NUR4590 Exam 1 Review-With 100 verified solutions.docx, Exams of Nursing

Download NUR4590 Exam 1 Review-With 100 verified solutions.docx and more Exams Nursing in PDF only on Docsity! NUR4590 Exam 1 Review-With 100% verified solutions Effective leadership is exemplified by values, confidence in employees, and a sense of security in the face of uncertainty. This aspect of leadership is known as: Self-awareness. The areas where leadership and management overlap are explained by which of the following statements? (SATA) Bring teams together Direct activities The Institute of Medicine (IOM) identified 5 areas of management practice for leaders to attend to during turbulent times. Which of the following are included in those areas? Maintaining and sustaining quality and safety in service delivery Balancing reliability and efficiency in service delivery Involving workers to manage and sustain change Hersey and colleagues identified three skills needed for leading or influencing workers. Identify three skills leaders must possess to influence people. Diagnosing Directing Communicating Great leaders possess four essential skills. Identify two statements that describe those skills. Great leaders possess popularity to establish followers to engage. Great leaders possess a combination of hardiness and the ability to grasp context, called "adaptive capacity." The research of which team states that the leader needs to be flexible in behavior, able to diagnose the leadership style appropriate to the situation, and able to apply the appropriate style? hersey and Blanchard's model Managers who proceed with a change can best engage staff and prevent resistance by doing which of the following? Communicating accurate information to engage staff and overcome misunderstanding regarding the need for change Leaders are change agents and have a role in change that includes which of the following? Providing reliable information and details to those who are to implement the change and understand their view of expectations and plan adequate, timely education on the changed. Porter-O'Grady and Malloch (2015) emphasized four practices for current workplaces that foster learning organizations. Examples of practices would include: Electronic health records (EHRs), health information exchange (HIE) networks, and clinical decision support. B. Mission statements provide a view of strategic priorities for a nursing organization and work setting. C. Culture is developed over time with the shared values that guide members on how to problem solve and manage relationships. The research leading to the gold standard for nursing excellence has produced which of the following findings? A. The effects of nursing interventions are facilitated by organizational characteristics at the unit level. Mortality rates in Magnet hospitals had a significantly lower mortality rate for Medicare patients than that control hospitals. The 14 Forces of Magnetism has directed research on Hospital Magnet Standards, which measure certain characteristics. Select the answers that best reflect those measures of Magnet standards Clinically competent peers, education support, adequate staffing, and nurse manager support Clinical autonomy, control of nursing practice, and collaborative nursephysician relationships The culture of patient care must transition from care that is driven by providers to care that is patient-centered & family-centered in which patient & family norms, values, and preferences are respected. This direction in health care services has been sited within: A. the Affordable Care Act (2009). B. The Future of Nursing: Leading Change, Advancing Health (2011). C. the Institute of Medicine's Crossing the Quality Chasm (2001). D. National Healthcare Quality Report from the Agency for Healthcare Research and Quality (2002). Quality & Safety Education for Nurses (QSEN) was initiated to accomplish which of the following? C. Creating nursing curriculum that emphasizes evidence-based practices, quality improvement, safety, and informatics D. Preparing future nurses with the knowledge, skills, and attitudes necessary to continuously improve the quality and safety of the health care system Which of the following statements is true about problem solving Problem solving is a rational and logical thought process Any decision in a chaotic health care delivery environment may cause an unanticipated future problem. Identify the true statement about decision making. Decision making is used to solve problems. Select the statement that describes how clinical decision making differs from managerial decision making. Clinical decision-making focuses on diagnosing client health issues, risks, or problems and planning or coordinating nursing interventions, whereas managerial decision- making focuses on resolution of organizational problems and the plans to achieve organizational goals. Decision-making tools and strategies support the process for decisions. Select the one statement that is true. Critical pathways are a type of decision tree A transformative leadership style influences the effectiveness of group decision making. The rational group decision-making model is based on which of the following Economic perspective of decision making and maximum utility Critical thinking is central to decision making. Which of the following is a true statement Two cognitive processes, intuition and analysis, are used in critical New policies, programs, projects, and services are developed to meet the needs of patients. Which statements are descriptions of when nurses take steps to use these items? A. Strategic management is the processing of an organization's vision or mission. B. Strategic planning is a process of developing an action plan for actualizing the mission. Nurses use the principles of strategic planning with other stakeholders to explore programs, projects or services to promote population health, patient satisfaction, and decreased health care costs. When clients are grouped together