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Nurse 226 Exam 2

QuestionAnswer
Theory that identifies qualities that are common to effective leaders? Trait Theory
Which leadership style believes in sharing in the responsibility and success? Democratic
Group has responsibility and the success; leadership is permissive/nondirective/passive? Laissez-Faire
Group has no success or responsibility in decision making? Authoritarian
What are the three types of leadership styles? Democratic, Laissez-Faire, and Authoritarian
The name of a leader that has no regard for feelings and needs of the group--achieving the goal is the only thing that matters? Dictator
A type of leader that has a paternalistic approach--includes group's feelings and concerns but makes the decision? Benevolent
Relationship Task Orientation: High respect, little involvement but very supportive? High relationship - Low task
Relationship Task Orientation: Leader does all the planning, little regard for employees? Low relationship - High task
A theory that recognizes multiple intangibles exist whenever people interact? Transformational Theory
A theory that recognizes that no one approach works in all situations considering all the variables that may be involved? Situational Theory
Type of theory: Creating a sense of mission surpasses interpersonal relationships and rewards, inspires excitement and commitment because patients supersede all else? Transformational Theory
Type of theory: Leadership most often an instinctive behavior? Situational Theory
Critical thinking, problem solving, respect, active listening, skillful communication, goal setting w/outcomes, continued development? Key Leadership Behaviors
Integrity, Courage, Initiative, Energy, Optimism, Perseverance, Well-roundedness, coping skills, self-knowledge? Key Leadership Qualities
Theory concentrated on ways to complete tasks more efficiently. Time-Motion Theory
Theory related to employee loyalty, recognizing the importance of attitudes, fears, hopes, and personal problems in work productivity? Human Interaction Theory
Theory related to the ability to influence people's choices that builds upon Maslow's Hierarchy? Motivational Theory
Herzberg recognized these factors as conditions under which the work is performed but not the work itself? Hygiene Factors
Herzberg recognized these factors as satisfiers which focus mainly on the work such as career advancement? Needs Motivatos
T/F: Hygiene factors only serve as positive motivators? False: they serve only as negative motivators. The needs motivators can have negative and positive effects.
Two types of changes? Internal and External forces
3 most common restraining forces to overcome with change? Habits, inertia, and comfort
Where do external changes come from? Outside forces such as the government creating new rules like HIPPAA.
Example of an internal change? Hospital increasing salaries or eliminating overtime.
What 3 factors help implement change? Organization, steady pace, and definite date for achievement.
What characteristics are these? Well organized, identifies restraining forces, motivates, commitment to change, develops trusting relationships, responds to feedback, goal directed, communicates well, optimistic? Characteristics of an Effective Change Agent
3 tools for group function and common understanding? Mutual support, reward for achievement, identity and trust.
Care delivery model with foundation in task-oriented philosophy. Each person has a specific task. Charge nurse oversees the workers. Functional Nursing
Care delivery model with a unified aproach to client care--staff members divide into small groups with team leader? Team Nursing
Care delivery model that allows a nurse to focus on all the needs of the patient. Used in home health-care. Primary Care Nursing
Care delivery model which is used to address the personnel shortages which empasizes close interdisciplinary collaboration. Modular Nursing
Which care delivery model relies heavily on unlicensed assistive personnel? Modular Nursing
Which care delivery model emphasizes cohesiveness among the members and focuses on long term goals? Team Nursing
Someone who can be formally held responsible for the quality, quantity, and cost of the work that the employees produce? Manager
Another name for Modular nursing? Client focused care
Term for: authentic respect for others requiring time, presence, engagement, and intentions to seek common ground. Civility
Why is civility important in nursing? Lack of civility can pose serious threat to patient safety and overall quality of care.
Ways to prevent incivility? Build collaborative culture, communication emphasizing trust/respect, accountability, adequate workforce, training competent leaders, shared decision making, increase employee skills/knowledge, rewarding contributions
Term for: disregard and insolence for others, causing an atmosphere of disrespect, conflict, and stress. Incivility
Term for an interactive process where all participants are affected and all are responsible for creating a civil environment? Dance of Incivility
What does the Joint Commission Sentinel Event Alert issued in July of 2008 address? The need for all healthcare organizations to create behavioral codes of conduct and to formally manage unacceptable behavoir.
List the 5 top barriers to student academic performance: Stress, sleep difficulties, depression/anxiety disorders, being sick, work.
Incivility most often occurs when? People are stressed, unhappy, rushed.
Effects of incivility? Erodes self-esteem, damages relationships, increases stress,m contaminates the work place, and may escalate into violence.
What is horizontal (Lateral) Violence in the workplace? Harmful behavior, attitudes, actions, or words directed toward a colleague by another colleague.
