ATI Testing Nursing Professionalism & Management
Notes 2025
Complex Health Concepts (Forsyth Technical Community College)
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When Reviewing This Chapter, Keep In Mind The Relevant Topics And Tasks Of The NCLEX Outline, In
Particular:
Management Of Care
ASSIGNMENT, DELEGATION AND SUPERVISION
• Evaluate Delegated Tasks To Ensure Correct Completion Of Activity.
• Evaluate Effectiveness Of Staff Members’ Time Management Skills.
CASE MANAGEMENT
• Practice And Advocate For Cost Effective Care.
CONCEPTS OF MANAGEMENT
• Manage Conflict Among Clients And Health Care Staff.
• Identify Roles/Responsibilities Of Health Care Team Members.
ESTABLISHING PRIORITIES
• Apply Knowledge Of Pathophysiology When Establishing Priorities For Interventions With
Multiple Clients.
• Prioritize The Delivery Of Client Care.
PERFORMANCE IMPROVEMENT (QUALITY IMPROVEMENT)
• Participate In Performance Improvement Projects And Quality Improvement Processes.
Chapter 1: Leading And Managing Client Care
To Lead And Manage Client Care Effectively, A Nurse Must Develop Knowledge And Skills In
Multiple Areas. Specific Areas Include Leadership, Management, Critical Thinking, Clinical
Reasoning, Clinical Judgment, Prioritization, Time Management, Assigning, Delegating,
Supervising, Staff Education, Quality Improvement, Performance Appraisal, Peer Review,
Disciplinary Action, Conflict Resolution, And Cost-Effective Care.
Leadership And Management
• Management Is The Process Of Planning, Organizing, Directing, And Coordinating The Work
Within An Organization.
• Leadership Is The Ability To Inspire Others To Achieve A Desired Outcome.
• Effective Managers Usually Possess Good Leadership Skills. However, Effective Leaders Are Not
Always In A Management Position.
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• Managers Have Formal Positions Of Power And Authority. Leaders Might Have Only The Informal
Power Afforded Them By Their Peers.
• One Cannot Be A Leader Without Followers.
Leadership Theories (Styles)
Early Leadership Theories Focused On The Traits The Leader Possessed, But As Time Went
On, The Focus Shifted To The Actions The Leader Performed Or The Style Of Leadership The
Leader Portrayed. These First Styles Were Categorized As Autocratic/Authoritarian,
Democratic, Or Laissez-Faire. The Nurse Might Need To Use A Variety Of These Leadership
Styles Depending On The Situation.
Autocratic/Authoritarian
• Makes Decisions For The Group.
• Motivates By Coercion.
• Communication Occurs Down The Chain Of Command, Or From The Highest Management Level
Downward Through Other Managers To Employees.
• Work Output By Staff Is Usually High: Good For Crisis Situations And Bureaucratic Settings.
• Effective For Employees With Little Or No Formal Education.
Democratic
• Includes The Group When Decisions Are Made. QTC Motivates By Supporting Staff
Achievements.
• Communication Occurs Up And Down The Chain Of Command.
• Work Output By Staff Is Usually Of Good Quality When Cooperation And Collaboration Are
Necessary.
Laissez-Faire
• Makes Very Few Decisions And Does Little Planning
• Motivation Is Largely The Responsibility Of Individual Staff Members.
• Communication Occurs Up And Down The Chain Of Command And Between Group Members.
• Work Output Is Low Unless An Informal Leader Evolves From The Group.
• Effective With Professional Employees.
From These Various Leadership Styles, Types Of Leaders Have Been Identified. Some Of The
Most Referred To Include Transactional, Transformational, Laissez-Faire, Bureaucratic, And
Situational.
Types Of Leaders
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• Transactional Leaders Focus On Immediate Problems, Maintaining The Status Quo And Using
Rewards To Motivate Followers.
• Transformational Leaders Empower And Inspire Followers To Achieve A Common, Long-Term
Vision.
• Laissez-Faire Leaders Are Permissive And Encourage Decision Making To Take Place Throughout
The Group.
• Bureaucratic (Authentic) Leaders Inspire Others To Follow Them By Modeling A Strong Internal
Moral Code
• Situational Leaders Are Flexible And Can Adapt Their Leadership Style Based On The Situation At
Hand, Often Combining Both Autocratic And Democratic Leadership Styles.
Emotional Intelligence
• Emotional Intelligence Is The Ability Of An Individual To Perceive And Manage The Emotions Of
Self And Others.
• The Nurse Must Be Able To Perceive And Understand Their Own Emotions And The Emotions Of
The Client And Family To Provide Client-Centered Care. QPCC
• Emotional Intelligence Is Also An Important Characteristic Of The Successful Nurse Leader.
• Emotional Intelligence Is Developed Through Understanding The Concept And Applying It To
Practice In Everyday Situations.
The Emotionally Intelligent Leader...
• Has Insight Into The Emotions Of Members Of The Team.
• Understands The Perspective Of Others.
• Encourages Constructive Criticism And Is Open To New Ideas.
• Manages Emotions And Channels Them In A Positive Direction, Which In Turn Helps The Team
Accomplish Its Goals.
• Is Committed To The Delivery Of High-Quality Client Care.
• Refrains From Judgment In Controversial Or Emotionally Charged Situations Until Facts Are
Gathered.
Management
The Five Major Management Functions Are...
Planning: The Decisions Regarding What Needs To Be Done, How It Will Be Done, And Who
Is Going To Do It
Organizing: The Organizational Structure That Determines The Lines Of Authority, Channels
Of Communication, And Where Decisions Are Made
Staffing: The Acquisition And Management Of Adequate Staff And Staffing Mix
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