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leadership exam
chpt 1 2 3 4 8 16
Question | Answer |
---|---|
active listening means | conflict resolution |
Blocking | Obstructing communication through noncommittal answers, generalization, or other techniques that hamper continued interaction. |
Ad hominem abusive | an argument that attacks the person instead of the issue |
appeal to common practice | Something is okay because most people do it |
appeal to emotion | an attempt to manipulate other people’s emotions in order to avoid the real issue. |
appeal to tradition | Doing things a certain way is best because it has always been done that way. |
straw man | A person’s position on a topic is misrepresented |
Define the 5 rights of delegation | the right task, circumstance, person, directin/communication, supervisiom/evaluation |
red herring | introduction of an irrelevant topic in order to divert attention from the real issue. |
Components of reality shock | honeymoon, shock/rejection, recovery, resolution phase |
rutters attitude | adopt attitude that “I’ll just do what I have to do to get by” |
change agents | These are the nurses who care enough to work within the system to elicit change. |
QSEN components | pt centered cae, teamwork, evidence based practice, quality improvement, safety, & informatics |
total pt care | referred to as case nursing; RN does planning, organizing, & performing all care. High autonomy & responsibility and accountability are clear |
partnership model or co-primary care | delegates non-pro tasks to the partner, thus providing more time for the RN to address Pro demands, such as assessment & patient education-- cost effective & growth for staff |
Primary nursing | 24 hour responsibility for planning, directing, & evaluating the patient’s care from admission through discharge-- hospice, LT care & home health |
team nursing | RN functions as a team leader and coordinates a small group (no more than 4 or 5) of ancillary personnel to provide care to a small group of patients- in/oot patient |
component of pt centered care | Patients, families and significant others are included |
DRG | Refers to the reimbursement for health care services based on a predetermined fixed price-per-case or diagnosis in 468 categories |
slander | An injury to one’s reputation caused by the spoken word. |
living will | A legal document, a type of advanced directive in which competent adult makes known his/her wishes regarding care that will be provided in the final stages of a terminal illness. |
durable power of attourney | A legal document that authorizes the patient to name the person (the health care proxy) who will make the day to day and final end of life decisions once he/she is decisionally incompetent. An advanced directive |
immunity | Legal doctrine by which a person is protected from a lawsuit for negligent acts or an institution is protected from a suit for the negligent acts of its employees.- good sammaritan & governmental |
Emergency Treatment and Active Labor Law | A federal statute often referred to as Antidumping law Enacted in 1986 to prohibit the refusal of care for indigent and uninsured patients seeking medical assistance in an ED |
Americans w/ Disabilities Act of 1990 | federal law-- requires translaters & accomodations |
pt self determination act of 1990 | A federal statute. Medi/Medi amendment intended to support individuals in expressing their preferences about medical treatment and making decision about end-of-life care. |
Doctrine of res ipsa loquitur (“the thing speaks for itself”) | cases in which the provider (i.e. the physician) had exclusive control of events that resulted in the patient’s injury; the injury would not have occurred ordinarily without a negligent act- expert nurse not needed (leaving surgical tools in pt) |
operational budget | Allocates funds for daily expenses, such as salaries, utilities, repairs, maintenance, and patient care supplies. |
capital budget | Allocates funds for construction projects and/or long life medical equipment, such as cardiac monitors, defibrillators, and computer hardware |
zero based budgeting | An approach to budget development that begins as though the budget were being prepared for the first time. |
incremental budgeting | An approach to budget development that extrapolates from the prior period’s budget and adjusts for future growth or decline in revenues or expenses to determine the budget for the next period. |
top down approach | Upper management sets budget goals and imposes those goals on the rest of the organization |
participatory approach | People responsible for achieving the budget goals are included in goal setting |
interataive approach | combination of the top-down and the participatory approach |
mentoring | interactive |
role-modeling | non interactive |
preceptorship | orientation program which reduces economic costs |
burn out | a part of the shock phse-- taking on too much |
compassion fatigue | a part of the reduced compassion as a result of exposure to trauma that pts have gone through ie; mental health settings, ED |
Benner's stages | from novice to expert- 1.Nurse has few experiences/ in school still 2.advanced beginners/novice 3. forsees long range goals & are mastering skills 4. proficient nurses who look at the WHOLE 5. experts who make istant decisions |
check back | “I need 3 mg epinephrine.” “Three mg epinephrine here.” |
