NR 203 Midterm Exam with Accurate Answers.
Latest Edition
Authoritative/Autocratic Leadership Style - ✔✔- Decisions made by manager who dictates what
work needs to be done and who will do it
- Little opportunity for input or suggestions (communication flows down, not up)
- *Works well in emergency situation when time is of the essence*
- May be preferred when working with unskilled workers or uneducated employees
Democratic/Participative Leadership Style - ✔✔- Input of decision making encouraged by
workers, *leader seems him/herself as coworkers*
- Communication, consensus & teamwork oriented
- *Leadership by providing information, suggestion direction, and support*
- Considered preferred style in majority of work situations
Laissez-Faire/Permissive Leadership Style - ✔✔- Little to no direction or guidance provided
- Coworkers develop their own goals and make their own decisions
Multicratic Leadership Style - ✔✔- *Combines the positive of autocratic and participation of
democratic leadership*
- Leader provides maximum group participation when needed
- Support & encouragement provided to subordinates at all times
Transformational Leaders - ✔✔Leaders who inspire followers to focus on common, long-term
goals
Transformational Leadership - ✔✔Places emphasis on the collective purpose and mutual
growth of both the leader and the follower(s) and deemphasizes differences in the roles of the
leader and followers
,Transactional Leaders - ✔✔Leaders who set clear, short-term goals and reward people who
meet them
Transactional Leadership - ✔✔Examines leadership in terms of striking a bargain in which there
is a mutual exchange between leaders and followers of benefits for work, sometimes referred
to as a reward and punishment approach. Maintains stability of organization while offering
rewards to employees for performance and met goals.
Delegation - ✔✔Transfer of responsibility for the performance of an activity from one individual
to another while accountability for the outcome is retained
RN responsibility r/t Delegation - ✔✔RN transfers responsibility and authority for the
performance of an activity but remains accountable for overall nursing care
RN Delegator is Responsible for... - ✔✔- *The act of delegating/assignment*
- Supervising the performance of the delegated tasks
- Assessment and follow-up
- Interventions or change in the POC that may be required to ensure safe and effective care
The Delegatee is Accountable for... - ✔✔- His/her own actions, completing the task assigned
- Accepting delegation within the parameters of his/her training or education; *must speak up if
they do not know something or are not comfortable*
- Communicating the appropriate information to the delegator
Considerations when Delegating Nursing Care - ✔✔- Know your state's institutional policies on
delegation
- Take frequent reports from the delegatee
- Evaluate the delegatee's performance and the patient's response
, - The patient's condition, complexity of the activity
- Potential for harm
- Degree of problem solving and innovation needed
ANA Principles for Delegating Care - ✔✔- RN is responsible and accountable for nursing practice
- RN supervises any assistant providing direct care
- Delegatee's purpose is to work in a supportive role to the RN
- State's NPA definition for delegation
Items that cannot be delegated - ✔✔- Assessment
- Planning
- Teaching
- Evaluation
Rights of Delegation - ✔✔- Right Task
- Right Circumstances
- Right Direction/Communication
- Right Supervision
Rights of Delegation: Right Task - ✔✔One that is delegable for a specific patient
Rights of Delegation: Right Circumstances - ✔✔Appropriate patient setting, available resources,
and other relevant factors considered
Rights of Delegation: Right Person - ✔✔The right person is delegating the right task to the right
person to be performed by the right person
Latest Edition
Authoritative/Autocratic Leadership Style - ✔✔- Decisions made by manager who dictates what
work needs to be done and who will do it
- Little opportunity for input or suggestions (communication flows down, not up)
- *Works well in emergency situation when time is of the essence*
- May be preferred when working with unskilled workers or uneducated employees
Democratic/Participative Leadership Style - ✔✔- Input of decision making encouraged by
workers, *leader seems him/herself as coworkers*
- Communication, consensus & teamwork oriented
- *Leadership by providing information, suggestion direction, and support*
- Considered preferred style in majority of work situations
Laissez-Faire/Permissive Leadership Style - ✔✔- Little to no direction or guidance provided
- Coworkers develop their own goals and make their own decisions
Multicratic Leadership Style - ✔✔- *Combines the positive of autocratic and participation of
democratic leadership*
- Leader provides maximum group participation when needed
- Support & encouragement provided to subordinates at all times
Transformational Leaders - ✔✔Leaders who inspire followers to focus on common, long-term
goals
Transformational Leadership - ✔✔Places emphasis on the collective purpose and mutual
growth of both the leader and the follower(s) and deemphasizes differences in the roles of the
leader and followers
,Transactional Leaders - ✔✔Leaders who set clear, short-term goals and reward people who
meet them
Transactional Leadership - ✔✔Examines leadership in terms of striking a bargain in which there
is a mutual exchange between leaders and followers of benefits for work, sometimes referred
to as a reward and punishment approach. Maintains stability of organization while offering
rewards to employees for performance and met goals.
Delegation - ✔✔Transfer of responsibility for the performance of an activity from one individual
to another while accountability for the outcome is retained
RN responsibility r/t Delegation - ✔✔RN transfers responsibility and authority for the
performance of an activity but remains accountable for overall nursing care
RN Delegator is Responsible for... - ✔✔- *The act of delegating/assignment*
- Supervising the performance of the delegated tasks
- Assessment and follow-up
- Interventions or change in the POC that may be required to ensure safe and effective care
The Delegatee is Accountable for... - ✔✔- His/her own actions, completing the task assigned
- Accepting delegation within the parameters of his/her training or education; *must speak up if
they do not know something or are not comfortable*
- Communicating the appropriate information to the delegator
Considerations when Delegating Nursing Care - ✔✔- Know your state's institutional policies on
delegation
- Take frequent reports from the delegatee
- Evaluate the delegatee's performance and the patient's response
, - The patient's condition, complexity of the activity
- Potential for harm
- Degree of problem solving and innovation needed
ANA Principles for Delegating Care - ✔✔- RN is responsible and accountable for nursing practice
- RN supervises any assistant providing direct care
- Delegatee's purpose is to work in a supportive role to the RN
- State's NPA definition for delegation
Items that cannot be delegated - ✔✔- Assessment
- Planning
- Teaching
- Evaluation
Rights of Delegation - ✔✔- Right Task
- Right Circumstances
- Right Direction/Communication
- Right Supervision
Rights of Delegation: Right Task - ✔✔One that is delegable for a specific patient
Rights of Delegation: Right Circumstances - ✔✔Appropriate patient setting, available resources,
and other relevant factors considered
Rights of Delegation: Right Person - ✔✔The right person is delegating the right task to the right
person to be performed by the right person
