Management

Question 1

Delegation

Answer 1

delegation is responsibility and authority for performing a task transferred to another individual who acccepts that responsibility and authority; can delegate only those tasks for which the nurse is responsible

Question 2

Barriers to Health Care

Answer 2

many exist; financial concerns underlie mostl; other examples include fragmentation of services, inadequate resources (overall and in a given location), fear of health care system, varying cultural viewpoints and traditions, language differences, lack of knowledge and available resources

Question 3

change agent

Answer 3

proactive person who intentionally initiates change and carefully and deliberately keeps change process moving; may be from within system or brought in from outside; usually depends on influence rather than power

Question 4

Communication Styles

Answer 4

ways in which persons communicate; may be emotional or passive; different ethnic groups communicate in different ways; some persons do not express emotions in public; may be passive, aggressive, assertive, or passive-aggressive

Question 5

Allocation of Health Care Resources

Answer 5

decisions regarding how health care resources will be distributed, since they are finite in number and must be used wisely and efficiently; rationing is the idea; basic principle is to provide the greatest good for the greastest number of ppl

Question 6

Basic Nursing Theory

Answer 6

theory is a set of interrelated concepts that provide an orderly framework for viewing phenomena; purpose is description, explanation, prediction; enhances decision-making, facilitates communication; nursing theory, nursing practice, and nursing research are interdependent; nursing theory begins with FLorence Nightingale

Question 7

Durable Power of Attorney for Health Care

Answer 7

Advance directive that enables a competent individual to designate another person to exercise health care decision-making authority on his/her behalf if the individual becomes disabled, incapacitatted, or otherwise unable to make decisions

Question 8

Beneficience

Answer 8

Ethical principle involving the duty for promotion of good and prevention of harm; for refusal of care, autonomy usually overrides beneficience

Question 9

Advocacy

Answer 9

representing the client or the community as a client; acting to protect rights of cients to be informed and to participate in decision-making process regarding their health care; goals include help clients become more independent and make the system more responsive to clients

Question 10

Risk Management

Answer 10

the legal parallel to quality assurance; focus is on preventin gharm to patients, visitors, staff by preventing accidents and financial loss to the institution from the liability and legal actions

Question 11

Floating

Answer 11

Sending a nurse from one unit to another; often done to relieve short staffing; nurse cannot refuse to float; it is usually felt that an experienced nurse working in an unfamiliar area is better than no nurse at all

Question 12

conflict resolution

Answer 12

steps of conflict resolution include determining the facts, identifying the problem, asking for suggestions for resolution from those involved, determining the solution, evaluating the results, and evaluating the conflict resolution

Question 13

Teaching/learning

Answer 13

consider specific knowledge needed and whether type of learning needed is cognitive, psychomotor, and /or affective; assess motivation of patient, anxiety level, attitudes and beliefs, cultural and environmental influences; best to set realistic goals

Question 14

Care Planning

Answer 14

developing a formalized plan of care for a client tat extends from admission through discharge and provides a written guide for healthc care goal attainment

Question 15

Mentoring

Answer 15

a mentor is a trusted and experienced counselor or guide, a faithful and wise advisor, and an advocate; ongoing career and professional development information and advice are offered as well as psychosocial/emotional support

Question 16

Good Samaritan Law

Answer 16

limits liability, ensuring immunity from civil liability, or professionals in emergency situations, providing professionals give reasonable car within accepted standards and do not intentionally or recklessly cause injury to client

Question 17

Quality assurance

Answer 17

focuses on evaluating and improving quality of patient care to highest standard possible; may be done on a unit or agency-wie basis

Question 18

Conflict Resolution

Answer 18

steps of conflict resolution include determining the facts, identifying the problem, asking for suggestions for resolution from those involved, determining the solution, evaluating the results, and evaluating the conflict resolution

Question 19

Chain of Command

Answer 19

Person on organizational chart who is above the nurse, nurse reports to this person and is responsible to the person above the nurse; nurse reports variances, problems, and concerns to next person with authority in direct line in his/her area

Question 20

Group Decision-Making

Answer 20

models for group problem-solving and decision making include parliamentary procedure, reflective thinking, cycle, brainstorming, Delphi

Question 21

Chemical Dependency: Staff

Answer 21

Indications that a nurs eor other staff is abusing alcohol or habit-forming drugs include social isolation, changes in personal appearance, and/or mood, and/or behavior; difficulties with time such as excessive tardiness, absences, missed schedules and deadlines

Question 22

Informed Consent

Answer 22

a client’s agreement to have procedure performed after explanation of risks, benefits, expectations, and alternatives to procedure