Final/HESI

Question 1

Leadership styles - Authentic

Answer 1

Honest relationships, truth, and trust

Question 2

Leadership styles - Autocratic

Answer 2

Centralized decision making

Question 3

Leadership styles - Assertive

Answer 3

Clear goals and expectations

Question 4

Leadership styles - Transformational

Answer 4

Inspiring and motivating change

Question 5

Leadership styles - Shared Governance

Answer 5

Collaborative decision making

Question 6

Lewin’s Change Theory

Answer 6

Unfreezing, moving, refreezing

Question 7

Voluntary admission

Answer 7

Client admits themselves for Tx, retaining civil rights

Question 8

Involuntary admission

Answer 8

Initiated by someone else, requires certification that the person is a danger to themselves and others.

Question 9

Emergency Admission

Answer 9

Any adult can apply for emergency detention, requiring medical/judicial approval beyond 24hrs.

Question 10

Legal & Civil Rights of Hospitalized Clients

Answer 10

• right to personal items
• daily visitors
• private phone use
• unopened mail
• right to refuse shock Tx/lobotomy

Question 11

Competency Hearing

Answer 11

Determines ability to make responsible decisions. Guardian is appointed for an incompetent person

Question 12

Insanity

Answer 12

Legal term indicating the accused is NOT responsible for unlawful acts d/t mental illness

Question 13

Inability to Stand Trial

Answer 13

Accused cannot understand the charges and must be treated until competent for trial.

Question 14

Written Consent

Answer 14

The law DOES NOT require WRITTEN consent to perform medical Tx.
- client must be fully informed about the procedure
- client voluntarily consents to procedure
- emergency laws applied if consent cannot be obtained for an emergent situation

Question 15

Consent of Minors

Answer 15

• minors age 14 and older must agree to Tx along with their parents or guardian!

Question 16

Two factory theory

Answer 16

1. Hygiene factors (working conditions, salary, security) motivate workers by addressing SAFETY needs and preventing job dissatisfaction
2. Motivator factors (achievement/recognition) enhances job SATISFACTION and promotes enrichment

Question 17

Leader vs. Manager vs. Follower

Answer 17

Leader = adapting during times of unknown, visionary, sees big picture

Manager = deal with day to day OPERATIONS

Follower = know when to step back and flow with the team

Question 18

Problem Solving Steps

Answer 18

1. Defining the problem clearly
2. Prioritizing and identifying problems
3. Gather and analyze data
4. Developing solution
5. Selecting solutions
6. Implementing and evaluating results

Question 19

Strategic Planning Phases

Answer 19

1. Conduct environmental scan (SWOT analysis = Strengths, Weaknesses , Opportunities, Threats)
2. Establish and revise the vision and mission as appropriate
3. Develop strategic plan
4. Implement strategy
5. Monitor and revise strategy

Question 20

Nurse Leader role in Delegation

Answer 20

Employer must assign a nurse leader to oversee delegation.
Leader assess facility needs, ensures pt safety, evaluates staff skills!!

Question 21

Delegation Committee

Answer 21

Formed by nurse leader and a committee.
They determine which tasks can be delegated and to whom.
Ensures practices comply w/ laws and regulations

Question 22

Modes of Conflict Resolution - Avoidant

Answer 22

Unassertive, uncooperative
Useful for minor issues but risk unresolved tensions

Question 23

Modes of Conflict Resolution - Accommodating

Answer 23

Unassertive, cooperative
Prioritizes other’s needs over one’s own
Potentially leads to resentment

Question 24

Modes of Conflict Resolution - Competing

Answer 24

Assertive, uncooperative
Focus on “winning” and personal gain at expense of others. Suitable for urgent decisions but may harm relationships

Question 25

Modes of Conflict Resolution - Compromising

Answer 25

Assertive, cooperative Uses negotiation Each party willing to give up something, effective for quick solutions

Question 26

Modes of Conflict Resolution - Collaborating

Answer 26

Assertive, cooperative Solution most fully satisfies all important concerns and goals, can be time consuming!b

Question 27

Incivility

Answer 27

Rude, disrespectful behavior among staff Creates hostile work environment

Question 28

Immature behavior

Answer 28

defiance/hostility towards workplace guidelines Disrupts team cohesion and productivity

Question 29

Bullying

Answer 29

Real/perceived power differential between instigator and recipient

Question 30

Overt bullying

Answer 30

Direct and obvious acts of intimidation or harassment

Question 31

Covert Bullying

Answer 31

Less direct actions intended to undermine or harm someone

Question 32

Subtle bullying

Answer 32

Indirect or passive-aggressive behaviors that target an individual

Question 33

Quality Management

Answer 33

Umbrella term, philosophy that defines a healthcare culture emphasizing customer satisfaction, innovation, employee involvement

Question 34

Quality Assurance

Answer 34

Ensure conformity to a standard

Question 35

Quality Improvement

Answer 35

Ongoing process of innovative improvements, prevention of error, and development of staff used by institutions that adopt the QM philosophy

Question 36

QI Steps

Answer 36

1. ID consumer needs 2. Assemble Interprofessional team 3. Collect and Analyze data 4. Establish measurable outcomes 5. Implement improvement plan 6. Evaluate plan effectiveness

Question 37

Sentinel event

Answer 37

Serious, unexpected occurrence involving death or severe physical/psychological harm (inpatient SI, infant abduction, fall, fire, assault)

Question 38

Never Events

Answer 38

Events that should NEVER happen (Blood mismatch, surgery on wrong body part)

Question 39

Adverse events

Answer 39

Hospital-acquired conditions that can be prevented by nurses (CAUTI, CLABSI, falls, pressure injuries, VAP, VAE)

Question 40

Near miss

Answer 40

Unplanned event that did NOT result in injury, illness, or damage but had the potential to do so

Question 41

Negligence

Answer 41

Failure to exercise the care toward others which a reasonable person would

Question 42

Medical Malpractice - 4 elements

Answer 42

Civil action resulting from professional misconduct (you get sued) 1. Causation - injury MUST be PHYSICAL , actions or lack thereof directly caused pt’s harm 2. Duty owed to pt - RN is obligated to provide safe care 3. Breach of duty/standard of care - RN breached duty to provide safe care 4. Damage - economic and non-economic hardship that resulted from injury

Question 43

Vicarious Liability

Answer 43

Holds employer INDIRECTLY responsible for employee negligence so long as employee acted within their scope of practice!

Question 44

Tort

Answer 44

Act involving injury or damage to another resulting in civil liability

Question 45

Unintentional tort

Answer 45

Accidental Negligence and malpractice

Question 46

Intentional Tort

Answer 46

Willful/calculated Assault, battery, invasion of privacy, fraud

Question 47

Quasi-intentional Tort

Answer 47

Voluntary act that causes injury or distress without intent to injure or cause distress