Gender Differences in Communication Styles and Nursing Leadership, Exams of Nursing

Download Gender Differences in Communication Styles and Nursing Leadership and more Exams Nursing in PDF only on Docsity! BSN425 exam 3 QUESTIONS WELL ANSWERED ALREADY PASSED Affordable Care Act (ACA) - correct answer ✔✔signed March 23, 2010 Promise of providing adequate and affordable care to Americans on the horizon. Tighter budgets and staffing Affects nurses: understaffed, use ED as clinic and less payment Good b/c: many more openings outside of hospital, opening up jobs other than acute care, more NP Throughput - correct answer ✔✔A performance measure related to moving patients into and out of health care systems. Steps (3): input (all of your employees), Throughput (patient stay), and output (how well they do outside of the hospital) EX: if emergency departments are on divergence, the number or readmissions and how long they wait in ED Benchmarking - correct answer ✔✔Compares an organizations data with similar organizations comparing their performance. Identifies weakness Leapfrog groups compare hospitals EX: wait time in ED at one hospital vs. others TCAB quality management (transforming care at the bedside) - correct answer ✔✔Beside nurse more involved in research. Four main points: safe and reliable care, vitality and team work, patient center care, value added care process What's been created: rapid response, communication model, nutritional plans SIMPLY: take nurses at the bedsides opinions/research and make care better budgets - correct answer ✔✔all hospitals have cost center number, where you get paid from. overtime is 1.5 over your hourly wage, for overtime you have to work 4 additional hours on top of your 3, twelve hour shift. Nurses impact budget: clocking in and out on time, taking breaks, wasteful w/ supplies shared governance - correct answer ✔✔movement as an attempt to empower nurses (really draws in a nurse) creates an environment where nurses have ownership of his/her ownership hallmark: participative decision making and is a standard for magnet certification EX: the manager in a shared governance organization takes the role of a facilitator RATHER than a supervisor/boss transactional therory - correct answer ✔✔theory; maintaining the equilibrium, expecting something back. Ex: the charge nurse asking nurse to pick up shift transformation theory - correct answer ✔✔chief nursing officer goes beyond transactional, pushing people to do better. Pushing your followers. ** this decreases burnout and makes a happier work environment SIMPLY: transactional is the now, transformation is in the future ex: transactional: day to day, Transformation: shared vision for future McGregor's Theory X - correct answer ✔✔motivational theory; the idea that what the manager believes about his/her employees affects employees motivation and work performance Lazy w/ constant supervision and direction: Manger will treat them as lazy and will provide constant super vision and direction. These people are NOT motivated and fearful of manager long term care - correct answer ✔✔type of healthcare organization: professional nursing care and rehab service may be free standing, part of a hospital or apart of an organization Evidence Based practice (EBP) - correct answer ✔✔improved quality by using best available knowledge integrated with clinical experience and patient values/preference provide care critical pathways - correct answer ✔✔successful case management relies on critical pathway to guide their care pre-set care plan based on diagnosis but you can make it customizable for the patient the case manager - correct answer ✔✔has a load of 10-15 patients and follows patient progress through the system from admission to discharge responsibilities: finding ways to improve patient outcome, reduce patient days hospitalized and lowering costs in general unlicensed staff - correct answer ✔✔basic things: vitals, bath, ambulation, I/O, mouth care, cath, can apply restraint after 1st time, transport LPN role - correct answer ✔✔12-18 months of education, renews every 2 years gives meds or hangs some medication can NOT do: change in assessment or initial, formally educate a patient (injections of insulin, SQ, dressing changes) more examples-- titrating IV fluids and meds, adjusting dose of medication, inserting central venous cath, chemotherapy, discharges CAN do: ongoing assessment, instruct a patient (ex: pee in a cup for specimen), teach about side effects of med or proper ambulation RN's only ones who can do - correct answer ✔✔initial assessments and teaching ASN vs BSN prepared nurses - correct answer ✔✔BSN would be in a supervisory position and the ASN more involved with the technical aspects of care delegation - correct answer ✔✔something you can actually do, the receiving person has to do it and you are