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leadership exam

chpt 1 2 3 4 8 16

active listening means conflict resolution
Blocking Obstructing communication through noncommittal answers, generalization, or other techniques that hamper continued interaction.
Ad hominem abusive an argument that attacks the person instead of the issue
appeal to common practice Something is okay because most people do it
appeal to emotion an attempt to manipulate other people’s emotions in order to avoid the real issue.
appeal to tradition Doing things a certain way is best because it has always been done that way.
straw man A person’s position on a topic is misrepresented
Define the 5 rights of delegation the right task, circumstance, person, directin/communication, supervisiom/evaluation
red herring introduction of an irrelevant topic in order to divert attention from the real issue.
Components of reality shock honeymoon, shock/rejection, recovery, resolution phase
rutters attitude adopt attitude that “I’ll just do what I have to do to get by”
change agents These are the nurses who care enough to work within the system to elicit change.
QSEN components pt centered cae, teamwork, evidence based practice, quality improvement, safety, & informatics
total pt care referred to as case nursing; RN does planning, organizing, & performing all care. High autonomy & responsibility and accountability are clear
partnership model or co-primary care delegates non-pro tasks to the partner, thus providing more time for the RN to address Pro demands, such as assessment & patient education-- cost effective & growth for staff
Primary nursing 24 hour responsibility for planning, directing, & evaluating the patient’s care from admission through discharge-- hospice, LT care & home health
team nursing RN functions as a team leader and coordinates a small group (no more than 4 or 5) of ancillary personnel to provide care to a small group of patients- in/oot patient
component of pt centered care Patients, families and significant others are included
DRG Refers to the reimbursement for health care services based on a predetermined fixed price-per-case or diagnosis in 468 categories
slander An injury to one’s reputation caused by the spoken word.
living will A legal document, a type of advanced directive in which competent adult makes known his/her wishes regarding care that will be provided in the final stages of a terminal illness.
durable power of attourney A legal document that authorizes the patient to name the person (the health care proxy) who will make the day to day and final end of life decisions once he/she is decisionally incompetent. An advanced directive
immunity Legal doctrine by which a person is protected from a lawsuit for negligent acts or an institution is protected from a suit for the negligent acts of its employees.- good sammaritan & governmental
Emergency Treatment and Active Labor Law A federal statute often referred to as Antidumping law Enacted in 1986 to prohibit the refusal of care for indigent and uninsured patients seeking medical assistance in an ED
Americans w/ Disabilities Act of 1990 federal law-- requires translaters & accomodations
pt self determination act of 1990 A federal statute. Medi/Medi amendment intended to support individuals in expressing their preferences about medical treatment and making decision about end-of-life care.
Doctrine of res ipsa loquitur (“the thing speaks for itself”) cases in which the provider (i.e. the physician) had exclusive control of events that resulted in the patient’s injury; the injury would not have occurred ordinarily without a negligent act- expert nurse not needed (leaving surgical tools in pt)
operational budget Allocates funds for daily expenses, such as salaries, utilities, repairs, maintenance, and patient care supplies.
capital budget Allocates funds for construction projects and/or long life medical equipment, such as cardiac monitors, defibrillators, and computer hardware
zero based budgeting An approach to budget development that begins as though the budget were being prepared for the first time.
incremental budgeting An approach to budget development that extrapolates from the prior period’s budget and adjusts for future growth or decline in revenues or expenses to determine the budget for the next period.
top down approach Upper management sets budget goals and imposes those goals on the rest of the organization
participatory approach People responsible for achieving the budget goals are included in goal setting
interataive approach combination of the top-down and the participatory approach
mentoring interactive
role-modeling non interactive
preceptorship orientation program which reduces economic costs
burn out a part of the shock phse-- taking on too much
compassion fatigue a part of the reduced compassion as a result of exposure to trauma that pts have gone through ie; mental health settings, ED
Benner's stages from novice to expert- 1.Nurse has few experiences/ in school still 2.advanced beginners/novice 3. forsees long range goals & are mastering skills 4. proficient nurses who look at the WHOLE 5. experts who make istant decisions
check back “I need 3 mg epinephrine.” “Three mg epinephrine here.”
