Leadership Chapter 1

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logic model

schematic or picture showing intended operation of program

payoff table

show cost-profit-volume relationship

consequence table

shows how well alternatives meet objective and consequences associated

what aspect of the decision making model correlates with the EVALUATE step in the nursing process

evaluate steps and outcomes

critical thinking

more complex version of decision making and problem solving that requires higher order reasoning and a broad scope

trait that demonstrates good leadership when working with new employees

role modeling

decision tree

shows performance of alternatives in different situations

SWOT

strengths weaknesses opportunities threats

methods in improving problem solving skills

systematize data collection override bias slow thinking

problem solving

systemic analysis of a situation in an attempt to address the root problem

2A nurse makes a decision using intuitive judgment regarding a patient's rapid change in condition. What action should the nurse take after the decision?

use EBP data to validate decision

clinical reasoning

use of knowledge and experience to make decisions in care

a common flaw an pitfall in decision-making process

using first impression

decision grid

visual of alternatives compared against same criteria (apples to apples)

A nurse leader is having a discussion with a team member about changes that will be made on the unit. Which statement by the team member demonstrates the greatest problem for the leader?

"I don't think you heard what the rest of us had to say"

A staff nurse informs the nurse manager that the nurse would like to gain broader experience in other departments of the acute care facility. What response by the nurse manager demonstrates effective leadership?

"Would you be willing to help on another unit? They need a shift leader for a couple weeks."

primary quality that nurse leaders possess that allow them to obtain excellence

ability to provide clear visions, goals, and expectations

What kind of decision maker is described: makes good enough decision knowledge fragmented doesn't predict consequences only a few alternatives final choice satisficing

administrative

The nurse is admitting a new patient and is collecting data through obtaining a health history and physical assessment. What phase of the problem-solving process is the nurse focusing on with the patient?

assessing

In order to avoid the pitfalls involved in decision-making, what should the nurse manager do?

choose a decision-making style that will best fit the situation

what aspect of the decision making model correlates with the IMPLEMENT step in the nursing process

choose and implement alternative

decision making

choosing a particular course of action often times without consideration of root problem

critical elements in decision making process

clearly define objectives gather pertinent data think logically develop realistic timeline

examples of conflicts nurse leaders may face

cultural differences between members of care team novice and seasoned nurses patient's support system multigenerational nurses

A nursing staff is presently using disposable biopsy forceps in the endoscopy suite, and the nurse manager is questioning the cost-effectiveness of this practice. What would be an appropriate decision-making model to find a cost-efficient solution?

decision grid

satisficing

decision that is not ideal but adequate

program evaluation and review technique

determines timing of decision

examples of activities that demonstrate the traits of a nurse leader

est. goals for year advocation for employees providing feedback mentoring motivating

what aspect of the decision making model correlates with the PLAN step in the nursing process

identify criteria and identify alternatives

what aspect of the decision making model correlates with the ASSESS step in the nursing process

identify decision to be made and collect data

Which step in the problem-solving process assists the nurse leader to prioritize the problem or issue?

identifying problem

upper-left brained qualities

logical and rational

describe the role of negotiator

mediates internal or external conflict with various stakeholders

A nurse is caring for a patient that suddenly becomes short of breath and has a decrease in oxygen saturation to 86%. The nurse places the patient on 4 L of oxygen via nasal cannula and elevates the head of the bed. What decision tree would the nurse have used in this situation?

intuitive judgement

What kind of decision maker is described: makes decisions rationally has complete knowledge of situation has complete list of alternatives has rational ordering system selects decision of max utility

economic decision maker

A nurse is determining whether the outcomes were met for a patient preparing for discharge with an open abdominal wound and reassessing if not met. What phase of the nursing process is the nurse performing?

evaluating

most common decision making tool used by nurse leader for unit evaluation

flow chart

A nurse is educating a patient who is scheduled to undergo an open cholecystectomy how to turn, cough, and deep breathe in order to prevent complications after the procedure. What phase of the nursing process is the nurse providing?

implementation

A nurse determines that action is justified for a patient with limited mobility after an injury. After a plan for a solution has been identified, what is the next step in the problem-solving process?

implementing


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