Leadership IV - Exam 1

Describe the ethical principle Nonmaleficence

- Adhering to the duty to do no harm - Done by following standards of care & implementing best practices - Involves an obligation to avoid imposing risks of harm to another a& includes moral rules such as: * Do not kill * Don't cause pain or suffering * Don't incapacitate * Don't cause offense * Don't deprive others of goods of life

Describe the leadership/management style Democratic

- Expects team members to contribute to the decision-making process - Encourages team input - Analyzes & makes final decisions - Increases participation in projects & creative solutions - Brings about higher production & satisfaction

Describe the ethical principle Fidelity

- Keeping Promises -- Being faithful or loyal by keeping promises.

Describe the ethical principle Confidentiality

- Preventing the disclosure of a person's private information

Describe the leadership/management style Laisssez-faire

- Provides advice, support, and timelines w/ low-level involvement - Lacks focus or time management, resulting in high job satisfaction with risk of low productivity - Risks the potential team members not having the knowledge to execute the tasks - May find intra-team disagreements common, which may produce disharmony

Describe the ethical principle Privacy

- Respecting a person's right to keep information about himself or herself from being disclosed to others

Give some examples of innovated technology.

- Robotic surgery - Preprogrammed IV Pumps - EHR- meditech, pyxis - Telehealth- talk to the doctor - Blood glucose machine

Describe the ethical principle Veracity

- Telling the truth

Describe the ethical principle Beneficence

- This is a core principle of patient advocacy & refers to any action intended to benefit another (actions should always promote good). - Adhering to the duty to do good. - Some forms are obligatory & include moral rules such as: * Protect & defend the rights of others * Prevent harm from occurring to others * Remove conditions that will cause harm to others * Help persons with disabilities * Rescue persons in danger - Needed when establishing staffing plans to ensure patient safety and avoid nurse fatigue, when conducting staff performance appraisals, and when assisting an employee in establishing a plan for professional growth.

Describe the ethical principle Justice

- Treating others with fairness - Treating everyone equally, fairly, & giving people what they deserve

Describe the ethical principle Autonomy

- refers to self-governance - Respecting a person's right to self-determination

What are the 4 main types of Relational Theories?

-Quantum -Transactional -Transformational -Connective -They all share the objective of optimizing the rapport among team members and building teams.

What are the 6 rights of medication administration?

1. Right drug 2. Right dose 3. Right time 4. Right route 5. Right person 6. Right documentation

This negotiation/conflict highly values both goals and relationships, see conflict as a way to improve relationships by reducing tensions between 2 persons, and view conflict as a problem to be solved- and strive to find solutions agreeable to all sides (win-win). Advantage- both sides get what they want, and negative feelings are eliminated. Disadvantage- collaboration takes a great deal of time and effort. Appropriate when- maintaining relationships is important, when time is not a concern, when peer conflict is involved, when trying to gain commitment through consensus, and when learning and trying to merge differing perspectives. Which is being spoken about? 1. collaborating 2. competing 3. avoiding 4. accommodating 5. compromising

1. collaborating

Negotiations/Conflicts: What are the 5 negotiation/conflicts listed in ATI?

1. collaborating 2. competing 3. avoiding 4. accommodating 5. compromising

This negotiation/conflict is highly goal-oriented, willing to sacrifice the relationship to achieve goal, not usually concerned about being liked by others, may overpower others and be perceived as autocratic, authoritative, uncooperative, or intimidating, have a need to win; therefore, others must lose, which creates win-lose situation. Advantage- if the decision is correct, a better decision without compromise can result. Disadvantage- the style may breed hostility and resentment toward the person using it. Appropriate when- conflict involves personal differences that are difficult to change, fostering supportive relationships is not critical, others are likely to take advantage of noncompetitive behavior, conflict resolution is urgent or vital during a crisis, unpopular decisions need to be implemented. Which is being spoken about? 1. collaborating 2. competing 3. avoiding 4. accommodating 5. compromising

