LEADERSHIP
Medicare pays financial rewards to hospitals that perform well & penalizes those that perform poorly. What 4 performance domains are included in the latest Medicare Hospital Value-Based Purchasing Program? (SATA) Hospital acquired conditions 90 day readmissions Clinical care Patient and caregiver-centered experience of care/care coordination Safety Efficiency and cost reduction
Clinical care Patient and caregiver-centered experience of care/care coordination Safety Efficiency and cost reduction
Which of the following professional practice models posits that caring relationships influence attainment of positive health outcomes? Influential leadership Transformational leadership Quality-Caring Model BirchTree Center Model
Quality-Caring Model
Complex cognitive work of nursing includes continuously organizing, re-prioritizing, & decision-making for management of workflow & care delivery. True False
True
Complexity leadership assumes that all organizations are complex adaptive systems. True False
True
Complexity leadership is all about "doing with" rather than "doing to" or "imposing on". True False
True
Holistic leadership assumes that every nurse is a leader True False
True
In delegation, responsibility is transferred; accountability remains with the RN. False True
True
Nurses are responsible for facilitating continuity of care & coordinating care through documentation, reporting, & interprofessional collaboration. True False
True
Peer review is conducted by a nurse of the same rank/level of practice. True False
True
RN stacking is a dynamic, cognitive, decision-making process that depends on ability of nurses to be mindful of & aware of even subtle changes in their patients. True False
True
Stacking is defined as the invisible decision-making work of RN's regarding the what, how, & when of delivering nursing care to an assigned group of patients. True False
True
A nurse manager uses an assessment tool to identify 8 practices, such as sensing & envisioning, & uses observations to identify personality characteristics to identify new nurses for leadership. Which 2 theories did the nurse manager blend? complexity theory and situational theory innovative leadership theory and trait theory appreciative inquiry theory and great man theory transformational leadership theory and ethical leadership theory
innovative leadership theory and trait theory
Continuity of care can be defined as ensuring consistency of care as patients move through health care system. Examples of ensuring continuity of care include: Transiting from level of care to another From one facility to another From the recovery room to the surgical unit All of the above
All of the above
Which of the following is an example of a holistic leader selecting innovative strategies for clinical evidence? Bedside shift report Maintaining honest and open dialogue Nurse-only rounds Membership in professional organizations
Bedside Shift Report
Core attributes of professional governance include (Select all that apply) Unit -based committees Peer recognition Decision-making Accountability Professional obligation Collateral relationships
Decision-making Accountability Professional obligation Collateral relationships
What are essential elements of improving your emotional intelligence? (SATA) Developing emotional awareness Continuing education Accepting feedback from others Fostering stereotypes Avoiding unpleasant work situations Understanding inappropriate behaviors
Developing emotional awareness Continuing education Accepting feedback from others Understanding inappropriate behaviors
Name 3 characteristics of the "Baby Boomer" generation
Have a strong work ethic Work has been a defining part of their self worth and evaluation of others This generation has a desire for meaningful work
When someone questions a procedure, a commonly heard statement by many nurses is "We've always done it this way". Which description best illustrates this attitude Providing commitment Desiring group cohesiveness Limiting change Honoring the past
Limiting change
A nurse on a med-surg unit is assigning tasks to an AP. Which of the tasks should the nurse delegate to the AP? (SATA) Record urinary output Demonstrate the technique to instill eye drops Irrigate a wound Transfer a client to a stretcher Ambulate a client who has a cane
Record urinary output Transfer a client to a stretcher Ambulate a client who has a cane
What are 2 sources of potential multigenerational conflict in the workplace? Work ethic Technology Uniforms Pay scale
Work ethic Technology
A follower is an active participant but is dependent on others & doesn't engage in critical thinking. What type of follower is this nurse? "Yes" person Star follower Alienated follower Sheep
"Yes" person
How should followership be defined? A role one chooses to accept The least significant aspect of a leadership "event". Something that cannot be taught or cultivated A well-defined science
A role one chooses to accept
Nurse is planning care for the assigned pt group. The nurse should delegate obtaining vital signs to an AP for which of the clients? (SATA) A middle adult client who has status asthmaticus A young adult client receiving a continuous IV insulin infusion of regular insulin for diabetic ketoacidosis A young adult client who is 24 hours post op following an appendectomy An older adult who has a history of heart failure and is ready for discharge A young adult client who is 36 hours post op from a traditional cholecystectomy
A young adult client who is 24 hours post op following an appendectomy An older adult who has a history of heart failure and is ready for discharge A young adult client who is 36 hours post op from a traditional cholecystectomy
The nurse utilizes the following frameworks to aid in prioritizing patient care (SATA) Acute vs. chronic Age of the patient Physician notes Maslow's hierarchy Admitting diagnosis of the patient Stable vs. unstable Urgent vs. non-urgent
Acute vs. chronic Maslow's hierarchy Stable vs. unstable Urgent vs. non-urgent
Name 3 negative communication styles discussed by Chinn (2013) that need to be overcome for successful conflict transformation.