Egypt Sutures, community planning, calendar & writing-- A pharmacopoeia that classified more than 700 drugs was written to assist in care & management of dz- Shiprah & Puah were midwives that saved the baby Moses
Palastine male Hebrew priests & Mosaic Code- code was one of the first organized methods of disease control and prevention which contained public health laws that dictated public hygiene- no meat dead > 3 days
Greece Asclepius, the god of medicine (guy w/the staff & serpents) & also o Hippocrates is considered the “father of medicine.”- pt centered care vs superstition
India Vedas- surgery (major, minor),urinary and nervous systems
china confusious, yin/yang, acupuncture, massage, exercise, hydrotherapy, ephedrine
Rome 1st military hospital, enslaved physicians
The Renaissance & Reformation Period pharmacology, chemistry, and medical knowledge
sisters of charity renaissance- recruited young women for nurse training, developed educational programs, and cared for abandoned children
St. Vincent de Paul Renaissance- established the Hospital for the Foundling to care for orphaned and abandoned children
Colonial American Period yellow fever & smallpox-- Mexico--first hospital in North America, built in 1524 in Mexico City; first medical school, built at the University of Mexico
Benjamin Franklin Pennsylvania Hospital was the first hospital built in the United States in 1751 in Philadelphia.
florence nightingale & crimean war Purchased medical supplies, food, and linen; set up a kitchen; instituted laundry services; initiated social services; spent up to 20 hours each day providing nursing care
Mary Seacole Jamaican Nurse- denied Nightingale’s nursing brigade b/c black- Opened a lodging house with her own $ to care for sick and wounded soldiers- Contributed to control of the cholera epidemic through extensive knowledge in tropical medicine
Dorothea Dix appointed to organize military hospitals, provide trained nurses, and disperse-- vast majority for disease epidemicssupplies; she received no official status and no salary for this position
Harriet Tubman Underground railroad
Sojourner Truth Abolitionist & advocate of clean and sanitary conditions so patients could heal.
Clara Barton credited with founding the American Red Cross
1890- Rockefeller established the first school of nursing for African-American women at the Atlanta Baptist Seminary, now known as Spelman College.
1910 requiring nurse registration- had to be a high school grad
Lillian Wald public health nursing (The Henry Street Settlement) located in the Lower East Side,occupational health (Metropolitan Life Insurance Company)of New York City, ANA & National League for Nurses (NLN) participant
Mary Breckenridge established the Frontier Nursing Service (FNS) in 1925 in rural Kentucky to assist disadvantaged women and children;
Sheppard Towner Act promote the health and well-being of women, infants, and children
Social Security Act National age-old insurance system; Fed grants to states for maternal & child welfare services;Voc rehab services for the handicapped; Medical care for crippled children & blind people; A Federal-State unemployment system
1950 all states had adopted the State Board Test Pool.
nurse training act of 1953 first instance of federal funding to support nurse training
Hill Burton Act provided funding to construct hospitals; created a hospital construction boom that increased the demand for professional nurses
1970s Nurse practitioners began to be recognized as viable, cost-effective providers of comprehensive health services.
1980s (DRGs) system for reimbursement was instituted= case management
1990s healthy people 2000
nurse reinvestment act signed into bill August 2002by BUSH to provide funds for nursing education, recruitment, and retention & o Nursing scholarships, Public Service Announcement,Geriatric training grants Nurse retention & enhancement grants, Faculty Loan Cancellation
stereotype a fixed or conventional conception of a person or group held by a number of people that allows for no individuality.
Victorian Image Charles Dickens portrayal of Sairy Gamp in Martin Chuzzlewit, a drunken, physically unkept nurse who used nursing to profit from the sick and dying
sexual revolution & Sara Maas A 1976 stamp commemorated a 25 year old nurse who died after deliberately obtaining 2 carrier mosquito bites so that she could continue to provide care to soldiers with yellow fever in the Spanish American War.
