week 1 collab

The nurse manager schedules interviews with the three RNs identified. Which questions are important to ask during the interview process? Select all that apply.

-"How are your conflict resolution and emotional intelligence skills?"​ -"Does the weekend night schedule pose any problems with your schedule?"​ -"What goals would you have if you were hired on this unit?"​ -"What steps have you taken to become an expert clinical nurse?"​ -"Do you have charge nurse experience?​"

The chief nursing officer of an acute healthcare facility reviews the employee satisfaction comments from employees reporting to a nurse leader in charge of an intensive care unit. The nurse leader has managed the unit for less than 2 years. Which comments from the employees indicate the nurse leader is meeting the staff's expectations of a nurse leader? Select all that apply.

-"I have gotten more recognition in the 6 months that I have worked here than I did in 5 years in my previous job. And not just about big things, I got a thank you note for helping a phlebotomist pick up her supply tray. FROM MY BOSS!!"​ -"It is refreshing to have a boss who role models using company values to make decisions."​ -"This is the first nursing job in which I feel that leadership takes care of us through little things, like letting us switch shifts and leaving notes on my locker to say thanks for working late."​ -"My manager trusts me to do my job well, including resolving conflicts with coworkers between ourselves."​

The registered nurse (RN) is caring for a client with a non-healing abdominal wound infected with vancomycin-resistant Staphylococcus aureus (VRSA). To which colleagues can the RN delegate collecting a wound culture and dressing change? Select all that apply.

-A licensed practical/vocational nurse (LPN/VN) working a double shift​ -A RN from newborn nursing who was reassigned to the medical floor​ -The charge nurse​ -A newly licensed RN in their first week of orientation​

Managers should focus on which aspects of business? Select all that apply.​

-Analyzing processes​ -Decision making​ -Achieving results​ -Controlling situations​

Which are potential root causes that may have contributed to lower employee satisfaction scores? Select all that apply.

-Change from rotating staff nurses to serve as charge nurses to full-time charge nurses -Three of the four positions were filled by candidates from outside the organization.

The nurse leader is mentoring a new nurse whose clinical reasoning skills are limited. Before creating an improvement plan, which three skills of the new nurse should be evaluated by the nurse leader?​

-Decision-making​ -Problem-solving​ -Critical thinking​

Which characteristics are leadership traits? Select all that apply.

-Does not criticize​ -Open to feedback​ -Involves others in decisions​ -Offers suggestions, not demands​ -Motivates with support ​

Which of these observed behaviors by the new nurse leader requires follow-up by the mentor? Select all that apply.

-During a staff meeting, the new nurse leader refuses to answer questions from staff about the updated vision for the unit. -The new nurse leader answers emails within an average of 48 hours on workdays. The company policy is within 24 hours on workdays. -After hearing from several staff members that self-scheduling does not work, the new nurse manager informs them they will complete the schedule until further notice.

In which situations should the nurse leader use critical thinking? Select all that apply.​

-During an investigation of uncharged care items​ -When selecting which job applicant to hire​

Critical thinking and decision-making are both cognitive processes that require thought. Which cognitive process steps are unique to critical thinking? Select all that apply.

-Evaluating outcomes​ -Analyzing cues​

Select the nurse's actions that demonstrate the right supervision was used when delegating. Select all that apply.​

-Evaluating the outcome​ -Being available to assist​ -Verifying documentation​

Select the three unwanted outcomes for which the new leader's unit is at risk if the manager's leadership skills are not improved.

-Falling client satisfaction scores -Low colleague morale -Increased staff turnover

The nurse manager has received feedback from their mentor that the quality of decisions the nurse manager makes could be improved using critical thinking. Which actions should the mentor recommend the nurse manager take to increase their competence? Select all that apply.

-Generate as many alternatives as possible​ -Ask more questions to understand the issue​

Which assumptions form the basis for interactional leadership theory? Select all that apply.​

-Goals can differ in various situations. ​ -People have multiple motives for doing things. ​ -People's motives change over time.​

The nurse manager has arrived at the nursing unit and is preparing for the day. In what order should the nurse manager address these issues? Place the issues in the order in which they should be resolved sequentially, starting with the first.​

-Inadequate staffing for the unit that day -Complaints about new label printers not working -The interdisciplinary team dissatisfied with discharge delays -Budgeting reports for resource allocation

The registered nurse (RN) decides to improve her leadership skills before applying for a charge nurse position. Click to highlight the three steps the RN should complete first to achieve that goal.​

-Interview successful charge nurses on the leadership skills needed in the role -Reflect on competency and capacity for authentic leadership -Take an assessment to discover the leadership style

Which findings below indicate the RN is not progressing as expected? Select all that apply.