and cared for by one nurse, this is known as Group nursing A collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet multiple service needs of clients and families is known as: Case management Nurse managers, in collaboration with nursing leadership, design nursing systems for the provision of client care and the betterment of the organization. Nurse managers should consider which of the following as important They should include staff nurses in the development and selection process of the professional practice model. Variables that influence nursing practice & client care delivery include Skill mix for client condition severity, nurse-to-client ratio, use of temporary staff, workload, nursing education and experience, and technology level Nurses involved in the selection or development of a nursing care delivery system should consider which of the following as important? A. Fiscal accountability, client characteristics, staffing composition, case mix severity, and clinical service intensity B. Practice guidelines and new medication information and technology C. Role of the RN, practice expectations, accountability of nurses, decision making about care, and provider competencies and experience D. Direct and indirect client nursing care interventions, end of shift reporting, physician-prescribed care, and communication Empowerment and shared decision making are practices found in Learning organizations. Which of the following statements regarding organizational culture is true Staff retention, workplace safety, and patient outcomes are directly affected by the organizational climate Resolving conflict requires interventions. One type of intervention requires preparation and planning, ground rules, clarification and justification, bargaining and a closure with implementation. Which of the following is this type of conflict management? Negotiation The type of power exhibited when providing the opportunity for others to take responsibility and accountability for their work is: empowerment. All of the following are true about strategic management except It includes only financial goals The registered nurse performs assessment, the licensed practical nurse administers medications, while the certified nursing assistant bathes the patient. This is an example of what type of nursing care delivery model Functional nursing Which statement regarding leadership and management is false when? In the first stage A continuous improvement process which engages clinicals at the bedside in the design and implementation of new work practices describes? Transforming Care at Bedside (TCAB) Clinical reasoning is considered to be a career-long development Deciding between providing routine hygiene being omitted in order to pass medications timely would be an example of? Prioritization Management making a decision, such as requiring disciplinary action would be an example of? direct intervention Using conflict management and persuading others to solve the problem themselves would be an example of? indirect intervention a deliberate effort to improve the system would be considered? A planned change Being able to report a near-miss adverse event without fear of repercussion would be an example of? A climate of safety Brainstorming ideas, trying a potential change, and testing its effectiveness would be an example of? Rapid Cycle Change An example of staff empowerment would be: Shared governance The last step in the DECIDE model is Evaluate Modeling behavior and encouraging others to adapt would be an example of? Change Agent The new role of leader-manager is to facilitate the development of effective support systems to generate efficiencies directed to improving processes True Match the letter with the correct response A. Leadership B. Management C. Followership D. Empowerment E. Authoritarian F. Democratic G. Laissez-faire 1. Decisions made by the leader, and followers told what to do 2. Process of Influencing people to accomplish goals 3. Instilling in people belief and confidence in their own ability to achieve 4. Coordinating and facilitating teamwork and group decision making 5. Complete freedom of individuals to make choices without direction or interference 6. Interpersonal process of participation 7. Coordination of resources by planning, organizing, coordinating, directing, and controlling A. 2 B. 7 C. 6 D. 3 True or false: Adaptors seek solutions to problems in accepted ways True True or false: Innovators focus on resolving problems. False True or false: The first step in the problem-solving process is to define the problem True True or false: The team problem-solving method is a slow process and is a poor method for making decisions. False True or false: Critical thinking and creative problem solving are the same False True or false:The two cognitive processes used in critical thinking for nursing judgments are analytical and intuitive. True True or false: Problem solving is a rational and logical thought process True True or false: It is inappropriate for a manager to use indirect intervention to solve problems False True or false: Purposeful inaction is a valuable tool in most situations False True or false: Creative thinking can be described as follows: knowledge is received as a whole, awareness of knowledge is immediate, and knowledge is acquired independently of linear reasoning. True True or false: A critical thinker preserves the norm or status quo. False True or false: Clinical decision making is the same thing as diagnostic reasoning False True or false: Organizational decision making focuses on system problems True True or false: Ethical decision making is influenced by each person's values. True False True or false: Administrative decision making focuses on clinical problems True True or false: Critical pathways are a type of decision tree. True True or false: Group decision making tends to be more effective for system problems True True or false: In most cases, satisfaction leads to effective decision making False