility, knowledge base, and attractive appearance Kindness, ability to communicate, and fairness Creativity, aggressiveness, and ability to facilitate change Critical thinking ability, confusion regarding vision, and sense of humor
Creativity, aggressiveness, and ability to facilitate change
Nurses need to develop new ideas and new ways of working with others. One activity that leaders will need to focus on in order to accomplish this is to: Free up nurses from the bedside Allow nurses to join a union Empower nurses to increase their self-concept and confidence Establish a listserv for all staff to discuss work issues while away from the work setting
Empower nurses to increase their self-concept and confidence
Sometimes people are promoted to the next level of their job description solely as a result of their seniority and not their competency level. This idea of thinking about leadership would correlate with the idea that: Every experienced nurse can do the same performance as a physician Nurses need to be a follower for the first 10 years of their career before assuming a leader role Every person in a position of authority is a leader Nurses are trained to follow a leader
Every person in a position of authority is a leader
Which of the following statements is not accurate regarding leaders and followers? There can be no leaders without followers. There can be no followers without leaders. Leaders and followers share many common qualities. Followers are at their best when they seek permission from the leader
Followers are at their best when they seek permission from the leader
Most people believe that leaders are not born leaders but rather become leaders. The following would greatly enable one to become a successful leader: Knowing leadership theory Being a "friend" to all followers Being a graduate of an Ivy League university Having many experiences and interactions with a variety of people
Having many experiences and interactions with a variety of people
Followers assume an active role when the leader has credibility. According to Kouzes and Posner, leaders have credibility when they are: Competent, aggressive, and in a position of authority Honest, inspiring, and forward-looking Visionary, controlling, and powerful Demanding, focused on maintaining the status quo, and open
Honest, inspiring, and forward-looking
Organizational structures that are most closely aligned with women's ways of leading are characterized by: Interconnections among all members, the nurturing of talent, and consensus Clear distinctions between leader and follower roles, empathy, and relationship building Clearly defined lines of authority and communication, independence, and centrality of the organization's mission Networking, interdependence, and clear directions from those at the top
Interconnections among all members, the nurturing of talent, and consensus
The following describes management more so than it describes leadership: It is "tidy," with steps clearly outlined. It is more of an art than a science. It focuses on renewal of individuals and the group. It seems to generate relative disorder.
It is "tidy," with steps clearly outlined.
It has been said that leaders are made and not born. This idea supports the fact that each and every nurse has the potential to: Practice in any clinical setting they choose Gain much needed anger management skills Lead and make a difference in their unit/organization Become an effective nurse manager
Lead and make a difference in their unit/organization
Healthcare in the United States faces multiple challenges during these uncertain and chaotic economic times. Each nurse has the most opportunity to affect the healthcare delivery system by demonstrating: Enthusiasm Leadership Motivation Maturity
Leadership
Strategies that can help the professional nurse combine "maleness" with "femaleness" to be a more effective leader include: Using discipline, particularly in mixed-gender groups Maintaining an independence that sets you apart from others Learning confrontation skills and how to manage conflict effectively All of the above
Learning confrontation skills and how to manage conflict effectively
Keeping passion alive in an organization is imperative in order to: Manage workers' stress levels Create a competitive atmosphere in which to work Maintain spirit in the workplace Keep the bottom-line focus
Maintain spirit in the workplace
A successful leader is able to: Accept the status quo if it is working Make a difference no matter what it takes Be reactive to change Have a poor or nonexistant personal life
Make a difference no matter what it takes
Connective leadership demonstrated by many women leaders is a style that fits with today's organizations because it encompasses: Correct! Networking, empowerment of all, and relationship building Primary focus for cost savings, team work, and leader reputation Competitive milieu, independent work, and patient safety Holistic care, use of complementary alternative therapy, and communication
Networking, empowerment of all, and relationship building
An empowered environment that is conducive for nurses to practice transformational leadership would include the following philosophy: Nurses feel they make a difference Nurses believe in the handmaiden relationship with physicians Nurses are competitive with each other and are constantly competing for attention Nurses respect multiple "sacred cows" and feel they should not "rock the boat"
Nurses feel they make a difference
Nurses need to change practice focus to generating the best patient outcomes rather than being so centered on accomplishing tasks. One way to do this is to: Use the functional method of nursing care delivery Require all nurses be paired with an unlicensed patient assistant Assign each RN a research project due at the end of every month Practice evidence-based nursing care
Practice evidence-based nursing care
Nurses need to be confident and competent in order to practice successfully. The Institute of Medicine (IOM) identifies the following area as one of nursing's utmost priority: Providing safe, quality patient care Identifying lowest risk patients to receive the most care Providing best practice first to older adults Alleviating suffering by enforcing DNR status to patients with >3 comorbidities
Providing safe, quality patient care
Individuals who are already leaders need to maintain their leadership skills. And as circumstances of our lives are constantly altered, our leadership skills also need to be: Reflective of our position in an organization Refined, renewed, and further developed. Correlated with our personal vision Focused on just the nursing profession
Refined, renewed, and further developed.