responsible and accountable that it is done under-delegating - correct answer ✔✔type of delegation: asking an RN to make a bed over-delegating - correct answer ✔✔type of delegation: asking an RN to prepare a budget, complete patient-nurse assignments, take patient assignment #1: define the task #2: choose the right time #3: choose the right person #4: fully transfer the authority #5: check to make sure the task is completed - correct answer ✔✔what is the model for delegation (5)? right task right person right direction/communication right supervision or feedback right circumstances - correct answer ✔✔what are the five rights for delegation published by the ANA in 1997? supervision - correct answer ✔✔monitor, evaluate them, give feedback and intervene if necessary manager can be help personally liable for their own acts of delegation and supervision but can't be held liable for the acts of others total patient care - correct answer ✔✔type of delivery system: responsible for all aspects of care (clinical days) ex: getting meds, assessments, everything. you don't worry about them when you go home total patient care, case nursing, team nursing, functional nursing, primary care, patient centered care, practice partnership, differentiated practice - correct answer ✔✔what are the types of delivery systems (8)? case nursing - correct answer ✔✔type of delivery system: one nurse caring for one patient team nursing - correct answer ✔✔type of delivery system: team consists of RN, LPNs, and unlicensed assisted personal it is from the past, but its around at some places still b/c it is cost effective Based on values, mission and philosophy of that organization Helps staff stay directed and prevent the organization from responding to inappropriate request value - correct answer ✔✔beliefs and attitudes vision - correct answer ✔✔written statement of the organizations goals mission - correct answer ✔✔the purpose of your organization philosophy - correct answer ✔✔the mission, values and goals all written charge nurses - correct answer ✔✔type of nurse that trouble shoots problems going on they help with shift to shift coordination takes 2-3 years for you to acclimate to your role virtue theory - correct answer ✔✔doing what a reasonable person would do in a given situation putting yourself at harm to help someone else ex: firefighters justice - correct answer ✔✔giving each person what they deserve. All person should share the benefits and burdens of a particular situation doing what is right autonomy - correct answer ✔✔the right to choose freedom of choice or accepting responsibility for one's choices. People make choices regarding their behavior and should be responsible for their behavior. These choices determine the decision. beneficence - correct answer ✔✔duty to help others by doing what is best for them nonmaleficence - correct answer ✔✔part of beneficent- beneficence also implies this principle "do no harm"-- one has duty not only to do good but also not to inflict harm or risk harm to others The American Nurses Code of Ethics - correct answer ✔✔•The ANA Code of Ethics for Nurses serves the following purposes: It is a succinct statement of the ethical obligations and duties of every individual who enters the nursing profession. It is the profession's nonnegotiable ethical standard. It is an expression of nursing's own understanding of its commitment to society. •The Code makes it clear that inherent in nursing is respect for human rights, including the right to life, to dignity and to be treated with respect ethics - correct answer ✔✔broadly is right and wrong morals - correct answer ✔✔person's own code of behavior personal liability, vicarious liability, corporate liability - correct answer ✔✔what are legal issues (3)? personal liability - correct answer ✔✔Type of liability: the individual nurse is responsible and accountable for his/her own actions or lack of action vicarious liability - correct answer ✔✔Type of liability: the assumption of negligence based on association with a negligent person. For example, you could be found liable due to your association with a negligent nurse. The organization can also be held liability for the negligent practice of an employee. corporate liability - correct answer ✔✔Type of liability: the organization can be held liable for its own conduct. Areas of high potential liability are: maintaining a safe environment, appropriate staffing, and hiring and termination issues. Safe amount of staff magnet status - correct answer ✔✔recognized health care organizations that provide nursing excellence improved patient safety at these hospitals improved work life conditions for nurses Hire ratio nurses and patient, fliexible schedules, autonomy, recognition and advancement opportunities RN's have voices, tuition reimbursement, and hospitals work hard to draw nurses