Chapter Three Flashcards
(34 cards)
Concepts Related to Nursing Management
Leadership Styles
Democratic
Autocratic
Laissez-faire
Leadership Approaches Transformational Situational Emotional intelligence Cultural influences
Leadership Style Democratic
Internally motivated
Desire to be included ion goal setting
A more participative role in the decision-making process
Leadership Style Autocratic
Authoritarianleadership
The individual has the control over all decisions and little input from group members.
Leadership Style Laissez-faire
This leader believes that people excel when they are left alone to respond to their responsibilities and obligations in their own ways.
Leadership Styles
Democratic: Internally motivated and want to be included in setting goals and making decisions.
Autocratic: Externally motivated, group movement requires an authority figure who has the power. This leader makes all the decisions and uses coercion and punishment to influence behavior.
Laissez-faire: Internally motivated, needs to be left alone to make decisions the leader provides no direction or facilitation.
Situational Leadership
- Identify the Most Important Tasks or Priorities2. Diagnose the Readiness Level of the Followers 3. Decide the Matching Leadership Style
Leadership Approaches Emotional intelligence
Self-awareness Self-regulation Social skills Empathy Motivation
Leadership Approaches
Transformational: Creates valuable & positive changes, develops future leaders; leads with a vision, strong convictions, & engages with the group to ensure their commitment..
Situational: Depending on the situation a varying of leadership/management is required.
Emotional intelligence: Identify emotions in self and others & use this insight to guide thoughtful actions
Cultural influences: Recognizing cultural influences of leadership
Transitioning to decision maker
5 essential steps in Conflict Management
- Identify the source of the conflict
- Looking beyond the incident
- Resolution
- Solution is identified
- Agreement
Cognitive Rehearsal .
The Joint Commission (2019), encourages cognitive rehearsal as a method against bullying.
In utilizing this method, the employee is taught about lateral violence in nursing practice and the use of cognitive rehearsal.
This allowed nurses to depersonalize, which allowed them to ask questions, learn, and confront the offender. Although confrontation can be difficult, it resolved the conflict in the lateral violence behavior.
Nursing JudgmentClinical
Nursing (clinical) judgment is the application of information based on actual observation of a patient combined with subjective and objective data that lead to a conclusion. Nursing judgment involves problem solving, decision making, and critical thinking. Working as a member developing a critical/clinical pathway
Delegation
The American Nurses Association (ANA) and the National Council of State Boards of Nursing (NCSBN) acknowledge that delegation is a skill that must be taught and practiced for nurses to be proficient in using it in the delivery of nursing care.
Agency for Healthcare Research & Quality (AHRQ)
5 key principles Team Structure Communication Leadership Situation Monitoring Mutual Support
TeamSTEPPS Key Principles
Situation Monitoring: Process of actively scanning and assessing situational elements to gain information or understanding, or to maintain awareness to support team functioning
Mutual Support: Ability to anticipate and support team members’ needs through accurate knowledge about their responsibilities and workload
An elderly client wants to return home after her hip replacement. The family wants her to go to a nursing home. Acting as a client advocate, the nurse
A) Informs the family that the client has a right to decide on her own.
B) Asks the physician to discharge the client to home.
C) Suggests the client hire a lawyer to protect her rights.
D) Helps the client and family communicate their views to each other.
A nurse working in the Emergency Department is asked to care for an openly gay client with AIDS. The nurse tells her supervisor that caring for the client is against her religious beliefs, and asks if she must take the assignment. Does this nurse have a moral obligation to care for the client?
A. No, because the client’s behavior caused him to contract AIDS
B. Yes, unless the risk exceeds the responsibility
C. No, the nurse does not have to violate religious beliefs
D. Yes, but the nurse should hide her negative feelings
A fully alert and competent 89-year-old client is in end-stage liver disease. The client says, “I’m ready to die,” and refuses to take food or fluids. The family urges the client to allow the nurse to insert a feeding tube. What is the nurse’s moral responsibility?
A. The nurse should obtain an order for a feeding tube.
B. The nurse should encourage the client to reconsider the decision.
C. The nurse should honor the client’s decision.
D. The nurse must consider that the hospital can be sued if she honors the client’s request.
A client with cancer has decided against further treatment. Which nursing action would be most helpful?
A. Making sure the client has accurate information and understands the consequences of the decision
B. Informing the client’s wife, and encouraging her to talk to the client and intervene, if necessary
C. Accepting the decision and making no comments to the client
D. Talking to the client and trying to persuade the client to think about reversing the decision
A 43 year-old client with end stage ovarian cancer is admitted to the hospital with a bowel obstruction. The client in a tremendous amount of pain, states, “please give me enough morphine to kill me.” The nurse’s best response would be:
A. “I can’t give you an overdose, but once you are discharged, you can do anything that you want.”
B. “I can see that you are in a lot of pain. Let me rub your back too.”
C. “I am trying to understand what you are saying. D. Describe the pain, where is it? How intense is the pain? What do you normally do for this type of pain?”
“All right, I can give you a little extra medication.”
The client is being involuntarily committed to the psychiatric unit after threatening to kill his spouse and children. The involuntary commitment is an example of what bioethical principle?
A. Fidelity
B. Autonomy
C. Beneficence
D. Veracity
An ethical dilemma exists due to the difference of opinions regarding performing surgery for a premature infant. The facility/agency’s ethics committee has met and all members were given the information required to make a decision. What is the next step in the reasoning process?
A. Every one examines his/her own values
B. A statement is developed describing the dilemma
C. All possible solutions are listed
D. A solution is negotiated.
The Nurse has determined that a client does not understand the implications of a surgical procedure scheduled for the next day. The nurse will not ask the client to sign the informed consent form until the surgeon provides further explanations, and the client verbalizes understanding. The professional nursing ethical principle applicable in this situation is
A. Autonomy
B. Confidentiality
C. Fidelity
D. Veracity
When patients are denied access to experimental and possibly beneficial new or investigational drugs, which two ethical principles are violated?
A. Justice and beneficence
B. Justice and respect for autonomy
C. Beneficence and nonmaleficence
D. Beneficence and respect for autonomy
The day staff nurse suspects that clients are more frequently restrained on the night shift when a particular nurse is scheduled. What is the day nurse’s responsibility?
A. Review the records of restrained clients to determine if the restraints were warranted.
B. Discuss her concerns with the clients who were restrained.
C. Discuss her concerns with the nurse manager.
D. Monitor the situation for 1 month to try to establish a pattern of behavior.