2. competing

This negotiation/conflict is withdrawing from conflict, value avoiding a confrontation more than either their goals or relationships, would rather hide and ignore conflict than resolve it, tend to give up personal goals and display passive behavior creating lose-lose situations, this can lead them to be uncooperative and unassertive. Advantage- may help maintain relationships that would be hurt by conflict resolution. Disadvantage- conflicts remain unresolved- overuse leads to others walking over them. Appropriate when- the stakes are not high or the issue is trivial, confrontation will hurt a working relationship, there is little chance of satisfying your wants, disruption outweighs the benefit of conflict resolution, gathering information is more important than an immediate decision. Which is being spoken about? 1. collaborating 2. competing 3. avoiding 4. accommodating 5. compromising

3. avoiding

This negotiation/conflict uses a smoothing or accommodating conflict management style with emphasis on human relationship, ignores their own goals and resolve conflict by giving into others, they are unassertive and cooperative creating a win-lose situation. Advantage- maintains relationships. Disadvantage- giving in to conflict may not be productive and the accommodators may be taken advantage of by others. Appropriate when- maintaining the relationship outweighs other considerations, suggestions or changes are not important to the accommodator, minimizing losses in situations when outmatched or losing, time is limited or when harmony and stability are valued. 1. collaborating 2. competing 3. avoiding 4. accommodating 5. compromising

4. accommodating

This negotiation/conflict has the concern is for goals and relationships, are willing to sacrifice some of their goals while persuading others to give up part of their goals, is assertive and cooperative which results in win-lose or lose-lose situations. Advantage- relationships are maintained and conflicts are removed. Disadvantage- compromise may create less than ideal outcomes and game playing can result. Appropriate when- important or complex issues leave no clear or simple solutions, all conflicting people are equal in power and have Which is being spoken about? 1. collaborating 2. competing 3. avoiding 4. accommodating 5. compromising

5. compromising

This nurse leader is good at motivating with rewards. Working overtime or short staff so we are going to be offered bonuses. They will have incentives towards a goal. She might say, "Staff, we will give a bonus to get that accomplished." She is focused on getting the job done. What type of leadership is this? a. Transactional b. Quantum c. Transformational d. Connective

a. Transactional

They look at the whole system, the processes, and the relationships between staff and their tasks to determine the efficiency & job performance. This type of leadership offers a nursing framework within which to develop skills to assist in advancing goals of their organization. Which leadership? a. Transactional b. Quantum c. Transformational d. Connective

b. Quantum

The nurse manager consistently refocuses the staff on achieving outcomes and directly involves the staff in decision making to achieve those outcomes. How would this style of leadership be described? 1. Quantum 2. Transactional 3. Contingency 4. Transformational

Answer: 1 Rationale 1: Quantum leadership is based on the concepts of chaos theory, with the focus on outcomes. Rationale 2: Transactional leadership is based on the principles of social exchange theory. Rationale 3: Contingency theory suggests that managers adapt their leadership styles in relation to changing situations. Rationale 4: Transformational leadership emphasizes the importance of interpersonal relationships to inspire and motivate followers.

The nurse manager is working on a committee whose task is to review and revise job descriptions for nursing employees. In which job description would the committee most likely include the phrase Management responsibilities include shift-by-shift coordination and promotion of quality client care? 1. Charge nurse 2. Staff nurse 3. Clinical nurse leader 4. Nurse executive

Answer: 1 Rationale 1: The charge nurse is unique to the health care setting and assists with shift-by-shift coordination and promotion of quality client care as well as efficient use of resources. Rationale 2: The staff nurse is not formally a manager. This nurse is responsible for promotion of quality care for the shift worked. Rationale 3: The clinical nurse leader is not a manager but rather works as a resource to those providing direct care. This nurse may coordinate care at the bedside and works to integrate care. Rationale 4: The nurse executive is an upper-level manager and is responsible for quality care across the institution.

Which topic would likely appear on the agenda for a staff meeting chaired by a nurse manager who follows transactional leadership theory? SATA 1. Progress on request to increase personal day benefits 2. Review of policy and procedure for unit evacuation 3. The value of teamwork 4. Being empathetic with clients 5. Standardized first of shift assessments

Answer: 1,2,3,5 Rationale 1: Transactional leadership uses personal reward as a method of maintaining the status quo. Rationale 2: Transactional leaders value policy and procedure. Rationale 3: Interpersonal dependence is valued by transactional leaders. Rationale 4: An emphasis on empathy, awareness, and persuasion is more characteristic of servant leadership. Rationale 5: Transactional leaders value standardization.

