356 1
agreement between parties is the aim of conflict resolution a. true b. false
b.
being assertive will increase your chance of getting what you want a. true b. false
b.
what is the oldest model of nursing a. modular nursing b. total patient care c. primary care d. case management
b.
when does communication begin? a. when two or more people are in each other's presence b. when people become aware of each other's presence c. when a written or verbal message is exchanged
b.
which form of communication is primarily directive? a. upward b. downward c. horizontal d. diagonal
b.
Jim Collins Level 4
effective leader - excite a department to meet objectives and visions
compromising
each gives something up
What is the problem solving process (a part of decision making)
1. identify the problem 2. problem analysis / gather info to identify the cause 3. generate solutions 4. analyze each solution 5. select the solution / implement 6. evaluate
barriers to decision making
no objectives, did not gather necessary data, not enough time, only one solution, values, differences in thinking styles
decision making process (managerial)
Determine the decision & desired outcome / objectives, research & identify options, compare and contrast options and consequences, make a decision, implement an action plan, evaluate results
cooperating / accommodating
One party sacrifices something, allowing the other party to get what it wants. This is the opposite of competing.
the client is admitted for coronary artery bypass surgery with an anticipated admission to the CCU. In preparation for the clients hospital admission, implementation of which component will best predict the sequence and timing of care, and direct the course of the clients hopsital stay? a. a clinical pathway b. a client education plan c. HCP initiated interventions d. discharging planning at the time of admission
a
the nurse on a hospitals performance improvement committee evaluates potential activities that will lead to performance imporvement for the department. which are performance improvement activities? select all that apply a. improve client satisfaction scores b. reduce client fall rates c. increase client census d. reduce anticoagulant medication safety events e. increase the number of quality assurance nurse staff f. reduce hospital-acquired infections
a, b, d, f
the nurse is caring for the client who has a permanent tracheostomy, is receiving oxygen therapy and oral respiratory medications, and requires chest physiotherapy. which members of the interdisciplinary team should the nurse initially include in the plan of care. select all that apply a. respiratory b. PT c. speech therapist d. social worker e. OT
a, c
the client is urgently being prepared for transfer to another facility to recieve a higher level of care. which documents are essential to provide to the recieving facility? select all a. EMTALA form b. client teaching record c. transfer note d. history and physical e. progress note f. activity flowsheet
a, c, d, e
the new client is admitted to a facility and requires an initial admission assessment. which actions should the nurse include in the admission assessment. select all that apply a. ask questions to obtain subjective date b. take the clients vital signs c. develop the clients care plan d. obtain functional ability info e. document the education completed
a,b,d
which actions risk disciplinary action related to licensure. select all that apply. a. inserting a central venous catheter under the supervision of the HCP b. intentionally documenting incorrect info in the clients medical record. c. arriving to work smelling like tobacco d. recently convicted of a felony for drug possession e. detailing all previous work experience when applying for a job
a,b,d
the nurse is giving a change-of-shift report to another nurse. what are the essential components of a change-of shift report? select all that apply a. reporting a clients medical diagnosis b. sharing new orders, medications, and treatments c. sharing personal opinions about treatment options d. discussing the effectiveness of analgesics e. sharing routine turning schedule for the client f. identifying areas for priority focus on the next shift
a,b,d,f
the nurse manager is developing next years equipment budget. which factors should be considered when deciding how many oxygen flow meters should be purchased next year? select all a. staff request for more flow meters b. cost of nasal cannulas c. cost of flow meters d. current number of flow meters e. predicted client use days for next year
a,c,d,e
who may give consent for their own medical treatment. select all that apply. a. a 15-year-old may request a prescription for birth control without parental consent b. a lost 10 y/o may consent to treatment for sudden onset severe headache c. a 13 y/o with leukemia may refuse blood transfusions without parental consent d. a 14 y/o may seek treatment for drug addiction without parental consent e. a 16 y/o with a nondisplaced fractured arm may consent for treatment.
a,d
72 y/o with left leg DVT and a brain tumor is hospitalized for 3 days. the client care plan indicates a nursing problem of imbalanced nutrition: less than body requirements related to poor appetite and decreased oral intake. which assessment finding would best indicate a need to revise the care plan related to the nursing problem? a. oral mucous membranes are dry and cracked due to dehydration b. daily intake and output shows that caloric intake is inadequate c. client is not receptive to education regarding nutrition d. client states not feeling hungry and not wanting to eat
a.
Team building is an aspect of staffing a. true b. false
a.