-Missed the crash cart check two nights in a row​ -92% medication administration scanning compliance​ -House supervisor called once about the RN's ability to resolve client conflict​ -Clocked out an hour after the end of the shift due to charting​

The nurse manager should schedule interviews with which three RNs?​

-Nurse A​: 7 years experience; Medical-Surgical; Certified Medical-Surgical RN​ -Nurse D​: 5 years experience; Hospice; Certified Hospice and Palliative Nurse​ -Nurse E​: 3 years experience; Pediatric Hematology & Oncology​

Both the experienced and new nurse leaders have decided to focus on increasing the new nurse leader's ability to be a servant leader. Select the four actions that should be included in the plan.

-Post the unit's vision in employee-only areas, such as the staff break room. -Work with staff to identify risks and barriers to client safety and ways to remove them. -Listen without judgement when staff voice concerns over a lack of clear vision on the unit. -Meet with each staff member to discuss areas in which they would like to improve or grow.

The nurse leader is orienting a new charge nurse to the expected decision-making process they will share. Which of the following are the benefits of using a structured approach to decision-making? Select all that apply.​

-Promotes critical thinking​ -Focuses attention ​ -Organizes thoughts​

Comparing both last year's data and this year's survey results (below), which current findings require follow-up by the nurse manager? Select all that apply.​

-Response rate 93.2%​ -89% of colleagues believe their personal values align -90.2% find their work meaningful​ -62.7% believe their direct supervisor is invested in the success -21.8% agree that they have enough time to accomplish

A nurse manager is mentoring a new charge nurse on time management. Which instructions should the nurse manager include to support a successful transition to the charge nurse role? Select all that apply.​

-Seek opportunities to promote growth in others.​ -Touch base with all colleagues every 2 hours.​ -Prioritize your day before you begin doing tasks.​ -Remind colleagues to inform you of significant changes in their workload.​

Click to specify the three actions the nurse manager should take within the next four weeks.​

-Seek the advice of a nurse manager who scored high on the belief their direct supervisor is invested in the "success of the team" question on the most recent satisfaction survey -Observe the new charge nurses at work, scheduling time to discuss their performance after -Schedule meetings with the four nurses who applied for the charge nurse position and were not offered the position

The nurse leader of an outpatient clinic is evaluating their team dynamics. Which recently observed behaviors indicate the team has a high level of trust in the leader? Select all that apply.​

-Staff nurses take turns offering "Lunch and Learn" sessions to keep their peers up to date on changes and new evidence that impacts the clinic's practice.​ -After a treatment error was discovered, the three staff involved met to discuss how it occurred and took responsibility for their contribution to what happened.​ -Staff absenteeism during the recent influenza season was 76%, which was lower than other clinics within the healthcare system.​

Six months after receiving feedback, the registered nurse (RN) reaches out to colleagues for feedback on the RN's current leadership skills. Which phrases below indicate the RN is acting as an authentic leader? Select all that apply.

-Takes time to mentor and coach​ -Seeks win-win solutions for peers and clients​ -Acts with integrity​ -Takes accountability for decisions​

A nurse hired to lead a busy pediatric office plans to use a transactional leadership style when dealing with colleagues. Which activities best exemplify the use of this type of leadership? Select all that apply.

-The manager promotes compliance by reminding subordinates that they have a good salary and working conditions. -The manager institutes a reward program for employees meeting goals and work deadlines.

Kinds of leadership

-Transactional: This leader is someone who values order and a more structured approach to management. They rely on rigorous checks and balances with strict guidelines, rules, and regulations to complete objectives on time or move people and supplies in an organized way. These leaders are not a good fit for places where creativity and innovative ideas are valued. -Transformational: This leadership style can inspire positive changes in those who follow. These leaders are generally energetic, enthusiastic, and passionate. Not only are these leaders concerned and involved in the process; they are also focused on helping every member of the group succeed as well. -Servant: These leaders are open-minded and not judgmental, who listen deeply and try to fully understand others. This type of leader shares power, puts the needs of the employees first, and helps people develop and perform as highly as possible. This leadership style inverts the norm, which puts subordinates as the main priority. -Authentic: Leaders are true to themselves and their values. Followers gain trust and choose to follow a leader when the leader's actions reflect what they believe and value. These leaders are not influenced by external forces, simply by their trust that what they are doing expresses their actual values.

