Leading And Managing Rn Chapter 38

Front 1

What is the essence of leadership?

Back 1

The ability to influence other people.

Front 2

Effective leaders enable people to:

Back 2

Move in the same direction, toward the same destination, at the same speed, not because they have been forced to, but because they want to.

Front 3

What are a leader's three primary goals?

Back 3

1. Help people develop a sense of direction and purpose.
2. Build the group's committment to its goals.
3. Face the numerous challenges that arise on a daily basis.

Front 4

Many research studies performed in the past identified that ____________ distinguish a leader from a nonleader.

Back 4

Traits

Front 5

What is a manager?

Back 5

An employee of an organization who has the power, authority and responsibility for planning, organizing, coordinating and directing the work of others.

Front 6

What are the three most important qualities of an effective nurse manager?

Back 6

1. Leadership
2. Clinical expertise
3. Business sense

Front 7

As a registered nurse, who will you manage?

Back 7

Groups of patients, nursing assistants, LPN's and other ancillary staff

Front 8

What are three activities of an effective manager?

Back 8

1. Interpersonal skills
2. Decisional skills
3. Informational responsibilities

Front 9

What is a SWOT analysis?

Back 9

Strengths, weaknesses, opportunities and threats. It evaluates you as a person while working toward a goal.

Front 10

Why should you complete a SWOT analysis now?

Back 10

To reveal what to work on and what may help or hinder your skills.

Front 11

What are five important skills that are most important for employers hiring a registered nurse?
(Debbie specifically mentioned in class.)

Back 11

1. Critical thinking skills
2. Interpersonal skills
3. Flexibility and adaptability
4. Self-discipline
5. Teamwork ability

Front 12

Describe a mentor.

Back 12

Mentors provide guidance, coaching and personal support. Fulfills a psychosocial role.

Front 13

Describe a preceptor.

Back 13

Preceptors provide practical teaching skills and guidance.

Front 14

What is the difference between a mentor and a preceptor?

Back 14

Mentors fulfill a friend relationship with a vast range of support provided while preceptors are typically concerned with technical roles specifically relating to nursing.

Front 15

What are important responsibilities of a mentor?

Back 15

1. Demonstrate communication and listening skills.
2. Be sensitive to the needs of nurses, patients and the workplace.
3. Encourage excellence in others.
4. Share and provide counsel.
5. Exhibit good decision-making skills.
6. Demonstrate an understanding of power and politics.
7. Demonstrate trustworthiness.

Front 16

What are responsibilities of a mentee?

Back 16

1. Demonstrate eagerness to learn.
2. Participate actively by keeping all appointments and committments.
3. Seek feedback, and use it to modify behaviors.
4. Demonstrate flexibility and an ability to change.
5. Be open in the relationship with the mentor.
6. Demonstrate an ability to move toward independence.
7. Evaluate choices and outcomes.

Front 17

What concept is important when considering leadership and followership?

Back 17

Leadership and followership is complementary, not competitive.

Front 18

Define a follower.

Back 18

Takes another as a role model and acts in accordance with, imitates, supports and advocates the ideas and opinions of another.

Front 19

Is a follower always a follower? Why?

Back 19

No. No one person can have the best ideas all of the time, so leaders and followers continuously switch roles depending on the particular activity that is occurring.

Front 20

When can followership be dangerous?

Back 20

When you blindly follow a leader or when you take a passive role in the work.

Front 21

What are four concepts that Debbie mentioned regarding being effective leaders?

Back 21

1. Get involved--be a steward, not a spectator.
2. Share information rather than hoard it.
3. Develop positive relationships with colleagues.
4. Learn about leadership, but recognize that it's okay to be a follower.

Front 22

What is the difference between authority and power?

Back 22

Authority is the right to do something because of the position you hold, while power is the ability to influence people, despite resistance.

Front 23

What are the four sources of power?