to work there but it is expensive to do so climate - correct answer ✔✔the subjective perceptions that employees have of the organization (relaxed or hostile) do not adopt it, may work against it HIPPA - correct answer ✔✔Invented in 1996 but it was not implemented until 2003 (around the time of AIDs epidemic) philosophy of an organization - correct answer ✔✔A statement of an organization's philosophy includes values, concepts and beliefs. A philosophy statement often begins with "we believe that" ex: We believe that: we have a responsibility to provide learning experiences for all students in health care related fields root cause analysis - correct answer ✔✔when you make an error, management will look back and see what caused the error usually b/c the system fails "tracing back to figure out how the error occurred, and what can we do to present the error from reoccurring" Just Culture - correct answer ✔✔refers to a culture within the organization, where you can admit/report something you did wrong and not fear you will lose your job PIP: process improvement performance (they have to give your warnings you can not get fired) critical thinker - correct answer ✔✔creativity is essential to critical thinking barriers to critical thinking: having habitual way of thinking (having a mindset of that is the way it should be done) misuse of statistics and stereotyping critical thinking - correct answer ✔✔process of examining assumptions, evaluating, and exploring alternatives change and change agent - correct answer ✔✔the nurse manager/change agent identifies a need for change. The manager/change agent creates disequilibrium any nurse can be a change agent Men - correct answer ✔✔men or women? not into long stories men - correct answer ✔✔men or women? interrupt more frequently men - correct answer ✔✔men or women? talk more, louder, longer and faster men - correct answer ✔✔men or women? disagree more men - correct answer ✔✔men or women? focus more on issue than person men - correct answer ✔✔men or women? need to: listen to objections/suggestions, stop being judgmental until all info is in and explain their reasons women - correct answer ✔✔men or women? tag questions "can't I?" women - correct answer ✔✔men or women? seek out more info women - correct answer ✔✔men or women? hold grudges women - correct answer ✔✔men or women? relate to a story and personal experiences women - correct answer ✔✔men or women? ask more questions and wait to be noticed women - correct answer ✔✔men or women? withdrawal from conflict women - correct answer ✔✔men or women? need to: state their message clear and concise, solve problems without personalizing them, say what you want without hinting, eliminate unsure words, don't cry diversity - correct answer ✔✔gender, race, age, culture, religion. Bottom line: we take care of everybody and we treat them all the same. we need more men, paychecks will go up talk to children as young as 5-years old b/c by the time they are in 6th grade, they have already made up their mind and bias - correct answer ✔✔how to promote nursing with children? Situation, background, assessment, recommendation, repeat - correct answer ✔✔SBAR-R stands for? found the American Army Nurse Core in 1901 In the Spanish American War Hazel W. Johnston Brown - correct answer ✔✔Important nurse: First African American to be Chief of the Army Nurse Core Mary Todd Lincoln - correct answer ✔✔Important nurse: Lincoln's wife Helped in the Civil War with soliders Doctor Loretta Ford and Doctor Henry Silver - correct answer ✔✔created the first NP program Think: only two doctors on SG and they created practitioner position Jane Delano - correct answer ✔✔Important nurse: made the Red Cross (think girl from Tarzan with red hair) Henrietta Lacks - correct answer ✔✔HeLa cells, used her cells and didn't tell her Informed consent came about b/c of this case!! cells are most famous world-wide and have been used in medical research to develop vaccines, gene mapping, cloning and vitro fertilization The Tuskegee study - correct answer ✔✔Untreated syphilis, told them they were treated for bad blood but weren't treated at all. supposed to last 6 months and lasted 40 years Unethical study: they didn't inform them of the study/purpose of the study and didn't tell them they could quit Six sigma - correct answer ✔✔quality management program that uses quantitative data to monitor progress 1. Gather information 2. Define the problem 3. analyze the info 4. develop solutions 5. make a decision 6. implement the decision 7. evaluate - correct answer ✔✔what are the 7 steps to problem solving? 