Anger Gossip Divisiveness
Several nurses on a unit consistently criticize new practice areas that are generated & are rude to new orientees & students. How should nurse leaders on this unit best help those nurses to become better followers? Ask them to propose solutions to the practices they are criticizing Thank them for their critical perspective Assign them to all of the orientees Schedule them on shifts when the students are not on the unit
Ask them to propose solutions to the practices they are criticizing
Nurse is planning client care for herself & an assistive personnel working with her. Which of following tasks should nurse plan to perform? Administration of an enema Application of antiembolic stockings Assessing a client's sacrum for edema Assisting a client to cough and deep breathe
Assessing a client's sacrum for edema
Match the characteristic to the generation Baby boomer Millennials Generation X Veterans Work-life balance Comfortable with technology Value Individualism Supportive of hierarchy
Baby boomer- Value Individualism Millennials- Comfortable with technology Generation X- Work-life balance Veterans- Supportive of hierarchy
Which important quality of a leader is often overlooked? Being a risk taker Being cautious Being cost effective Being careful not to "upset anyone in authority"
Being a risk taker
Mode of communication used when professional nurses care enough about themselves & their pts to confront disrespectful behavior face-to-face. Demystifying Centering Carefronting Competing
Carefronting
RN stacking is influenced by the following theoretical premises: (SATA) Complexity science Predictable world-view - people/systems are relatively predictable Non-predictable world-view - people/systems are influenced by many changing factors Relativity science
Complexity science Non-predictable world-view - people/systems are influenced by many changing factors
A nurse leader is mentoring, providing personal attention, and role modeling.Which leadership element is the nurse demonstrating? Developing/renewing followers Formulating a vision Facilitating change Providing stewardship
Developing/renewing followers
Name 3 characteristics of the "Millennials" generation.
Drawn to their family for safety and security. This is a global generation and are very receptive to multiculturalism. Instant communication is their way of life.
The nurse leader sponsors staff recognition days, celebrates staff of the month days, & publishes accomplishments of staff members. Which primary component is the nurse leader trying to foster in staff members? Self-evaluation Emotional competence Empathy Knowledge
Emotional competence
How can nurse leaders and nurse followers facilitate collaboration? Function more independently, rather than interdependently Empower one another Follow the medical orders without question Assume a subordinate role in the health care system
Empower one another
Seizure precautions include all of the following (select all that apply) Keeping tongue depressor at bedside in case of seizure Applying vest restraint to keep patient from falling Ensure that rescue equipment, including oxygen, an oral airway, and suction equipment is at the bedside Placement of seizure protective pads in bed to prevent injury (per facility policy)
Ensure that rescue equipment, including oxygen, an oral airway, and suction equipment is at the bedside Placement of seizure protective pads in bed to prevent injury (per facility policy)
You are speaking with your team about self-esteem. Select which concepts that you as a nurse leader should include. (SATA) Independence Free from harm Freedom to act Belonging to a group Mastery
Independence Freedom to Act Mastery
Which of following general leadership frameworks posits that leaders must first learn about themselves to be role models and mentors? BirchTree Center Model Quality Caring Model Transformational leadership Influential leadership
Influential leadership
Which description best portrays an effective nurse follower? Is reflective, spontaneous, and focused on working as autonomously as possible Is self-directing, looks at the "bigger picture" and speaks truthfully Is visionary, dedicated to accomplishing the leader's vision, and tentative with decision-making Blindly accepts the leader's authority, abdicates responsibilities, and encourages others
Is self-directing, looks at the "bigger picture" and speaks truthfully
Stage of conflict that can be observed in many situations; i.e. phone calls, messages, emails, or face-to-face interactions Latent Perceived Manifest Felt
