Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
94 Cards in this Set
- Front
- Back
management
|
getting work done through others
|
|
leadership
|
the ability of an individual to influence the behavior of others
|
|
Characteristics of leaders
|
initiative
inspiration energy positive attitude communication skills respect problem-solving skills critical thinking skills |
|
transformational leaders
|
empower followers to assume responsibility for a communal vision, and personal development (secondary outcome)
|
|
transactional leaders
|
focus on immediate problems, maintaining the status quo and using rewards to motivate followers
|
|
characteristics of managers
|
formal position of authority and power
clinical expertise network coach decision maker |
|
types of managers
|
authoritative
democratic laissez faire |
|
authoritative
|
- makes decisions for the group
- motivates by coercion - communication occurs down the chain of command - work output by staff is usually high; good for crisis situations and bureaucratic settings |
|
democratic
|
- includes the group when decisions are made
- motivates by supporting staff achievements - communication occurs up and down the chain of command - work output by staff is usually of good quality; good when cooperation and collaboration is necessary |
|
laissez faire
|
- makes very few decisions and does little planning
- motivation is largely the responsibility of individual staff members - communication occurs up and down the chain of command and between group members - work output is low unless an informal leader evolves from the group |
|
major management functions
|
planning
organizing staffing directing controlling |
|
planning
|
the decisions regarding what need to be done, how it will be done, and who is going to do it
|
|
organizing
|
the structure that determines the lines of authority, channels of communication, and where decisions are made
|
|
staffing
|
the acquisition and management of adequate staff and staffing mix
|
|
directing
|
the leadership role assumed by a manager that influences and motivates staff to perform assigned roles
|
|
controlling
|
the evaluation of staff performance and evaluation of unit goals to ensure identified outcomes are being met
|
|
skills necessary for nurses to provide efficient care in a safe manner
|
critical thinking
decision making prioritization time management |
|
critical thinking
|
the mental process of analyzing or evaluating information
|
|
decision making
|
the process by which a course of action is determined. the course of action may be in response to a problem or an issue
|
|
prioritization
|
the organization of activities according to the order in which they should be done
|
|
time management
|
the art of making the best use of time available to achieve specific tasks
|
|
time management
|
involves organizing care according to client care needs and priorities
|
|
assigning
|
the process of transferring the authority, accountability, and responsbility of client care to another member of the health care team
|
|
delegating
|
the process of transferring the authority and responsibility to another team member to complete a task, while retaining the accountability
|
|
supervising
|
the process of directing, monitoring, and evaluating the performance of tasks by another member of the health care team.
|
|
RNs cannont delegate
|
the nursing process
client education task that require nursing judment |
|
ethics
|
an expected behavior of a certain group in relation to what is considered right and wrong
|
|
types of law
|
public
common civil |
|
civil law
|
law that affects the relationship between individuals
|
|
public law
|
law that specifies the relationship between citizens and the state
|
|
common law
|
judicial decision may set a precedent that is used by other courts, and over time, has the force of law
|
|
types of public law
|
constitutional law
criminal law administrative law |
|
types of civil law
|
contract law
tort law |
|
nursing practices is governed by
|
both public and civil law
|
|
state board of nursing regulates
|
licensure
|
|
nurse are responsible for
|
thier own actions regardless of who told them to perform the action
|
|
methods used to monitor health care
|
collect data
quality review nursing audit committess |
|
what do nursing audit committes do?
|
monitor health care by reviewing charts to ensure proper documentation and where you actually assess records
|
|
what a nurse should do prior to floating
|
be sure to get some sort of orientation prior to going to a floor that you feel not qualified to work on. speak with the supervisor if you have problems
|
|
floors that are usually self contained (no floating)
|
OR
ER ped OB |
|
Minors can health care for what things without parents permission
|
STDs
Pregnancy |
|
Torts
|
an action or omission that harms someone
|
|
malpractice
|
a form of tort
|
|
malpractice refers to
|
a professional's wrongful conduct in the discharge of his or her professional duties or failure to meet standards of care for the profession, which results in harm to another individiual entrusted to the professional's care
|
|
negligence
|
the failure to provide the care a reasonable person would ordinarily provide in a similar situation.