Nurse Rivers Bad Blood- hired to recruit and retain young black men into the infamous Tuskegee experiment designed to describe the long term effects of untreated syphilis in 1947.
compensatory outcomes the results, or end products, of planned study and experience that are focused on specific abilities required for practice
contemporary issues the problems, changes and concerns that are current for the present time
core competencies the essential cluster of abilities and skills required for competent nursing practice
educational mobility the progressive movement from one type or level of education to another, often based on flexible, self-directed or advanced placement options
educational trends shifts in conditions and concerns that emerge from and influence various aspects of society
performance examinations/assessments standardized evaluation based on objective demonstration of specific required competencies
American Nurses of Credentialing Center (ANCC) the organization of leaders in all facets of nursing: practice, education, administration, research, organizations, and government= think tank of nursing/prom,otes adancement/
Commission on Collegiate Nursing Education (CCNE) a subsidiary of AACN with responsibility for establishing and implementing standards and criteria and for accreditation of baccalaureate and graduate degree programs in nursing
National league for nursing -- NLN national organization of nurse educators, with long standing commitment to four types of basic programs (LPN, diploma, ADN, BSN)
Health amandment act of 1956 provided education funds for RNs to prepare for positions in teaching, supervision, and administration.
nurse practice act 1964 provided construction costs for nursing school buildings and funds for traineeships and fellowships for nurses to obtain advanced degrees for positions in education, administration, practice, and research.
clinical nurse leader Focuses on competencies needed in current/future systems to improve pt care & what the “new nurse” role might look like CNL is a master’s prepared generalist clinician, not an advanced practice nurse, uses EBP to change plans, direct care
Doctor of nursing practice (DNP) = preparation for contemporary advanced NP It is the clinical equivalent to the research-oriented PhD nursing degree Does not formally prepare for educators
external degree program Makes it possible for experienced adult learners to earn one of many degrees, including ADN and BSN, by taking college level examinations or by combining college course work w/specialized standardized & performance examinations without attending
components of the nurse practice act protecting populace ;protect RN title; Defining professional nurse;delegation; Defining of advanced practice;licensure;requirements for initial entry;requirements for renewal of licensure; Designation of a regulatory board to administer the NPA delegatio
licensure by endorsement submitting a letter to the second board of nursing-- In addition, proof of the nurses current license to practice, as well as any restrictions imposed on the license by the first state, is required
duties of board of Nursing administering the state’s Nurse Practice Act Responsible for granting andrenewing licenses and taking disciplinar action when provisions of the Act areviolated
mutual recognition model Provides for individual state boards to adopt an interstate compact, allowing nurses licensed in one state to practice in all other states and territories
accredidation Voluntary process by which schools of nursing are approved to conduct nursing education programs
advanced practice nurse legal title for nurses prepared by education and competence to perform independent practice
ANA Professional organization that represents all registered nurses
American Nurses Credencialing Center An independent agency of the American Nurses Association that conducts certification examinations and certifies advanced practice nurses.
certification Process by which nurses are recognized for advanced education and competence.
compact state In the context of the Nurse Licensure Compact, a state that has established an agreement with other states allowing nurses to practice within the state without an additional license. The interstate compacts are enacted by the state legislatures
Commission on Collegiate nursing education A subsidiary of the American Association of College of Nursing (AACN) with responsibility for accrediting baccalaureate and higher degree nursing programs
Continued competency - a variety of initiatives to ensure nurses knowledge, skills, and expertise beyond initial licensure
granfathered Statutory process by which previously licensed persons are included without further action in revisions or additions in nurse practice acts.
international council of nursing Professional organization that represents nurses in countries around the world.
licensure by endorsement The original program whereby nurses licensed in one state seek licensure in another without repeat examinations. The requirements are included in state nurse practice acts or accompanying rules and regulations.
mutual recognition Program developed by the National Council of State Boards of Nursing. The Nurse Licensure Compact program establishes interstate compacts so that nurses licensed in one jurisdiction may practice in other compact states without duplicate licensure.
ational council of state boards )- Organization whose membership consists of the board of nursing of each state or territory.
national league for nurses NLN Professional organization whose members represent multiple disciplines. Conducts many types of programs, including accrediting nursing education programs.
nurse practice act-- NPA Statute in each state and territory that regulates the practice of nursing. • State board of nursing- Appointed board within each state charged with responsibility to administer the nurse practice act of that state
unset legislation Statutes that provide for revocation of laws if not reviewed and renewed within a specific time period.
Created by: arsho453