Nurse Leadership - Exam 1 2025
How is data collected & determined? - ansAudits - retrospective, concurrent, or prospective
Data is collected & analyzed compared to benchmark
Root causes are done for sentinel events
How is the nursing process used as a guide for decision making & problem solving? - ansAssessment - gather all
info about the issue
Analysis/diagnosis - identify specific problem
Planning - identify & weigh options
Implementation - implement plan
Evaluation - ensure problem was resolved effectively
Most important to understand the process to solve problems rather than knowing all the answers
How to develop safe delegating practices? - ansFoundation of knowledge
Delegation criteria - state nurse practice act
Specific skill requirements
Policies & procedures, standards of care
Delegatee's scope of practice, competencies, job descrip
Professional standards of nursing practice
The Nurse as a Professional - ansClasse notes
What affects the changes in staffing patterns? - ansIncreased use of UAP forces RN to delegate more
Roles/responsibilities are overlapping
Health care errors
Delegating tasks safely
,Legal responsibility r/t delegation & supervision
What are generational differences? - ansInfluence the value system of the members of an inter professional
team & can affect hoe members function within the team
Veteran: 1925-1942
- Supports status quo
- Accepts authority
- Loyal to employer
Baby boomer: 1943-1960
- Workaholics
- Loyal to employer
Gen X: 1961-1980
- Adapt easily to change
- Makes freq. job changes
Gen Y: 1981-2000
- Optimistic & self-confident
- Values achievement
What are grievances? - ansWrong perceives by an employee based on a feeling of unfair treatment that is
considered ground for a formal complaint
Cannot be satisfactorily resolved b/t the parties involved may need to be managed by a third party
,Formal grievance policy at all facilities
Formal presentation of complain using proper chain of command
Formal hearing of the issue not resolved at a lower level
Professional mediation if a solution is not reached during a formal hearing
What are some conflict resolution strategies? - ansProblem solving
- Open communication
- Focus on problem, not personal differences
- Listen
- Share ground rules
Problem solving process
- ID problem
- Discuss problem solutions
- Analyze identified solutions
- Select a solution
- Implement selected solution
- Evaluate the solution's ability to resolve the original problem
What are the barriers to effective delegation? - ansNovice nurse
- Fear of being disliked, loosing control, taking risks, making mistakes
- Lack of confidence
- Lack of knowledge
, What are the categories of conflict? - ansIntrapersonal - within the person, may involve internal struggle r/t
contradictory values or wants
Interpersonal - b/t two to more people w/ differing values, goals, beliefs
What are the characteristics of high risk delegation? - ansDelegated task can be performed by RN only
Delegated task could involve substantial risk or harm
RN knowingly delegates task to inappropriate trained
RN fails to provide adequate supervision
RN does not evaluate delegated action
What are the differences b/t a transformational leader vs. a transactional leader? - ansTransformational
- 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 are the ethical principles? - ansAutonomy - ability of client to make own decisions
Beneficence - care is in best interest of client
Fidelity - keeping one's promise
Justice - fair treatment
Nonmalificence - nurse's obligation to do no harm
Veracity - nurse's duty to tell the truth
How is data collected & determined? - ansAudits - retrospective, concurrent, or prospective
Data is collected & analyzed compared to benchmark
Root causes are done for sentinel events
How is the nursing process used as a guide for decision making & problem solving? - ansAssessment - gather all
info about the issue
Analysis/diagnosis - identify specific problem
Planning - identify & weigh options
Implementation - implement plan
Evaluation - ensure problem was resolved effectively
Most important to understand the process to solve problems rather than knowing all the answers
How to develop safe delegating practices? - ansFoundation of knowledge
Delegation criteria - state nurse practice act
Specific skill requirements
Policies & procedures, standards of care
Delegatee's scope of practice, competencies, job descrip
Professional standards of nursing practice
The Nurse as a Professional - ansClasse notes
What affects the changes in staffing patterns? - ansIncreased use of UAP forces RN to delegate more
Roles/responsibilities are overlapping
Health care errors
Delegating tasks safely
,Legal responsibility r/t delegation & supervision
What are generational differences? - ansInfluence the value system of the members of an inter professional
team & can affect hoe members function within the team
Veteran: 1925-1942
- Supports status quo
- Accepts authority
- Loyal to employer
Baby boomer: 1943-1960
- Workaholics
- Loyal to employer
Gen X: 1961-1980
- Adapt easily to change
- Makes freq. job changes
Gen Y: 1981-2000
- Optimistic & self-confident
- Values achievement
What are grievances? - ansWrong perceives by an employee based on a feeling of unfair treatment that is
considered ground for a formal complaint
Cannot be satisfactorily resolved b/t the parties involved may need to be managed by a third party
,Formal grievance policy at all facilities
Formal presentation of complain using proper chain of command
Formal hearing of the issue not resolved at a lower level
Professional mediation if a solution is not reached during a formal hearing
What are some conflict resolution strategies? - ansProblem solving
- Open communication
- Focus on problem, not personal differences
- Listen
- Share ground rules
Problem solving process
- ID problem
- Discuss problem solutions
- Analyze identified solutions
- Select a solution
- Implement selected solution
- Evaluate the solution's ability to resolve the original problem
What are the barriers to effective delegation? - ansNovice nurse
- Fear of being disliked, loosing control, taking risks, making mistakes
- Lack of confidence
- Lack of knowledge
, What are the categories of conflict? - ansIntrapersonal - within the person, may involve internal struggle r/t
contradictory values or wants
Interpersonal - b/t two to more people w/ differing values, goals, beliefs
What are the characteristics of high risk delegation? - ansDelegated task can be performed by RN only
Delegated task could involve substantial risk or harm
RN knowingly delegates task to inappropriate trained
RN fails to provide adequate supervision
RN does not evaluate delegated action
What are the differences b/t a transformational leader vs. a transactional leader? - ansTransformational
- 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 are the ethical principles? - ansAutonomy - ability of client to make own decisions
Beneficence - care is in best interest of client
Fidelity - keeping one's promise
Justice - fair treatment
Nonmalificence - nurse's obligation to do no harm
Veracity - nurse's duty to tell the truth
