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Nurse 226 Exam 2
| Question | Answer |
|---|---|
| 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
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