A staff nurse tells the manager, I don't want to be promoted. I am a much better follower than I am a leader. How should the manager interpret this remark? 1. Leadership takes more energy than followership, so this nurse is taking the easy way out. 2. Followership is a valuable skill in nurses. 3. A nurse who is not willing to work to master the skills of leadership should not be retained on the unit. 4. Most people have difficulty developing leadership skills.

Answer: 2 Rationale 1: Active following takes skill, self-direction, and energy. There is no evidence that it is easier than leading. Rationale 2: In any situation where people must work together, followership is a valuable skill. Rationale 3: There is no indication that this nurse is not effective in the followership role and may be a valuable employee without leadership skills. Rationale 4: Leadership skills can be learned.

Hospital administration is considering the purchase of a robotic pharmacy system. What would be the advantage of this system to the nurses who work in the hospital? 1. The nurse will be able to leave out some of the six rights of medication administration because the robot checks the medications. 2. The nurse should get medications more quickly because the robot can work more consistently without breaks. 3. The nurse can delegate medication administration to the nursing assistant because the medications have already been checked. 4. The nurse can expect that medication administration will be easier and carry less potential for error.

Answer: 2 Rationale 1: The registered nurse must still to complete the six rights of medication administration to ensure client safety. Rationale 2: Robots should be able to get medications to the floor more quickly. - more consistent work without breaks. Rationale 3: The administration of medication cannot be delegated to the nursing assistant. Rationale 4: There is no assurance that medication administration will be easier.

Which nurse has legitimate leadership authority in the organization? SATA 1. Staff nurse 2. Nurse manager 3. Case manager 4. Quality improvement coordinator 5. Education specialist

Answer: 2,3 Rationale 1: Staff nurses are not seen as having legitimate leadership authority. Staff nursing is not a management or leadership role. Rationale 2: Nurse managers have legitimate authority conferred by the organization and described in job descriptions. Rationale 3: Case managers have legitimate authority conferred by the organization and described in job descriptions. Rationale 4: The leadership of the quality improvement coordinator is informal and stems from the nurses knowledge. Rationale 5: The leadership of the education specialist is informal and stems from the nurses knowledge

What is the most common skill shared by effective nurse leaders in leadership theories or models? 1. Critical care experience 2. Political knowledge 3. Communication 4. Informal power

Answer: 3 Rationale 1: Critical care experience is not necessary for effective leadership. Rationale 2: A leader may or may not have political knowledge but should have knowledge of and involvement in the community. Rationale 3: Regardless of the type of leader or the type of unit a nurse manages, communication skills are the key to effective leadership. Rationale 4: An effective leader may have formal power only.

The nurse manager has four different generations represented in the nursing staff on the unit. What statements indicate the manager is wise about how to deal with this generational mix? (SATA) 1. I don't see why everyone can't just get along. 2. Generation X nurses are just lazy. 3. Our Generation Y nurses help keep us all up on new technology. 4. The most loyal of all my nurses are the traditionalists. 5. I expect that our next manager will come from my group of baby boomers.

Answer: 3,4,5 Rationale 1: The four generations have different values, work ethics, and skills. Conflict is inevitable. Rationale 2: The manager should not stereotype the members of a generation. Rationale 3: Generation Y is technically savvy. Rationale 4: Traditionalists are typically loyal and respectful of authority. Rationale 5: Baby boomers typically value professional and personal growth.

A community hospital has been purchased by a large health care conglomerate. Nursing administration has the task of changing the nursing practice model that has been followed for 50 years. To best achieve this change, the administration should appoint a nurse executive whose leadership style follows which theory? 1. Contingency theory 2. Quantum leadership 3. Transactional leadership 4. Transformational leadership

Answer: 4 Rationale 1: According to contingency theory, the manager adapts leadership styles in relation to changing situations; these styles range from authoritarian to permissive. This is not the best choice for this situation. Rationale 2: Quantum leadership focuses on outcomes, and employees are directly involved in decision making. This is not the best choice for this situation. Rationale 3: Transactional leadership is based on the premise that individuals engage in social interactions expecting to give and receive rewards. This is not the best choice for this situation. Rationale 4: Transformational leadership is concerned not with the status quo but with effecting revolutionary change in organizations and human service

The mother of a staff nurse is critically ill and the nurse must miss several shifts of work. If the leadership style of the nursing manager is transactional, which approach to covering these shifts is most likely? 1. I have made out a schedule of who will work to cover these shifts. 2. I can work an extra shift tomorrow night. Who can cover tonight? 3. How can we work together to cover these shifts to help our coworker? 4. If you work overtime tonight I will authorize double your hourly pay rate.

