Nurse Leadership - Exam 1|Updated&Verified|100% Solved|Guaranteed Success

What is leadership? The ability to inspire others to achieve a desired outcome What is management? The process of planning, organizing, directing, & coordinating the work within an organization Usually possess good leadership skills Effective leaders are not always in management What is the authoritative leadership style? Makes decisions for the group Motivates by coercion Communication occurs down chain of command Work output high Good for crisis situations Effective for employees w/ little or no formal education What is the democratic leadership style? Includes group when decisions are made Motivates by supporting staff achievements Communication up & down chain of command Work output good Good when cooperating & collaborating What is the laissez-faire leadership style? Makes very few decisions, does little planning Motivation is the responsibility of individual staff members Communication up & down, or b/t group members Work output low unless informal leader evolves Effective w/ professional employees What are the differences b/t a transformational leader vs. a transactional leader? Transformational - Leaders empower followers to assume responsibility for communal vision - Personal development is a secondary outcome Actional - Focus on immediate problems - Maintain status quo - Uses rewards to motivate followers What is emotional intelligence? Ability of an individual to perceive & manage emotions of self & others What are the five major management functions? Planning - what needs to be done, who is doing it Organizing - lines of authority, communication, decisions Staffing- adequate staff & staffing mix Directing - manager influences & motivates staff Controlling - evaluation of staff & goals to make sure outcomes are being made What is critical thinking? Interpretation Analysis Evaluation Inference Explanation Skills that assist the nurse to determine the most appropriate action to take - "thinking outside the box" What is clinical reasoning? Process of assessing & compiling data Selecting & discarding data used on relevance Using knowledge to make decisions about client care Problem solving (part of making a decision) Mental process used when analyzing the elements of a clinical situation & using analysis to make a decision What is clinical judgement? Analyze data & related evidence Ascertain the meaning of the data & evidence Determine client outcomes desired &/or achieved as indicated by EBP Decision made requiring the course of action based off a critical analysis of data when using knowledge applied to clinical situation What should be prioritized? Systemic before local - "Life before limb" - Client in shock over client w/ localized limb injury Acute before chronic - Mental confusion, chest pain over a client w/ chronic long-term illness Actual problems before potential future problems - Admin of med to client w/ acute pain over ambulation of a client at risk for thrombophlebitis Listen to clients carefully, don't assume - Post op pain could be due to pain in another location rather than expected surgical pain Recognize & respond to trends vs. transient findings - Gradual deterioration of LOC/GSC Recognize signs of medical emergencies & comps vs. "expected findings" - Signs of increasing ICP on pt w/ newly diagnosed stroke vs. clinical findings expected following a stroke Apply clinical knowledge to procedural standards to determine the priority action - Timing of admin of anti diabetic & antimicrobial meds is more important than admin of some other meds What should you think about when trying to manage your time? What must be done immediately? - Analgesics ir antiemetic admin - Assessment of an unstable client What must be done by a specific time to ensure safety, quality care, & compliance? - Med admin - Vitals - Blood glucose What must be done by the end of shift? - Ambulation of the client - Diacharge &/or discharge teaching - Dressing change What can be delegated? - What can only be done by RN? - What can be delegated to LPN or AP? - How can scheduled client activities most efficiently be shared by these two groups of care providers? What is assigning? Process of transferring authority, accountability, & responsibility of the client care to another member of the health care team Assigning downward or lateral manner Client factors: - Condition, level of care needed - Specific care needs (cardiac monitoring, vent) - Need for precautions (isolation, fall, seizure) - Procedures requiring significant time commitment Team member factors: - Knowledge & skill level - Amount of supervision necessary - Staffing mix - Nurse-to-client ratio - Experience - Familiarity with unit What is delegating? Process of transferring authority & responsibility to another team member to complete a task, while retaining the accountability CANNOT DELEGATE: - Nursing process - Client education - Tasks requiring clinical judgment Consider: - Predictability of outcome (routine or new tx?) - Potential for harm (bleeding, aspiration risk?) - Complexity of care (delegatee legally able?) - Need for problem solving & innovation (judgement?) - Level of interaction w/ the client (psychosocial?) Delegatee factors - Education, training, experience - Knowledge of skill or task - Level of critical thinking needed to complete task - Ability to communicate w/ others - Competence - Delegatee's culture - Agency policy & procedures (state nurse practice acts)