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Nursing 226 Test #2
Test #2
| Question | Answer |
|---|---|
| Trait Theory | identifies qualities that are common to effective leaders |
| Leadership Styles | Democratic, Laissez-Faire, Autoritarian |
| democratic | share in the responsibility and share in the success |
| democratic 4 beliefs | -every member has decision making ownership -freedom of expression to maximize creativity -every member accepts responsibility -respect each others as contributors |
| Best thing about demcratic | if the group has same authority and work together for a longer period, strong sense of ownership |
| downside of demcratic | minimal leadership needed, if need leader - then participative leadership is good as it allows the leader to have the final say |
| Laissez-Faire | group has responsibility and the success |
| best part of laissez-faire | group members have same education and all share tasks |
| downside of laissez-faire | lack of direction and avoidance of decision making |
| authoritarian | group has no success or responsibility in decision making |
| dictator | no regard for feelings and needs of the group; achieving goal is the only thing that matters |
| downside of dictator | reduces motivation and increases passive aggressive behavior |
| benevolent leader | paternalistic approach; attempts to include the group's feelings and concerns but will make the decision |
| a benevolent leader is best in... | emergency situations where decisions need to be made |
| downside of a benevolent leader | reduce long term effectiveness and suppresses creativity |
| high relationship - low task | high respect, little involvement but very supportive |
| high task - low relationship | leader does all the planning, little regard for employees |
| high relationship - high task | combines best of both worlds, open to input, actively communicates, constructive direction, quickly resolves conflict, creative and effective solutions |
| low relationship - low task | very ineffective leadership, no involvement, no direction |
| transformational | multiple intangibles exist whenever people interact, meaning, creativity, inspiration, and vision, creating a sense of mission surpasses interpersonal relationships and rewards, inspire excitement and commitment because pts supersede all else |
| situational | no one approach works for all situations, adjusts leadership styles to fit the situation, most often is instinctive behavior |
| (situational) key is what type of organization is it? | military and hospital |
| key leadership behaviors | critical thinking, problem solving, acknowledgement and respect for individual differences, active listening, skillful communication, establishing clear goals and outcomes, continued personal and professional development |
| critical thinking | multistep process, analyze organize and plan using creativity |
| acknowledgement and respect for individual differences | recognizes differences in people |
| active listening | 7% verbal 93% non verbal |
| skillful communication | frequent and positive feedback provide negative feedback is nonthreatening and constructive |
| continued personal and professional development | lifelong learning, learning that affects attitudes, beliefs, and behaviors |
| key leadership qualities | integrity, courage, initiative, energy, optimism, perseverance, well-roundedness, coping skills, self-knowledge |
| integrity | ANA Code of Ethics |
| Courage | maintain convictions |
| Initiative | self starter |
| Energy | do work AND display enthusiasm |
| Optimism | positive attitude |
| perseverance | work through difficult situations |
| well-roundedness | balance work and personal life |
| coping skills | positive and high resolution to stress |
| self-knowledge | must understand their own biases, motivations and perceptions |
| Care delivery models | function nursing, team nursing, primary nursing, modular nursing (also called client focused care) |
| function nursing | task oriented with charge nurse |
| team nursing | staff members divided into small groups with a team leader |
| primary nursing | primary responsibilities for all of patient's care |
| modular nursing | cared pair |
| civility | authentic respect for others requiring time, presence, engagement, and an intention to seek common ground |
| incivility | disregard and insolence for others, causing an atmosphere of disrespect, conflict, and stress |
| student incivility | behavior that negatively impacts faculty well-being, sense of self-worth and commitment to teaching |
| faculty incivility | behavior that damages student confidence, sense of self and psychological and physiological well-being |
| faculty-to-faculty incivility | conflicted relationships with students, colleagues and administrators that cause stress and drain zest |
| dance of incivility | interactive process where all participants are affected and all are responsible for creating a civil environment |
| negligence | the omission of an act that a reasonable and prudent person would perform OR the commission of an act a reasonable and prudent person would not do |
| libel | written damaging communication |
| liable | guilty; responsible by law |
| malpractice | suggests the existence of a professional standard of care and deviation from that standard |
| assault | attempt or threat to touch another person |
| battery | actual harm or unwarranted contact without consent |
| slander | spoken damaging communication |
| defamation of character | false statements made about a person that damages their reputation, esteem, confidence |
| Nurse Practice Acts | define scope of practice, establish requirement for licensure, create a board of nursing to oversee nursing practice. establish grounds of disciplinary action |
| What do you do if an accident happens? | file a incident report; do not put in patients chart |
| What are ethics? | is the study of good conduct, character and motives |
| Nursing Code of Ethics | the ethical principles that govern a profession. ANA has a standard code of ethics or principles that nurses follow |
| what are advanced directives? | written instructions for health care; is a legal requirement of all clients |
| why do we need advanced directives? | allows individuals to write down what medical treatment they wish to have if they are unstable to communicate their wishes |
| What must be in place for advanced directives to be legal? | -needs to have 2 witnesses (non related) -patient cant be on pain meds -discussion starts early -explain info in layman's terms |
| Medical Power of Attorney | legally acts as a spokesperson for the patient |
| Durable power of attorney | power of attorney for health |
| Confidentiality Laws | ensure privacy of personal health information, ensure health insurance portability, reduce health care fraud and abuse, guarantee security and privacy of health information, enforce standards for health information |
| How are the confidentially laws enforced? | HIPAA (Health Insurance Portability & Accountability Act - 1996) |
| What are the agencies polices? | each agency has their own policies and procedures |
| principles of decision making and delegation | competent individual, transferring authority, selected nursing tasks, selected situation |