Procrastination is a --- barrier to managing time. --- procrastination is a skill that anyone can learn. The first step to stop procrastinating is to ---

A common Overcoming Identify the type of procrastinator you might be

As the nurse enters a new client's room, a client's family member asks frantically, "What is going on with my dad? The doctor said nothing about it. We are all very worried about why he keeps passing out. What are the results of his magnetic resonance imaging (MRI) scan? Where have you been?"​ For each potential nursing response, using your critical thinking skills, click to specify whether the response is appropriate or inappropriate for the care of the client.

Appropriate: -"I understand that you are concerned about the well-being of your father. Could you tell me more?"​ -"I will be sure the doctor knows to update you when the MRI results are posted in the medical record."​ -"Let's discuss the next course of action for your father, so you know what to expect."​ -"Is there anything I can do to make you or your father more comfortable while we wait?"​ -"Starting with my assessment will give us a better idea of how he is doing currently." Not appropriate: -"The doctor is very busy and will stop in when they get a chance."​ -"Sorry it took me longer than expected. A patient was coding."​

Using the drop-down menu, match the nurse leader's action in the right column to the category in which it belongs in the left column.​

Arrange for food delivery that can be eaten quickly by staff to be delivered to the unit​: Nurture the team Follow up with the charge nurse periodically as agreed upon during the unit's response planning to ensure staff has adequate resources​: Be intentional with time Role-model self-care during the workday​: Create healthy habits Schedule a time to debrief the disaster response with staff, noting opportunities for improvement and related educational needs.: Commit to colleague development

Which process is not used to support decision making by the nurse and nurse leader?

Assuming

Match the leadership theory in the left column to its study focus in the right column.​

Behavioral Theory​ - Nature versus Nurture​ Role of Followers​ - Leader as Hero​ Great Man Theory​ - Leader-Follower Theory​ Transformational Leadership - ​Extending Learner-Follower Theory System Leadership - Interconnectedness of Issues​

What is the most likely reason for the RN's poor time management?​

Belief that the RN is the best choice to provide client care​

Question 3 / 6 Prioritizing Hypotheses: Hiring an Experienced Nurse​ ApplicantResume OverviewNurse A ​7 years experience; Medical-Surgical; Certified Medical-Surgical RN ​ Nurse A was chosen for the oncology weekend night RN position based on the interview. The newly hired nurse needs focused education on --- and --- to effectively fit the role on the oncology unit. ​

Chemotherapy Decision-making strategies

Why is relationship management a key leadership skill?​

Client care requires a high degree of interdependence on other care providers.

​The nurse uses clinical action --- and --- to recognize, analyze, and synthesize clinical data. The nurse also makes a nursing --- to take action to protect the client from harm. ​

Critical thinking Clinical reasoning Clinical judgement

The new nurse is at high-risk for --- and ---

Decreased critical thinking Leaving the position

For each trait of a servant leader, click to specify if it is or is not a desirable trait in a registered nurse (RN).

Desirable: -Be a good listener by listening to understand, not simply hear.​ -Show empathy by keeping an open mind and hearing without judgement.​ -Commit to developing people's growth and development.​ -Be aware of both self and others.​ Not desirable: -Channel foresight of what future events may impact the team's work, then offset predicted obstacles.​

Completing a client assessment is the best way to detect --- of the client's status, even if the nurse is not certain what is causing the change. Critical thinking skills help the nurse figure out what additional --- is needed to provide the lowest --- care possible.

Deterioration Information Safest

Which infection control activity is best for the charge nurse to delegate to an experienced unlicensed assistive personnel (UAP)?​

Disinfecting shared equipment after use, such as a blood pressure cuff

The ethics committee is reviewing a recent decision involving a family whose father was at the end of his life, and the adult children could not agree on a treatment plan. The client's nurse, who was present for the consultation and contributed to the discussion, asks the medical ethicist why families struggle with a decision that seems clear to the nurse. Which statement is the best response by the medical ethicist?