Manifest
Factors that influence nurse staffing from shift to shift include: (select all that apply) Mix of licenses/unlicensed staff available Changing patient acuity Changes in patient census Requests for time off from nurses scheduled to work the shift Regulatory requirements
Mix of licenses/unlicensed staff available Changing patient acuity Changes in patient census Regulatory requirements
Which outcome is priority for a transformational leader? Increased morale High patient satisfaction 100% completion of isolated task Mutual involvement
Mutual involvement
Chaleff asserts that followers do not orbit around a leader. Instead, followers and leaders both orbit around their: Organization's mission Mutual purpose Personal needs Shared history
Mutual purpose
A nurse & an experienced LPN are caring for a group of clients. Which of the tasks should the nurse delegate to the LPN? (SATA) Initiate a plan of care for a client who is postoperative from an appendectomy Obtain vital signs from a client who is 6 hours postoperative Catheterize a client who has not voided in 8 hours Provide discharge instructions to a confused client's spouse Administer a tap water enema to a client who is preoperative
Obtain vital signs from a client who is 6 hours postoperative Catheterize a client who has not voided in 8 hours Administer a tap water enema to a client who is preoperative
A study by Wilson, Speroni, Jones, & Daniel (2014) suggested that 4 primary factors influenced participation in shared governance activities (Select all that apply) Unit-based committees Optimal patient care Compensation Support Teamwork Self-scheduling
Optimal patient care Compensation Support Teamwork
When nurse & patient engage in shared decision making to build consensus within groups, which of the Ten Principles of Servant Leadership is used? Growth Stewardship Awareness Persuasion
Persuasion
In Chinn's (2012) Peace and Power, you learned that peace is not the same as "keeping the peace". Which of the following are examples of destructive habits within a group? Select all that apply. Self-empowerment Fostering constructive solution to problems Playing it safe in order to avoid confrontation Doing whatever is required to keep on good terms Withholding information to protect someone else
Playing it safe in order to avoid confrontation Doing whatever is required to keep on good terms Withholding information to protect someone else
Parse (2009) reflects on the importance of power in her human becoming leading-following model. Parse acknowledges that power lies in one's position but also emphasizes which other concept? Power that lies within the person is most effective Expert power is not as strong as the power that comes from one's position Leaders are more important than followers Authority is stronger than power
Power that lies within the person is most effective
Agency for Healthcare Research and Quality (AHRQ) developed a composite of safety measures that are included in Affordable Care Act's (2010) value-based purchasing reimbursement program called PSI-90 (Patient Safety and Adverse Events Composite). Examples of PSI-90 safety measures include: (SATA) Glucose management Pressure ulcer rates In-hospital fall with hip fracture Postoperative sepsis rate Post-operative wound dehiscence rate 90-day mortality rate, AMI
Pressure ulcer rates In-hospital fall with hip fracture Postoperative sepsis rate Post-operative wound dehiscence rate
A nurse is planning to delegate a task to an assistive personnel. Which of the following actions should the nurse plan to take? Assess the AP's ability to follow the client's teaching plan Determine the social skills of the AP Evaluate the ability of the AP to work with peers Provide a clear description of the task to the AP
Provide a clear description of the task to the AP
Nursing greatly influences scores on several measures of the HCAHPS survey, including the following (SATA) Cleanliness of the facility Communication with doctors Responses to call lights Pain management Medication teaching Discharge teaching
Responses to call lights Pain management Medication teaching Discharge teaching
According to the Caring in Nursing Administration Model, leadership actions are: Focused on relationships that the care provider has with the patient/family Modeled with holistic ethics Validated within a framework of evidence-based practice Rooted in a foundation of caring philosophy and caring theory
Rooted in a foundation of caring philosophy and caring theory
