Nurse Leadership - Exam 1 | with complete solution

Nurse Leadership - Exam 1 | with complete solution What is leadership? - The ability to inspire others to achieve a desired outcome What is management? - The process of planning, organizing, directing, & coordinating the work within an organization Usually possess good leadership skills Effective leaders are not always in management What is the authoritative leadership style? - Makes decisions for the group Motivates by coercion Communication occurs down chain of command Work output high Good for crisis situations Effective for employees w/ little or no formal education What is the democratic leadership style? - Includes group when decisions are made Motivates by supporting staff achievements Communication up & down chain of command Work output good Good when cooperating & collaborating What is the laissez-faire leadership style? - Makes very few decisions, does little planning Motivation is the responsibility of individual staff members Communication up & down, or b/t group members Work output low unless informal leader evolves Effective w/ professional employees What are the differences b/t a transformational leader vs. a transactional leader? - Transformational - 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 is emotional intelligence? - Ability of an individual to perceive & manage emotions of self & others What are the five major management functions? - Planning - what needs to be done, who is doing it Organizing - lines of authority, communication, decisions Staffing- adequate staff & staffing mix Directing - manager influences & motivates staff Controlling - evaluation of staff & goals to make sure outcomes are being made What is critical thinking? - Interpretation Analysis Evaluation Inference Explanation Skills that assist the nurse to determine the most appropriate action to take - "thinking outside the box" What is clinical reasoning? - Process of assessing & compiling data Selecting & discarding data used on relevance Using knowledge to make decisions about client care Problem solving (part of making a decision) Mental process used when analyzing the elements of a clinical situation & using analysis to make a decision What is clinical judgement? - Analyze data & related evidence Ascertain the meaning of the data & evidence Determine client outcomes desired &/or achieved as indicated by EBP Decision made requiring the course of action based off a critical analysis of data when using knowledge applied to clinical situation What should be prioritized? - Systemic before local - "Life before limb" - Client in shock over client w/ localized limb injury Acute before chronic - Mental confusion, chest pain over a client w/ chronic long-term illness Actual problems before potential future problems - Admin of med to client w/ acute pain over ambulation of a client at risk for thrombophlebitis Listen to clients carefully, don't assume - Post op pain could be due to pain in another location rather than expected surgical pain Recognize & respond to trends vs. transient findings - Gradual deterioration of LOC/GSC Recognize signs of medical emergencies & comps vs. "expected findings" - Signs of increasing ICP on pt w/ newly diagnosed stroke vs. clinical findings expected following a stroke Apply clinical knowledge to procedural standards to determine the priority action - Timing of admin of anti diabetic & antimicrobial meds is more important than admin of some other meds What should you think about when trying to manage your time? - What must be done immediately? - Analgesics ir antiemetic admin - Assessment of an unstable client What must be done by a specific time to ensure safety, quality care, & compliance? - Med admin - Vitals - Blood glucose What must be done by the end of shift? - Ambulation of the client - Diacharge &/or discha