NURSING LEADERSHIP & MANAGEMENT ATI STUDY GUIDE EXAM A+GRADED

NURSING LEADERSHIP & MANAGEMENT ATI STUDY GUIDE EXAM A+GRADED management - CORRECT ANSWER-the process of planning, organizing, directing, and coordinating the work within an organization leadership - CORRECT ANSWER-the ability to inspire others to achieve a desired outcome managers - CORRECT ANSWER-have formal positions of power and authority leaders - CORRECT ANSWER-might have only informal power afforded them by their peers; one cannot be a leader without followers leadership styles - CORRECT ANSWER-Authoritative Democratic Laissez-faire Authoritative - CORRECT ANSWER--makes decisions for the group -motivates by coercion -communication occurs down chain of command -work output by staff is usually high -effective for employees with little/no formal education Democratic - CORRECT ANSWER--includes group when making decisions -motivates by supporting staff -communication occurs up and down chain of command -work output by staff is usually of good quality Laissez-faire - CORRECT ANSWER--makes very few decisions -does little planning -motivation is largely the responsibility of individual staff members -work output is low unless an informal leader evolves from the group -effective with professional employees characteristics of leaders - CORRECT ANSWER-initiative inspiration energy positive attitude communication skills respect problem-solving skills critical-thinking skills emotional intelligence transformational leaders - CORRECT ANSWER-empower followers to assume responsibility for a communal vision, and personal development is a secondary outcome transactional leaders - CORRECT ANSWER-focus on immediate problems, maintaining the status quo and using rewards to motivate followers emotional intelligence - CORRECT ANSWER-the ability of an individual to perceive and manage the emotions of self and others developed through understanding the concept and applying it to practice in everyday situations emotionally intelligent leaders - CORRECT ANSWER--have insight to emotions of members on the team -understands others' perspectives -encourages constructive criticism -open to new ideas -manages emotions and channels them in a positive direction -refrains from judgment five major management functions - CORRECT ANSWER-planning organizing staffing directing controlling planning - CORRECT ANSWER-the decisions regarding what needs to be done, how it will be done, and who is going to do it organizing - CORRECT ANSWER-the organizational structure that determines the lines of authority, channels of communication, and where decisions are made staffing - CORRECT ANSWER-the acquisition and management of adequate staff and staffing mix directing - CORRECT ANSWER-the leadership role assumed by a manager that influences and motivates staff to perform assigned roles controlling - CORRECT ANSWER-the evaluation of staff performance and evaluation of unit goals to ensure identified outcomes are being met characteristics of managers - CORRECT ANSWER--hold formal positions of authority and power -possess clinical expertise -network with members of the team -coach subordinates -make decisions about the function of the organization, including resources, budget, hiring, and firing critical thinking - CORRECT ANSWER-used when analyzing client issues and problems; uses thinking skills such as interpretation, analysis, evaluation, inference, and explanation clinical reasoning - CORRECT ANSWER-the mental process used when analyzing the elements of a clinical situation and using analysis to make a decision clinical judgment - CORRECT ANSWER-the decision made regarding a course of action based on a critical analysis of data prioritization principles in client care - CORRECT ANSWER-1. prioritize systemic before local ("life before limb") 2. prioritize acute before chronic 3. prioritize actual problems before potential future problems 4. listen carefully to clients and don't assume 5. recognize and respond to trends vs. transient findings 6. recognize indications of medical emergencies and complications vs. expected findings 7. apply clinical knowledge to procedural standards to determine the priority action Maslow's hierarchy priority framework - CORRECT ANSWER-1. physiological 2. safety and security 3. love and belonging 4. self-esteem 5. self-actualization ABC pirority framework - CORRECT ANSWER-airway breathing circulation (D = disability ; E = exposure) severity of manifestations should be considered when determining priorities time management - CORRECT ANSWER--organize care according to client care needs and priorities -use time-saving strategies and avoid time wasters -time management is a cyclic process good time management - CORRECT ANSWER--facilitates greater productivity -decreases work-related stress -helps ensure the provision of quality and appropriately prioritized client care -enhances satisfaction with care provided asigning - CORRECT ANSWER-the process of transferring the authority, accountability, and responsibility of client care to another member of the health care team delegating - CORRECT ANSWER-the process of transferring the authority and responsibility to another team member to complete a task, while retaining the accountability supervising - CORRECT ANSWER-the process of directing, monitoring, and evaluation the performance of tasks by another member factors to consider before delegating - CORRECT ANSWER-predictability of outcome potential for harm complexity of care need for problem solving and innovation level of interaction with the client five rights of delegation - CORRECT ANSWER-1. right task 2. right circumstance 3. right person 4. right direction and communication 5. right supervision and evaluation examples of tasks RNs can delegate to LPNs - CORRECT ANSWER-monitoring findings reinforcing client teaching from care plan performing trach care suctioning checking NG tube patency administering enteral feedings inserting urinary cath administering meds (excluding IV meds in some states) examples of tasks RNs can delegate to APs - CORRECT ANSWER-ADLs bathing grooming dressing toileting ambulating feeding (w/out swallowing precautions) positioning routine tasks bed making specimen collection I&O vital signs (for stable clients) staff education - CORRECT ANSWER-refers to the nurse's involvement in the orientation, socialization, education, and training of fellow health care workers to ensure the competence of all staff and help them meet standards orientation - CORRECT ANSWER-helps newly licensed nurses translate the knowledge, skills, and attitudes learned in nursing school into practice -orientation to the institution -orientation to the unit socialization - CORRECT ANSWER-the process by which a person learns a new role and the values and culture of the group within which that role is implemented education and training - CORRECT ANSWER-the process by which a staff member gains knowledge and skills; goal is to ensure staff members have and maintain the most current knowledge and skills necessary to meet the needs of the clients steps in providing educational programs - CORRECT ANSWER-1. identify and respond 2. analyze 3. research 4. plan 5. implement 6. evaluate five stages of nursing ability - CORRECT ANSWER-novice nurse advanced beginner competent nurse proficient nurse expert nurse novice nurse - CORRECT ANSWER-can be students or newly licensed nurses who have minimal experience approach situations from theoretical perspective relying on context-free facts and established guidelines; rules govern practice advanced beginner - CORRECT ANSWER-most new nurses function at this level practice independently in the performance of many tasks and can make some clinical judgments