TEST 1 - UNIT A - EF - PROFESSIONALISM AND LEADERSHIP Flashcards
(107 cards)
1
Q
The caring and competent behaviors a nurse exhibits while caring for a client are indicative of
A
professionalism;
2
Q
professionalism is the way
A
it is the way they do their job or complete their tasks.
3
Q
Professional behaviors are personified in a
A
trusting, caring, moral, ethical, and competent way both on and off duty.
4
Q
The hierarchy of nursing regulation consists of the
A
individual, health care facility, NPA, and nursing regulatory body.
5
Q
Decision-making is a
A
six-step process that assists in formulating good professional judgments.
6
Q
Unprofessional behaviors
A
dishonor, disgrace, or harm the standing or reputation of nursing in the eyes of the public.
7
Q
Reports of inappropriate use of social media can be investigated by
A
the BON.
8
Q
The transition from novice to expert includes five stages:
A
novice, advanced beginner, competent, proficient, and expert.
9
Q
The Code of Ethics is a list of
A
standardized expectations for nursing practice.
10
Q
The Code consists of the
A
principal beliefs and values of nursing.
11
Q
In the process of abiding by the Code of Ethics, nurses act as an
A
advocate and provide care in a responsible and accountable way.
12
Q
The model of professionalism in nursing represents
A
inner and outer processes, manifesting professionalism.
13
Q
Accountability establishes
A
boundaries
14
Q
boundaries, ensuring the nurse takes their duties
A
seriously, plans their actions, and intervenes in a competent and safe way.
15
Q
Responsibility is the process of
A
tasking or providing appropriate. effective, and competent care based on level of training.
16
Q
Leadership is the
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influential process of guiding others to reach a common goal or accomplish a task.
17
Q
There are five types of leadership styles:
A
transactional, transformational, laissez-faire, bureaucratic, and situational.
18
Q
Common nursing roles include
A
caregiver, critical thinker, advocate, change agent, educator, counselor, leader, mentor, researcher, and care coordinator.
19
Q
The chain of command is a framework with designated lines of
A
communication used to include, notify, or voice a concern/issue to a supervisor.
20
Q
Shared governance is a collaborative effort to
A
not only control one’s own practice but the authority to improve it.
21
Q
accountability
A
A legal obligation with a moral and ethical commitment to do the right thing every time and in every situation.
22
Q
professionalism
A
Embodies the actions, behaviors, and attitudes of an individual that are reflective of the core values, ethical principles, and regulatory guidelines of the professon.
23
Q
responsibility
A
An obligation to perform work, duties, or tasks using sound professional judgment.
24
Q
unprofessionalism
A
Refers to conduct that does not adhere to the standards of practice or the Code of Ethics.
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1. A nurse is caring for a client who has a new diagnosis of cancer. The client states, "I don't understand what my treatment options are." Which of the following statements by the nurse demonstrates
advocacy?
"I will contact your provider to review your treatment options." The nurse is demonstrating advocacy by contacting the provider to communicate the client's concerns so that the client can make an informed
decision regarding their health care.
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2. A nurse is caring for a group of clients. Which of the following actions by the nurse demonstrates professionalism?
Asks a client for their name, date of birth, and scans their medical identification bracelet before administering medications The nurse demonstrates professionalism by practicing the rights of medication administration to promote client safety.
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3. A nurse is preparing for a presentation on professional identity in nursing. Which of the following statements should the nurse use to describe professional identity?
"Professional identity is how one describes themselves as a professional." Professional identity is a personal interpretation of how one sees themselves within a professional role. It is often described as the self-image,
self-concept, or personal view an individual has of themselves in their professional role.
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4. A nurse is preparing a presentation on the regulation of nursing practice. Place the hierarchy of the regulation of practice in the correct order beginning with the highest level (step one) and proceeding to the lowest level (step four). (Move the steps into the box on the right, placing them in the order of hierarchy. Use all the steps.)
Nursing regulatory board is the highest level in the hierarchy of regulation (step one). Each state has a board of nursing that reports to the National Council of State Board who oversees the standards for educational programs, license requirements, scope of practice, and grounds for disciplinary action, remediation, or violations.