Answer: 4 Rationale 1: Making out a schedule with no input from nursing is authoritative leadership. Rationale 2: Transformational leaders appeal to individuals better selves rather than their self-interests. Rationale 3: Transformational leaders appeal to individuals better selves rather than their self-interests. Rationale 4: Transactional leadership is based on the principles of social exchange theory. The primary premise is that individuals act in their own best interest.

Which statement explains why nurses must be leaders to be successful in client care? 1. You have to be a leader if you want physicians to respect you and the work you do. 2. To function effectively in managed care, you have to be a good leader. 3. Leadership skills will help you be assertive when you give orders to staff and clients. 4. To direct client care activities and get the outcomes you desire, you need good leadership skills.

Answer: 4 Rationale 1: Nurses do not have to be leaders to gain physicians respect. Rationale 2: Leadership skills are helpful, but are not essential to working in managed care. Rationale 3: Nurses do not give orders to staff and clients. Rationale 4: Nurses must direct client care in order to successfully achieve client outcomes in a timely fashion.

A nurse is caring for a patient with stage 4 ovarian cancer who has decided to stop treatment and enter hospice care. Which of the following ethical principles is the nurse just playing by supporting the patient in her decision? Responsibility Accountability Advocacy Confidentiality

Answer: Advocacy By following the ethical principle of advocacy, the nurse supports the patient in the decision she makes about her own Healthcare. - By following the ethical principle of responsibility, the nurse upholds obligations. - By following the ethical principle of accountability, the nurse answers for personal actions. - By following the principle of confidentiality, the nurse protect the patient's privacy and Healthcare information.

A nurse is planning care for a patient following a coronary arterial bypass graft procedure. The nurse places a referral for a case manager to visit the patient. Which of the following pieces of information should the nurse share with the patient about the role of a case manager? a. The case manager will provide your direct care for the remainder of your stay in the facility. b. The case manager will coordinate and plan your care while you recover from your surgery. c. The case manager will meet with you the day before your scheduled discharge date. d. A case manager is responsible for completing your insurance claim forms.

Answer: B The role of the case manager is to coordinate and plan care, collaborate with other Healthcare professionals, and monitor cost and quality of care. a. A case manager will coordinate the care of a patient as an impatient and assist with discharge planning. Case managers do not complete direct client care. C. The case manager is involved in client care throughout the client's stay at the facility, serving as a facilitator and care coordinator. The case manager does not wait until the time of discharge to meet with the patient. D. A case manager is responsible for facilitating the use of cost-effective care measures during the hospitalization but isn't responsible for completing Insurance claim forms.

A nurse manager is participating in a root cause analysis following a sentinel event on the unit. Which of the following statements defines the purpose of a root cause analysis? - A root cause analysis assists in preparing a legal defense for the event. - A root cause analysis estimates the cost involved in the event. - A root cause analysis investigates deviations from standards of care surrounding the event. - A root cause analysis determines if employees involved in the event should be terminated.

Answer: C A root cause analysis is a function of quality improvement seeking to determine what factors led to a deviation from established standards of care that resulted in errors in client care. -A root cause analysis doesn't involve preparing for a legal defense regarding a sentinel event. - A root cause analysis is a function of quality improvement in client care. It doesn't examine the cosets involved in a sentinel event. - As part of the quality improvement process, a root cause analysis does not focus on individual performance but on organizational processes that led to an event. The results of a root cause analysis may indicate that employees need counseling in an effort to improve the quality of client care.

What are the 3 primary styles of leadership and management?

Autocratic Democratic Laisssez-faire

The nurse has been asked to assume a first-level management role in the nursing unit. Which statement indicates that this nurse will need further mentoring in the new role? 1. I won't be able to increase my team's motivation. That has to come from within them. 2. As a manager, I will be available for my team if problems with clients arise. 3. One of my roles will be to make sure assignments are clear and understandable. 4. I will still be responsible for the care being provided even if I am off the unit during the day to attend meetings.

