HESI RN Leadership Final Exam
Nursing Leadership = Everything (Final) Complete! :D
1. #1 thing to remember Unsatisfactory work must be acknowledged and
about negative feedback discussed
2. 2 biggest/worst actions Altering/falsifying a medical record, violation of
that lead to malpractice an internal or external standard of practice
lawsuits
3. 2 out of 3 people leave a Ineffective/incompetent management
job because of this
4. 2 types of change Planned/Managed, Unplanned/Reactive
5. 2 types of resistance to Active resistance and passive resistance
change
6. 2 ways to be an 1. Recognize and understand your own emotions,
emotionally stable leader learn to manage them, stay calm and clear
headed. 2. Listen to others, perceive unspoken
concerns, acknowledge others perspectives,
helpful
7. 3 qualifications for RN Graduate from an approved RN program, english
licensure in the USA language proficiency, disclosure of criminal
convictions
8. 3 quality behaviors of Interpersonal, decisional and informational
effective nurse managers? behaviors along with leadership, business sense
and clinical expertise
9. 3 stages of lewins theory of Unfreeze(take out of comfort zone),
change Change(discomfort), Refreeze(new comfort zone)
10. 3 types of liability Personal, vicarious, employer/corporate
11. 4 stages of burnout 1. high expectations and idealism, 2. pessimism
and early job dissatisfaction, 3. withdrawal and
isolation 4. irreversible detachment and loss of
interest
,12. According to JCAHO Communication deficits among health care
what is the reason for a providers
large number of sentinel
events that occur?
13. According to Rogers what innovators, early adapters, early majority, late
are typical majority, laggards and rejectors.
responses to change?
14. Advice for giving feedback Give both negative and positive, give
immediately, give frequently, give negative
feedback in private, base it on observed
behavior, include suggestions for change.
15. AKA - Bottling emotions Rutter
(inappropriate way of
dealing reality shock)
16. These are activities that Initial and follow up assessments, decisions and
an RN may NOT delegate judgements about client plan of care,
interventions that require professional RN
knowledge or skills, decisions/judgements
needed to evaluate care
17. These are clinical Critical pathways
protocols involving all
disciplines
18. These are established Nursing Standards
guidelines for the nursing
profession to ensure
quality of care
19. _______________ are Choices
influenced by values
,20. These are non life Extrinsic values
essential values (things,
people, ideas, kindness,
and understanding)
21. These are offenses Criminal acts
committed against state
laws
22. These are organized Beliefs
thoughts about why
people exist in the
universe
23. Behaviors at risk for History of violent behavior, delusions paranoia
violence suspicion, aggression, threats, rapid speech,
anger, stiff posture, clenched fists, ETOH/drug
use, male or youth, unrealistic
policies/procedures
24. Causes of reality shock Culture shock (expectations distorted with
reality), incongruent school values and work
values, lack of support, lack of a mentor
25. Choices to resolve Avoid it, accommodate, compete, compromise,
conflict collaborate
26. Common actions Fail to assess properly, fail to report changes in pt
leading to malpractice status, fail to document, fail to obtain informed
lawsuits consent, fail to report co-worker negligence, fail
to
provide adequate education * TWO BIGGEST*
Altering/falsifying a medical record and Violation
of an internal or external standard of practice
27. Common causes of Client falls, equipment injuries, failure to monitor,
negligence failure to communicate, medication errors,
medical errors
, 28. Common mistakes made Failure to make need for change clear, unclear
during change goals, too little time, poor leadership, insufficient
implementation coordination of the change process, insufficient
education, dismissing complaints
29. The CQI program 1.Structure within which care is given, 2. the
evaluates what 3 things? process of giving the care 3. the outcome of that
care
30. Describe the traditional Tall and narrow chain of command - Employees
organizational structure ranked top to bottom with the number on bottom
greater than the top, authority is at the top only,
power is distributed, communication is a
challenge because of all of the layers of power
31. Dont's of feedback Focus on negatives, let personalities intrude, be
vague, play favorites, correct people publicly
32. Do's and Don'ts for Do - recognize it, value it and develop support for
managing diversity it, Ensure fairness, make all of the above part of
your philosophy. Don't- pretend all are alike,
expect everyone to conform, seek quick solutions,
develop different performance standards, expect
one workshop/meeting to solve it.
33. Do's of feedback Include positive comments, be objective, be
specific, treat everyone the same, correct people
privately
34. These ethical concepts Values (The amount of values a person holds, isn't
are learned and change as important as "which" values they consider
with maturity and important)
experience
35. Explain the differences Management-Assigned formal position, budgets,
between management hires/fires. Leadership -Achieved informal
and leadership position, part of every RN's responsibility