Each family member's decisions are impacted by their personal values.​

Which two actions should the nurse manager perform right away? Drag the two highest priorities to the drop zone.​

Encourage the new RN to set aside time for planning their shift​. Schedule the new RN to work with an experienced RN who manages their time well​.

Which skill is a basic requirement for the development of sound critical thinking? ​

Evaluating

A nurse is appointed to a charge nurse position in a local hospital. Which term best describes this new role?

Formal Leader

For each phrase below, use the drop-down menu to indicate if it is a key characteristic of strengths-based leadership (characteristic) or a means by which leaders can identify and meet the needs of followers (identify).​

Identify: -Offering hope -Establishing trust -Creating stability -Showing compassion Characteristic: -Thinking strategically -Building relationships -Executing a plan -Influencing others

For each current observation in the left column below, click to specify if the finding indicates the new leader's skills have improved, not changed, or declined.​

Improved: -Answers questions from staff openly and honestly during staff meetings​. -Staff self-scheduling has been reestablished with the oversight of three colleagues selected by their peers and approved by the new nurse leader.​ Not changed: -Client satisfaction scores continue to improve; monthly rewards for staff continue as well​. -Recognizes staff who volunteered for the quality improvement project, as well as the positive outcome, in a unit newsletter Declined: -Answers emails an average of 3 days after being received.​

A year later, the nurse manager is reviewing the newest employee satisfaction survey results in comparison to the previous year's (results below).

Improved: -Response rate 98.9%​ -47% agree that they have enough time to accomplish their work​ -96% believe managers value their feedback​ Not changed: -Overall satisfaction score is 97.9% Declined: -88% find their work meaningful

Which statement represents an outcome of transformational leadership?​

Increased job satisfaction​

A staff nurse who serves on the facility policy and procedure committee encourages a colleague to volunteer to fill a recently opened position on the same committee. Which role is this colleague demonstrating?​

Informal leader

For each question, specify if the statement demonstrates if the nurse is or is not using critical thinking.

Is using critical thinking: -"That did not work well. How can I do it differently next time?" -"This should help the client, but is it safe?"​ -"The facts are there, but what do they mean?"​ Is not using critical thinking: -"That chair has had a broken leg for a while. When will someone do something about it?"​ -"Why does nothing go right for me?​

Based on feedback from peers, the registered nurse (RN) most closely aligns with the leadership style of ---.

Laissez-faire

A newly hired nursing director has been informed that their direct reports work together as self-directed, experienced, and focused colleagues supporting each other and the organization. Based on this information, which leadership style would be best for the nursing director to adopt?​

Laissez-faire​

Which statement regarding leadership and management is false?​

Leadership and management have discrete skill sets

The new nurse leader is at risk of --- due to ---

Losing staff trust refusing to answer questions

For each action, click to specify if the nurse leader or licensed staff nurse is responsible for the action.​ You may refer to the National Council of State Boards of Nursing delegation model, if needed.

Nurse leader: -Developing delegation policies and procedures​ -Assessing effectiveness of the delegation process​ -Determining which nursing responsibilities can be delegated​ Staff nurse: -Basing delegation decisions on client needs​ -Evaluating outcomes of delegated care task​s

The charge nurse working day shift on a pediatric unit is working with the staffing office to replace a registered nurse (RN) and unlicensed assistive personnel (UAP) who are unable to work the next shift. This activity falls into which category of management?​

Organizing

The nurse manager recognizes that the new RN is at risk for becoming which type of procrastinator?​

Over-doer​

For each employee satisfaction survey result that declined in the current year, click to specify if the result fall into the primary management function of planning, organizing, staffing, or directing. Each response will fall into two primary functions.​

Planning: Meaningful work Organizing: Response rate, Enough time to accomplish work Staffing: Meaningful work Directing: Response rate, Enough time to accomplish work

Highlight three time-wasting tasks performed by the RN that the nurse manager should follow-up on.​

Preparing room for new client​ Reviewing labs within normal limits ADLs for client in 314 (complete bed bath)​​

What are the primary functions of management? Classify each option as either primary or secondary.

Primary: -Directing -Staffing -Controlling -Organizing -Planning Secondary: -Evaluating -Hiring -Budgeting -Developing -Appraising

In what ways has the RN improved their time management? Select all that apply.​

Reviewing the EHR early in the shift​ Delegating appropriately​ Performing tasks specific to the RN role​

In which situation is the nurse demonstrating self-reflection to improve critical thinking?