Tell whether the following statement is true or false: new nurses should question and challenge nursing traditions: a. true b. false
a.
The experienced nurse orienting the new nurse explains that to advocate for clients, the nurse must be able to identify ethical issues and communicate the clients wishes to others. which primary role of the nurse advocate should the experienced nurse also explain to the new nurse? a. Safeguard all clients against abuse and violation of their rights. b. make decisions for clients based on the nurse's knowledge and relationship. c. Assist clients in openly expressing their rights to other HCPs. d. become knowledgeable of the clients values to assist the client in decision making
a.
Traditional model begins with a. identify the problem b. evaluate alternatives c. gather data d. set objectives
a.
a characteristic of leadership management is to use trade-offs to meet goals a. true b. false
a.
collaboration is necessary for conflict a. true b. false
a.
conflicts can increase pt. outcomes if handed correctly a. true b. false
a.
the nurse is obtaining a urine specimen by catheterization from the 90 y/o female client admitted with fever of unknown origin. the client is somewhat confused and yells out to stop the procedure. what is the most appropriate response by the nurse. a. stop the procedure and discuss the clients wishes not to be touched with the HCP b.finish the procedure because the urethra is easily identifiable and the specimen can be quickly obtained c. the nurse should stop the procedure and calmly talk to the client and explain the importance of the procedure d. the nurse should instruct the nursing assistant to hold the clients legs in the lithotomy position so the specimen can be quickly obtained
a.
the nurses on a surgical unit agree to work extra hours of overtime when necessary and in return they are guaranteed certain weekends off. this is an example of which of the following resolution strategies? a. compromising b. competing c. accommodating d. smoothing
a.
nursing process
assess, diagnose, plan, implement, evaluate
thought leadership
attract followers by risk taking and being innovative. future and problem oriented
Which is a characteristic of a successful decision maker? a. impulsiveness b.courage c. decisiveness d. Whimsy
b
a nurse suffers in silence instead of speaking up about scheduling conflicts. this is an example of which of the following types of communication? a. aggressive b. passive c. indirectly aggressive d. assertive
b
the day charge nurse is preparing to report to the oncoming shift nurse. which action should be taken first by the charge nurse when learning that the unit will be short-staffed because two nurses called in ill and the hospital doe snot have any extra nurses? a. ask two off-going nurses to stay and work overtime b. notify the nurse manager of the situation c. ask the ward secretary to call nurses who are off to come into work d. reallocate responsibilities to better utilize the NAs
b
the nurse notices a posting on a bulletin board for continuing education (CE) offering on the prevention of pressure ulcers. which is the most compelling reason for the nurse to attend a. the unit has experienced an increase in the number of clients with pressure ulcers. b. the nurse wants continuing education in order to keep up with current clinical knowledge c. the nurse needs one more continuing education unit for state licensure renewal d. the nruse is able to attend by coming in 1 hour earlier than the next scheduled shift
b
The client, who has a recurrence of breast cancer, questions the female nurse about treatment options. Which responses by the nurse would be appropriate? Select all that apply. a. You should discuss your concerns with your oncologist; I cannot give any medical advice. b. is there something your oncologist told you about your options you dont understand? c. Have you asked for a second opinion yet? There might be other options for treatment. d. I can arrange a conference for you and your family with the oncologist; would that be okay? e.I know that if I had breast cancer I would have both chemotherapy and radiation.
b, d
The client informs the nurse that the HCP is recommending a kidney biopsy. the client fears the result will be cancer and would not want treatment the client feels it would be better to just not know. which action should be taken by the nurse to empower the client to take control of his/her health care needs? a. explain to the client that the HCP is doing what is best for the client b. inform the client of his/her right to make decisions based on personal values and beliefs c. encourage the client to talk with family and let the family decide. d. talk with the HCP about the clients fear of having the biopsy.
b.
The client is actively bleeding from the upper GI tract and vomiting bright red blood. the nurse is to administer blood but the patient refuses due to religious beliefs. Which statement should be the basis for the nurse's intervention? a. The client has a right to be involved in decisions about his or her care and treatment b. the client has the right to refuse care and treatments regardless of the outcome. c. the client can be assured of his or her right to privacy and confidentiality d. the client cannot expect the HCP to allow spiritual beliefs to influence care decisions
b.
