NUR 256 test 2,.docx

Give an example of over-delegation - correct answer assigning a UAP to check the glucose of all patients Who does a charge nurse communicate to? - correct answer EVERYONE What are the characteristics of effective communication? - correct answer Clear Timely Concise Assertive Involves good listening What does it mean to take HEAT? - correct answer Hear them out Empathize Apologize Take action What does it mean for a patient to be higher acuity? - correct answer patient is in more severe condition less stable As a manager, how do you ensure competency? - correct answer witness your staff perform a skill What are the five rights of delegation? - correct answer Right Task Right Circumstance Right Person Right Communication Right Supervision what should a RN never delegate to an LPN? (TEAACUP) - correct answer Teaching Evaluation Assessment Advanced Interventions Collaboration Unstable Patient Planning What about a patient should be considered when delegating to an LPN? - correct answer Acuity Age Time Scope of Practice What things should be continuously monitored by the charge nurse? - correct answer Frequency Staff and patient needs Changes in the situation Observe skill and competency of staff Customer service issues Routines being followed what factors could effect safety? - correct answer Patient care issues Process issues (nurse to patient ratio) Staffing issues Computer software issues What does it mean to coach for improvement? - correct answer praise in public and coach in private what gets in the way of good critical thinking? - correct answer Anxiety, stress, fatigue Distraction or overload Habits and resistance to change Group conformity Need to "save face" Stereotyping Over-confidence or lack of confidence When implementing a plan through out the day, what is important to do when completing tasks? - correct answer complete highest priority tasks first when able to, do not omit things, delegate appropriately, make sure the first task is completed before starting another. what are the three basic steps to time management? - correct answer Plan! implement tasks Re-prioritize as needed What is important to do when prioritizing and planning tasks? - correct answer think about how long a task should take and allow extra time to complete it, make sure you have everything you need to complete the task before starting the task What is a fallacy? - correct answer an error in reasoning; continuously not being able to complete tasks efficiently due to poor planning on numerous occasions. What are ways to increase efficiency in your work day? - correct answer gather all supplies needed to perform activities group activities by location use time estimates always chart ASAP take regular breaks always plan to end the day on time how can you manage time wasters - correct answer Do not make yourself overly accessible- Stay busy doing your work!! Interrupt a rambling person Avoid promoting socialization Schedule long-winded pests What does a good charge nurse avoid? - correct answer socializing what is a benefit of intuition? - correct answer Can lead to early detection of problems What is a risk of intuition? - correct answer Misjudgment, not effective alone when is intuition effective? - correct answer When combined with objective data and analysis what is the internal climate of communication? - correct answer Includes internal factors such as the values, feelings, temperament, and stress levels of the sender and the receiver what is the external climate of communication? - correct answer Includes external factors such as the weather, temperature, timing, status, power, authority, and the organizational climate Define a Novice nurse - correct answer -can be a student or newly licensed nurses who have minimal clinical experience. -They approach situations from theoretical perspective relying on context-free facts and established guidelines. -Rules govern practice. Define an advanced beginner nurse - correct answer -Most new nurses function at the level of the advanced beginner. -They practice independently in the performance of many tasks and can make some clinical judgement. -They begin to rely on prior experience to make practice decisions. Define a competent level nurse? - correct answer -These are usually nurses who have been in practice 2-3 years. -They demonstrate increasing levels of skill and proficiency and clinical judgement. - They exhibit the ability to organize and plan care using abstract and analytical thinking. -They can anticipate long-term outcomes of personal actions.