Nurse practice act is the second highest level in the hierarchy of regulation (step two). Each board of nursing determines the laws of practice or the Nurse Practice Act (NPA) for licensed nurses within that state. The NPA defines the nursing activities and ensures nurses practice within the defined laws, rules, and regulations. Nurses are responsible for knowing the details and abiding by the NPA. Nurses can be held liable when they, even in error, violate the standards of the NPA.
Organization policies and procedures is the third highest level in the hierarchy of regulation (step three). Organizations establish policies and procedures that regulate and guide nursing practice within their establishments. These policies define the standards of care and responsibilities of individual nurses from assistive personal, nursing students, graduate nurses, the newly licensed, and the experienced nurse.
Individual self-regulation is the lowest level in the hierarchy of regulation (step four). Each nurse is in control of their individual competence, decisions, and actions while providing client care. This is the duty to self-regulate. Nurses must use their knowledge and expertise to be prepared for all eventualities.
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5. A nurse follows the six rights of medication administration when caring for a client. Which of the following concepts is the nurse demonstrating?
Accountability. The nurse is demonstrating accountability because they are administering medications in a way that reduces errors and harm to the client.
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6. A charge nurse uses a transformational leadership style when working with other staff on the unit. Which of the following actions by the charge nurse demonstrates transformational leadership?
Challenges a nurse to investigate evidence-based approaches to reduce the client fall rate on the unit A transformational leader focuses on a person's willingness to change and stimulates them to re
view current structures and come up with fresh new ways to improve them, such as finding a way to decrease client falls.
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7. A nurse is discussing shared governance with a newly licensed nurse. Which of the following components should the nurse include in the discussion? (Select all that apply.)
Guides decisions toward accountability is correct. Guiding decisions toward accountability is a function of shared governance.
Improves client outcomes is correct. Improving client outcomes is a function of shared governance.
Promotes professional development is correct. Promoting professional development is a function of shared governance.
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8. A nurse is discussing professional commitment with their supervisor during an annual performance review. Which of the following actions by the nurse demonstrates professional commitment?
The nurse attends an educational course to learn about the treatment and prevention of pressure ulcers.
Professional commitment includes a motivation to improve oneself in the domain of their profession. Attending a course that expands current knowledge contributes to promoting one's professional commitment.
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9. A nurse is caring for a client who is postoperative and has sanguineous drainage on their dressing. The nurse is unable to reach the client's provider. Which of the following members of the chain of command should the nurse contact next?
The charge nurse According to evidence-based practice, the first person in the chain of command that the nurse should contact is the charge nurse. The nurse should initiate the chain of command to make the charge nurse aware of the situation and to ensure the client receives safe and effective care.
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10. A nurse is discussing leadership styles with a newly licensed nurse. Which of the following characteristics should the nurse identify as describing a bureaucratic leader? (Select all that apply.)
Decisions are controlled by policies is correct. A bureaucratic leader bases their decisions on policies and strictly follows the rules.
Enforces the rules is correct. A bureaucratic leader strictly follows and enforces the rules.
Inflexible to creative suggestions is correct. Bureaucratic leaders abide by the specific policy and procedures and are not open to creativity, suggestions, or ideas.
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11. A nurse is discussing nursing roles with a newly licensed nurse. The nurse should include that which of the following is a role of the nurse? (Select all that apply.)
Caregiver is correct. The role of the nurse includes providing care to clients with respect and empathy, engaging in therapeutic communication, and providing physical, mental and emotional support.
Advocate is correct. The role of the nurse includes advocating for client needs and assisting clients to make informed decisions regarding their care.
Change agent is correct. The role of the nurse includes guiding a client to recognize the need for change, engage in the plan, and take a proactive role in their health status.
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12. A nurse is advocating for a client who is seeking treatment for an eating disorder. In which order should the nurse take the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Determine the client's level of understanding regarding their eating disorder is the first step. The nurse should collect data regarding the client's level of understanding, interests, personal values, mental function, and awareness of rights in order to advocate for the client.
Assist the client in establishing goals for treatment is the second step. The nurse should assist the client in identifying the goals for treatment, which are based on the client's needs and beliefs, in order to advocate for the client
Encourage the client to communicate their preferences during the team meeting to establish the steps of treatment is the third step. The nurse should next assist the client in communicating their preferences to the rest of the health care team to implement the advocacy plan.