The hospitalized client diagnosed with end-stage cancer suddenly wants to discontinue treatment including no antibiotics, tube feedings, and mechanical ventilation. When acting as the client's advocate, which priority action should be taken by the nurse? a. respect the clients wishes and indicate those wishes on the plan of care. b. notify the clients HCP and have the client share the decision with the family. c. withhold the treatments and clarify other treatments that the client wishes to withhold. d. decide what to do based on the clients condition when additional treatment is needed.
b.
The mental health nurse is caring for the client diagnosed with schizoaffective disorder. which type of malpractice has the nruse committed when telling a coworker, that client is crazy and may kill someone. a. libel b. slander c. battery d. invasion
b.
Thought leaders attract followers by the promise of representation or empowerment a. true b. false
b.
Which is NOT a factor in solving a problem successfully? a. using an evidence-based approach b. doing all work independently c. stating a clear objective d. watching for faulty logic
b.
which of the following is a core concept of patient-centered care? a. patient care is organized around the needs of the nursing staff b. patient perspectives are sought out and patient wishes respected c. health-care providers do not seek open communicaiton with pts. d. the voice of the patient is not represented in planning
b.
several nurses are discussing their unhappiness with some residents of an extended care facility placing increased demands on staff. which statement, if made by one of the nurses, suggests a unit culture characteristic of transformational leadership? a. i discussed this problem with the nurse manager, and the nurse manager will take this concern to the medical director b. becuase these demands are occuring more at night, the night charge nurse should talk to the reisdents causing the problems for us c. the nurse manager suggested that i place this concern on the adenda for a weekly staff meeting so we can get staff input d. we made a list of the actual incidents that are concerning to us and now can send these specifics to the nurse manager and medical director
c
which is a strategy of successful negotiation? a. considering the other persons feelings can be more important than telling the truth b. intersperse facts with opinions c. try not to use your bottom line d. start soft and then get tough if necessary
c
The nurse educator is reviewing the concept of advocacy with new nurses. Which statements by the nurse educator demonstrate examples of advocacy? Select all that apply a. The client expresses concerns regarding surgical intervention for heart disease. The nurse's best action is to listen to the clients concerns. b. the client tells the nurse about no longer wishing to receive chemotherapy and not wanting to discuss it with the HCP for fear the HCP will disagree. the nurse nods in agreement. c. When a resident HCP fails to respond to an emergency situation, the nurse must step in to seek further assistance. d. The nurse must question inconsistent HCP orders, such as when the client being discharged has been taking clopidogrel following stent placement but it has not been prescribed. e. When the client is being discharged from the ED and hasnt had adequate medical eval, the nurse must seek clarification prior to discharging the client.
c,d,e
Which is a characteristic of a leader? a. always assigned a position of authority b. usually part of a formal organziation c. focus on group process, information gathering, and feedback d. focus on decision making and results
c.
Which of the following is a component of emotional intelligence? a. self-reliance b. assertiveness c. self-regulation d. charisma
c.
prior to medication administration, a hospital policy requires a double-check of two unique client identifiers against the MAR. the nurse manager forms a performance improvement team with the goal of improving nursing compliance with this important safety check. which activity, related to checking two unique identifiers, should be the responsibility of the performance-improvement team? a. hold staff accountable for the practice of checking two unique idenitifiers b. discipline staff members who fail to comply with checking two unique identifiers c. observe and report the practice of medication administration d. change the practice of two unique identifiers to a more compliant practice
c.
what kind of care uses relatively unskilled workers who have been trained to complete certain tasks? a. modular nursing b. case management nursing c. functional nursing d. team nursing
c.
ways to prep for a digital interview
check audio/ connection, distraction free, well-lit, correct angle, frame from chest up, dress appropriately, body language is open
sources of organizational conflict
communication, organizational structure, individuals behavior in organization, unclear expectations
Jim Collins Level 3
competent manager - organize a group effectively and achieve goals
conflict resolving strategies
compromising, competing, cooperating/ accommodating, smoothing, avoiding, collaboration
Jim Collins Level 2
contributing team member - uses knowledge and skills to help team succeed, effective worker
at a staffing meeting, the nurse manager shares that the unit is over budget by 2% and needs to reduce costs. a Staff nurse suggests that reports could shorten so that nurses could finish their shifts on time. how should the nurse manager measure the success of this idea once implemented? a. observe the change-of-shift report to determine how many nurses are leaving on time b. delegate monitoring the change-of-shift report to the charge nurses c. review the capital budget expenditures on a monthly basis d. monitor for a reduction in nursing hours per client day
d
the client is being referred to the neurosurgeon at another facility. the nurse prepares the client for transfer. which items should be included in the transfer? select all that apply a. medications supplied by the hospital b. clinic records from birth to present time c. emergency supplies and medications d. a copy of the clients medical records e. personal belongings brought to the hospital
d,e
The daughter of the client recently diagnosed with lung cancer informs the nurse that she does not want her mother told of the cancer diagnosis. which resposne by the nurse is best? a. Are you afraid that your mothers condition will worsen more rapidly if she is told? b. Your mother has a right to know; how would you feel if you were'nt told? c. We mus tbe honest with your mother. unfortunately, i will need to inform her. d. Lets discuss your concerns with the oncologist and then decide the best approach
d.