Correct Answer: 1 Rationale 1: Managers can affect motivation by developing strategies and possible incentives. The other options are true management functions. **Think of Transactional Leadership Rationale 2: Being available for consultation or help with assignments is one of the roles of the first-level manager. Rationale 3: First-level managers are responsible for supervising the work of non managerial personnel and the day-to-day activities of a specific work unit or units. Clarity of assignment is part of this supervision. Rationale 4: First-level managers are responsible for attending meetings and may be away from the unit while retaining responsibility for the care being provided.

The nurse executive wishes to hire nurse managers who embody the service leadership mission of the organization. Which specific attributes should this nurse look for in applicants? SATA 1. The ability to be empathetic to clients and staff 2. Ability to sustain high energy for long periods of time 3. Awareness of the needs of clients and the organization 4. Use of persuasion as a leadership technique 5. Long history of leadership success

Correct Answer: 1,3,4 Rationale 1: Empathy is a characteristic of a servant leader. Rationale 2: The ability to sustain high energy is common in many leaders and is not particular to a servant leader. Rationale 3: An awareness of others and their needs is a characteristic of the servant leader. Rationale 4: The use of persuasion is characteristic of the servant leader. Rationale 5: A long history of leadership success is not unique to a servant leader.

A newly promoted nurse manager is fearful that previous coworkers will undermine her efforts to succeed in this new position. The new manager does not share information with these coworkers even though they may need the information to understand changes that are going to occur in the organization. Which emotional intelligence self-management competency is this nurse most clearly violating? 1. Adaptability 2. Initiative 3. Transparency 4. Optimism

Correct Answer: 3 Rationale 1: Adaptability is flexibility in adapting to changing situations or overcoming obstacles. Rationale 2: Initiative is readiness to act and seize opportunities. Rationale 3: Transparency is displaying honesty, integrity, and trustworthiness. This nurse is not displaying these traits. Rationale 4: Optimism is seeing the upside in events.

In a leadership training class, which statement by a student indicates learning has been successful? 1. If I am to be successful in leadership, I should make sure no followers are friends. 2. Most people would not be able to tell if I only pretend to be interested in them. 3. Relationship building is essential to successful leadership. 4. Leadership means I can delegate tasks I do not want to do.

Correct Answer: 3 Rationale 1: Although the leader can show no favoritism, leaders can have friends among the group of followers. Rationale 2: The caring demonstrated in the leadership followership relationship must be authentic. Rationale 3: Authentic caring in relationships is an important method of improving respect and competence as a leader. Rationale 4: Authentic leaders are willing to take risks and are not afraid to do any task.

Which leadership activities exemplify a quantum leadership style? SATA 1. The leader reports how outcomes were achieved. 2. The leader brings cookies and coffee to every early morning meeting. 3. The leader is accepting of change. 4. The leader encourages staff nurses to help clients access Internet sites about their disease process. 5. The leader often talks about the vision of the organization.

Correct Answer: 3,4 Rationale 1: In quantum leadership, the outcome is more important than how it was achieved. Rationale 2: This social emphasis is more likely to occur with a leader who is transactional. Rationale 3: Change is expected by the quantum leader. Rationale 4: Informational power is shared by the quantum leader. Rationale 5: Focus on vision is an attribute of a transformational leader.

T/F Leadership is known as self-awareness, motivation, social awareness, and relationship.

FALSE- this is talking about emotional intelligence

T/F The charge nurse is a non-formal manager role but may supervise or lead others.

False - a charge nurse is a formal manager.

T/F Autonomy means to treat others with fairness

False - autonomy is respecting a person's right to self determination

T/F Non-maleficence means to respect a person's right to self determination.

False - non-maleficence means doing no harm

T/F Baby boomers are comfortable with technology and favor electronic forms of communication.

False - they prefer one on one communication, not technology

T/F When creating a culture of safety, it is most important to educate staff on what is minimally required by JCAHO.

False- "minimally" Never creates a Culture of Safety based on JCAHO standards.

T/F Generation Z focuses on attaining work life/family life balance.