1. identify the purpose 2. set the criteria (what is the goal) 3. rank the criteria 4. seek alternatives 5. try them out 6. troubleshoot (what problems might occur) 7. evaluate - correct answer ✔✔what are the 7 steps to decision making? Clinical ladder - correct answer ✔✔system of using performance indicators to advance an employee within an organization ex: Metropolitan Hospital established a clinical ladder system for nursing staff- each quarter, members of the clinical excellence committee meet to review applications from staff nurses who are seeking promotion to the next clinical ladder level clinical ladder - correct answer ✔✔allows nurses who have been in the program for a long period of time to advance to a higher title and get a raise (higher the level, higher the raise) ex: level 2 gets $2500 and level 4 gets $4000 clinical apprentice - correct answer ✔✔Clinical ladder: new nurse or nurse new to the area clinical colleague - correct answer ✔✔Clinical ladder: a full partner in care clinical mentee - correct answer ✔✔Clinical ladder: demonstrates preceptor ability Clinical leader - correct answer ✔✔Clinical ladder: demonstrates leadership in practice clinical expert - correct answer ✔✔Clinical ladder: fixed costs - correct answer ✔✔that will remain the same for the budget period regardless of the activity level of the organization, such as rental payments and insurance premiums PRN nurse - correct answer ✔✔as needed; fill in, part-time, contract and short-term work by nurses float nurse - correct answer ✔✔nurses may be a part of the hospital's pool (resource nurses) OR floor nurses who take these assignments when their unit's census is low or to fill staffing shortages across the hospital due to absence, vacancies, or high-acuity levels; can be a major source of job dissatisfaction can solve acute staffing problems by establishing internal pools using nursing staff and UAPs; internal float pools of nurses can cause supplemental staffing at a substantially lower cost than external agency nurses all staff participating in the internal float pool must be adequately trained for the type of patient care they will be giving in house registry nurse - correct answer ✔✔They only work at one hospital (or sometimes more if they are sister hospitals run by the same people) sometime they only work on particular floor or unit, other times they go throughout the hospital wherever help is needed. They usually have to have a good amount of previous experience in these areas before they are allowed to be a part of the internal float pool or in-house registry cost less than external agency nurses agency nurse - correct answer ✔✔work for an outside company and are hired as temporary workers in various hospitals; external float pool they choose to work independently from one specific hospital or clinic; instead, they freelance, providing extra nursing help to hospitals or long-term care facilities when their staffing is low must have orientation on the unit and work under the supervision of an in-house nurse block staffing - correct answer ✔✔involves scheduling a set staff mix for every shift; however, there may be trend in peak workload hours in ED when additional staff (RN, UAP or secretary) beyond the block staff are necessary nurse shortages and current restrictions - correct answer ✔✔salary budgets have made creative and flexible staffing patterns necessary and probably everlasting flexible staffing - correct answer ✔✔allowing the staff to come in at different times to accommodate lifestyles and staff the unit patterns can be a challenge/mathematical challenge; however, once a schedule is established and agreed to by the nurse manager and the staff, it can become a cyclic schedule for an extended period of time (such as 6-12 months)-- staff can know schedule early combinations of 4-,6-, 8-,10-, and 12-hour shifts and schedules that have nurses working six consecutive days of 12-hour shifts with 13 days off; staffing strategies- weekend programs and split shifts self-staffing and scheduling, shared schedule, open shift management, weekend staffing planned job sharing - correct answer ✔✔shared schedule two people share on full-time schedule by splitting the day of 12 hours into half days of 6.5 each, alternating morning and afternoon shift allows nurses who might not be able to work the full 12 hours to share the shift two people split a 40 hour work week staff mix - correct answer ✔✔the type of staff used on a unit same data used to determine FTEs are used to identify staffing mix ex: for patient care needs involving general hygiene care, feeding, transferring, or turning patient, PRNs or UAPs can be used; for patient care needs involving frequent assessments, patient education, or discharge planning, RNs will be needed because of the skills required high RN-skill mix allows for greater staffing flexibility Information on typical or usual patient needs is obtained by using trends from the patient classification system non-productive time - correct answer ✔✔this time includes vacation, holiday, sick time, orientation, education, and