Chapter 10: Leadership, managing and delegating

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Involves one party deciding to let the other party win in exchange for something else of value

Accomodation or cooperating

Also called directive leadership or authoritarian leadership, involves the leader assuming control over the decisions and activities of the group. It is often an efficient process, yet many people may resent this leadership when used regularly.

Autocratic leadership

What type of leadership style will be most effective during a code blue?

Autocratic leadership

There is awareness of the conflict solution, but the parties decide to either ignore the conflict or postpone its resolution

Avoiding

What are marquis and Hustons six styles for dealing with conflict?

Avoiding, accommodating, competing, compromising, collaborating, and smoothing

This approach results in a win for one party at the expense of the other group

Competing

Involves both parties willingly relinquishing something of equal value

Compromising

A nurse informs the client that the client has no choice and must take a bath in the morning. What type of leadership does this exemplify?

Directive leadership

The nursing manager is assisting the hospital to meet requirements for magnet recognition. Which measure should the nurse manager recognize as being a requirement for this recognition?

Encouraging reporting of errors or potential errors without fear or punishment.

The designated charge nurse on the telemetry unit organizes and facilitates the unit meetings, makes assignments, and performs staff evaluations. This nurse's power to lead is of which type?

Explicit

Power obtained by virtue of a person's position

Explicit power

Power obtained by force of a person's personality that might enable that person to have more power to influence others than designated leaders

Implied power

Leadership style that involves the leader relinquishing power or control to the group. Also known as non directional leadership

Laissez-faire

change is initiated after a careful process of planning

Moving

A nurse aspires to work independently in obstetrics and gynecology in a rural, impoverished setting. What advanced practice role would be most suitable for this nurse

Nurse midwife

This practice requires advanced education and certification in the care of women during uncomplicated pregnancy and delivery.

Nurse midwife

Involves seeing an organization and members as interconnected and collaborative. This style involves change as continually unfolding, and frequently incorporates technology.

Quantum leadership

A client has been having yearly Pap smears and yearly mammograms for more than 10 years. According to Lewin, this client is in which stage of the change process related to having annual Pap smears and mammograms?

Refreezing

change becomes operational

Refreezing

What are Lewin's 3 stages of change?

unfreezing, moving, refreezing

Compared with other hospitals, magnet hospitals have which direct effect on client care?

Better patient outcomes

During this, a leader is needed to direct the actions needed and make quick decisions to positively affect the client

Code blue

What does a clinical nurse leader do?

Collaborates with health care teams to promote client care.

This is a joint effort to resolve the conflict with a win-win solution

Collaborating

Is a process to work through conflicts in a way that minimizes negative effects and promotes positive consequences.

Conflict resolution or conflict management

An effort to compliment the other party and focus on agreement rather than disagreement, thus reducing the emotion in the conflict

Smoothing

The need for change is recognized

Unfreezing

The older client tells the nurse that the client needs to use the restroom. Which safety intervention must the nurse use first?

Assess the need for assistance with ambulation.

A nurse has recently been promoted to nurse manager on a pediatric unit and has decided to accept input from staff regarding changes they would like to see on the unit. What type of leadership style is the nurse embodying?

Democratic

Consists of using generic or ad hoc methods in an orderly manner to find solutions to problems

Problem solving


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