Protects the public's health & welfare by assuring that safe & competent nursing care is provided by licensed nurses. Achieve this mission by outlining the standards for safe nursing care and issuing licenses to practice nursing. AACN - American Association of Colleges of Nursing CCNE - Commission on Collegiate Nursing Education SBN - State Boards of Nursing JCAHO - The Joint Commission
SBN - State Boards of Nursing
Holistic leadership is based on the synthesis of which leadership frameworks: (select all that apply) Laissez-faire leadership Democratic leadership Servant leadership Influential leadership Transformational leadership Transactional leadership
Servant leadership Influential leadership Transformational leadership
A nurse who has just assumed the role of unit manager is examining her skills in interprofessional collaboration. Which of the following actions support the nurse's interprofessional collaboration? (Select all that apply.) Ensure that a nurse is assigned to serve as the group facilitator for all interprofessional meetings Support team member requests for referral Recognize the knowledge and skills of each member of the team Use aggressive communication when addressing the team Encourage the client and family to participate in the team meeting
Support team member requests for referral Recognize the knowledge and skills of each member of the team Encourage the client and family to participate in the team meeting
Complexity science focuses on patterns and relationships. True False
True
What are 3 characteristics of nurse leaders important to Gen X and Millennial nurses.
Value honesty and the ability to motivate others from a leader. A positive outlook is another characteristic cited as important. Prefer leaders with good communication skills and an approachable demeanor.
Nurse is planning to assign tasks for group of pts. Which of the tasks should the nurse plan to assign to an assistive personnel? (SATA) Provide discharge instructions for a client who has a new skin graft Perform an admission assessment on a client Weigh a client who has heart failure Ambulate an older client who has hypertension Check a blood product with another nurse prior to administration
Weigh a client who has heart failure Ambulate an older client who has hypertension
A nurse wants to make a change on the unit. Which principle should the nurse remember? One's past experience with change does not affect participation People should be informed to change A change in one part of the system affects other parts of the system Conflict is the sign that change is not working
A change in one part of the system affects other parts of the system
A nurse has a conflict with a coworker and uses avoidance. Which outcome will most likely occur? Cause tension while negatively influencing care Will improve with time Generate a win-win situation Result in compromise with both parties
Cause tension while negatively influencing care
Match the following characteristics of emotional intelligence (matching) Social skills Self-regulation Motivation Self-awareness Empathy → the ability to understand where... → the ability to take a mental... → continuous striving to improve... → the ability to identify and understand... → managing conflict resolution
Self-awareness → the ability to understand where... Self-regulation → the ability to take a mental... Motivation → continuous striving to improve... Empathy → the ability to identify and understand... Social skills → managing conflict resolution
Two hospital complications reported on the Medicare.gov hospital compare site are: (SATA) Noisy rooms Surgical site infections Hospital acquired infections 30-day readmissions
Surgical site infections Hospital acquired infections
The College of Nursing Statement of Philosophy includes the following: (SATA) The art and science of nursing Specific nursing theories Multiple patterns of knowing Nursing collaboration and interprofessional research and practice Caring in nursing is an intentional mutual human process Specific educational objectives Nursing occurs in nursing situations
The art and science of nursing Multiple patterns of knowing Nursing collaboration and interprofessional research and practice Caring in nursing is an intentional mutual human process Nursing occurs in nursing situations
Which action indicates a nurse leader is following the chaos theory? Develops specific short and long term plans with evaluation outcomes Works side by side with physician mentors Uses intuition and is comfortable with uncertainty Rethinks the past and models self after previous nurse leaders.