|
|
proof of liability or fault requires four elements
|
duty
breach harm proof |
|
types of torts
|
intentional
unitentional results from negligence |
|
intentional torts
|
a deliberate invasion of someone's legal right
|
|
assault
|
the conduct of one person makes another person fearful and apprehensive
|
|
example of assault
|
threatening to place a NG tube in a client who is refusing to eat
|
|
battery
|
the intentional and wrongful physical contact with a person that involves an injury or offensive contact
|
|
an example of battery
|
restraining a client and administering an injection against his wishes
|
|
example of battery
|
inserting a foley or IV without consent
|
|
not an example of battery
|
applying restraints to a combative person in the ER; this is for your protection
|
|
false imprisonment
|
a person that is confined or restrained against his/her will
|
|
example of false imprisonment
|
using restraints on a competent client to prevent his leaving the health care facility
|
|
an example of false imprisonment
|
go to your room and don't come out until I say to
|
|
defamation of character
|
a nurse that tells a coworker that she/he believes a client has been unfailthful to the spouse
|
|
libel
|
written broadcast or otherwise published words - any other form of communication such as written words or images.
|
|
example of libel
|
physician paged - as usual this physician did not respond to several pages
|
|
slander
|
transitory statements - malicious, false, and defamatory spoken statement or report.
|
|
unintentional torts
|
negligence must be proven by - must have reasonable and prudent evidence
|
|
malpractice
|
the improper or negligent treatment of a patient, as by a physician, resulting in injury, damage, or loss
|
|
breach of duty example
|
call light not in reach, bed too high, phone not in reach
|
|
F L A T
|
factual
legible accurate timely |
|
statue of limitation
|
usually 2 years from the time of known injury
|
|
informed consent - who is responsible for getting it signed
|
the physician
|
|
if patient has questions after the consent has been signed
|
get the physician back in to re assess the patient
|
|
consent for minors
|
notarized paper giving consent to give care for my child in my leave of absence
|
|
when is infomed consent necessary
|
invasive procedures - surgery
HIV testing MRI, PET scan with contrast photographing pt/procedures |
|
living will can be revoked
|
when there is a viable fetus (21 weeks) until birth of the fetus
|
|
which is stronger
living will or durable power of attorney |
durable power of attorney
|
|
should a nurse witness power of attorney and why
|
NO - because this is a conflict of interest
|
|
ethical theory
|
analyzes varying philosophies, systems, ideas, and principles need to make judgments about what is right and wrong; good and bad
|
|
types of ethical theory
|
utilitarianism
deontology |
|
deontology
|
actions are based on moral rules and unchanging principles; do unto others as you would have them do unto you
|
|
teleology
|
a person must take those actions that lead to good outcomes; the outcome of an act determines whether the act is good or of value and that achievement of a good outcome justifies using a less desirable means to attain the end
|
|
virtue ethics
|
truthfulness and trustworthiness are developed. a person's character must be developed so that by nature and habit, the person will be predisposed to behave vituously.
|
|
justice and equity
|
veil of ignorance; regarding who is affected by a decision should be used by decision makers because it allows for unbiased decision making.
|
|
an ethical person chooses
|
the actiion that is fair to all, including those persons who are most disadvantaged
|
|
relativism
|
there are no universal ethical standards; such as "murder is always wrong".
|
|
beneficence
|
the duty to do good to others and to maintain a balance between benefits and harms
|
|
example beneficence
|
become familiar with your state laws regarding organ donations
|
|
nonmaleficence
|
the principle of doing no harm
|
|
example of nonmaleficence
|
always work within your scope
|
|
justice
|
the principle of fairness that is served when an individual is given that which he or she is due, owed, deserves, or can legitimately chain
|
|
example of justice
|
treat all patients equally, regardless of economic or social background
|
|
autonomy
|
respect for an individual's right to self-determiniation; respect for individual liberty
|
|
example of autonomy
|
consent for all treatments, HIPPA, advance directives,
|
|
fidelity
|
the principle of promise keeping; the duty to keep one's promise or word
|
|
example of fidelity
|
be careful about what you say to patients. they may only want to hear good news
|
|
respect for others
|
the right of people to make thier own decision
|
|
example respect of others
|
governing a persons affairs
|
|
veracity
|
the obligation to tell the truth
|