Review the client's weight prior to each treatment session is the fourth step. The nurse should monitor the outcomes of the plan and make adjustments as needed to advocate for the client.
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13. A nurse is discussing leadership styles with a newly licensed nurse. The nurse should include that which of the following is a characteristic of situational leadership?
Adjusts quickly to different circumstances
A situational leader looks at each situation quickly and adjusts strategies based on the circumstances. The situational leader aligns their style to assist in the development and growth of others and the overall effectiveness of the organization. This
leader communicates, problem-solves, organizes, and prepares with their employees to accomplish tasks and improve overall efficiencies.
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14. A nurse is preparing a poster describing leadership styles for a unit in-service. Which of the following terms should the nurse use to describe a nurse manager who exerts little control over the decisions made by the charge nurse?
Laissez-faire. Under a laissez-faire style of leadership, nurses are given the freedom to work independently to accomplish goals with little control asserted by the nurse manager.
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15. A nurse is discussing the Model of Professionalism with another nurse. Which of the following concepts should the nurse include as an outer process?
Clear communication Clear communication is an outer process because it is a behavior or action that the nurse performs.
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16. A nurse is preparing a poster about professional accountability for an in-service. Which of the following examples should the nurse include? (Select all that apply.)
Lowers a client's bed to the lowest position after assisting the client to lie down is correct. A nurse is accountable to the client as well as the facility to take actions to ensure a client's safety. This includes lowering the client's bed to reduce the risk of falls if the client tries to get out of bed.
Administers pain medication to a client 30 min before the client is scheduled for physical therapy is correct. Planning actions, such as providing pain medication to a client prior to physical therapy, demonstrates planning and accountability for ensuring the client receives quality care. This action allows the medication time to take effect prior to the client having to perform physical activities, allowing for a more effective physical therapy session and decreasing the risk of client injury and discomfort.
Provides instructions to assistive personnel (AP) on how to provide culturally competent care to a client is correct. Professional accountability involves not only ensuring the safety and quality of nursing care, but also delivering it in a culturally
competent manner.
41
17. A nurse is exploring leadership styles of nurse managers as a part of a quality improvement project. Which of the following statements by a nurse manager should the nurse identify as an example of transactional leadership?
"The staff members who complete their online learning courses before the deadline will receive a gift card."
Transactional leaders use rewards or punishments to encourage compliance for an established goal. They communicate specific expectations, focusing on tasks and completion of short-term goa
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18. A nurse is discussing responsibility with a newly licensed nurse. Which of the following actions should the nurse include as an example of responsibility?
Checks a client to determine how well a pain medication worked This action by the nurse represents responsibility because the nurse identified a client need, intervened, and is now determining the outcome of the
intervention.
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19. A nurse is planning a presentation about shared governance. Which of the following examples should the nurse plan to include?
A group of staff nurses in a clinic work together to recommend new equipment purchases for the unit.
Shared governance is a leadership structure that encourages group collaboration to make shared decisions. Being a contributing partner in decisions promotes interprofessional collaboration, professional development and accountability, and improves client outcomes.
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20. A nurse manager is observing a newly licensed nurse provide care for a client. Which of the following actions by the newly licensed nurse should the manager identify as unprofessional behavior? (Select all that apply.)
Documents in advance to save time is correct. This is falsification of documentation. The nurse should document during or after providing care to ensure accurate documentation.
Stays logged into the client's electronic health record while obtaining supplies from the supply room is correct. The nurse should log off the computer to reduce the risk of another person accessing the client's personal health information. Leaving
a computer unattended while still logged in places the nurse at risk for a HIPAA or confidentiality violation.
Contacts a client on social media to become friends is correct. Contacting a client on social media oversteps professional boundaries between the nurse and the client and is considered inappropriate conduct.
45
21. A nurse is teaching a newly licensed nurse about professional competence. Which of the following examples should the nurse include in the teaching?
Presenting a summary of an evidence-based journal. A component of maintaining professional competence is to seek out and implement improved evidence-based practices. This ensures the nurse's practice remains current, evidence-based, and promotes safe and competent care.
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22. A nurse is discussing chain of command with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the discussion?
