transformation leadership - ANSgives group members responsibilities that will enhance their
professional development
participative leadership - ANS*democratic*
-serves as a resource person and facilitator and is non-directive
-guides staff toward reaching an objective and shares responsibilities with the staff
-allows creativity and development of many strategies
autocratic - ANSdirect and issues commands necessary for *emergency situations*
-makes decisions idependently and then notifies the staff of the decisions made
-maintains a high degree of control over the staff and allows little freedom of staff members
laissez-faire - ANSdemonstrates a non-productive approach
-exerts little or no leadership and control
-
moral leadership - ANSinvolves honesty and fairness under any circumstances
mandated reporter - ANSchildren or older adult clients who are being abused or neglected
employees that are resistant to change - ANSrealize that if the nurse who must implement the
change are not invested in the change process, resistance to change is likely.
-problematic when the change is unplanned or imposed by outside forces
-resistant staff nurse has likely rejected the change for reasons such as habit, fear of the
unknown, and lack of time to learn something new
-a meeting between the nurse manager and the staff nurse will allow an open forum for the staff
nurse to verbalize the reasons for reluctance to adopt the new policy
HIPAA - ANSprohibits disclosing
6 Essential Components of Leadership - ANSKnowledge
Self-Awareness
Communication
Energy
Goals
Action
Which is the most effective management style? - ANSdemocratic
Which style of management does the manager not participate in, rather they delegate to the
staff to solve the problem? - ANSlaissez-faire
Which style of management does the manager allow staff to participate in making decisions/unit
changes? - ANSDemocratic
Which style of management is the best for emergency situations? - ANSAutocratic
Which style of management makes decisions for staff without their input? - ANSAutocratic
Which style of management allows staff to work out conflicts on their own? - ANSLaissez-faire
Which style of management is the most time consuming? - ANSDemocratic
Which style of management puts emphasis on teamwork? - ANSDemocratic
5 types of power - ANSReward
Coercive
Legitimate
Referent
Expert
Which type of power has the ability to control resources? - ANSReward
Which type of power has the ability to inflict aversive outcomes or punishment? - ANSCoercive
Which type of power is based on one's position? - ANSLegitimate
Which type of power is based on attractive characteristics? - ANSReferent
Which type of power is based on expertise or knowledge? - ANSExpert
List 10 reportable incidents - ANSclient injury
,unanticipated client death
malfunction of equipment
unanticipated adverse reactions
inability to meet client needs
unethical, illegal, or incompetent practice
client/family complaint about care
toxic spills, fires, &/or other environmental emergencies
violent behavior by client/family
loss of pregnancy
when a professional provides expert advise in a particular area & determines what treatment or
services are needed it is called a _________ - ANSconsultation
when a formal request for a special service by another care provider so the client can access
special care identified it is called a _______ - ANSreferral
AMA - ANSIf a patient leaves AMA one of the best things you can do is make sure they have a
follow-up appointment. This way you are hoping they will continue getting care and the services
they need.
Great Leader - ANSOne point to remember about a great leader is that they usually go by their
intuition or gut instinct to make their decisions.
Consent - ANSIf you are having a patient sign a pre-op form. You are only witnessing that they
signed the form, NOT that they understand the procedure. If the patient makes a statement
about the procedure that is incorrect, it is then YOUR responsibility to call the physician and
have he/she
come explain it.
Nurses First Responsibility - ANSNurses first responsibility if to their patients, which sometimes
puts you in the middle of a conflict between what the patient wants and what the physician feels
is best.
Abuse - ANSAll healthcare providers are responsible to report any type of abuse.
Medication Error - ANShas to be reported and incident report filed. You need to report it to the
charge nurse or supervisor and they will help you, but it is your responsibility to make sure the
report is written and it is reported.
Performance Evaluation - ANSyour signature on the evaluation only means you have read it. It
doesn't mean you agree with what is stated.
, Chemical Impairment - ANSWhen confronted the employee is usually defensive and denies
allocations, but it is extremely important that the unit manager confront any suspected employee
immediately. Most nurses steal drugs from their place of employment
Authoritarian - ANSStrong control is maintained over the work group. Others are motivated by
coercion. Others are directed with commands. Communication flows downward. Decision
making does not involve others. Emphasis is on difference in status ("I" and "you"). Criticism is
punitive
Democratic - ANSLess control is maintained. Economic and ego awards are used to motivate.
Others are directed through suggestions and guidance. Communication flows up and down.
Decision making involves others. Emphasis is on "we" rather than "I" and "you". Criticism is
constructive
Laissez-faire - ANSIs permissive, with little or no control. Motivates by support when requested
by the group or individuals. Provides little or no direction. Uses upward and downward
communication between members of the group. Disperses decision making throughout the
group. Places emphasis on the group. Does not criticize
Advocacy - ANSHelping others to grow and self-actualize. Nurses must advocate for:
Themselves, Their clients, Their subordinates, Their profession. Goals of the Advocate: To
inform, To enhance autonomy, To respect the decisions of others.
Ethical Dilemas - ANSMost difficult. Being forced to choose between two or more undesirable
alternatives
Critical Thinking - ANSDefinition: "the mental process of actively and skillfully conceptualizing,
applying, analyzing, synthesizing, and evaluating information to reach an answer or conclusion."
More complex than problem solving or decision making. Involves higher-order reasoning and
evaluation. Includes both a cognitive and affective component: Insight, Intuition, Empathy,
Willingness to take action
Study of Ethics - ANSThe systematic study of what a person's conduct and actions should be
with regard to self, other human beings, and the environment. A system of moral conduct and
principles that guide a person's actions. The study of what a person's life and relationships
should be.
Transactional Leader - ANSFocuses on management tasks. Is a caretaker. Uses trade-offs to
meet goals. Does not identify shared values. Examines causes. Uses contingency reward
Transformational leader - ANSIdentifies common values. Is committed. Inspires others with
vision. Has long-term vision. Looks at effects. Empowers others
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