Back 23

1. Authority
2. Reward
3. Expertise
4. Coercion

Front 24

Define authority.

Back 24

One controls the power by virtue of that person's position.

Front 25

Define rewards.

Back 25

One controls the power by the promise of money, goods, services, recognition or benefits.

Front 26

Define expertise.

Back 26

One controls the power because he or she has the knowledge beyond others in the group.

Front 27

Define coercion.

Back 27

One controls the power because he or she threatens pain or harm to others in the group. It could be physical, economic or psychological pain or harm.

Front 28

What is the difference between power and empowerment?

Back 28

Power is the ability to influence despite resistance while empowerment is a psychological state. Empowerment is a feeling of compotence, control or entitlement that a person experiences.

Front 29

Power refers to _____________, and empowerment refers to _____________.

Back 29

actions, feelings

Front 30

What are the four feelings associated with empowerment?

Back 30

Self determination, meaning, compotence and impact.

Front 31

What is self-determination?

Back 31

Feeling free to decide how to do your work.

Front 32

What is meaning?

Back 32

Caring about your work, enjoying it and taking it seriously.

Front 33

What is compotence?

Back 33

Confidence in one's ability.

Front 34

What is impact?

Back 34

Feeling that people listen to your ideas and that you can make a difference.

Front 35

What is surface listening?

Back 35

inattention

Front 36

Communication is influenced by the behaviors of ________ in the scenario.

Back 36

each person

Front 37

A person's attitude influences _____________ and __________.

Back 37

What he hears and how he interprets the message

Front 38

Congruence between your _______ and your _______ promotes trust.

Back 38

words, deeds

Front 39

How does the ANA define delegation?

Back 39

"transferring to a compotent indifidual the authority to perform a selected nursing task in a specific situation. The RN retains accountability forthe delegation."

Front 40

If you asked another nurse to complete a task, would that be delegation? Why?

Back 40

No, because that RN then accepts the accountability for that task.

Front 41

What type of things can be delegated?

Back 41

Tasks can be delegated, but any nursing care decisions must be made by the RN.

Front 42

What are four steps to complete when a RN delegates a task?

Back 42

1. Assess and diagnose the client.
2. Plan goals and interventions.
3. Implement (assign task)
4. Evaluate and provide feedback

Front 43

What are two ways new RN's can get more comfortable with delegating tasks to others?

Back 43

Observe experienced nurses and work with a preceptor.

Front 44

What are the three major sources of resistance to change?

Back 44

Technical concerns
Psychosocial needs
Threats to a person's position and power.

Front 45

What are the two types of resistance?

Back 45

Active resistance and passive resistance

Front 46

Describe active resistance.

Back 46

Attacks or outright refusal to comply

Front 47

Describe passive resistance.

Back 47

Avoidance or ignoring suggestions.

Front 48

What are the four ways to lower resistance?

Back 48

1. Disseminating information
2. Refuting currently held beliefs
3. Providing psychological safety
4. Commanding

Front 49

Describe disseminating information.

Back 49

Preventing misunderstanding by providing information about the change.

Front 50

Describe refuting currently held beliefs.

Back 50

Providing evidence that what people are doing or believing is inadequate, incorrect or inefficient to increase willingness to change.

Front 51

Describe providing psychological safety.

Back 51

Reducing the threat of basic human needs leaving people more comfortable.

Front 52

Describe commanding.

Back 52

The quickest way to implement change when you have the authority to do so. Not necessarily the best approach, but is sometimes necessary.

Front 53

What are the three different levels of conflict?

Back 53

Individual
Group
Organizational

Front 54

Describe individual conflict.

Back 54

Conflict between two individuals

Front 55

Describe group conflict.

Back 55

Conflict between two or more teams, departments or professional groups

Front 56

Describe organizational conflict.

Back 56

Conflict between two or more hospitals, health agencies or community agencies.

Front 57

What is the ultimate result of a successful conflict resolution?

Back 57

A win-win resolution.