False- generation x (1965-1979) are self sufficient, resourceful, individualistic and they value freedom and responsibility and they overcome challenges, they want to advance their career, but they have high regard for attaining work life and family balance.

_________is the degree to which less powerful members of institutions and organizations accept that power is distributed unequally. In very high _________ cultures, the lower level person will unfailingly defer to the higher level person, and feel relatively ok with that as it is the natural order. Ex: distance felt between the nurse and provider

Power distance

T/F Being self aware is important as a leader

TRUE

Describe the leadership/management style Autocratic

This person: - Makes decision without input from the team - Doesn't consider valuable suggestions from team member's input - Potentially demoralizes team members

T/F A staff nurse or a preceptor is a non-formal manager role but may supervise or lead others.

True

T/F Evidence-based continuing education can increase nurse knowledge base & prevent errors.

True

T/F Identifying the problem is the first step in making a change.

True

T/F Emotional intelligence is known as self-awareness, motivation, social awareness, and relationship.

True -this is talking about emotional intelligence

Which are examples of man-made disasters? SATA a. Oil Spill b. Earthquake c. Release of toxins d. Hurricane

a. Oil Spill c. Release of toxins

Nurse leaders who focus on getting the job done are using which type of leadership? a. Transactional b. Quantum c. Transformational d. Connective

a. Transactional

This leader (manager): provides the path or direction. Stimulating comes from the action. It has a formal incentives system. It includes involvement into important and relevant decision-making process. Appeal to individualism via participation process. Which leadership? a. Transactional b. Quantum c. Transformational d. Connective

a. Transactional

What are pros of computerized provider order entry (CPOE)? SATA a. decreased number of steps in the medication process, pre-populated fields, etc., improves safety b. complicated screens c. alert fatigue d. provision of clinical info related to allergy, dose, duplicate therapy, etc, improves safety e. easier to make incorrect choice in patient, drug sentence

a. decreased number of steps in the medication process, pre-populated fields, etc., improves safety d. provision of clinical info related to allergy, dose, duplicate therapy, etc, improves safety We use it because it is clearly written, easy to read = Legibility

A nurse is preparing medications for a pt. While obtaining meds from the dispensing system, he notes that the atenolol and labetalol are in the same drawer. He obtains the pt's dose of atenolol and doesn't alert the pharmacy. What are we talking about? a. weak signals b. work around c. normal deviance

a. weak signal

An example is when you aren't focused and have a hunch about something. This can be a near miss. What are we talking about? a. weak signals b. work around c. normal deviance

a. weak signals

The pharmacy designed a new workflow for the restocking of medications. Pharmacy techs restocking place all packaging of similar size in the same areas of the dispensing system. Placing these meds close together increases the risk of error. What are we talking about? a. weak signals b. work around c. normal deviance

a. weak signals

This is a sign that something is wrong with the system. It doesn't result in direct harm but when combined with other factors that harm it can cause catastrophic results. Harm can be prevented if this is addressed, each individual must see it as part of their job to identify and respond to such signals. What are we talking about? a. weak signals b. work around c. normal deviance

a. weak signals

The nurse inadvertently picks up a multi-dose vial of heparin instead of insulin, fills the unit syringe with it, and for some reason, right at the last moment, that nurse doesn't inject the heparin into the client. What are we talking about? a. weak signals b. work around c. normal deviance

a. weak signals Picked up last minute, insulin, heparin. Didn't give it, avoided catastrophe = "weak signal"

Nurse leaders who incorporate flexibility and adaptability are using which leadership? a. Transactional b. Quantum c. Transformational d. Connective

b. Quantum

This nurse leader is looking at the system, the processes and the relationships. She is looking at everything and trying to determine if this is effective and how can we make changes on our job performance. She is incorporating flexibility and adapting. She knows we have to work with what we have. She might ask, "how can we flex and bend everything to fit into our process?" What type of leadership is this? a. Transactional b. Quantum c. Transformational d. Connective

b. Quantum

Some of the main leadership issues in the last 2 years include: (SATA) a. Further education b. Recruitment & retention c. Giving donations d. Promoting self-care

b. Recruitment & retention d. Promoting self-care

What are cons of computerized provider order entry (CPOE)? SATA a. decreased number of steps in the medication process, pre-populated fields, etc., improves safety b. complicated screens c. alert fatigue d. provision of clinical info related to allergy, dose, duplicate therapy, etc, improves safety e. easier to make incorrect choice in patient, drug sentence

b. complicated screens c. alert fatigue e. easier to make incorrect choice in patient, drug sentence

