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Nursing 226 Test #2
Test #2
Question | Answer |
---|---|
Trait Theory | identifies qualities that are common to effective leaders |
Leadership Styles | Democratic, Laissez-Faire, Autoritarian |
democratic | share in the responsibility and share in the success |
democratic 4 beliefs | -every member has decision making ownership -freedom of expression to maximize creativity -every member accepts responsibility -respect each others as contributors |
Best thing about demcratic | if the group has same authority and work together for a longer period, strong sense of ownership |
downside of demcratic | minimal leadership needed, if need leader - then participative leadership is good as it allows the leader to have the final say |
Laissez-Faire | group has responsibility and the success |
best part of laissez-faire | group members have same education and all share tasks |
downside of laissez-faire | lack of direction and avoidance of decision making |
authoritarian | group has no success or responsibility in decision making |
dictator | no regard for feelings and needs of the group; achieving goal is the only thing that matters |
downside of dictator | reduces motivation and increases passive aggressive behavior |
benevolent leader | paternalistic approach; attempts to include the group's feelings and concerns but will make the decision |
a benevolent leader is best in... | emergency situations where decisions need to be made |
downside of a benevolent leader | reduce long term effectiveness and suppresses creativity |
high relationship - low task | high respect, little involvement but very supportive |
high task - low relationship | leader does all the planning, little regard for employees |
high relationship - high task | combines best of both worlds, open to input, actively communicates, constructive direction, quickly resolves conflict, creative and effective solutions |
low relationship - low task | very ineffective leadership, no involvement, no direction |
transformational | multiple intangibles exist whenever people interact, meaning, creativity, inspiration, and vision, creating a sense of mission surpasses interpersonal relationships and rewards, inspire excitement and commitment because pts supersede all else |
situational | no one approach works for all situations, adjusts leadership styles to fit the situation, most often is instinctive behavior |
(situational) key is what type of organization is it? | military and hospital |
key leadership behaviors | critical thinking, problem solving, acknowledgement and respect for individual differences, active listening, skillful communication, establishing clear goals and outcomes, continued personal and professional development |
critical thinking | multistep process, analyze organize and plan using creativity |
acknowledgement and respect for individual differences | recognizes differences in people |
active listening | 7% verbal 93% non verbal |
skillful communication | frequent and positive feedback provide negative feedback is nonthreatening and constructive |
continued personal and professional development | lifelong learning, learning that affects attitudes, beliefs, and behaviors |
key leadership qualities | integrity, courage, initiative, energy, optimism, perseverance, well-roundedness, coping skills, self-knowledge |
integrity | ANA Code of Ethics |
Courage | maintain convictions |
Initiative | self starter |
Energy | do work AND display enthusiasm |
Optimism | positive attitude |
perseverance | work through difficult situations |
well-roundedness | balance work and personal life |
coping skills | positive and high resolution to stress |
self-knowledge | must understand their own biases, motivations and perceptions |
Care delivery models | function nursing, team nursing, primary nursing, modular nursing (also called client focused care) |
function nursing | task oriented with charge nurse |
team nursing | staff members divided into small groups with a team leader |
primary nursing | primary responsibilities for all of patient's care |
modular nursing | cared pair |
civility | authentic respect for others requiring time, presence, engagement, and an intention to seek common ground |
incivility | disregard and insolence for others, causing an atmosphere of disrespect, conflict, and stress |
student incivility | behavior that negatively impacts faculty well-being, sense of self-worth and commitment to teaching |
faculty incivility | behavior that damages student confidence, sense of self and psychological and physiological well-being |
faculty-to-faculty incivility | conflicted relationships with students, colleagues and administrators that cause stress and drain zest |
dance of incivility | interactive process where all participants are affected and all are responsible for creating a civil environment |
negligence | the omission of an act that a reasonable and prudent person would perform OR the commission of an act a reasonable and prudent person would not do |
libel | written damaging communication |
liable | guilty; responsible by law |
malpractice | suggests the existence of a professional standard of care and deviation from that standard |
assault | attempt or threat to touch another person |
battery | actual harm or unwarranted contact without consent |
slander | spoken damaging communication |
defamation of character | false statements made about a person that damages their reputation, esteem, confidence |
Nurse Practice Acts | define scope of practice, establish requirement for licensure, create a board of nursing to oversee nursing practice. establish grounds of disciplinary action |
What do you do if an accident happens? | file a incident report; do not put in patients chart |
What are ethics? | is the study of good conduct, character and motives |
Nursing Code of Ethics | the ethical principles that govern a profession. ANA has a standard code of ethics or principles that nurses follow |
what are advanced directives? | written instructions for health care; is a legal requirement of all clients |
why do we need advanced directives? | allows individuals to write down what medical treatment they wish to have if they are unstable to communicate their wishes |
What must be in place for advanced directives to be legal? | -needs to have 2 witnesses (non related) -patient cant be on pain meds -discussion starts early -explain info in layman's terms |
Medical Power of Attorney | legally acts as a spokesperson for the patient |
Durable power of attorney | power of attorney for health |
Confidentiality Laws | ensure privacy of personal health information, ensure health insurance portability, reduce health care fraud and abuse, guarantee security and privacy of health information, enforce standards for health information |
How are the confidentially laws enforced? | HIPAA (Health Insurance Portability & Accountability Act - 1996) |
What are the agencies polices? | each agency has their own policies and procedures |
principles of decision making and delegation | competent individual, transferring authority, selected nursing tasks, selected situation |