The chain of command clarifies the steps I need to take when I have a concern about a client's care."
The chain of command is the process of making an immediate supervisor aware of a client concern or situation. The nurse should report concerns to the charge nurse on the unit initially and move up the chain of command only if the charge nurse does
not address the concern.
47
23. A charge nurse is overseeing an assistive personnel (AP) who has been assigned care for a group of clients.Which of the following actions by the charge nurse demonstrates accountability?
Files an incident report when the AP performs a task that is outside their scope of practice
An incident report is a risk assessment tool that identifies an unusual occurrence. By filing the report, the charge nurse is demonstrating accountability and ensuring safety standards are met, thus
protecting the client from potential harm.
48
Informs a social worker that the client will require financial assitance w/ prescriptions at discharge. This is an exanple of
This action demonstrates advocacy because the nurse is connecting the client to resources for prescriptions.
49
Supports a clients decistion to sto chemotherapy. This is an exanple of
This act demonstrates advocacy because the nurse is supporting the client's decision.
50
Ensures a client understands their treatment options. This is an exanple of
This act demonstrates advocacy because the nurse is ensuring the client understands their treatment options so that the client can make informed decisions regarding their care.
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Trustworthiness is an inner or outer process
Trustworthiness is an inner process because it is internal to each person and consists of beliefs, values, and attitudes.
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Selfawareness is an inner or outer process
Self-awareness is an inner process because it is internal to each person and consists of beliefs, values, and attitudes.
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Capacity for reflection is an inner or outer process
Capacity for reflection is an inner process because it is internal to each person and consists of beliefs, values, and attitudes.
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Guiding decisions toward accountability is a function of
shared governance.
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Improving client outcomes is a function of
shared governance.
56
Shared governance is not involved in the
finances of an organization.
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Promoting professional development is a function of
shared governance.
58
Shared governance monitors the activities of nurses, not the
directors.
59
The chain of command starts at the level
closest to the event.
60
Laissez-faire leaders step back and allow
staff members the freedom to work independently.
61
Transformational leaders establish a
common mission and vision and encourage employees to heighten their level of performance.
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Bureaucratic leaders are not
open to creativity and want everyone to follow the established rules and guidelines.
63
Transactional leaders use
rewards or punishments to encourage compliance for an established goal. They communicate specific expectations, focusing on tasks and completion of short-term goals.
64
The role of the provider is to
diagnose and prescribe treatment for clients.
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The role of the nurse includes
providing care to clients with respect and empathy, engaging in therapeutic communication, and providing physical, mental and emotional support.
66
The role of the nurse includes
advocating for client needs and assisting clients to make informed decisions regarding their care.
67
The role of the nurse includes guiding a client to
recognize the need for change, engage in the plan, and take a proactive role in their health status.
68
The role of a pharmacist
includes preparing, packaging and labeling a prescription medication. (ie dispensing medications)
69
Documenting prior to completing an action is
fraudulent and an indication of unprofessional conduct.
70
Laissez-faire is a type of
leadership style in which the supervisor takes a hands-off approach and instead encourages the team to work independently.
71
Advocacy is the act of
defending the interests, rights, and safety of clients and assisting clients to make informed decisions regarding their care.
72
Professional identity is a nurse's sense of
themselves as influenced by the values, beliefs, and attributes associated with the nursing discipline.
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following the six rights of medication administration is demonstrating
The nurse is demonstrating accountability because they are administering medications in a way that reduces errors and harm to the client.
74
Performing a procedure that is outside the scope of practice for the nurse is
unprofessional behavior that can lead to censure, termination, or loss of licensure.
75
Reviewing personal health information for clients who are not assigned to the nurse is a
HIPAA violation that can result in censure or termination. It is an example of unprofessional behavior.
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Documenting client care before it is completed is practicing unprofessional behavior and can lead to
client injury. Documentation in a client's record should occur after completion of care activities to provide accurate documentation.
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Professional identity -
personal interpretation of how one sees themselves within a professional role. It is often described as the self-image, self-concept, or personal view an individual has of themselves in their professional role.
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Professional commitment is the
belief and acceptance of the standards and values of a profession.