Uses intuition and is comfortable with uncertainty
Peer review feedback is anonymous. True False
False
What subject demonstrates a nurse is working on strengthening emotional intelligence? Humor Self-management Cognitive abilities Research projects
Self-management
A nurse & nursing assistant are providing care for 4 clients who were admitted to med-surg unit on the previous shift. The nurse should delegate meal assistance for which of the following clients? A client who has amyotrophic lateral sclerosis (ALS) The client who has a lumbosacral tumor A client who has Guillain-Barre syndrome A client who has systemic sclerosis
The client who has a lumbosacral tumor
Patient Protection and Affordable Care Act of 2010 includes HCAHPS among the measures to be used to calculate value-based incentive payments in the Hospital Value-Based Purchasing program, beginning with discharges in October 2012. False True
True
When you use process of conflict transformation, you learn to discuss an issue in a way that's free of own interpretation & that clearly conveys your thoughts on the manner. True False
True
A follower thinks critically about the leader's suggestions but remains passive & perhaps somewhat hostile. What type of follower is this? Contributor "Yes" person Sheep Alienated follower
Alienated follower
A follower assumes an active role because the leader has credibility. According to Kouzes and Posner (2011), which characteristics make leaders have credibility? Competence , aggressiveness, and holding a position of authority Visionary, controlling, and powerful Honesty, ability to be inspiring, and forward-looking Demanding, focused on maintaining the status quo, and open
Honesty, ability to be inspiring, and forward-looking
Which health care reimbursement program pays for person age 65 and older and some disabled persons? Blue Cross Aetna Medicaid Medicare
Medicare
Which action indicates the nurse is an effective follower? Participates actively, rather than passively Needs clear direction to accomplish each task Is more dependent that independent of the leader Goes along with, rather than challenges the ideas of the leader
Participates actively, rather than passively
Nurse Practice Acts legislate the following (SATA) Establishes scope and standards of practice Evaluates the success of a nursing program in achieving its mission Provides accreditation for nursing programs Educational requirements for nursing programs Authority, power, and composition of board of nursing Types and titles of licenses Grounds for disciplinary action
Establishes scope and standards of practice Educational requirements for nursing programs Authority, power, and composition of board of nursing Types and titles of licenses Grounds for disciplinary action
A charge nurse is making client care assignments. Which of the following should the nurse delegate to the AP? (SATA) Feed a client who had a stroke 3 months ago Explain oral hygiene to a client receiving chemotherapy Assist a client to ambulate using a gait belt Bathe a client who had an amputation 2 days ago Review a low sodium diet for a client who has hypertension
Feed a client who had a stroke 3 months ago Assist a client to ambulate using a gait belt Bathe a client who had an amputation 2 days ago
Which most significant characteristic will assist nurses to grow in this chaotic healthcare environment? Steadfastness Flexibility Rigidity Efficiency
Flexibility
How would you summarize the concept of emotional intelligence? It is similar to therapeutic communication It is the ability to respond to others and manage one's own feelings The ability to sympathize with patients and families It is similar to one's IQ (intelligence quotient)
It is the ability to respond to others and manage one's own feelings
QSEN safety measures include the safe use of biomedical equipment by RNs. All are true except the following: RN must demonstrate competency in use of all biomedical equipment used in your area of practice Checking equipment is accurately set & functioning properly (oxygen, nasogastric suction) at the beginning and during each shift Life-support equipment is plugged into outlets serviced by backup generator power Leaving a malfunctioning infusion pump in the patient's room
Leaving a malfunctioning infusion pump in the patient's room
You are caring for a postopt patient who suddenly develops acute respiratory distress requiring emergent intubation & transfer to ICU. Your detailed report to the ICU RN is an example of: SBAR Maintaining continuity of care Shift report Incident report
Maintaining continuity of care
Peer review focuses on maintaining standards of nursing practice and addresses the following key focus areas: (select all that apply) Practice advancement Nursing research Role actualization Quality and safety Medication errors Hiring criteria
Practice advancement Role actualization Quality and safety
A nurse is participating in an interprofessional conference for a client who has a recent C6 spinal cord injury. The client worked as a construction worker prior to his injury. Which of the following members of the interprofessional team should participate in planning care for this client? (Select all that apply.) Speech therapist Occupational therapist Vocational counselor Psychologist Physical therapist
