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48 Cards in this Set
- Front
- Back
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what is a narrative ethic?
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the use of stories to emphasize the importance of context, contingency & circumstances in recognizing, evaluating, & resolving moral problems applied to health care
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What are Advanced Directives?
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supports one's right to choose a course of action that determines both quantity & quality of life
serves as a guide for clinicians to respect & honor the autonomous decision of the pt. when they are in a position to not be able to express their wishes |
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What's principalism?
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a methodology used to resolve dilemmas arising in health care by appealing to abstract moral principles
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What's the path goal theory?
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helps clarify the path to a goal, removes roadblocks, & increases rewards along the way
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What's the leader-member exchange theory?
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explains how group leaders maintain their position by exchanging informal agreements w/ their members
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What's Herzberg's motivational theory?
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psychological needs can lead to job dissatisfaction but that sufficiently challenging motivators can lead to job satisfaction
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Maslow's hierarchy of needs
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1. Physiological needs
2. Safety 3. Love & belonging 4. Esteem 5. Self actualization |
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According to Herzberg, what motivator does not lead to job satisfaction? (exam 1)
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money
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The Hawthorne effect can best be described as: (exam 1)
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persons' behavior changes when they are being studied
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Maslow's hierarchy of needs can best be described as: (exam 1)
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people must feel safe before they can feel a sense of love & belonging
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How are McGregor's Theory X and Theory Y alike? (exam 1)
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both theories arose from social science research findings
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How are open & closed systems different? (exam 1)
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open systems have flexible boundaries, while closed systems have rigid boundaries
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What's the best way for a nurse manager to motivate an achievement-oriented employee? (exam 1)
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Give concrete feedback to the employee about how well he/she is doing
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In order to increase productivity, a nurse manager of a large home care agency implements a study to measure the amount of time needed to complete a routine home visit; which theory supports her approach? (exam 1)
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Scientific, management theory
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Which statement is not true about types of authority defined by Kannan (exam 1)
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ideal authority is influenced by religious thought
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What is the trait leadership theory? (exam 1)
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leaders are born w/ abilities to for leading
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According to Lewin, which leadership style causes the greatest level of discontent b/c they make decisions w/o consulting anyone
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Autocratic
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Which type of leadership is referred to as the "glue" that holds together a healthy work environment & is supported by the American Association of Critical Care Nurses?
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Authentic
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Lewin's democratic leadership:
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leader involves others in their decisions
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Lewin's laissez-faire leadership:
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leader minimally involved in decision-making
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Multimodal communication:
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more than 1 piece of info is interpreted to convey meaning
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emotional intelligence can be developed by:
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-listen to & thank others for positive criticism
-carry around an image of an inspiring person -trust your feelings & behaviors -use constructive inner dialogue as a guideline -learn to manage fear & anger |
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statement that best describes a transformational leader: (exam 1)
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the best way to get things done is to inject enthusiasm & energy into the effort
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What is NOT true about collective leadership? (exam 1)
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leadership is a complex process of mutual influence
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What is TRUE about collective leadership?
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leadership is hierarchical;leadership is a process of creating a vision; leadership involves everybody
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A nurse manager is trying to implement a new system of documentation; 2 nurses refuse to adhere to the new system; this is an example of what focus?
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low task, high-relationship focus
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what is theory X?
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assumes that ppl are lazy & must be controlled & threatened
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What is theory Y?
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assumes that ppl want to work & can learn to meet organizational goals
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What is the Georgetown mantra?
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refers to autonomy, beneficence, justice, non-malficence
these are the core set of principles used for ethical decision making; universal in scope & facilitate the objectivity if each clinical dilemma |
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Edmondson & psychological safety:
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based on the premise that when employees believe that their suggestions for change will be appreciated, they express themselves freely w/o fear of embarrassment, rejections, or punishments
key factor for ensuring psychological safety lies @ each level of the organization's work groups, namely, w/ 1st-line supervisors & team leaders |
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What are the standard of components necessary to fxn in an ethic's committee?
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1. General education on the ethical application of pt. care.
2. Creating policies on ethical questions to serve as a model of practice for the organization 3. Offereing case consultations, prospectively or retrospectively, on clinical scenarios (usually taken from practice) that are presented to them by fellow clinicians |
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ANA Code of Ethics, what are the 4 principles?
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1. doing no harm to pt's
2. benefiting others 3. Loyalty to pt's 4. being truthful in facets of practice |
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1990 Patient Bill of Rights:
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requires healthcare institutions to provide pt's w/ info. abt their state's advance directives policy & procedures @ the time of hops. admission or before various outpatient procedures
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What are the characteristics of a professional?
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1. Confidentiality
2. Competence 3. Truthfulness 4. Relationship-centered |
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elements that define a profession:
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1. The necessary preliminary training is intellectual in character, involving knowledge, & to some extent learning, as distinguished from mere skill
2. it is pursued largely for others & not merely for one's self 3. the amt. of financial return isn't the accepted measure of success 4. it sets & enforces standards |
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What is FMLA?
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allows "eligible" employees of a covered employer to take job-prptected, unpaid leave, or to substitute appropriate paid leave if the employee has earned or accrued it, for up to a total of 12 workweeks in any 12 months (baby born, child adopted or placed in foster care, caring for family member)
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Disability Act
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prohibits private employers, state & local gov't, employment agencies, & labor unions from discriminating against qualified individuals w/ disabilities in job application procedures, hiring, firing, advancement, compensation, job training, & other terms, conditions, & privileges of employment
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moral development (ranges from stage 1-6)
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1 = do anything told by person of power w/o questioning it
2 = action based on reciprocal sharing ("You scratch my back, I"ll scratch yours) 3=seeks approval & nice to everyone 4=maintain status quo (give meds on the dot, don't question orders, live up to job description) 5=contracts w/ pt's abt healthcare issues; come to agreed action w/ pt. (uses written or verbal agreement) 6=act based on logical, consistent, comprehensive & universal ethical principles (principle of justice, equal rights, respect & dignity of individuals) |
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What is fogging (negative assertion)?
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you offer no resistance yet are persistent & independent, admitting errors while refusing to be manipulated ("That's right I'm 5 mins. late"; "You're right, I haven't finished the report"; or "I guess I did make an error")
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Human communication:
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verbal communication is only one aspect of total communication; nonverbal communication provides the MAJOR message
often ppl react to unspoken elements of communication more then they do to words |
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Collective leadership does NOT propose this:
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leadership is a complex process of mutual influence
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nurse manages of an ICU is new to the position. He studies the unit's strengths & weaknesses in order to understand the opportunities & challenges it faces. What fxn is the nurse manager performing? (exam 1)
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Planning
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This activity is not used by the nurse manager in the process of controlling (exam 1):
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managing conflict
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This is not a characteristic of leader-member exchange theory (exam 1):
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an out-group is given high levels of influence
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According to the path-goal theory, which type of leadership style is best when a nurse manager is working w/ highly skilled staff in a busy, stressful inner-city ER? (exam 1)
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Supportive
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This is NOT considered a primary trait by which a leader can succeed (exam 1):
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Maintaining control of decisions
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Info. flows upward from the staff in decision-making when a leader uses a(n) (exam 1):
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Participative style
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what is collective bargaining?
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a form of negotiation regulated by state & federal labor laws & requires representation from a union or the state nurses assoc.
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