other non-worked paid time (bereavement, etc) *** generally, a staffing pattern is built upon an 86%/14% non-productive mix productive (worked) time - correct answer ✔✔straight time, overtime and any other paid time worked (ex: conference attendance) time paid - correct answer ✔✔total time paid to staff consists of productive and non-productive time cost center - correct answer ✔✔the unit you're working on-cost for your paycheck comes from where you are being employed for that shift ex: your normal unit is 10E and you are floated to 9W (you get payed from 9W) FTE (full-time equivalents) - correct answer ✔✔the percentage of time an employee works that is based on a 40-hours workweek 36 hour workweek would make you a one FTE (1 full time equivalent)-- will be eligible for benefits ex: someone who works 0.8 FTE with 8 hour shifts is equivalent to 4 days per week (4/5=0.8); 0.8 FTE for 10 hour shifts will be 8 days for two weeks; calculated differently with 12 hours*** Only chart what you know/saw happened (don't assume) Ex: patient is on the floor—don't chart that he/she fell unless you saw it happen Wrong patient and time total quality management (TQM) - correct answer ✔✔a management philosophy that emphasizes a commitment to excellence throughout an organization Four characteristics: 1. Customer/client focus 2. Total organizational involvement 3. Use of quality tools and statistics for measurement 4. Key processes for improvement identified Goal: involve all employees and empower them with the responsibility to make a difference in the quality of service they provide employee discipline - correct answer ✔✔Learning how to discipline effectively can reduce your concerns and improve morale for all employees Primary function/purpose is NOT to punish the guilty party, but to teach new skills and encourage that person and others to behave appropriately in the future When faced with a disciplinary situation, maintain close contact with the organization's human resources department and administration: discuss the action you intend to take and seek approval for it Goal: change behavior Halo Error - correct answer ✔✔the failure to differentiate among the various performance dimensions when evaluating; when you do something good recently/close to the time you will get evaluated (all scores will be high due to that one thing you did properly/first impression) recency error - correct answer ✔✔the tendency of a manager to rate an employee based on recent events, rather than over the entire evaluation period Inaccuracy or flaw in performance appraisal or job interview, caused by the evaluator's or the interviewer's reliance on the most recent occurrences of the employee's or the applicant's behavior Horns error - correct answer ✔✔you make an error close to the time you are being evaluated—your score will be low on everything based on one error that occurred/first impression that occurs central tendency - correct answer ✔✔manager sees everyone as average (no one is better or worse than the other) leiciency - correct answer ✔✔over-evaluate a person guessing error - correct answer ✔✔manager guesses how you've been doing Burnout - correct answer ✔✔the perception that an individual has used up all available energy to perform the job and feels that he or she doesn't have enough energy to complete the task reality shock - correct answer ✔✔the stress, surprise, and disequilibrium experienced when shifting from a familiar culture into one whose values, rewards, and sanctions are different (ex: from a school culture to a work culture) role ambiguity - correct answer ✔✔the frustrations that result from unclear expectations for one's performance (lack of clarity about expected behavior for a job) democratic management - correct answer ✔✔a leadership style that assumes individuals are motivated by internal forces; leader uses participation and majority rule to get work done Laissez-faire (delegative leadership) - correct answer ✔✔leaders are hands-off and allow group members to make the decisions. Researchers have found that this is generally the leadership style that leads to the lowest productivity among group members transactional leadership - correct answer ✔✔a leadership style based on the principles of social exchange theory in which social interaction between leaders and followers is essentially economic, and success is achieved when needs are met, loyalty is enhanced, and work performance is enhanced -aimed at maintaining equilibrium, or the status quo, by performing work according to policy and procedures, maximizing self-interests and personal rewards -leader promotes compliance of this followers through both rewards and punishments transformational leadership - correct answer ✔✔a leadership style focused on effecting revolutionary change in an organization through a commitment to