Nursing Leadership and Management Principles, Exams of Nursing

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NUR 115 Leadership Exam

what does managing client care require? - correct answer ✔✔leadership and management skills and knowledge to effectively coordinate and carry out care leadership - correct answer ✔✔A way of behaving that influences others to respond not because they have to, but because they want to leadership ATI - correct answer ✔✔ability to inspire others to achieve a desired outcome how do leaders help others? - correct answer ✔✔to identify and focus on the achievement and goals. what does leadership focus on? - correct answer ✔✔the achievement of goals, and on the personal development of the members of the group essential components of leadership - correct answer ✔✔-effective communication -conflict manager

• knowledge/competence -role model -delegation -identifies goals/objectives -motivation -proactive -flexible leadership styles - correct answer ✔✔authorative, democratic, laissez-faire autocratic/authoritarian leadership - correct answer ✔✔makes decisions for the group, motivates by coercion, good for crises and bureaucratic settings, communication occurs down the chain of command

democratic leadership - correct answer ✔✔includes the group when decisions are made, motivates by supportive staff achievements, communication occurs up and down chain of command laissez-faire leadership - correct answer ✔✔- makes very few decisions, and does little planning

• effective with professional employees
• motivation is the responsibility of staff members management - correct answer ✔✔process of planning, organizing, directing, and coordinating the work within an organization what does management focus on? - correct answer ✔✔personal interaction, but the focus is on the group's process managing client care - correct answer ✔✔- critical thinking
• Assigning, delegating and supervising
• Staff Education
• Quality Improvement
• Performance appraisal, peer review, and disciplinary action
• Conflict resolution
• Resource Mangagement prioritization and time management - correct answer ✔✔Nurses must continuously set and reset priorities in order to meet the needs of multiple clients and to maintain patient safety priority settings - correct answer ✔✔- client's seen
• assessments are complete
• interventions provided
• steps in a client procedure are completed
• components of client care are completed

Establishing priorities in nursing practice requires that the nurse makes these decisions based on evidence obtained - correct answer ✔✔- During shift reports and other communication with members of the healthcare team

• Through careful review of documents
• Continuously and carefully collecting client data prioritization principles - correct answer ✔✔apply clinical knowledge to procedural standards to determine priority actions things to prioritize - correct answer ✔✔- Systemic before local -"life before limb"- Acute before chronic
• Actual problems before potential problems
• Listen carefully to clients and don't assume
• Recognize and respond to trends vs transient findings
• Recognize indications of medical emergencies and complications vs. expected findings Maslow's Hierarchy of Needs - correct answer ✔✔use this to prioritize interventions - the need for airway, oxygenation, breathing, circulation, and potential for disability are more than important for that moment than shelter airway, breathing, circulation - correct answer ✔✔needs are necessary for life - add disability and exposure priority setting frameworks - correct answer ✔✔- maslow's
• ABC
• safety
• assessment
• survival potential

survival potential - correct answer ✔✔- used for situations in which health resources are extremely limited (disaster triage)

• give priority to clients who have a reasonable chance of survival time management - correct answer ✔✔- Organize care according to client needs and priorities
• Use time-saving strategies
• Be a team player-- Be cognizant of assistance needed by other health care team players
• Take time for yourself least restrictive/least invasive - correct answer ✔✔- select interventions that maintain client safety while posing the least amount of restriction to pt
• select interventions that are least invasive least invasive examples - correct answer ✔✔using bladder training for incontinence instead of inserting a foley acute vs chronic - correct answer ✔✔a client with an acute problem takes priority over a client with a chronic problem delegating and supervising - correct answer ✔✔A licensed nurse is responsible for providing clear directions when a task is initially delegated and for periodic reassessment and evaluation of the outcome of the task who can RN's delegate to? - correct answer ✔✔other RNs, PNs, and AP who can PN's delegate to? - correct answer ✔✔other PNs and AP rights of delegation - correct answer ✔✔task circumstance person direction/communication

supervision and evaluation supervision - correct answer ✔✔-occurs after delegation -oversees a staff's performance of delegated activities supervisor qualities - correct answer ✔✔- staff education

• socialization
• education and training
• quality improvement
• conflict resolution collaboration with the interprofessional team - correct answer ✔✔- good communication, assertiveness
• know your role
• variables that affect collaboration coordinating client care - correct answer ✔✔- documentation
• communication and continuity of care
• referrals
• transfers
• discharge planning client rights and your role - correct answer ✔✔- advocacy
• informed consent informed consent - correct answer ✔✔- required for all care in a HC facility
• witness the PTs signature on the form and ensure that it was obtained properly advanced directives - correct answer ✔✔purpose is to communicate a client's wishes regarding end of life care should the client become unable to

components of advanced directives - correct answer ✔✔- living will

• durable power of attorney for HC
• provider's prescriptions provider's prescriptions - correct answer ✔✔- unless a DNR or AND prescription is written, the nurse should initiate CPR when a client has no pulse or respirations.
• provider must consult the family before writing
• must respect the client's decisions sources of law - correct answer ✔✔- federal
• criminal and civil
• state
• good samaritan law
• licensure
• standards of care
• impaired co workers
• ethical practices and morals standards of care practice - correct answer ✔✔define and direct the level of care that should be given by nurses abuse mandatory reporting - correct answer ✔✔suspicion of child abuse, vulnerable persons abuse, abuse of the facility polices transcribing medical prescriptions - correct answer ✔✔include dosage, frequency, route of administration, signature of nurse transcribing and MD verbally giving incident reports - correct answer ✔✔Forms used in a healthcare facility to document both safety and non-safety related events that are not part of a routine operation in the facility

disaster planning - correct answer ✔✔actions taken to enable communities to respond to, and recover from, natural disasters security planning - correct answer ✔✔Involves identifying the various threats, vulnerabilities, and risks that exist for an organization and dealing with those appropriately types of leaders - correct answer ✔✔transactional, transformational, laissez-faire, bureaucratic, situational transactional leaders - correct answer ✔✔focus on immediate problems, maintaining the status quo and using rewards to motivate followers transformational leaders - correct answer ✔✔empower and inspire followers to achieve a common, long-term vision Laissez-faire leaders - correct answer ✔✔are permissive and encourage decision making to take place in group bureaucratic leader - correct answer ✔✔inspire others to follow them by modeling a strong internal moral code situational leaders - correct answer ✔✔flexible and can adapt their leadership style based on the situation at hand, often combining both autocratic and democratic leadership styles management functions - correct answer ✔✔planning, organizing, staffing, directing, controlling assigning - correct answer ✔✔the process of transferring authority, accountability, responsibility of pt, care to another health care member. delegating - correct answer ✔✔Process of transferring authority and responsibility to another member of the health care team to complete a task, while retaining accountability

supervising - correct answer ✔✔Process of directing, monitoring, and evaluating the performance of tasks by another member of the health care team