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CORE COMPETENCIES FOR QUALITY CARE, 5TH EDITION BY
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ANITA FINKELMANko
Chapterko1 ConceptualkoBasekoforkoLeadershipkoandkoManagement
1) Thekonursekomanagerkoaskedkoallkostaffkonurseskotokodevelopkoeffectivekoleadershipkocompetencies.ko
Howkoshouldkothekostaffkonurseskointerpretkothiskorequest?
1. Thiskoiskoankounrealistickoexpectation,kobecausekoonlykomanagerskoarekoleaders.
2. Thiskoiskopossiblekoifkothekonurseskolearnkoaboutkoandkousekorelevantkoleadershipkoandkomanagementkothe
orieskoandkostyles.
3. Inkoorderkotokobecomekoleaders,kothekostaffkonurseskowillkohavekotokoemphasizekocontrol,kocompetition,
koandkogettingkothekojobkodone.
4. Unlesskothekostaffkonurseskopossesskothekotraitskoofkoakonaturalkobornkoleader,kothiskoiskoankounrea
listickoexpectation.
Answer:k o 2koExplanati
on:
1. Akonursekodoeskonotkoneedkotokohavekoakoformalkomanagementkopositionkowithkoakomanagementkotitlekot
okobekoakoleader;koifkonurseskodemonstratekoleadershipkocompetencies,kotheykoarekoconsideredkonursekole
aders.
2. Inkotoday'skohealthcarekoenvironment,konurseskomustkohavekoknowledgekoofkorelevantkoleadershipkoan
dkomanagementkotheorieskoandkostyles.koThiskoknowledgekohelpskonurseskoemergekoaskoleaders.koNurseskoa
rekoalsokoleaderskoofkotheirkoownkonursingkopractices.
3. Control,kocompetition,koandkogettingkothekojobkodonekoarekopastkotheorieskoandkostyleskothatkoarekonotkoasko
usefulkoinkotoday'skoenvironment.
4. Leadershipkoiskoakoskillkothatkocankobekolearne
d.koCognitivekoLevel:k o Analyzing
ClientkoNeed/Sub:k o k o SafekoandkoEffectivekoCarekoEnvironment
Standards:k o QSENkoCompetencies:koPatient-
centeredkocare;koTeamworkkoandkocollaboration;koqualitykoimprovement,kosafetyko|koAACNkoEssentialko
Competencies:koII.koBasickoorganizationalkoandkosystemskoleadershipkoforkoqualitykocarekoandkopatientkos
afety;koVI.koInterprofessionalkocommunicationkoandkocollaborationkoforkoimprovingkopatientkohealthkoout
comes;koV.koHealthcarekopolicy,kofinance,koandkoregulatorykoenvironmentsko|koNLNkoCompetencies:koPerso
nalkoandkoprofessionalkodevelopment;korelationshipkocenteredkocare;koteamworkko|koNursing/Integratedko
Concepts:koNursingkoProcess:koAssessment
LearningkoOutcome:k o LOko03.koAnalyzekothekokeykomodernkoleadershipkotheorieskocomparedkotokoolderko
theories,koandkounderstandkotheirkoimplicationskoforkonursingkoleadership,komanagement,koandkotransfor
mationalkoleadership.
2) PeterkoDrucker'skoviewkoofkomanagementkostimulatedkothekoshiftkotowardkothekorealizationkoofkothekoim
portancekoofkoparticipatorykoorganizations.koWhichkooptionkoprovideskoakoscenariokothatkoiskoankoexampleko
ofkoakoparticipatorykoorganization?
1. Thekocontrolkoofkothekoorganizationkoiskocentralized,koandkodecisionskoarekomadekobykoupper-
levelkomanagement.
2. Staffkonurseskoarekoexpectedkotokoprovidekosupportkoandkonurturingkoforkomanagement'skodecisions.
3. Thekoorganization'skoapproachkotokoleadershipkoiskoautocratickoandkobureaucratic.
4. Staffkonurseskoprovidekoinputkointokoplanningkoandkochangeskoforkotheirkoownkou
nit.koAnswer:k o 4
,Explanation:
1. Inkoparticipatorykoorganizations,kothekocontrolkoofkothekoorganizationkoiskodecentralizedkoandkom
anykodecisionskoarekomadekobykothoseko"onkothekofrontkolines"koofkothekoorganization.
