Set 13 - Leadership

Question 1

Leadership style in which the leader makes decisions without input from the team

Answer 1

Authoritarian/autocratic

Question 2

Authoritarian leadership style is not ideal because

Answer 2

It can lead to a lot of high turnover and employee dissatisfaction

Question 3

Under which circumstances can authoritarian leadership style be useful?

Answer 3

During emergency situations (ex: mass casualty event)

Question 4

Leadership style in which the leader allows for the team to make decisions for themselves

Answer 4

Laissez-Faire

Question 5

Laissez-Faire leadership can lead to

Answer 5

Low productivity and frustration (as there is no actual leadership — decisions are up to the team members themselves)

Question 6

Leadership style where the leader and the team work together towards to goals and outcomes

Answer 6

Democratic

Question 7

Democratic leadership style promotes group satisfaction, but may

Answer 7

Slow decision making (because it takes into account EVERYONES input)

Question 8

Leadership style where there is a reward in exchange for tasks being done

Answer 8

Transactional

Question 9

Transactional leadership style may lack _________ motivational factors

Answer 9

Intrinsic

Question 10

What is the ideal leadership style?

Answer 10

Transformational

Question 11

Leadership style that promotes teamwork and shared decision-making. The leader is seen as trustworthy and respected.

Answer 11

Transformational

Question 12

A conflict happening within a person’s own self (internal struggle)

Answer 12

Intrapersonal conflict

Question 13

A conflict between two people

Answer 13

Interpersonal conflict

Question 14

A conflict between groups or departments

Answer 14

Intergroup conflict

Question 15

Stage of conflict in which individuals are unaware of the conflict yet, but it could occur at any moment

Answer 15

Latent stage

Question 16

Stage of conflict where individuals are aware of conflict, but there is no emotional response yet

Answer 16

Perceived stage

Question 17

Stage of conflict where there is emotional response to conflict like stress, anxiety, fear, sadness, etc.

Answer 17

Felt stage

Question 18

Stage of conflict when an action begins to resolve the conflict

Answer 18

Manifest stage

Question 19

Stage of conflict where the conflict has been resolves with either positive or negative results

Answer 19

Aftermath stage

Question 20

Stages of conflict

Answer 20

Latent, perceived, felt, manifest, aftermath

Question 21

Conflict management strategies

Answer 21

• Avoiding
• smoothing (complimenting)
• competing (win-lose: one party wins at the expense of the other)
• accommodating (lose-win: one party gives in and allows other party to win)
• compromising (lose-lose: both parties make sacrifice)
• Collaborate (win-win: both parties put aside previous goals and work towards a common goal)

Question 22

Ideal conflict management strategy that produces the best outcome

Answer 22

Collaborate

Question 23

Tools useful for answering nursing prioritization test questions

Answer 23

ADPIE, Maslow’s hierarchy of needs, ABCs

Question 24

When considering acute versus chronic concerns, which would take priority of the other?

Answer 24

Acute

Question 25

Additional ways of setting priority

Answer 25

Unexpected verses expect findings, least invasive to most invasive, survivability potential

Question 26

Survivability potential is most often used in community settings (such as mass casualty) and prioritizes

Answer 26

Individuals who are most likely to survive

Question 27

List the five rights of delegation

Answer 27

The right: task, circumstance, person, direction, supervision

Question 28

T or F: The delegatee is responsible for evaluating the outcome of the delegated task

Answer 28

FALSE! The delegator (the RN who delegated the task) is responsible for evaluating the outcome of the delegated task

Question 29

Tasks that can be delegated to Unlicensed Assistive Personnel (UAP) such as CNAs, techs, PCAs, etc.

Answer 29

- Personal care such as hygiene, bathing, dressing, feeding (UNLESS on swallow precautions), toileting needs, repositioning - CPR (if certified) - ambulation - ROUTINE (scheduled) vital signs (NOT the initial admission vitals or change in status) - obtaining height and weight - reporting changes to licensed provider (however, the RN is the one who needs to assess) - noninvasive specimen collections (ex: urine specimen collect) - charting I&Os

Question 30

Tasks outside of UAP scope of practice (tasks that cannot be delegated)

Answer 30

Medication administration, wound care, insertion/removal/use of invasive items (IV catheter, enema, Foley catheter)

Question 31

Tasks that can be delegated to LPN/LVNs

Answer 31

- administration of MOST medications and enteral feedings - wound dressing changes - insertion/removal/maintenance of invasive items - tracheostomy care - reinforcement of teaching (AFTER RN has done INITIAL teaching) - assessment (but NOT the INITIAL assessment)

Question 32

Tasks that CANNOT be delegated to LPN/LVNs

Answer 32

- creation of nursing diagnosis or care plan - administration of IV medications (IVP, cardiac drips, etc.) - administration of blood products or chemotherapy - verbal orders from provider

Question 33

Only RNs can EAT meaning

Answer 33

Evaluate, assess, and teach (these tasks CANNOT be delegated!)

Question 34

Any event that could or did lead to harm in a patient

Answer 34

Patient safety event

Question 35

Type of patient safety event in which an error did not result in patient harm but COULD have

Answer 35

Near miss

Question 36

Type of patient safety event that results in patient harm, but it may not be severe

Answer 36

Adverse event

Question 37

Patient safety event that results in temporary severe harm, permanent harm, or death

Answer 37

Sentinel event

Question 38

The RN should complete an incident report within ___ hours or per facility policy

Answer 38

24

Question 39

T or F: incident reports should be documented in patients’ charts

Answer 39

FALSE (this is an internal facility document!)