Occupational therapist Vocational counselor Psychologist Physical therapist
Compare Kotter's model of change to Lewin's framework for assistance in initiating a goal for nursing. Which steps of Kotter's model correlate to Lewin's stage 2? Select all that apply. Offer incentives for success of the goal Encourage risk-taking Identify a need Evaluate implications of the change as it takes hold Gather the stakeholders
Offer incentives for success of the goal Encourage risk-taking Evaluate implications of the change as it takes hold
Restraints are for physical protection of the client, or protection of other clients/staff. A nurse on an acute care unit is caring for a client following a total hip arthroplasty. The client is confused, is moving his leg into positions that could dislocate the new hip joint, and he repeatedly attempts to get out of bed. After determining that restraint application is indicated, which of the following actions should the nurse take? (Select all that apply.) Regularly assess the need for restraints Obtain an order for restraints from the provider specifying the reason for the restraint, type of restraint, and length of time for the restraint (per facility policy) Assess circulation, sensation, and mobility every 2 hours or according to facility policy Notify and educate the health care surrogate of the need for and provider order for the restraints Secure the restraint to the bed frame of the bed Use a square knot to secure the restraints to the bed Obtain a PRN prescription for restraints from the provider
Regularly assess the need for restraints Obtain an order for restraints from the provider specifying the reason for the restraint, type of restraint, and length of time for the restraint (per facility policy) Assess circulation, sensation, and mobility every 2 hours or according to facility policy Notify and educate the health care surrogate of the need for and provider order for the restraints Secure the restraint to the bed frame of the bed
A nurse is planning care for 4 clients & is assigning tasks to an LPN & an AP. Which of the following should the nurse assign to the LPN? Complete an admission assessment for a client who has COPD Measure I&O for a client who has an indwelling urinary catheter Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty Develop a plan of care for a patient who has cholecystitis
Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty
Emotional intelligence is: A measure of the strength of your feelings The ability to perceive and manage one's own emotions and those of others A guide to influence the opinions of others A gauge of your cognitive ability
The ability to perceive and manage one's own emotions and those of others
Which action will help a nurse provide strategic leadership? Expect few nurses to be leaders Avoid the edge of chaos Focus on predictability Work smarter
Work smarter
A nurse is preparing to administer medications to 4 clients. The nurse should administer medication to which client first? A client who is post-CABG, has a total cholesterol of 318 mg/dL, and... [cut off] A client who has anemia, a hemoglobin of 11 g/dL, and is prescribed epoetin alfa A client who has pneumonia, a WBC count of 11,500/mm3, and is prescribed piperacillin A client who has renal failure, a serum potassium of 5.8 mEq/L, and is prescribed sodium polystyrene sulfonate
A client who has renal failure, a serum potassium of 5.8 mEq/L, and is prescribed sodium polystyrene sulfonate
A nurse is prioritizing patient care after receiving change of shift report. Which of the following clients should the nurse prioritize? A client who told an AP that he is short of breath A client who is scheduled for an abdominal x-ray and is awaiting transport A client who received oral pain medication 30 minutes ago A client who has a prescription for discharge
A client who told an AP that he is short of breath
A nurse is preparing to transfer an older adult client who is 72 hr postoperative to a long-term care facility. Which of the following should the nurse include in the transfer report? (Select all that apply). Advance directive status Type of anesthesia used for procedure Potential safety risks Medical diagnosis Last vital signs prior to facility transfer Vital signs pre and post op Need for special equipment
Advance directive status Potential safety risks Medical diagnosis Vital signs pre and post op Need for special equipment
The practice of professional nursing in the state of Florida includes: (select all that apply) Assessment Planning Intervention and evaluation of care Supervision of other personnel as prescribed in the statute Medical diagnosis Prescriptions Anesthesia Health teaching and counseling
Assessment Planning Intervention and evaluation of care Supervision of other personnel as prescribed in the statute Health teaching and counseling
Match the following stages of conflict (matching) Aftermath Latent stage Felt stage Perceived stage Manifest stage Can be described as "a conflict brewing" Outcome of a conflict, resolution, or dissolution Observing the conflict Stress & anxiety related to the conflict are experienced by one or more of the individuals Full awareness of a conflict