What is the first step in the managerial decision-making model? a. identify the problem b. evaluate alternatives c. gather data d. set objectives
d.
The best way to end a negotiation is: a. By restating the final decision. b. On a friendly note. c. Not appearing surprised at your success. d. With a follow-up memo. e. All of the above.
e.
What aspect of business should managers emphasize? a. decision making b. analysis c. results d. control e. all of the above
e.
Which are included in the EHR a. past medical history b. medications c. BP d. age, sex, race e. all of the above
e.
smoothing
focuses on agreements and takes out the emotion
strength-based leadership
focuses on development or empowerment of workers strengths, looks at multiple point of views, search for common ground, prioritize learning, recognizes uniqueness of staff.
Jim Collins Level 5
great leader - has all the above abilities and will
Jim Collins Level 1
highly capable individual- possesses useful levels of knowledge, has talent and skills, high-quality contributions to work
human and social capital theory
human = capability of individual social = what a group can accomplish
Transformational leader
identifies common values, committed, inspires others with vision, long-term vision, looks at effects, empowers others, communication is key
categories of conflict
intrapersonal (with self) interpersonal (2 or more people) intergroup (2 or more groups)
avoiding
just ignores the conflict
quantum leadership
leaders work together
democratic
less control, awards used to motivate, communicaiton flows up and down, decisions involve others, criticism is constructive, takes input from others
integrated leader/ manager
look longer term, look toward the larger organization, influence beyond their own group, emphasize vision / values/ motivation, thin in terms of change and renewal
things to have on a resume
make it for the job, modular, use verbs, use numbers, no opinions about self, no hobbies, religion, etc.
Kouzes & Posners 5 practices for exemplary leadership
modeling the way, inspiring a shared vision, challenging the process, enabling others to act, encouraging the heart
leaders:
motivate, inspire, visions, empowerment, has followers, honesty & integrity, innovation, vision, collaboration, dont delegate, communicaiton, take risks
authoritarian leader
needed in emergencies, strong control over work group, motivated by coercion, direct with commands, communication flows only downward, decision making not influenced by others, criticism is punitive.
Leadership flaws
no energy, accept mediocre performance, lack of clear vision/ direction, poor judgement, no collaboration, resisting new ideas, don't learn from mistakes, fail to develop others
principal agent theory
not all followers are motivated to act in the best interest of the leader. provide incentives
competing
one party pursues what it wants
laissez-faire
permissive with little to no control, motivates by support when requested, little to no direction, communication flows up and down, decisions made throughout the group, emphasis on group, no criticizing
battery =
physical harm
Managers:
plan, organize, coordinate, budget, staffing, others work for them, emphasize control, team building, can direct, communication, process management,
management functions:
planning, organizing, staffing, direction, coordination, reporting, budgeting
Effective teams are
positive leaders, communication, supportive, appropriate skill mix, understand all roles, quality and outcomes of care, clarity of vision
nurse role with transitional care
prioritize, client goals, referrals, interventions, follow up / evals
Greenleafs servant leadership
puts others as priority, collaboration, teamwork and activism
trade-offs
secondary gains, future oriented
Decision making traits
self-aware, courageous, sensitive, energetic, creative
collaboration
the best, win-win solutions, assertive, cooperative
hidden agendas
to convert intention of negotiations
modules for decision making
traditional, managerial, nursing process, integrated ethical (decrease the likelihood of the problem recurring), intuitive (gut feeling, adjunct to scientific knowledge)
authentic leadership
true to self and values
emotional intelligence
use emotions to increase success, social skills, empathy, motivation, self-regulation/ awareness
transactional leader
uses corrective actions for mistakes. focuses on management tasks, a care taker, uses trade-offs to meet goals, dont identify shared values, examines causes, uses contingency rewards
bottom-line
very least will settle for