2. Thekotheorykoiskothatkothekostaffkoshouldkobekonurturedkotokopromotekogreaterkoleadershipkocompetency.
3. AccordingkotokoDrucker,kowhenkostaffkoparticipatekoinkothekocorekofunctionskoofkomanagement,
kothekoorganizationkoiskomorekoeffective.
4. AccordingkotokoDrucker,kowhenkostaffkoparticipatekoinkothekocorekofunctionskoofkomanagementkosuc
hkoaskoplanningkoandkochangeskoforkotheirkoownkounits,kothekoorganizationkoiskomorekoeffective.
CognitivekoLevel:k o k o Applying
ClientkoNeed/Sub:k o k o SafekoandkoEffectivekoCarekoEnvironment
Standards:k o QSENkoCompetencies:koPatient-
centeredkocare;koTeamworkkoandkocollaboration;koqualitykoimprovement,kosafetyko|koAACNkoEssentialko
Competencies:koII.koBasickoorganizationalkoandkosystemskoleadershipkoforkoqualitykocarekoandkopatientkos
afety;koVI.koInterprofessionalkocommunicationkoandkocollaborationkoforkoimprovingkopatientkohealthkoout
comes;koV.koHealthcarekopolicy,kofinance,koandkoregulatorykoenvironmentsko|koNLNkoCompetencies:koPerso
nalkoandkoprofessionalkodevelopment;korelationshipkocenteredkocare;koteamworkko|koNursing/Integratedko
Concepts:koNursingkoProcess:koPlanning
LearningkoOutcome:k o LOko03.koAnalyzekothekokeykomodernkoleadershipkotheorieskocomparedkotokoolderko
theories,koandkounderstandkotheirkoimplicationskoforkonursingkoleadership,komanagement,koandkotransfor
mationalkoleadership.
3) Whichkobehaviorkodemonstrateskothekonurse'skocompetencykoaskoankoemotionallykointelligentkoleader?
1. Thekonursekoiskoproficientkoinkotechnicalkoskills.
2. Thekonursekorelieskoonkopolicies,konotkooptions.
3. Thekonursekosupportskoteamkomembers.
4. Productivitykoiskonotkoakomajorkoconcer
n.koAnswer:k o 3
Explanation:
1. Whilekotechnicalkoskillkoiskoimportantkoforkoallkonurses,koitkoiskonotkoakohallmarkkoofkoakocompetentkoleader.
2. Chaoskotheorykostateskothatkosolutionskoarekonotkoalwayskoclearkoandkopolicieskomightkonotkoalwayskobekoap
pliedkoeasily;kootherkooptionskomightkoneedkotokobekoconsidered.
3. InkoEmotionalkoIntelligencekotheory,koteamkomemberskosupportkoeachkootherkoandkofeelkosupportedkob
ykothekoteamkoleader.
4. Thiskostatementkoreflectskothekocountrykoclubkoleadershipkostyl
e.koCognitivekoLevel:k o Applying
ClientkoNeed/Sub:k o k o SafekoandkoEffectivekoCarekoEnvironment
Standards:k o QSENkoCompetencies:koPatient-
centeredkocare;koTeamworkkoandkocollaboration;koqualitykoimprovement,kosafetyko|koAACNkoEssentialko
Competencies:koII.koBasickoorganizationalkoandkosystemskoleadershipkoforkoqualitykocarekoandkopatientkos
afety;koVI.koInterprofessionalkocommunicationkoandkocollaborationkoforkoimprovingkopatientkohealthkoout
comes;koV.koHealthcarekopolicy,kofinance,koandkoregulatorykoenvironmentsko|koNLNkoCompetencies:koPerso
nalkoandkoprofessionalkodevelopment;korelationshipkocenteredkocare;koteamworkko|koNursing/Integratedko
Concepts:koNursingkoProcess:koImplementation
LearningkoOutcome:k o LOko03.koAnalyzekothekokeykomodernkoleadershipkotheorieskocomparedkotokoolderko
theories,koandkounderstandkotheirkoimplicationskoforkonursingkoleadership,komanagement,koandkotransfor
mationalkoleadership.
