Leadership Practice
The need to keep promises
fidelity
Type of planning that seek the status quo, and they spend their energy preventing change and maintaining conformity.
inactivism planning
Which budgeting approach can foster overspending?
incremental
The unit manager of a med surg unit is transitioning the unit to electronic charting. According to Lewin's model, which of the following roles describes you as the change agent?
the unfreezer
Which of the following are steps included in the flexible budgeting process?(sata)
time period for budget cost patterns separating costs into categories forecasting costs into activities
what ensures that employees are ready for change
unfreezing forces
encourages decision making based on what provides the greatest good for the greatest number of people.
utilitarianism
The good of the many outweighs the wants/needs of the individual.
utility
The obligation to tell the truth
veracity
The nurse is caring for a patient whose vital signs are not stable and seems to be nearing the end of life. The provider orders the patient to be placed on life-sustaining treatments, but the nurse questions this order. The nurse is operating within which type of ethical framework?
Rights based deontological
what 3 factors influence the future of healthcare?
Telehealth & internet elderly population nurse shortages in acute care hospitals
what type of forces drive you closer to overall goals. Push system toward change
driving forces
Which of the following is not included in the contemporary change process?
evaluation
what part of the contemporary change process is modification of behavior by the individual?
action
Promotes self determination/freedom of choice.
autonomy
The actions one takes should be done in an effort to promote good.
beneficence
What is it called when you execute the intended change
changing
Keeping privileged information private
confidentiality
what part of the contemporary change process is when the person considers change
contemplation
Which behaviors by a nurse can result in the suspension or revocation of the nursing license? (4)
felony/conviction of drug use not reporting an incident professional negligence expired nursing license
what is a duty focused normative approach centered on rules from which all action is derived.
deontological
a duty to do something or to refrain from doing something
deontological duty based
Each case is weighed on a case-by-case basis to determine goals, duties & rights
deontological intuitionist
when Individuals have basic inherent rights that should not be interfered with
deontological rights based
You are the nurse manager of a unit that is in need of a change in staffing rotation patterns, which will lead to major changes in how the unit is staffed. According to Lewin's change theory, what forces are in play to enact these changes?
driving forces
Seeks fairness & equality
justice
what part of the contemporary change process is change maintained?
maintenance
Which factors affect the ability to forecast the budget? (SATA)
mission & philosophy of organization political culture economics social climate legislative climate
what occurs when the individual knows the right thing to do but organizational constraints make it difficult to take the right course of action
moral distress
what is it called when an individual questions why morality in practice is even necessary?
moral indifference
A new nurse is working in the OR suite. The nurse notices that the surgeon uses inappropriate humor concerning the patient while the patient is under anesthesia. What is the nurse experiencing?
moral outrage
what is it called when an individual is unsure which moral principles or values apply and may even include uncertainty as to what the moral problem is
moral uncertainty
One individual assumes the right to make decisions for another
paternalism
Type of planning used to utilize technology to accelerate change and are future oriented
preactivism planning
what part of the contemporary change process is there no intention of change?
precontemplation
what part of the contemporary change process is intent to change
preparation
Type of planning that is used to consider the past, present, and future and attempt to plan the future of their organization rather than react to it.
proactive planning
Which refers to the system in which facilities join a payment system, whereby they receive a specified fixed payment for each medicare patient's admission, regardless of cost?
prospective payment system
Select the classic change strategies that nurse leaders use to apply the change process? (3)
rational empirical Rormative reeducative power coercive strategy
Type of planning that occurs after a problem exists. Because there is dissatisfaction with the current situation, planning efforts are directed at returning the organization to a previous, more comfortable state.
reactive planning
what type of forces ensure the change becomes permanent.
refreezing forces
A nurse leader is thinking about approaching their manager with a new idea. To be properly prepared, the nurse leader should recognize this as a natural and expected response to change?
resistance
what type of forces hold a person back from obtaining their goals. Pull away from change
restraining forces
Outcome focused approach that places emphasis on results & protects the interest of the majority.
teleological
what is this an example of? EX: manager might decide to use a travel budget money to send many staff to local workshops Rather than fund 1-2 people to go to a national conference.
teleological