CH 14 and CH 17

Who is Virginia Henderson?

A nursing theorist, she defined nursing as "The unique function of the nurse to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery that he would perform if he had the necessary strength, will or knowledge."

What is in level 5 of Howletts hierarchy of work motivators?

Achievement and advancement

When transformational leaders display individualized consideration and inspirational motivation they create what type of climate to enhance followers performance?

Democratic and participative

What are the four I's of transformational leadership?

Idealized influence, inspirational motivation, intellectual stimulation, individualized consideration

What is the basic hint for successful problem-solving

Identify the real issue and solve it

The core functions of QIO include what?

Improve quality of care for beneficiaries, protect integrity of Medicare trust fun, protect beneficiaries by expediters Lee addressing individual complaints, notices, and appeals, such as non-coverage

What is the intention of the primary care method?

To increase the quality of care for patients

A staff nurse enters the classroom in which youre giving care to a patient in traction. She calls you aside and states "Ive been watching you all morning. You dont seem to know how to do anything right. Look at you now! Youre bathing the patient and its almost time for lunch." An assertive approach would be to say.

"Youre right. I am still bathing the patient. She was in pain earlier. I waited until her narcotic made her more comfortable."

RNs assign routine care and the care of stable patients to assistive personnel, which allows RNs to complete what specific tasks?

1.) Plan care. 2.) Coordinate all the activities of care, including care from interdisciplinary health care team members. 3.) Provide care that requires more specialized knowledge and judgment. 4.) Teach patients, families, and other members of the heath care team. 5.) Act as a patient advocate.

What is motivation ?

A drive that causes individuals to set personal goals and behave in a way that will allow them to reach their goals drive comes from within an individual and is intrinsic

What is an interdisciplinary health care team?

A large number of specialized service health care workers that work together to integrate care that will provide patients with all the services they need to maintain safe, quality, comprehensive health care.

What is a major criteria on in differentiating between the roles of a registered and practical nurse?

A practical nurse is a Dependant role, a registered nurse is an independent role, registered nurses control decisions regarding staff and care of patients, practical nurses are first line managers and long-term care and other community settings they are responsible to RN nurse managers or physicians, registered nurses initiate all health teaching, practical nurses initiate health teaching for basic health habits

What are the core areas needed for leadership?

Ability to motivate team members to accomplish team goals, communicate assertively, problem solve effectively, build a team of cooperative workers, manage stress effectively

What does nursing case management focus on ?

Achieving patient outcomes within a specified timeframe using clinical pathways

How do you encourage verbal communication from nursing assistance ?

Actively listen, stay focused on what they are saying, avoid judging the message or the assistant, rephrase the message when the assistant is done to verify that you understand the message, encourage comments, encourage constructive evaluation, respect all opinions

What is in level 3 of Howelllets hierarchy of work motivators

Affiliation and interpersonal relationships

What does it mean to assign

Allotting tasks that are in the job description of workers, assigned tasks are the ones that workers are hired and paid to perform

What is the Institute of medicine or IOM?

An independent organization that advises the nation about healthcare focuses on safety and quality in healthcare

What skills are necessary for a practical nurse to be successful as a first line manager ?

Basic nursing skills, time management techniques, ability to learn new information, the power of positive self talk and thinking, rules for assertiveness, communication skills, ethical aspects of healthcare, legal aspects of healthcare, problem-solving and critical thinking, stress management, participation in clinical evaluation

How can you control your reaction to a situation and your stress level ?

By using your stress management tool and manage how you think about the many interactions you have daily

Advanced Practice Registered Nurse indentures what advanced practice roles?

Clinical nurse specialist, nurse practitioner, nurse anesthetist, and certified nurse midwife

What are the steps you should take in resolving a problem ?

Collect data, define the problem, set a goal, select interventions, evaluate the plan

A competent nursing assistant should be capable of what in addition to basic care?

Communicate effectively, collect basic subjective and object of data, perform at noncomplex nursing activity safely, accurately, and according to the standard procedures, seek guidance and direction when appropriate

In and a evaluation what objectives should you contain?

Days and times, date of oral warning, seriousness of situation, and consequences

What does planning involve for a charge nurse

Deciding goals for the shift, setting priorities of care, and then using specific directions, assigning the appropriate task - duty to the nursing assistant who can safely and effectively complete the assignment

What are examples of dysfunctional behavior on the job ?

Decreased performance, negative interactions, ineffective communication, inappropriate body cues such as sharp tone of voice, hi staff turnover, unhappy residence, families, physicians, and nursing assistance

When delegating to nursing assistance what resources are needed

Description of recent clinical assignments for students in your clinical group, critical thinking

What is a resident goal

Desired results in resident progress after nursing intervention

What are the characteristics of an autocratic leader?

Does not share responsibility and authority with employees, concerned with the task, thrives on power

What is the necessary for a LPN to understand in their roles in care?

Education, Licensure, roles, and responsibilities of varied members of the interdisciplinary health care team.

What does it mean to delegate?

Generally, duties within the license practical nurse job description that can be given to another worker to perform. Is a voluntary function

What are characteristics of Laissez-faire leaders?

Gives away responsibility and authority to employees, concerned with the employee, focuses on employees feelings but ignores the task at hand it allows employees to act without any direction

What is leadership ?