Can be described as "a conflict brewing" → Latent stage Outcome of a conflict, resolution, or dissolution → Aftermath Observing the conflict → Manifest stage Stress & anxiety related to the conflict are experienced by one or more of the individuals → Felt stage Full awareness of a conflict → Perceived stage
What can be delegated to an LPN? (SATA) Care of a physiologically stable patient with a predictable condition Assist with implementation of defined plan of care Evaluate the effectiveness of an intervention Update the patient's plan of care
Care of a physiologically stable patient with a predictable condition Assist with implementation of defined plan of care
Which practice should a transformational nurse leader include according to Maslow? Perform favors for selected individuals Do not challenge the status quo Celebrate followers' accomplishments Be ready to react
Celebrate followers' accomplishments
At times, you will encounter a patient who makes the decision to leave AMA (against medical advice). A client who was admitted 2 hr ago with chest pain becomes angry and tells the nurse that there is nothing wrong with him and that he is going home immediately. Which of the following actions should the nurse take? (Select all that apply.) Prevent the client from leaving the facility until the provider arrives. Notify the client's family of his intent to leave the facility. Explain to the client the risks involved if he chooses to leave. Ask the client to sign a form relinquishing responsibility of the facility. Document that the client is leaving the facility AMA.
Explain to the client the risks involved if he chooses to leave. Ask the client to sign a form relinquishing responsibility of the facility. Document that the client is leaving the facility AMA.
What can be delegated to an unlicensed assistive personnel? (SATA) Vital signs on a patient now being admitted from the recovery room Feeding a patient Surgical dressing change Record intake and output
Feeding a patient Record intake and output
Broome (2011) asserts that leaders who will shape the future need to: Be aware of followers needs to have rests or vacations every 2-3 months Develop strong business plans that keep the "bottom line" down Push the organization's mission and goals no matter what the group's vision is. Know when to lead and when to follow
Know when to lead and when to follow
Which principle will a transformational leader follow? Leaders and followers raise one another to higher levels of motivation and morality Management skills will empower employees more than leadership skills The focus of the job is strictly to prevent employee dissatisfaction and decreased morale The bottom line is to empower staff to reach for maximum organizational financial success
Leaders and followers raise one another to higher levels of motivation and morality
According to the Florida Nurse Practice Act (2016), which elements of the nursing process can be delegated? Assessment Planning Evaluation None of the above
None of the above
Name 3 characteristics of the "Gen X" generation.
Raised in primarily single parent households Value self reliance and work life balance Technology is an important part of their lives.
Which action by a nurse leader is paramount for making innovative changes in nursing? Using diverse skill sets Interconnecting solely with members of the nursing discipline Seeing the healthcare team as the focus of care Incorporating a single perspective for improving care
Using diverse skill sets
A nurse manager uses transformational leadership and maximizes unit participation in unit decisions. What is the vision of the nurse manager for staff members? To enroll in a continuing education or graduate program to meet goals To empower nurses to pursue their own personal goals To focus on maintaining cost-effectiveness for the unit goals To work cohesively and collaboratively for meeting goals
To work cohesively and collaboratively for meeting goals
Which skills are necessary for a nurse to be a good leader and manager? (SATA) Troubleshooting Inward focus Risk management Networking Self-building
Troubleshooting Risk management Networking
Match the following organizational antecedents of Work Life and Work Engagement/Burnout: Workload Values Community Control Rewards - relationship between the work demands placed on an employee a specified amount of time and resources - the employee's decision-making and autonomy in the job - the quality of social interactions in the workplace - recognition for work contributions- can be monetary, social, personal, or a combo of the above Fairness- The extent that trust, openness, and respect are present in organizations and their decision-making processes - the congruence of organizational priorities and values with those of employees
Workload- relationship between the work demands placed on an employee a specified amount of time and resources Control- The employee's decision-making and autonomy in the job Community- The quality of social interactions in the workplace Rewards- Recognition for work contributions- can be monetary, social, personal, or a combo of the above Fairness- The extent that trust, openness, and respect are present in organizations and their decision-making processes Values- The congruence of organizational priorities and values with those of employees