,4) Thekonursekoexecutivekoofkoakohealthcarekoorganizationkowisheskotokopreparekoandkodevelopkonursekomana
gerskoforkoseveralkonewkounitskothatkothekoorganizationkowillkoopenkonextkoyear.koWhatkoshouldkobekothekoprimar
ykogoalkoforkothiskowork?
1. Focuskoonkorewardingkocurrentkostaffkoforkodoingkoakogoodkojobkowithkotheirkoassignedkotaskskobykoselectingkot
hemkoforkopromotion.
2. Preparekothesekomanagerskosokothatkotheykowillkofocuskoonkomaintainingkostandardskoofkocare.
3. Preparekothesekomanagerskotokooverseekothekoentirekohealthcarekoorganization.
4. Preparekothesekomanagerskotokointeractkowithkohospitalkoadministratio
n.koAnswer:k o 2
Explanation:
1. Thiskoiskoankoillustrationkoofkotheko"PeterkoPrinciple,"kowhichkoiskopromotingkopeoplekotokomanagement
kopositionskojustkobecausekotheykoarekodoingkoakogoodkojobkoinkotheirkocurrentkoposition.koManagementkolev
elkoemployeeskoshouldkobekoselectedkobasedkouponkothekopotentialkoabilitykotokomanagekoandkotheirkodesirekot
okodokoso.
2. Nursekomanagerskoarekodirectlykoresponsiblekoforkomaintainingkostandardskoofkocare,koandkomanagingkofi
scalkoresourceskoandkodevelopmentkoofkostaff.
3. Thiskoiskonotkothekoresponsibilitykoofkomostkonursekomanagers.koInkothiskoquestion,koitkoiskoclearkothatkoman
agerskoofkonursingkounitskoarekobeingkopreparedkoandkodeveloped.
4. Interactingkowithkohospitalkoadministrationkoiskoakorarekorequirementkoforkoakounitkonursekomanagerkoand,
koifkoitkoiskorequired,koitkoiskonotkoaskoimportantkoaskomaintainingkostandardskoofkocare.
CognitivekoLevel:k o k o Analyzing
ClientkoNeed/Sub:k o k o SafekoandkoEffectivekoCarekoEnvironment
Standards:k o QSENkoCompetencies:koPatient-
centeredkocare;koTeamworkkoandkocollaboration;koqualitykoimprovement,kosafetyko|koAACNkoEssentialko
Competencies:koII.koBasickoorganizationalkoandkosystemskoleadershipkoforkoqualitykocarekoandkopatientkos
afety;koVI.koInterprofessionalkocommunicationkoandkocollaborationkoforkoimprovingkopatientkohealthkoout
comes;koV.koHealthcarekopolicy,kofinance,koandkoregulatorykoenvironmentsko|koNLNkoCompetencies:koPerso
nalkoandkoprofessionalkodevelopment;korelationshipkocenteredkocare;koteamworkko|koNursing/Integratedko
Concepts:koNursingkoProcess:koPlanning
LearningkoOutcome:k o LOko04.koComparekoandkocontrastkocharacteristics,koroles,koandkoresponsibilitieskoofko
leaderskoandkomanagers.
5) Describekothekoprimarykofocuskoofkoakomanagerkoinkoakoknowledge-workkoenvironment.
1. Developingkothekomostkoeffectivekoteams
2. Takingkorisks
3. Routinekowork
4. Understandingkothekohistorykoofkothekoorganizatio
nkoAnswer:k o 1
Explanation:
1. Thekomostkoimportantkofocuskoofkothiskomanagerkoiskoonkodevelopingkoandkosupportingkoeffectivekote
ams,koutilizingkothekoknowledgekoofkomany.
2. Riskkotakingkoiskoakopartkoofkoknowledgekowork,kobutkoiskonotkothekomostkoimportantkoofkothiskomanager'skotasks.
3. Knowledgekoworkkoiskoakocombinationkoofkoroutinekoandkononroutinekowork,kosokothekomanagerkowillko
havekofocuskoonkothekoroutine.koThiskoiskonotkothekomanager'skomostkoimportantkofocus.
4. Understandingkothekohistorykoofkothekoorganizationkoiskoimportantkoaskoitkowillkohelpkothekomanagerko
workkowithinkothekoorganization,kobutkoitkoiskonotkothekomostkoimportantkofocus.