How a person and powers and develops a team to meet and exceed patient and institutional outcomes it is an in formal role that is given to a person by a group of workers

When a nurse tells a peer, "You have to watch out for the charge nurse. Sometimes shes O.K., but sometimes shes just plain unreasonable. The best thing to do is to tell her off the first time she gets on your back about something. Keep me posted and ill try to help you." An assertive reply would be

I think it would be best for me to work on my relationship independently

Subjective information

Information based on a patient opinion

Why is delegating important

It increases your effectiveness and efficient C as a LP charge nurse, it is instrumental in realizing patient goals in a cost-effective manner, may help nursing assistance increase and improve their job skills

What is situational leadership?

It involves varying your leadership style to meet the demands of the situation and the work environment this is a popular system of leadership for the 21st-century

Actual tasks/duties allocated depend on what criteria?

Laws in your state, policies of the long-term care facility, needs and condition of the residence on your unit, training of nursing assistance

The priority care to be done can be evaluated according to what criteria

Life-threatening situations, essential to safety, essential to the medical/nursing plan of care

Transformational leaders are viewed as what ?

Motivating their followers without a focus on their own personal power, elevating their teams needs through effective mentoring - coaching, and providing a clear vision to lead the way

What does assessment of patient's allow the charge nurse to do

Note any changes in conditions of residence or discrepancies sees that may have occurred since report

Objective information

Objective informationData that can be observed and verified. Data obtained by seeing, hearing, touching, smelling, tasting, measuring, accounting, and so on. Does not include subjective judgment

As a LPcharge nurse your responsibilities and evaluating nursing assistance are what ?

Observing skill performance and attitudes of nursing assistance, providing daily oral - written feedback, including suggestions for improvement, documenting observations, presenting a final evaluation form

To be a leader what skills do you need to develop?

Occupational skills, organizational skills, human relationship skills

What are methods of delivering nursing care in acute care agencies ?

Primary care, case method, team method, functional method

What are some strategies to increase self confidence in nursing assistance ?

Provide opportunities to be successful in new situations, praise beginning successes in new situations, on clinical evaluation forms include positive statements as well as negative, with administration support plan educational opportunities for assistance, include nursing assistance in planning meetings and in service ideas, stand up for and support assistance, actively listen to problems

The IOM defines patient centered care as what ?

Providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions

What is in level four of Howletts hierarchy of work motivators?

Recognition, growth, responsibility, and nature of the job

What does skill mix mean?

Refers to the different levels of educational preparation of members used to staff the nursing team

All nursing care delivery systems must include what elements of patient and relationship centered care ?

Reflects the patients needs and preferences and ensures the patient has the information needed to make healthcare decisions

What is in level two of Howletts hierarchy of work motivator?

Safety in the workplace and job security

What is in level one of Howletts hierarchy of work motivators?

Salary, benefits, working conditions, supervision, and policies of agency

What are characteristics of a democratic leader?

Shared responsibility and authority with employees, bounces concern with task and employees

Why do practical nurses need to develop leadership and management skills ?

So they can direct and supervise others in a manner that will effectively meet the goals of the employing agency

Herzbergs two-factor theory indicates that managers/leaders should implement what strategies

Supportive to intrinsic and Extrinsic motivators and the work setting, thereby increasing job satisfaction and decreasing job dissatisfaction

Idealized influence

The leader acts as a charismatic role model, promoting desirable behavior and establishing trust and respect of the team

Individualized consideration

The leader communicates genuine concern for all followers, providing professional attention and individualized coaching and mentoring, supporting the development of followers

intellectual stimulation

The leader encourages creative thinking and problem-solving and is supportive of taking risks based on knowledge

Inspirational motivation

The leader establishes a clear, focused vision and creates collective pursuit of this vision

What is management ?

The organization of all care required of patients in a healthcare setting for a specific period it is a formal role

What is the major characteristic of the primary care method ?

The responsibility and accountability of the primary nurse

Who is responsible for the recovery of a patient and their return to home?

The whole healthcare team

What purposes does a mission statement define ?

Their values, culture, and norms, thus providing the foundation for collaborative decision making

What is a unlicensed assistive personnel?

They are trained by healthcare organizations to function in an assistive role two registered and practical nurses

What is a nursing assistant ?

They are trained for their positions by combining federally mandated classroom instruction with close supervision by registered nurses while in the clinical area vocational and private schools offer programs that last a minimum of 75 hours and are up to 12 weeks in length

What is the primary goal of health care and how is it accomplished?

To restore optimal physical, emotional, and spiritual health to patients. This is accomplished by promoting health, preventing further illness, and restoring health when illness or accident has occurred.

What is an example of an RN functioning interdependently?

When RNs carry out legal orders of another health professional, such as patient care decisions made jointly by members of the inter professional team.

When do LPNs function interdependently?

When they offer input to the RN in about the effectiveness of patient care or offer suggestions to improve care.

A newly graduated LPN who is orienting the unit tells a peer "You should have seen that new associate degree RN trying to take care of three patients! She was so disorganized that it made me glad Im an LPN." The LPN is demonstrating

projection

What is the defense mechanism that may be present in a family member who continually finds fault and criticizes the care given to a relative by nursing assistance

projection