Egypt | Sutures, community planning, calendar & writing-- A pharmacopoeia that classified more than 700 drugs was written to assist in care & management of dz- Shiprah & Puah were midwives that saved the baby Moses |
Palastine | male Hebrew priests & Mosaic Code- code was one of the first organized methods of disease control and prevention which contained public health laws that dictated public hygiene- no meat dead > 3 days |
Greece | Asclepius, the god of medicine (guy w/the staff & serpents) & also o Hippocrates is considered the “father of medicine.”- pt centered care vs superstition |
India | Vedas- surgery (major, minor),urinary and nervous systems |
china | confusious, yin/yang, acupuncture, massage, exercise, hydrotherapy, ephedrine |
Rome | 1st military hospital, enslaved physicians |
The Renaissance & Reformation Period | pharmacology, chemistry, and medical knowledge |
sisters of charity | renaissance- recruited young women for nurse training, developed educational programs, and cared for abandoned children |
St. Vincent de Paul | Renaissance- established the Hospital for the Foundling to care for orphaned and abandoned children |
Colonial American Period | yellow fever & smallpox-- Mexico--first hospital in North America, built in 1524 in Mexico City; first medical school, built at the University of Mexico |
Benjamin Franklin | Pennsylvania Hospital was the first hospital built in the United States in 1751 in Philadelphia. |
florence nightingale & crimean war | Purchased medical supplies, food, and linen; set up a kitchen; instituted laundry services; initiated social services; spent up to 20 hours each day providing nursing care |
Mary Seacole | Jamaican Nurse- denied Nightingale’s nursing brigade b/c black- Opened a lodging house with her own $ to care for sick and wounded soldiers- Contributed to control of the cholera epidemic through extensive knowledge in tropical medicine |
Dorothea Dix | appointed to organize military hospitals, provide trained nurses, and disperse-- vast majority for disease epidemicssupplies; she received no official status and no salary for this position |
Harriet Tubman | Underground railroad |
Sojourner Truth | Abolitionist & advocate of clean and sanitary conditions so patients could heal. |
Clara Barton | credited with founding the American Red Cross |
1890- Rockefeller | established the first school of nursing for African-American women at the Atlanta Baptist Seminary, now known as Spelman College. |
1910 | requiring nurse registration- had to be a high school grad |
Lillian Wald | public health nursing (The Henry Street Settlement) located in the Lower East Side,occupational health (Metropolitan Life Insurance Company)of New York City, ANA & National League for Nurses (NLN) participant |
Mary Breckenridge | established the Frontier Nursing Service (FNS) in 1925 in rural Kentucky to assist disadvantaged women and children; |
Sheppard Towner Act | promote the health and well-being of women, infants, and children |
Social Security Act | National age-old insurance system; Fed grants to states for maternal & child welfare services;Voc rehab services for the handicapped; Medical care for crippled children & blind people; A Federal-State unemployment system |
1950 | all states had adopted the State Board Test Pool. |
nurse training act of 1953 | first instance of federal funding to support nurse training |
Hill Burton Act | provided funding to construct hospitals; created a hospital construction boom that increased the demand for professional nurses |
1970s | Nurse practitioners began to be recognized as viable, cost-effective providers of comprehensive health services. |
1980s | (DRGs) system for reimbursement was instituted= case management |
1990s | healthy people 2000 |
nurse reinvestment act | signed into bill August 2002by BUSH to provide funds for nursing education, recruitment, and retention & o Nursing scholarships, Public Service Announcement,Geriatric training grants Nurse retention & enhancement grants, Faculty Loan Cancellation |
stereotype | a fixed or conventional conception of a person or group held by a number of people that allows for no individuality. |
Victorian Image | Charles Dickens portrayal of Sairy Gamp in Martin Chuzzlewit, a drunken, physically unkept nurse who used nursing to profit from the sick and dying |
sexual revolution & Sara Maas | A 1976 stamp commemorated a 25 year old nurse who died after deliberately obtaining 2 carrier mosquito bites so that she could continue to provide care to soldiers with yellow fever in the Spanish American War. |
Nurse Rivers | Bad Blood- hired to recruit and retain young black men into the infamous Tuskegee experiment designed to describe the long term effects of untreated syphilis in 1947. |
compensatory outcomes | the results, or end products, of planned study and experience that are focused on specific abilities required for practice |
contemporary issues | the problems, changes and concerns that are current for the present time |
core competencies | the essential cluster of abilities and skills required for competent nursing practice |
educational mobility | the progressive movement from one type or level of education to another, often based on flexible, self-directed or advanced placement options |
educational trends | shifts in conditions and concerns that emerge from and influence various aspects of society |