its vision -decreases burnout among employees time management/organization when taking care of patients - correct answer ✔✔create a task list/checklist, prioritize** (patient safety always comes first—accidents, changes, falls, etc. is the responsibility of the nurse!), utilize delegation (help your more critical patients first and delegate less urgent tasks to another nurse), clustering care (do everything for one patient as you can at that time, chart at the beside as you do it/immediately after you do it) lots of stress! (do not take breaks frequently, multiple patient assignments, not able to acclimate to the role/deal with this stress, etc.), burnout, advance your degree, retirement, low pay (no raise) - correct answer ✔✔why do nurses leave jobs? reward power - correct answer ✔✔based on the inducements the manager can offer group members in exchange for cooperation and contributions that advance the manager's objectives (similar to transactional leadership) coercive power - correct answer ✔✔based on the penalties a manager might impose on an individual or a group—motivation to comply is based on fear of punishment (coercive power) or withholding of rewards legitimate power - correct answer ✔✔stems from the manager's right to make a request because of the authority associated with job and rank in an organizational hierarchy—followers comply because they -important but not urgent (drafting an educational program for nurses on the changes in Medicare reimbursement) -urgent but not important (completing and submitting the "beds available" list for a disaster drill) -busywork (compiling new charts for future patient admissions) -wasted time (sitting on the phone waiting for returned calls) voluntary absenteeism - correct answer ✔✔absenteeism under the employee's control Ex: not coming to work in order to finish one's income taxes involuntary absenteeism - correct answer ✔✔absenteeism that is largely outside of the employee's control Ex: RN's mom died Ex: taking a sick day because of food poisoning HIPPA - correct answer ✔✔acronym that stands for the Health Insurance Portability and Accountability Act, a US law designed in 1996 to provide privacy standards to protect patients' medical records and other health information provided to health plans, doctors, hospitals and other health care providers twice a year (evaluate the EOP annually) - correct answer ✔✔required to test emergency operation plan (EOP) how often? Most mobile people first, immobile/critical last Leave IVs/catheters/etc. on top of patient Tornado: pillows/covering the patient; center of the building (away from windows) Hurricane: power outage (have flashlights available), flooding**, evacuate if possible Earthquake: be next to a hard/firm surface (not underneath), watch for falling objects (will lead to crushing) Fire: evacuate laterally first and then down when told - correct answer ✔✔who to evacuate first? hurricane - correct answer ✔✔anticipate power outages, have flashlights available, expect flooding, and evacuate if possible Rescue Alarm Contain Extinguish - correct answer ✔✔RACE Point Aim Squeeze Sweep - correct answer ✔✔PASS Required to test your emergency operation plan (EOP) twice a year and evaluate the EOP annually - correct answer ✔✔Emergency operation plan (EOP) BSN vs ASN - correct answer ✔✔-BSN are educated to develop good communication skills, critical thinking and reasoning, leadership and management attributes -more advancement conflict resolution - correct answer ✔✔occurs when a mutually agreed-upon solution is arrived at and both parties commit themselves to carrying out the agreement; be quick and private conflict suppression - correct answer ✔✔occurs when one person or group defeats the other; only the dominant side is committed to the agreement, and the loser may or may not carry out the agreement confrontation - correct answer ✔✔conflict resolution: the most effective means for conflict resolution -deliver private and as soon as possible negotiate - correct answer ✔✔conflict resolution: give and take (make sure both parties are happy) collaboration - correct answer ✔✔conflict resolution: work together compromise - correct answer ✔✔conflict resolution: rewards are divided (neither gets what they truly wanted) competing - correct answer ✔✔conflict resolution: win regardless of cost (only one person wins) 22-26 - correct answer ✔✔HCO3 7.35-7.45 - correct answer ✔✔ph 70-120 - correct answer ✔✔blood glucose 70-99 - correct answer ✔✔fasting glucose advanced directive - correct answer ✔✔-written instructions that are recognized under state law and related to the provision of such care when the individual is capacitated -Advance directives are oral and written instructions about future medical care should your parent become unable to make decisions (for example, unconscious or too ill to