Revises a plan of care after noting the client's response to interventions

The registered nurse (RN) is caring for a client experiencing a medical emergency and delegates passing routine medications to the licensed practical/vocational nurse (LPN/VN). Which right of delegation is the RN demonstrating?​

Right task​

During a weather emergency, the charge nurse delegates assuring that all window coverings are closed to the unlicensed assistive personnel (UAP). Which delegation right is the nurse demonstrating?​ Select all that apply.

Right task​ Right circumstance​

During the orientation of the RN, which two actions would be the priority for the nurse manager to implement? Drag the two highest priorities to the drop zone.

Schedule the RN to work with the charge nurse​ Plan for the RN to attend interdisciplinary team meetings ​

A nurse is using time management techniques when planning activities for patients. Which nursing action best reflects effective time management?​

Scheduling the "Do Now" tasks early in the shift

Match the essential elements of authentic leadership to the questions that will help the nurse leaders assess their authenticity. Not all elements will be used.​

Self-Awareness: What are my strengths and weaknesses?​ How do I impact others?​ How can I best serve others? Relational Transparency: Am I genuine and do others perceive me this way?​ Am I trustworthy and transparent?​ Do others see me as trustworthy and transparent?​ Do others want to follow me? Balanced Processing​: Am I objective in my decision making?​ Have I sought out pertinent insights to inform my decisions?​ Is there something else I might be missing even though it might be difficult for me to hear it? Internalized Moral Perspective: Are my actions guided by my values and moral standards?​ Are my actions consistent with my values and spoken words?

Effective leaders demonstrate empathy to people from all aspects of society when working with colleagues to achieve organizational goals. Which term describes the skill of empathy?​

Social awareness

Successful leaders demonstrate characteristics such as empathy and openness when dealing with others. Which term below demonstrates sensitivity and awareness of the emotions and moods of others?​

Social awareness​

For each daily task in the left column, click to specify if it is the responsibility of the staff nurse, charge nurse, or nurse leader.​

Staff nurse: -Coordinating handoff report with two oncoming colleagues​ -Administering medication to 5 clients within 60 minutes​ Charge nurse: -Adjusting client care assignments as acuity levels increase -Providing coverage for lunches and breaks​ Nurse leader: -Interviewing candidates for an open unlicensed assistive personnel (UPA) position​ -Applying time management principles over days to weeks

A charge nurse in an intensive care unit (ICU) assigns nurses to care for clients based on demonstrated competencies. Which management function is the charge nurse fulfilling?​

Staffing

Which situation best displays expertise in decision-making and problem-solving abilities as a nurse manager?​

Strategizing with staff to resolve resistance to the new electronic healthcare record (EHR) system​

Which problem-based learning activities should the nurse manager use to increase critical thinking, clinical reasoning, and clinical judgement in nursing staff members? Select all that apply.

Unfolding case studies​ Simulation ​ Group-based discussions​

Managers monitor and adjust today's --- regularly looking to --- to meet current goals and objectives.​ Leaders look --- and imagine the --- that the future may bring to set direction.

Work The past Forward Possibilities

Which behaviors by a charge nurse increase the trust of colleagues on the unit? Select all that apply.​

-Being honest about a poor decision and asking for feedback -Maintaining confidentiality of clients and colleagues -Following through on commitments to pass medications while a colleague takes a break -Sharing information about expected transfers from the intensive care unit (ICU)

At the end of the shift, the registered nurse (RN) and unlicensed assistive personnel (UAP) review the client's electronic health record (EHR) as they discuss the care of this client.​ Which findings indicate that delegation was effective? Select all that apply.

-Client discovered getting out of bed twice during safety checks​ -Oral intake recorded​ -UAP notified RN of increased temperature and heart rate​

For each potential intervention, click to specify if the action is anticipated, nonessential, or contraindicated when caring for this client.​

Anticipated: -Urinalysis with culture and sensitivity -Safety checks every 30 minutes with documentation​ -Bedrest, assist to restroom as needed​ -Strict intake and output​ Nonessential: -Indwelling urinary catheter​ -Physical therapy evaluation​ Contraindicated: -Oral opioid pain medication​ -Soft wrist restraints, prn

The --- leader directs their followers. Their behaviors can inhibit creativity and motivation of their team.​ The --- leader guides, rather than leads their followers. The input from the team is requested and valued.​ The --- leader trusts the team to make sound decisions toward the shared goal. This can lead to confusion if the team's skills are not advanced.