Law from legislative process? Statutory Law
Law created by administrative bodies (Board of Nursing)? Regulatory (administrative)law?
Law from previous legal decisions? Common Law
Minor criminal offences? Misdemeanor
Major criminal offences? Felony
Law addressing the violation of an individual's rights? Civil Law
A branch of civil law addressing a wrongful act committed against a person or his/her property independent of a contract? Tort Law
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? Negligence
What is the term for professional negligence? Malpractice
4 Elements for claim of negligence? duty owed to client, breach of that duty, leading to resulting injuries (causality), actual damages occurred
What are common actions of malpractice? leaving objects in patient, failure to follow hospital standards, improper equipment use, not listening to pt, not documenting, not questioning orders, not reporting changes, not reporting incompetence/neg, not providing safety, not ed patient/family
Term for a willful act that violates client's rights? Intentional tort
Attempt or threat to touch another person? Assault
Actual harm or unwarranted contact without consent? Battery
An example of common assault and battery? Restraints, giving injections against pt's will.
Confined or restrained to prevent client from leaving? False Imprisonment
Intentional action without intent to harm? Quasi-intentional tort (usually communication that violate client's reputation/privacy/civil rights
False statements made about a person that damages their reputation, esteem, confidence? Defamation of Character
Spoken damaging communication? Slander
Written damaging communication? Libel
Unreasonable and unwarranted interference with one's personal life. Invasion of privacy
How to avoid being liable? Follow standards of care, give competent healthcare, communicate w/ other HC providers, document, develop rapport w/ pt, get malpractice insurance.
The most definitive legal statue that defines nursing practices and establishes standards for nurses in each state. The Nurse Practice Act
Group that defines the scope of practice, establishes requirements for licensure and entry into practice and has a board to oversee the practice of nurses? The Board of Nursing
The word describing transferring to a competent individual the authority or right to perform selected nursing tasks in selected situations? Delegation
A person who has received training to perform the task and who can demonstrate safe performance? competent individual
What must an RN do before allowing a CNA to perform a task? Validate competency in the skill.
The verbal or written communication giving the right to perform a specific task to an individual? transferring authority
What three elements of a task can an RN not delegate? Assessment, Evaluation, and Nursing judgement.
What 5 things should be included in directions from an RN to a CNA? (The 5 Rights of Delegation) right task, person, direction/communication, supervision/feedback, circumstances
When can an unlicensed person re-delegate their task? never
Name of a record of an accident or unusual situation? Incident report
What info should be included on an incident report? client name and hospital #, date/time/place or incident, facts, clients account w/ direct quotes, id witnesses, id equipment by # and meds by name/dose.
Is the incident report part of the chart? No--do not chart an incident report was filled either.
Who completes the incident report? Person finding the incident.
What happens after an incident report is filed? A committee reviews it and determines actions that should be taken.
The study of good conduct, character, and motives? ethics
A task that falls under a person's level of practice? An assignment
Self determination autonomy
justice obligation to be fair
fidelity accountability, obligation to be faithful to commitments
beneficence doing good
nonmaleficence do no harm
veracity right to know or truthfulness
standard of best interest what is right for the patient
Legal obligations formal statements of law which are enforceable
Option rights Fundamental beliefs such as basic human rights
Moral obligations based on moral or ethical principles not enforceable by law
Ethical rights (moral rights) based on moral or ethical principle ex: belief in universal healthcare
A type of ethics that deals with questions that require a choice of actions when there is a conflict of rights or obligations. Normative ethics
A type of ethics that is synonymous with heath care concerning life and death, quality of life, life-sustaining/altering, etc.? Bioethics, Ethics of Life
Principle of distributed justice--rules can be changed based on situation? Utilitarianism
A system of ethical decision making based on moral rules and unchanging principles. Deontology
What code of ethics guides Nurses' actions? The American Nursing Association Code of Ethics
The process for ethical decision making? collect, analyze, interpret data; state dilemma, list available choices, pros/cons of choices, make the decision
Permission granted by a person with full knowledge of the risks and benefits? Informed consent
How many witness are required for an advanced directive? Two non-relatives
Written instructions for health care; is a legal requirement of all clients in hospital setting? Must be notarized to be official. Advanced Directives
Name of power of attorney for health care? Durable power of attorney
Document that specifies health care wishes? Living will
What does the Health Insurance Portability and Accountability Act do? Ensures privacy or health info, ensures insurance portability, reduces HC fraud/abuse, enforces standards for health info
Allowing a person to dies without any extraordinary intervention? passive euthanasia
How many questions are on the test? 25--let's get them all right! :D
Created by: ewooda05