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29 Cards in this Set
- Front
- Back
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A nurse manager informs the staff members during a meeting that unlicensed assistive personnel will no longer be allowed to check patients' blood glucose levels. The nurse manager informs the group this was a new policy on the unit, and discussions will not change the enforcement of this policy. What type of leadership style is the nurse manager demonstrating? |
Autocratic leadership involves the leader assuming complete control of the decisions and activities of the group. An extremely autocratic leader might make all decisions for the workers or followers without considering their ideas or feelings |
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A client is received into the emergency department after getting shot in the chest. The client is hemorrhaging profusely and is in hypovolemic shock. The nurse calls a code blue. What type of leadership style will be most effective during the management of the code? |
Autocratic leadership will be most effective in this scenario. Autocratic leadership involves the leader assuming control over the decision and activities of the group. During code blue, a leader is needed to direct the actions needed and make quick decisions to positively affect the client. |
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The registered nurse (RN) wants to delegate measuring a client’s urinary output to an unlicensed assistive personnel (UAP). Which factors should the nurse consider before delegating the task? |
The stability of the patient’s condition, potential for harm, and complexity of the activity |
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The registered nurse (RN) notices that client assignments are not being made fairly. The charge nurse is responsible for making the client assignments and has a reputation for being argumentative. Who should the RN consult regarding the unfair client assignments? |
The RN should follow the proper channels for communication and consult the charge nurse. If conflict arises, the RN should then contact the nursing supervisor, director of nursing, and the medical director, respectively. |
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Personal Leadership Skills |
Ability to know oneself Commitment to excellence Problem-solving skills including a clear vision and strategic focus Commitment and passion for one’s work Trustworthiness and integrity Respectfulness Accessibility Empathy and caring Responsibility to enhance the personal growth of all staff |
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Autocratic Leadership |
Directive leadership or authoritarian leadership, involves the leader assuming control over the decisions and activities of the group |
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Democratic Leadership |
Participativeleadership, is characterized by a sense of equality among the leader and other participants. Decisions and activities are shared. |
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Laissez-Faire Leadership |
Non-directive leadership, the leader relinquishes power to the group, such that an outsider could not identify the leader in the group. |
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Quantum Leadership |
theory views an organization and its members as interconnected and collaborative—a helpful approach when unpredictable events and changing environments present themselve |
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Transactional Leadership |
style is based on a task-and-reward orientation |
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Transformational Leadership |
Can create revolutionary change. Often described as charismatic, transformational leaders are unique in their ability to inspire and motivate others. |
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What is MAGNET? |
These institutions were called “magnet” hospitals because they attracted and retained professional nurses who experienced a high degree of professional and personal satisfaction through their practice. These institutions used a decentralized decision-making process, self-governance at the unit level, and respect for and acknowledgment of professional autonomy |
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Change Theory: What does Unfreezing mean? |
The need for change is recognized. |
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Change Theory: What does Moving mean? |
Change is initiated after a careful process of planning. |
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Change Theory: Refreezing means? |
Change becomes operational. |
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Who is responsible for obtaining an informed consent? |
Physician |
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Who can administer D545 with Potassium Chloride? |
RN, LVN can no administer medications through IV, only fluids |
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Who can withdraw blood from the PIC line? |
RN only |
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Who can hang blood for the patient? |
LVN if they are certified otherwise RN (in California) |
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Who is able to suction a Trachea? |
An LVN can do this. |
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Who can do a sterile dressing change? |
An LVN can do this. |
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Who can change a PCA dose on the machine? |
RN |
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What can not be delegated? |
1. Initial assessment, on going assessments (LVN can do ongoing assessment) 2. Determination of nursing diagnosis/plan 3. Supervision and education (staff/patient) 4. Any nursing intervention that requires professional knowledge, judgement & skill
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Safe Delegation practices (7 steps) |
1. Know the patient 2. Know the staff 3. Know the task 4. Explain the task & expected outcomes 5. Expect responsible actions 6. Assess and supervise job performance 7. Evaluate and follow up |
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The nurse manager has recently promoted a staff nurse to the charge nurse position. Which type of power does the charge nurse now have? |
Explicit power is determined by virtue of the nurse’s position. (p. 507) |
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The nurse manager is aware that nurses in the operating room are concerned about a proposed change in their working hours. What is the nurse manager's best approach in addressing this problem and the nurses? |
Relate the proposed change to the group's existing beliefs and values. (p. 516) |
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What attributes would be characteristic of a nurse mentor |
Mentors should be supportive, resourceful, experienced, respectable, and trustworthy leaders. (p. 522) |
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The nurse manager has recently promoted a staff nurse to the charge nurse position. Which type of power does the charge nurse now have? |
Explicit power is determined by virtue of the nurse’s position. |
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A nurse manager is attempting to change the policy for scheduling staff on a critical care unit. The nurse is in the process of changing the schedules and announcing the changes. Based on Lewin’s change theory, in what stage of change is this nurse participating? |
Moving is one of the stages and what is described in the question. Moving is when change is initiated after a careful process of planning. (p. 516) |