performance examinations/assessments | standardized evaluation based on objective demonstration of specific required competencies |
American Nurses of Credentialing Center (ANCC) | the organization of leaders in all facets of nursing: practice, education, administration, research, organizations, and government= think tank of nursing/prom,otes adancement/ |
Commission on Collegiate Nursing Education (CCNE) | a subsidiary of AACN with responsibility for establishing and implementing standards and criteria and for accreditation of baccalaureate and graduate degree programs in nursing |
National league for nursing -- NLN | national organization of nurse educators, with long standing commitment to four types of basic programs (LPN, diploma, ADN, BSN) |
Health amandment act of 1956 | provided education funds for RNs to prepare for positions in teaching, supervision, and administration. |
nurse practice act 1964 | provided construction costs for nursing school buildings and funds for traineeships and fellowships for nurses to obtain advanced degrees for positions in education, administration, practice, and research. |
clinical nurse leader | Focuses on competencies needed in current/future systems to improve pt care & what the “new nurse” role might look like CNL is a master’s prepared generalist clinician, not an advanced practice nurse, uses EBP to change plans, direct care |
Doctor of nursing practice (DNP) | = preparation for contemporary advanced NP It is the clinical equivalent to the research-oriented PhD nursing degree Does not formally prepare for educators |
external degree program | Makes it possible for experienced adult learners to earn one of many degrees, including ADN and BSN, by taking college level examinations or by combining college course work w/specialized standardized & performance examinations without attending |
components of the nurse practice act | protecting populace ;protect RN title; Defining professional nurse;delegation; Defining of advanced practice;licensure;requirements for initial entry;requirements for renewal of licensure; Designation of a regulatory board to administer the NPA delegatio |
licensure by endorsement | submitting a letter to the second board of nursing-- In addition, proof of the nurses current license to practice, as well as any restrictions imposed on the license by the first state, is required |
duties of board of Nursing | administering the state’s Nurse Practice Act Responsible for granting andrenewing licenses and taking disciplinar action when provisions of the Act areviolated |
mutual recognition model | Provides for individual state boards to adopt an interstate compact, allowing nurses licensed in one state to practice in all other states and territories |
accredidation | Voluntary process by which schools of nursing are approved to conduct nursing education programs |
advanced practice nurse | legal title for nurses prepared by education and competence to perform independent practice |
ANA | Professional organization that represents all registered nurses |
American Nurses Credencialing Center | An independent agency of the American Nurses Association that conducts certification examinations and certifies advanced practice nurses. |
certification | Process by which nurses are recognized for advanced education and competence. |
compact state | In the context of the Nurse Licensure Compact, a state that has established an agreement with other states allowing nurses to practice within the state without an additional license. The interstate compacts are enacted by the state legislatures |
Commission on Collegiate nursing education | A subsidiary of the American Association of College of Nursing (AACN) with responsibility for accrediting baccalaureate and higher degree nursing programs |
Continued competency | - a variety of initiatives to ensure nurses knowledge, skills, and expertise beyond initial licensure |
granfathered | Statutory process by which previously licensed persons are included without further action in revisions or additions in nurse practice acts. |
international council of nursing | Professional organization that represents nurses in countries around the world. |
licensure by endorsement | The original program whereby nurses licensed in one state seek licensure in another without repeat examinations. The requirements are included in state nurse practice acts or accompanying rules and regulations. |
mutual recognition | Program developed by the National Council of State Boards of Nursing. The Nurse Licensure Compact program establishes interstate compacts so that nurses licensed in one jurisdiction may practice in other compact states without duplicate licensure. |
ational council of state boards | )- Organization whose membership consists of the board of nursing of each state or territory. |
national league for nurses NLN | Professional organization whose members represent multiple disciplines. Conducts many types of programs, including accrediting nursing education programs. |
nurse practice act-- NPA | Statute in each state and territory that regulates the practice of nursing. • State board of nursing- Appointed board within each state charged with responsibility to administer the nurse practice act of that state |
unset legislation | Statutes that provide for revocation of laws if not reviewed and renewed within a specific time period. |