A nurse overrides the medication dispensing system due to the excess time it takes to enter the pt information to dispense medication. What are we talking about? a. weak signals b. work around c. normal deviance

b. work around "Overrides" something for the own benefit or patient benefit = workarounds

A nurse overrides the medication dispensing system due to the excess of time it takes to enter the patient's information to dispense medication. What are we talking about? a. weak signals b. work around c. normal deviance

b. work around The nurse is "over-riding" the process

Nurse leaders who provide a vision that incorporates the input of all team members are using which leadership? a. Transactional b. Quantum c. Transformational d. Connective

c. Transformational

Stimulating comes from exciting idea. Informal and spontaneously, positive reinforcement by "strokes". Setting high standards and "impossible" goals. Appeals to dependency need (followers need to have a direction) Provides both visions and goals as their foundation. Which leadership? a. Transactional b. Quantum c. Transformational d. Connective

c. Transformational

This nurse leader is providing a vision that is incorporating input from everybody and bringing everyone together and making a plan. What type of leadership is this? a. Transactional b. Quantum c. Transformational d. Connective

c. Transformational

When determining a reason for error, which is the most important aspect to review? a. prior education or experience with given situation b. What else was going on the unit at the time of the error c. acuity of the patient's under the care of specific nurse involved d. staffing ratios for the unit

c. acuity of the patient's under the care of specific nurse involved The most important aspect is the acuity of the patient's under the care of specific nurses involved. When looking at an error or problem. Example: if you go into a room and administer heparin and insulin while a code is going on.

Which is considered a nursing problem? a. staffing on the unit b. unit manager level of experience & seniority c. lack of turning patients Q2hrs d. lack of training for assistive personnel

c. lack of turning patients Q2hrs This is a problem that nurses contribute to

A new grad nurse begins working on an ortho unit. The graduate nurse complains to senior nursing staff that the medications arrive late from pharmacy every shift. The response from the staff is, "That is just the way it is around here." What are we talking about? a. weak signals b. work around c. normal deviance

c. normal deviance

Something minor turned into a norm, because no harm was done in the end. Example: The surgeon made a mistake by breaking sterile technique, and continuously to make the mistake because no one took the initiative in speaking up. No harm was done to the patient because the patient was receiving antibiotics regardless. What are we talking about? a. weak signals b. work around c. normal deviance

c. normal deviance

Nurses in a telemetry unit have a "hard stop" in the charting of their heparin drips. The nurses have been educated on the importance of verifying the infusion pumps before co-signing the medication. The nurse routinely cosign without verification. What are we talking about? a. weak signals b. work around c. normal deviance

c. normal deviance Telemetry unit have a "hard stop" continue to do it there own way- "normal deviance" "They know what they need to do or know what they are doing is not right but are continuing to do it regardless"

The nursing staff in a hospital frequently overrides IV pump alarms. these alarms have settings that allow them to beep frequently distracting the nurses. The clients frequently have IV infiltration's and loss of peripheral lines. What are we talking about? a. weak signals b. work around c. normal deviance

c. normal deviance The Nursing staff in a Hospital frequently. continue to do it there own way = "Normal deviance"

A hospital routinely skips the pre-procedural "time out" for central line placement as it is difficult to access the computers for charting. The nurses check the boxes on the required charting upon completion of the procedure or the end of the shift. What are we talking about? a. weak signals b. work around c. normal deviance

c. normal deviance The whole hospital routinely skips = normal deviance

Nurse leaders who include team members in the leadership process are using which leadership? a. Transactional b. Quantum c. Transformational d. Connective

d. Connective

This type of leader does what the staff wants them to do. They focus on the needs of others rather than their own needs. What type of leadership is this? a. Transactional b. Quantum c. Transformational d. Servant

d. Servant

Transformational leadership can be observed by a. having charisma and gaining other's trust b. exuding confidence & having the unit's trust c. serving others d. combines both visions and goals as their foundation

d. combines both visions and goals as their foundation - uses these visions and goals to make changes