A "relationship" between an experienced individual and a neophyte in the field, which is known only to the neophyte and may last for only a brief time, is referred to as: Guiding Role modeling Supporting Mentoring
Role modeling
The following plans would expect to be most effective in helping a nurse develop as a leader: Seeking a mentor, expanding professional networks, and becoming more involved in professional association(s) Strengthening relationships with current circle of nurse colleagues, attending an in-service program, and observing other nurses interacting with a legislator on TV Writing personal career goals, demonstrating that one can "make it on your own" without help or guidance from others, and beginning a graduate program Developing a highly specialized knowledge base so that others rely on you for information, reading professional journals regularly, and attending functions in one's local community
Seeking a mentor, expanding professional networks, and becoming more involved in professional association(s)
Characteristics that accurately describe effective followers are often similar to what is used to describe effective leaders and include: Visionary, very dedicated to accomplishing the leader's vision, and tentative with decision-making Reflective, spontaneous, and focused on working as autonomously as possible Self-directing, actively participating, and practicing experts Tentative with decision-making, willing to do anything needing doing, and passionate about one's vision
Self-directing, actively participating, and practicing experts
There are multiple mergers and acquisitions of various healthcare organizations. This ongoing trend has many advantages of which one is: Need for less professional education because employees can learn from each other on-the-job More opportunity to use institutional licensure for UAPs Opportunity to use more UAPs and less professional staff Sharing resources to decrease cost expenditures
Sharing resources to decrease cost expenditures
Leadership and management have been acknowledged as related but distinct phenomena. The following characteristics are associated with leadership more so than with management: Tied to a position of authority Goals and visions are those espoused by the organization A focus on doing things right Source of one's power base being knowledge, credibility, and the ability to motivate others
Source of one's power base being knowledge, credibility, and the ability to motivate others
"Leaders" are often the individuals who take risks and think creatively, and implement different strategies to solve problems. These "leaders" who lead but who are not in a position of authority would include: Nurse managers Staff nurses Nurse supervisors Nurse administrators
Staff nurses
The following is a MYTH about mentors and mentoring: The mentor must be more experienced than the neophyte Mentoring is always beneficial to both parties Either the mentor or the neophyte can initiate the relationship A person may have several mentors throughout his or her career
The mentor must be more experienced than the neophyte
The following research has been shown to be true about female leaders: They are concerned about enhancing the self-worth of others. They tend to discourage participation. They tend to hold on to power and information. All of the above.
They are concerned about enhancing the self-worth of others.
The need for change will always exist, and groups will need leaders to help them weather the forces of change. One significant skill leaders can assist the group with is: To serve as a mother figure between staff To be the arbitrator at union meetings To discipline group members not working to accomplish the change(s) To carve out new visions
To carve out new visions
Nurses are knowledge workers. Knowledge work is work that entails a significant amount of computer activity work that entails a significant amount of information systems activity work that entails a significant amount of cognitive activity work that entails a significant amount of interdisciplinary activity
work that entails a significant amount of cognitive activity