communicate). Each State regulates the use of advance directives differently. A living will is one type of advance directive. It takes effect when the patient is terminally ill. performance evaluation - correct answer ✔✔-Performance appraisal includes: day to day manager- employee interactions; making notes about an employee's behavior; encouraging the employee to complete a self-evaluation; direct peer evaluation; conduct the appraisal interview; follow up w/ coaching and/or discipline when needed -Results-oriented or behavior-oriented system -Evidence of performance: peer review, self-evaluation, group evaluation, manager evaluation 2-3 years - correct answer ✔✔How long does it take to acclimate to the registered nurse role? Black males who smoke - correct answer ✔✔Who is at greater risk for lung cancer? DNR - correct answer ✔✔an order, written by a physician, that provides an exception to the universal standing order to resuscitate or perform other lifesaving measures of the patient post-mortem care - correct answer ✔✔Clean up the body with the exception of a coroner's case (autopsy); lay the patient flat after death** (before rigor mortis sets in); different policies on how patients are transported to the morgue violence in workplace - correct answer ✔✔Nurse to nurse is the highest followed by physician to nurse nurse to nurse violence - correct answer ✔✔o Yelling in the nursing station, hallway, or patient room o Not acknowledging a request by simply avoiding or walking away from the person o Sighing, eye rolling, gossiping about the person to the others o Making rude comments to a person or to others o Threatening someone o Excluding someone from the team physician to nurse violence - correct answer ✔✔o Throwing things at a person or in the room o Making derogatory remarks toward a person or to others o Making sexual comments to a person or to others o Yelling directly or indirectly to the person o Hanging up on a phone call o Making demeaning remarks directly or indirectly to the person o Making a person the brunt of jokes directly or indirectly o Making threatening comments directly to the person patient to nurse violence - correct answer ✔✔o Kick, hit, bite, throw things o Threatening a person directly or indirectly o Using guns, knives, or other weapons directly or indirectly on the person o Calling the person names or referring negatively to gender, sexual orientation, or ethicality alarm fatigue - correct answer ✔✔nurses get so annoyed with alarms that they begin to ignore them which can cause danger to the patients compassion fatigue - correct answer ✔✔secondary traumatic stress experienced by caregivers • Similar to PTSD, the term includes those involved in caring for others who are suffering from physical or emotional pain • Symptoms are similar to burnout but may be worse in those traumatized (ED, critical care, EMT, etc.) OSHA - correct answer ✔✔The Occupational Safety and Health Administration, more commonly known by its acronym OSHA, is responsible for protecting worker health and safety in the United States role of nurse preceptors - correct answer ✔✔• Primary function is to orient the new nurse to the unit o Proper socialization of the new nurse within the group as well as familiarizing her or him with unit functions • Teach an unfamiliar procedure and help the new nurse develop any necessary skills • Acts as a resource person on matters of unit functions as well as policies and procedures • Can act as a counselor to the nurse during the transition, help cope w/ reality shock • Serves as a staff nurse role model demonstrating work-related tasks, how to set priorities, solve problems and make decisions, manage time, delegate tasks, and interact with others • Evaluates the new nurse's performance and provides both verbal and written feedback to encourage development Working longer than 12 hours in a 24 hour period and an excess of 60 hours per 7 day period - correct answer ✔✔What is the number of hours in a shift that creates safety issues for the nurse and the patient? role of state board meeting - correct answer ✔✔Mission of public safety and protection while advocating for the public by effectively regulating the practice of nursing • Responsible for licensure of the nurses within each state, nurse practice act oversight, and education standards for schools of nursing • Scope of practice: what you're allowed to do in the category of your license • Professional organizations that set guidelines what are the best practices for a specific role (LPN, RN, etc.) FMLA (Family and Medical Leave Act) 1993 - correct answer ✔✔all public employers (federal, state, and local) and all private employers employing 50 or more individuals must provide their eligible employees with leave of up to 12 weeks during any 12-month period for the employee's own serious illness, the