79
Establishing a diagnosis for a newly identified condition such as a rash is
outside the nurse's scope of practice. In compliance with the standards of practice, the nurse should report the finding to the provider.
80
The nurse should ask a professional medical translator to translate medical information for a client. The use of a family member as a translator can be a violation of
HIPAA and increases the risk of a misunderstanding of the teaching if the family member does not relay the information accurately.
81
Documenting that a client's medication was administered before it is given is not demonstrating
professionalism.
82
The nurse should document that a medication was administered
after it has been administered to reduce the risk of client injury
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. The nurse demonstrates professionalism by following
accepted standards of practice, which are established to safeguard clients, such as practicing the rights of medication administration.
84
Shared governance is a leadership structure that encourages
group collaboration to make shared decisions. Following the instructions of the charge nurse is an example of a bureaucracy.
85
A bureaucratic leader bases their decisions on
policies and strictly follows the rules.
86
A bureaucratic leader strictly follows and
enforces the rules.
87
Bureaucratic leaders abide by the
specific policy and procedures and are not open to creativity, suggestions, or ideas.
88
A situational leader looks at
each situation and adjusts strategies based on the circumstances.
89
Transactional leaders use
rewards or punishments to motivate staff.
90
Transactional leaders use rewards or punishments to encourage compliance for an established goal. They communicate
specific expectations, focusing on tasks and completion of short-term goals.
91
A transformational leader focuses on
a person's willingness to change and stimulates them to review current structures and come up with fresh new ways to improve them, such as finding a way to decrease client falls.
92
A laissez-faire leader uses a
hands-off approach, which allows nursing staff to work independently while remaining available for consultation.
93
A situational leader
changes the leadership style used to accommodate the situation or the experience of the nurse.
94
A nurse can initiate the chain of command to
make an immediate supervisor aware of any type of situation or concern
95
Chain of command is used to
. It is used to communicate issues, to obtain needed care for a client, or to inform them that a process is beyond their scope of practice.
96
The chain of command starts at the
level closest to the event. For example, a nurse would notify the charge nurse on the unit before notifying a nursing supervisor regarding a concern.
97
The nurse should document their efforts to communicate
continually as they move along the chain of command to ensure accurate and complete documentation.
98
The chain of command is the process of
making an immediate supervisor aware of a client concern or situation. The nurse should report concerns to the charge nurse on the unit initially and move up the chain of command only if the charge nurse does not address the concern.
99
___________is the highest level in the hierarchy of regulation (step one). Each state has a board of nursing that reports to the National Council of State Board who oversees the standards for educational programs, license requirements, scope of practice, and grounds for disciplinary action, remediation, or violations.
Nursing regulatory board
100
_________is the second highest level in the hierarchy of regulation (step two). Each board of nursing determines the laws of practice or the Nurse Practice Act (NPA) for licensed nurses within that state. The NPA defines the nursing activities and ensures nurses practice within the defined laws, rules, and regulations. Nurses are responsible for knowing the details and abiding by the NPA. Nurses can be held liable when they, even in error, violate the standards of the NPA.
Nurse practice act
101
____________ is the third highest level in the hierarchy of regulation (step three). Organizations establish policies and procedures that regulate and guide nursing practice within their establishments. These policies define the standards of care and responsibilities of individual nurses from assistive personal, nursing students, graduate nurses, the newly licensed, and the experienced nurse.
Organization policies and procedures
102
_____________ is the lowest level in the hierarchy of regulation (step four). Each nurse is in control of their individual competence, decisions, and actions while providing client care. This is the duty to self-regulate. Nurses must use their knowledge and expertise to be prepared for all eventualities.
Individual self-regulation
103
Assigning AP personnel clients who are in rooms next to each other is an action that
that will help the AP increase their efficiency because client rooms are closely located, but it does not demonstrate accountability.
104
helping ap advance their education - means of demonstrating what
professional commitment and developing a professional identity. However, it is not an example of accountability.
105
A situational leader looks at
each situation quickly and adjusts strategies based on the circumstances.
106
The situational leader aligns their style to assist in the
development and growth of others and the overall effectiveness of the organization. This leader
107
This type of leader communicates, problem-solves, organizes, and prepares with their employees to accomplish tasks and improve overall efficiencies.
situational leader
