Exam 1 Flashcards
1
Q
sources of power
A
- reward: the ability to reward others for complying & may include money, desired assignments
- coercive: opposite of reward. based on fear.
- legitimate: based on an official position in the organization
- referent: comes from the followers’ identification with the leader.
- expert: based on knowledge, skills, and information
- information: based on a person’s possession of information that is needed by others
- connection: based on a person’s relationship or affiliation with other people who are perceived as powerful
- informal vs. formal may result from personal relationships, being at the right place at the right time, unique personal characteristics.
2
Q
transformational leader characteristics
A
- clear vision & direction
- group empowerment
- motivating
- admired & emulated
- mentor others
- proactive
3
Q
transactional leader characteristics
A
more like a manager
- day to day operations
- comfortable with status quo
- reward based approach
- monitoring and correcting
- wait for problems to occur
4
Q
autocratic/authoritative management style
A
- unilateral decision making
- dictatorial
- gives little feedback or recognition
- may be successful with employees who have little education or training, an emergency situation, or with people that are not very skilled
5
Q
democratic/participative management style
A
- participation & effective communication
- builds responsibility
- works well with competent, highly motivated people
6
Q
Laissez-Faire management style
A
- no guidance or direction; email or memo communication
- unable or unwilling to make decisions
- initiates little change
- may work well with professional people
- might be useful with people who are highly skilled and need little direction
7
Q
nurse practice act components
A
- statements that refer to protecting the health and safety of the populace
- statements to protect the title of Registered Nurse
- definition of professional nursing and advanced practice, which may be expressed in a single definition or may be separately defined
- description of requirements for licensure, procedures necessary for initial entry into practice, renewal of licensure
- designation of a regulatory board to administer the Nurse Practice Act
8
Q
Nurse Practice Act and Delegation
A
- nurse practice act establishes legal definition of delegation
- some states include regulations for delegation to unlicensed personnel and LPN
- rules for delegation may vary from state to state
- guidelines for delegation are developed by Nursing Organizations
9
Q
independent nursing functions
A
Initiated and carried out without the direction of the HCP. Examples:
- weighing a patient
- listening to breath sounds
- elevating HOB
- fingerstick
- oxygen in emergency
10
Q
delegation
A
- transfer of responsibility for the performance of an activity from one person to another while the accountability for the outcome is retained.
11
Q
general rules of thumb for assessment before delegation
A
- clinical situation
- patient needs
- job description and competencies of unlicensed assistive personnel and LPN
- organization’s policy/procedure
- nurse practice act
- standards of practice
12
Q
what cannot be delegated
A
- nursing practice cannot be delegated: assessment, evaluation, and nursing judgement Per the ANA, CANNOT delegate: - initial nursing assessment - determination of nursing diagnoses - establishment of nursing care/patient goals - development of nursing plan of care - evaluation of patient's progress - health counseling or teaching - clinical judgment
13
Q
5 rights of delegation
A
- right task: can be delegated
- right circumstances: no independent judgements
- right person: qualified & competent
- right direction & communication: clear explanation of task, expected outcomes and what to report
- right supervision & evaluation: feedback to assess & improve
14
Q
planning: prioritization
A
Level 1
- ABCs (includes sudden changes in vital signs)
Level 2
- mental status changes
- acute pain
- acute urinary elimination problems
- untreated medical problems–>immediate attention
- abnormal lab values
- risks of infection, safety, or security
Level 3
- lack of knowledge, activity, rest, family coping
15
Q
priority setting
A
- ranking patient problems in order of importance
- ABC
- Maslow’s Hierarchy of Needs
- steps in the nursing process
- urgency
- demand
16
Q
Maslow’s hierarchy of needs
A
- physiologic
- safety & security
- love & belonging
- self esteem
- self actualization
17
Q
priority setting using Maslow
A
- assess first
- verify subjective assessment with objective information
- plan
- act (intervene)
- evaluate
18
Q
bioethics
A
- interdisciplinary field within health care that has evolved with modern medicine to address questions that arise as science and technology produce new ways of knowing
- physicians, nurses, social workers, psychiatrists, clergy, philosophers, and theologians
19
Q
autonomy
A
- principle of respect for the person: primary moral principle
- unconditional intrinsic value for all persons
- people are free to form their own judgements and actions as long as they do not infringe on the autonomous actions of others
- concepts of freedom and informed consent are grounded in this principle
20
Q
beneficence
A
- to promote goodness, kindness, and charity
- to abstain from injuring others and help others further their own well-being by removing harm; risks of harm must be weighted against possible benefits
- common bioethical conflict results from an imbalance between the demands of beneficence and those of the health care delivery system.
21
Q
nonmalficence
A
- implies a duty not to inflict harm
- to abstain from injuring others
- to help others further their own well-being by removing harm
