ATI 461 Ch. 2

Question 1

nurse qualities for effective collaboration

Answer 1

• good communication skills
• assertiveness
• conflict negotiation skills
• leadership skills
• professional presence
• decision-making and critical thinking

Question 2

decentralized hierarchy

Answer 2

staff nurses who provide direct client care are involved in the decision-making process.

Large organizations benefit from this

Question 3

Behavioral change strategies

Answer 3

• rational-empirical
• normative-reeducative
• power-coercive

Question 4

rational-empirical

Answer 4

manager provides factual information to support the change.

used when resistance to change is minimal

Question 5

normative-reeducative

Answer 5

manager focuses on interpersonal relationships to promote change

Question 6

power-coercive

Answer 6

manager uses rewards to promote change

used when individuals are highly resistant to change

Question 7

planned change

Answer 7

important in healthcare;
- enables the interprofessional team to replace unproven methods with evidence-based ones

• a proactive way to improve care quality.
• variables that affect if change can fully be made are individual and organizational willingness, competing demands, and whether change is meaningful
• technology change is more readily acceptable than social change
• include people who will be affected by the change in the planning process to decrease resistance

Question 8

Lewin’s Change Theory

Answer 8

common model promoting planned change

3 stages;
1) unfreezing
2) change/ movement
3) refreezing

Question 9

Lewin’s theory for individual change
(5 stages)

Answer 9

1) precontemplation: no intent to change is present or has been considered

2) contemplation: the individual considers adopting a change

3) preparation: the individual intends to implement the change in the near future

4) action: the individual implements the change

5) maintenance

Question 10

Stages of Team Formation

Answer 10

Forming- get to know each other and tasks are defined

Storming- conflict arises. Rules are established and members take various roles

Norming- team establishes rules, members show respect and begin to accomplish some tasks

Performing- team focuses on accomplishing tasks

Question 11

Generations
Veterans (silent gen., Transitionals)

Answer 11

1925-1942

Question 12

Generations
Baby Boomers

Answer 12

1942 - early 1960s

Question 13

Generations
Gen. X

Answer 13

mid 1960s - early 1980s

Question 14

Generations
Gen. Y (millennials)
Gen. Z (homelanders)

Answer 14

millennials- mid 1980s - 2000

gen Z- after 2001

Question 15

Magnet Recognition Program

Answer 15

magnet- facility’s power to draw nurses to the facility and to retain them.

• 14 foundational forces of magnetism
• model 5 key components
• facility must submit documentation to the ANCC that demonstrates adherence to ANA standards
• after standards have been met an on-site appraisal is conducted

Question 16

5 key components

Answer 16

1. empirical data showing quality care results
2. development of innovation, improvements, or generation of new knowledge
3. exemplary nursing practice
4. culture of empowerment
5. transformational leadership

Question 17

case management

Answer 17

• focuses on managed care of client between acute and post-acute settings
• goal is to avoid fragmentation of care and control cost
• collabs with interprofessional hc ream (care planning, achievements fo desired outcomes within time parameters)
• can be a nurse, social worker, or other hc professional. Required to have advanced practice degrees or advanced training
• don’t usually provide direct client care
• usually oversee a caseload of clients
• in the community, coordinate resources and services for clients whose care is based in a residential setting

-

Question 18

Critical Pathways

Answer 18

care map

support the implementation of clinical guidelines and protocols

usually based on cost and length of stay parameters (by medicare/ insurances)

often specific to diagnosis type

Question 19

Variance

Answer 19

documented when client requires treatment other than what is typical in the critical pathway

Question 20

Nurse’s role
Coordinator of care in continuity of care

Answer 20

responsible for;
-admission, transfer, discharge, and postdischarge Rx

• initiation, revision, and evaluation of the plan of care
• reporting the client’s status to other nurses and the provider
• coordinating the discharge plan
• facilitating referrals and the use of community resources

Question 21

Comprehensive discharge plan includes;

Answer 21

> current health and prognosis
religious/ cultural beliefs
ability to perform ADLs
mobility status and goals
sensory, motor, physical, cognitive impairments
support systems and caregivers
financial resources and limitations
potential supports and resources
internal and external home environment
need for assistance with transportation or home maintenance
need for therapy, wound care, or other
need for medical equipment

Question 22

Nurse’s role in discharge written summary

Answer 22

• type of discharge
• date and time, who accompanied client, and transportation
• discharge destination
• summary of client’s condition (gait, dietary intake, assistive devices, bg)
• description of any unresolved problems and plans for f/u
• disposition of valuables, meds. from home, prescriptions
• a copy of discharge instructions