Authoritarian Democratic Laissez-faire

For each leadership characteristic identified, click to specify if the characteristic is consistent with the authoritarian, democratic, or laissez-faire leadership style. Each characteristic may be consistent with more than one leadership style.

Authoritarian: -Maintains control of the team​ Democratic: -Involves others in decisions​ -Open communication​ -Offers suggestions, not demands​ Laissez-faire: -Open communication​ -Motivates with support​ -Does not criticize​ -Emphasis on the team, not self​

The nurse manager of a busy intensive care unit will be in budget meetings for most of the day. Of the tasks that must be completed today, click to specify which tasks should or should not be delegated to an experienced charge nurse.​

Delegate: -Meet with a client's spouse who has questions about home care​. -Determine which registered nurse (RN) will work on a different unit for the next shift​. Do not delegate: -Complete the performance appraisal of two RNs​. -Consult with the facility attorney about a recent incident that resulted in client harm​. -Meet with marketing about an upcoming recruitment event​.

From the nurses' notes, what are the top three findings that require immediate follow-up?

Foul-smelling urine Oriented to person only High risk for fall

The nurse manager notes it is 08:55 and looks at the to-do list for the day. Select the three actions the nurse manager should take immediately.​

Get a brief report from the charge nurse related to the clients on the unit.​ Inform unit staff of the disaster and their responsibilities during the response.​ Collaborate with the charge nurse to identify the RN and UAP to report to the ED.​

After reviewing the feedback and exploring different leadership styles, the RN determines they would like to develop their leadership skills. For each action item listed, click to specify if the action is indicated, nonessential, or contraindicated for learning more about leadership.

Indicated: -Conduct a literature search on leadership styles​ -Request input from their nurse manager​ Nonessential: -Interview the state governor​ Contraindicated: -Ask for feedback on social media​

The experienced nurse leader plans to help the new nurse leader. Click to specify if the potential action is indicated, nonessential, or contraindicated.

Indicated: -Role model effective communication with staff​ -Schedule bi-weekly meetings to review progress​ -Recommend continuing education to support growth in key leadership skills​ Nonessential: -Plan a weekend retreat​ Contraindicated: -Script a response for the new leader to provide to staff​

Understanding that successful managers must have --- qualities and influential leaders must have management skills, --- leadership theory includes two types of leaders: --- and transformational. Transactional leaders focus on tasks and getting work done, while transformational leaders share a vision to --- others to achieve goals.​

Leadership Transformational Transactional Empower

Which statement about leadership and management is false?​

Leadership and management have individually separate and distinct skill sets.

Match the management theory in the left column with its focus by dragging the theory to the correct focus.​

Participative Decision-Making​ - Involving employees in decision making​ Functions of Management​ - Management as a process​ Theory X and Theory Y​ - Managerial attitudes affect employee performance​ Scientific Management​ - One best way to accomplish a task​ Hawthorne Effect​ - People perform better when being observed​

The nurse manager who overheard a nurse saying, "men have such a low tolerance for pain" realizes that the nurse's clients are at risk for harm due to which factor? ​

Preconceived ideas

The registered nurse (RN) wants to delegate care tasks for this client and has the choice of a licensed practical/vocational nurse (LPN/VN) or unlicensed assistive personnel (UAP) who can assist. Click to specify which tasks the RN will keep, delegate to the LPN/VN, or delegate to the UAP based on this client's acuity level (current condition).

RN: -Monitor rate of IV infusion​ -Safety checks every 30 minutes​ -Reassess fall risk every two hours​ LPN/VN -No delegated tasks for this client​ UAP: -Assist client to the restroom​ -Measure and record vital signs as ordered​ -Record intake and output​ -Obtain clean-catch urine culture​

The nurse should first address the client's history of --- followed by their ---

Safety Urine

The client is at risk of developing --- and ---

Sepsis Injury

The nurse manager is conducting a SWOT (strengths, weaknesses, opportunities, threats) analysis and plans to use a SWOT diagram for the implementation of a turn team to prevent pressure ulcers. Place each option in the correct area of the SWOT diagram below (image to the right is for reference).

