Leadership Practice

The need to keep promises

fidelity

Type of planning that seek the status quo, and they spend their energy preventing change and maintaining conformity.

inactivism planning

Which budgeting approach can foster overspending?

incremental

The unit manager of a med surg unit is transitioning the unit to electronic charting. According to Lewin's model, which of the following roles describes you as the change agent?

the unfreezer

Which of the following are steps included in the flexible budgeting process?(sata)

time period for budget cost patterns separating costs into categories forecasting costs into activities

what ensures that employees are ready for change

unfreezing forces

encourages decision making based on what provides the greatest good for the greatest number of people.

utilitarianism

The good of the many outweighs the wants/needs of the individual.

utility

The obligation to tell the truth

veracity

The nurse is caring for a patient whose vital signs are not stable and seems to be nearing the end of life. The provider orders the patient to be placed on life-sustaining treatments, but the nurse questions this order. The nurse is operating within which type of ethical framework?

Rights based deontological

what 3 factors influence the future of healthcare?

Telehealth & internet elderly population nurse shortages in acute care hospitals

what type of forces drive you closer to overall goals. Push system toward change

driving forces

Which of the following is not included in the contemporary change process?

evaluation

what part of the contemporary change process is modification of behavior by the individual?

action

Promotes self determination/freedom of choice.

autonomy

The actions one takes should be done in an effort to promote good.

beneficence

What is it called when you execute the intended change

changing

Keeping privileged information private

confidentiality

what part of the contemporary change process is when the person considers change

contemplation

Which behaviors by a nurse can result in the suspension or revocation of the nursing license? (4)

felony/conviction of drug use not reporting an incident professional negligence expired nursing license

what is a duty focused normative approach centered on rules from which all action is derived.

deontological

a duty to do something or to refrain from doing something

deontological duty based

Each case is weighed on a case-by-case basis to determine goals, duties & rights

deontological intuitionist

when Individuals have basic inherent rights that should not be interfered with

deontological rights based

You are the nurse manager of a unit that is in need of a change in staffing rotation patterns, which will lead to major changes in how the unit is staffed. According to Lewin's change theory, what forces are in play to enact these changes?

driving forces

Seeks fairness & equality

justice

what part of the contemporary change process is change maintained?

maintenance

Which factors affect the ability to forecast the budget? (SATA)

mission & philosophy of organization political culture economics social climate legislative climate

what occurs when the individual knows the right thing to do but organizational constraints make it difficult to take the right course of action

moral distress

what is it called when an individual questions why morality in practice is even necessary?

moral indifference

A new nurse is working in the OR suite. The nurse notices that the surgeon uses inappropriate humor concerning the patient while the patient is under anesthesia. What is the nurse experiencing?

moral outrage

what is it called when an individual is unsure which moral principles or values apply and may even include uncertainty as to what the moral problem is

moral uncertainty

One individual assumes the right to make decisions for another

paternalism

Type of planning used to utilize technology to accelerate change and are future oriented

preactivism planning

what part of the contemporary change process is there no intention of change?

precontemplation

what part of the contemporary change process is intent to change

preparation

Type of planning that is used to consider the past, present, and future and attempt to plan the future of their organization rather than react to it.

proactive planning

Which refers to the system in which facilities join a payment system, whereby they receive a specified fixed payment for each medicare patient's admission, regardless of cost?

prospective payment system

Select the classic change strategies that nurse leaders use to apply the change process? (3)

rational empirical Rormative reeducative power coercive strategy

Type of planning that occurs after a problem exists. Because there is dissatisfaction with the current situation, planning efforts are directed at returning the organization to a previous, more comfortable state.

reactive planning

what type of forces ensure the change becomes permanent.

refreezing forces

A nurse leader is thinking about approaching their manager with a new idea. To be properly prepared, the nurse leader should recognize this as a natural and expected response to change?

resistance

what type of forces hold a person back from obtaining their goals. Pull away from change

restraining forces

Outcome focused approach that places emphasis on results & protects the interest of the majority.

teleological

what is this an example of? EX: manager might decide to use a travel budget money to send many staff to local workshops Rather than fund 1-2 people to go to a national conference.

teleological