CognitivekoLevel:k o k o Analyzing
ClientkoNeed/Sub:k o k o SafekoandkoEffectivekoCarekoEnvironment
Standards:k o QSENkoCompetencies:koPatient-
centeredkocare;koTeamworkkoandkocollaboration;koqualitykoimprovement,kosafetyko|koAACNkoEssentialko
Competencies:koII.koBasickoorganizationalkoandkosystems
, leadershipkoforkoqualitykocarekoandkopatientkosafety;koVI.koInterprofessionalkocommunicationkoandkocolla
borationkoforkoimprovingkopatientkohealthkooutcomes;koV.koHealthcarekopolicy,kofinance,koandkoregulatorykoe
nvironmentsko|koNLNkoCompetencies:koPersonalkoandkoprofessionalkodevelopment;korelationshipkocentere
dkocare;koteamworkko|koNursing/IntegratedkoConcepts:koNursingkoProcess:koImplementation
LearningkoOutcome:k o LOko03.koAnalyzekothekokeykomodernkoleadershipkotheorieskocomparedkotokoolderko
theories,koandkounderstandkotheirkoimplicationskoforkonursingkoleadership,komanagement,koandkotransfor
mationalkoleadership.;koLOko04.koComparekoandkocontrastkocharacteristics,koroles,koandkoresponsibilities
koofkoleaderskoandkomanagers.
6) Thekonursingkostaffkocommunicateskothatkothekonewkomanagerkohaskoakofocuskoonkotheko"bottomkoline,
"koandkolittlekoconcernkoforkothekoqualitykoofkocare.koWhatkoiskolikelykotruekoofkothiskonursekomanager?
1. Thekomanagerkoiskolookingkoatkothekototalkocarekopicture.
2. Thekomanagerkoiskocommunicatingkothekoimportancekoofkoakocaringkoenvironment.
3. Thekomanagerkounderstandskothekoorganization'skovalueskoandkohowkotheykomeshkowithkothekomana
ger'skovalues.
4. Thekomanagerkoiskounwillingkotokolistenkotokostaffkoconcernskounlesskotheykohavekoankoimpactkoonko
costs.koAnswer:k o 4
Explanation:
1. Thiskoactionkowouldkoenablekothekomanagerkotokomakekoakodecisionkoandkonotkojustkoevaluatekothekofina
ncialkostatuskoofkothekoenvironment.
2. Ifkothekomanagerkoiskoindeedkofocusingkoonlykoonkotheko"bottomkoline,"kothekomanagerkoiskonotkopromo
tingkoakocaringkoenvironmentkoonkothekounit.
3. Thekoorganizationkomaykosetkogreatkovaluekoonkotheko"bottomkoline,"kobutkoalsokomustkobekoconcernedkoa
boutkoqualitykoofkocare.koProblemskowithkoqualitykoofkocarekocankoimpactkotheko"bottomkoline."koIfkothekomanage
rkobelieveskothekofinancialkostatuskoofkothekoorganizationkoiskothekoonlykoorganizationkovalue,koakomisunder
standingkohaskoprobablykooccurred.
4. Thiskomanagerkohaskoprimarykofocuskoonkothekofinancialkoissueskoassociatedkowithkoprovisionkoofkocare.k
oThiskowillkomakekothekomanagerkoineffectivekoinkothekorole.
CognitivekoLevel:k o k o Applying
ClientkoNeed/Sub:k o k o SafekoandkoEffectivekoCarekoEnvironment
Standards:k o QSENkoCompetencies:koPatient-
centeredkocare;koTeamworkkoandkocollaboration;koqualitykoimprovement,kosafetyko|koAACNkoEssentialko
Competencies:koII.koBasickoorganizationalkoandkosystemskoleadershipkoforkoqualitykocarekoandkopatientkos
afety;koVI.koInterprofessionalkocommunicationkoandkocollaborationkoforkoimprovingkopatientkohealthkoout
comes;koV.koHealthcarekopolicy,kofinance,koandkoregulatorykoenvironmentsko|koNLNkoCompetencies:koPerso
nalkoandkoprofessionalkodevelopment;korelationshipkocenteredkocare;koteamworkko|koNursing/Integratedko
Concepts:koNursingkoProcess:koEvaluation
LearningkoOutcome:k o LOko04.koComparekoandkocontrastkocharacteristics,koroles,koandkoresponsibilitieskoofko
leaderskoandkomanagers.