Strengths: Teamwork between nurses is on the rise. More staff have been hired, and the culture on the unit is growing in positivity.​ Weaknesses: Staffing is an issue with unlicensed assistive personnel (UAP). The nurses have to work without the help of UAPs most shifts.​ Opportunities: Implementing a turn schedule on the floor would help nurses prioritize turns for their patients. ​ Threats: Due to the lack of UAP staffing, nurses may resist or refuse to start a turn team for the floor. It could change the culture of positivity that is currently growing. ​

Use the drop-down options to specify into which primary management function each manager action falls.​

Supervising maintenance colleagues to install additional hand hygiene stations in public areas of the nursing unit.​ - Planning Meeting with colleagues quarterly to review how they are progressing on their yearly goals.​ - Controllling Setting clear expectations for how client care is provided on the unit.​ - Organizing Scheduling an interdepartmental meeting to improve transfers from the emergency department to the unit.​ - Directing Offering training on new equipment on all shifts.​ - Staffing

For each situation in the left column, click to specify the best decision-making or problem-solving model to solve the issue. ​

Traditional Problem-Solving Model​: A house supervisor aiding the staffing office in the staffing of the medical-surgical units for the night​ Managerial Decision-Making Model​: A nurse manager trying to decide if new hand sanitizing stations would be cost-effective and increase hand hygiene compliance​ The Nursing Process​: A nurse discovers a patient on the floor ​ Integrated Ethical Problem-Solving Model​: A charge nurse trying to navigate family and patient disagreement of Do-Not-Resuscitate status ​ Intuition Decision-Making Model​: An experienced nurse rounds on all of their patients because the nurse has a bad "feeling" ​ Evidence-Based Approach​: A new nurse discovers that their preceptor is not following proper policy for intravenous tubing changes​

At the mid-day shift change, the staffing office calls the charge nurse to inform them that they will receive an additional nurse from the orthopedic unit. Unfortunately, after the float nurse arrives, the staffing assignment must be readjusted because the float nurse is pregnant and unable to care for a patient with herpes zoster. The charge nurse approaches two nurses asking who would be willing to switch a room assignment. One nurse says, "I took care of all kinds of patients when I was pregnant; they will be fine." ​ The charge nurse should utilize the --- to decide on a course of action. As the charge nurse prepares to respond, they should use --- to deliver the message to the two nurses. --- will guide the decision-making process of the charge nurse. After the problem is resolved, the charge nurse should --- their decision-making processes to continually aim towards improvement.​

Traditional problem-solving model Emotional intelligence Critical thinking Reflect upon

The charge nurse delegated taking a client's blood pressure (BP) to an unlicensed assistive personnel (UAP). The charge nurse instructed the UAP to take the BP every 15 minutes for two hours and report any abnormal results immediately. An hour later, the charge nurse reviewed the electronic health record (EHR) and noted the BP results had been lower with each reading, with the last being below normal. Which right of delegation was most likely violated?​

Right communication​

A new nurse manager is working with staff nurses with more experience on the unit who are articulate, confident, and sometimes aggressive in their interactions with her. The manager feels disrespected and has heard rumors that staff blame her for decreasing unit morale. Which is the best action for the nurse manager to take first?​

Seek information about the rumors from staff

A nurse manager who takes the time to listen to staff, clients, and colleagues, empowers others through education, and seeks to understand others is using which type of leadership?​

Servant

Use the drop-down options to specify the nursing role for the type of management function performed.​

Setting the unit goals and objectives (planning), working within the structure of an organization (organizing), recruiting and hiring colleagues (staffing), motivating and communicating (directing), and taking fiscal accountability (controlling). -Nurse Manager Staff Refine daily schedule as priorities change, organize tasks that can be completed at the same time, direct and interact with health care providers, and control care provided. -Staff nurse Scheduling coverage for lunch breaks, organizing information from multiple sources, deciding which nurse will work on another unit, coaching a new colleague on prioritization, arranging for transfers to the unit be spread over time. -Charge nurse

Based on the documentation, the registered nurse (RN) --- delegate care of this client to an unlicensed assistive personnel (UAP) but could delegate to --- with experience or ---

Should not Licensed vocational nurse An experienced RN

A new nurse manager is reflecting on how well their current leadership attributes align with the characteristics of authentic leaders. Match the nurse manager's attributes to the corresponding authentic leadership characteristic.​

Balanced decision-making -Seeks input before making decisions Internal moral perspective -Actions consistent with stated personal values Relational transparency -Peers willingly follow the nurse manager Self-awareness -seeks ways to serve others

For each scenario, use the drop-down menu to indicate if the charge nurse was effective or ineffective with delegation.​

Effective: -The charge nurse delegated activities of daily living (ADLs) to an unlicensed assistive personnel (UAP) so that the registered nurse (RN) assigned to these clients can provide care to a client with unexpected, complex healthcare needs.​ -The medical-surgical unit charge nurses proposed a plan to create turn-teams on each shift by mentoring UAPs on time management and teamwork. Six months after implementation, incidents of stage 2 pressure ulcers in clients admitted from skilled nursing facilities have decreased 37%.​ -When working with a UAP from another unit, the charge nurse spoke with the colleague about their experience with the task being delegated, offering to assist if needed.​ Ineffective: -During a busy shift, the charge nurse delegated administration of pain medication to a licensed practical nurse (LPN) not assigned to the client that day. The LPN neglected to administer the pain medication. The charge nurse did not follow up until the client's spouse voiced concern.​ -The charge nurse proposed to the unit shared governance committee that to assure the safety of clients, tasks should not be delegated to caregivers who do not usually work on the unit.​

For each characteristic, specify if it aligns with a leadership or management position.​

Leadership: -Less delegated authority​ -Emphasizes interpersonal relationships​ -May or may not be part of the formal hierarchy of the organization​ Management: -Direct subordinates​ -Emphasizes control and results​ -Manipulate resources to achieve goals​

For each aspect of time management listed in the left column, click to specify if it is most closely associated with leadership skills or management functions.​

Leadership: -Role-model self-awareness​ -Understand the value of time to others​ -Influence the time management of others​ -Focus on interpersonal communication​ Management -Gain cooperation of team members​ -Guide work to its conclusion​ -Focus on productivity​

Leadership vs management

Leadership: -speaks at all new colleague orientation sessions to personally welcome colleagues and share their vision.​ -uses a monthly "Pulse Check" survey to receive feedback from colleagues.​ Management: -sets a schedule for when colleagues can take breaks.​ -informs subordinates that normal working hours will be changed in the coming year. -offers bonuses to assure tasks are completed on time.​

Five hours after the disaster began, the nurse manager feels overwhelmed and has multiple uncompleted high-priority tasks still undone. They take a moment to plan their day, starting with a review of their actions since the disaster began. Which actions should the nurse leader recognize as procrastination? Select all that apply.​

Leaving the facility to check on an elderly relative Two 15-minute coffee breaks with friends to discuss non-work-related topics A 10-minute consultation with housekeeping to evaluate new floor wax

Which statement best describes a successful nurse leader?​

Maintain greater control over time constraints​.

For each potential intervention by the nurse manager, click to specify if the intervention is indicated, nonessential, or contraindicated when coaching the new RN.​

Indicated: -Help new RN identify personal barriers to effective time management​. -Encourage the new RN to set aside time for planning their shift​. -Coach the new RN on ways to decrease the impact of distractions that happen while at work​. -Schedule the new RN to work with an experienced RN who manages their time well​. Nonessential: -Remind the new RN to take time at the end of each shift to plan for their next shift​. Contraindicated: -Require the new RN to meet with the charge nurse hourly for the next 90 workdays​.

For each potential educational activity organized by the nurse manager, click to specify if the educational activity is indicated, nonessential, or contraindicated when coaching the newly hired RN.

Indicated: -Oversee a simulation of the RN resolving a conflict between a nurse and a patient​ -Help RN identify the staffing needs of the unit and build the staffing assignment for a shift -Schedule the RN to work with the charge nurse ​ -Assign an unfolding case study that the RN will complete over their orientation​​ Nonessential: -Remind the RN to complete their orientation checklist by the end of their orientation​ -Discuss the need for continuing education practices to become a lifelong learner​ Contraindicated: Require the RN to complete 12 weeks of orientation​

For each action the nurse manager considers to improve staff satisfaction, click to specify if the action is indicated, non-essential, or contraindicated.​

Indicated: -Talk with the nurses from the unit who applied for the charge nurse position -Reach out to a mentor for guidance developing the skills of current staff to help them grow into new roles.​ Nonessential: -Plan a staff retreat for team building and collaborations​ Contraindicated: -Move two of the charge nurses hired from outside the facility staff positions on the unit and replace them with nurses from the unit.​ -Remind staff that all hiring decisions belong to the manager​