Leadership Test 1

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Through thinking – analyzing data, possible outcomes, solutions
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What is critical thinking?
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You assess pt, analyse the date, form nursing dx, plan, implement
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How does critical thinking apply to nursing?
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Yes
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Is emotions part of critical thinking?
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Should be typed, business format, brief
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How should a letter of application be done?
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Autocratic leader
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Type of leader who makes all the decisions. Do not expect to participate in group decision-making
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Autocratic leader
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You always know where you stand with this type of leader
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Autocratic leader
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You should avoid power struggles with this type of leader
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Autocratic leader
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You can expect praise and criticism from this type of leader
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Autocratic leader
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You seldom move beyond maslow’s level of safety with this type of leader
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Democratic leader
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This type of leader uses the group process to make all major decisions and provides an empowering environment
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Democratic leader
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This type of leader is more likely to give suggestions and willing to share information they have
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Democratic leader
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This type of leader requires a strong committment of time to make decisions thought the process of the group
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Democratic leader
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This type of leader would not participate in a pwer struggle but instead turn it over to the group to manage
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Democratic leader
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This type of leader is not good in an emergency especially if there is no time for the group process
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Democratic leader
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Under this type of leader you can move to social and even self-esteem needs on Maslow’s hierachy of needs scale
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Democratic leader
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This type of leader works withing the science of human caring framework
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Laissez-faire leader
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This type of leader refuses to assume responsibilities that accompany the job leaving the workers without direction, supervision, or coordination
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Laissez-faire leader
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Do not expect praise, critism, feedback, or information from this type of leader
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Laissez-faire leader
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This type of leader does not provide mechanisms to move beyond safety level of Maslow’s hiearchy of needs
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Lassez-faire leader
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This type of leader possibly hasn’t heard of the science of human caring or tried to practice it professionally
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Multicratic or participative leader
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This type of leader is a compromise between the autocratic and the democratic leader
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Multicratic or participative leader
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This leader processes the feedback from the group then makes all final decisions
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Multicratic or participative leader
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This leader works well within the group and in an emergency when matters must be handled immediately.
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Clinician, manager, advocate, educator, councelor, consultant, researcher, collaborator
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Roles of the LPN
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Bedside care
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Example of LPN role of clinician
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Manage pt care, manage staff LTC
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Example of LPN role of manager
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Suppport their decisions and rights, set up for home health care, report suspected elder abuse
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Example of LPN role of advocate
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Pt and staff teaching
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Example of LPN role of educator
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Referring to support group or evaluations of CNA (councling CNA not doing their job)
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Example of LPN role of councelor
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Consulted for your input about a pt as part of a team
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Example of LPN role of consultant
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As support staff. Help gather data
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Example of LPN role of researcher
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Collaborate with other clinicians to come up with care plan
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Example of LPN role of colaborator
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Nurse practice act – can be specific or broad – different for every state
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What guides your practice?
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Laws, regulations, accrediating bodies (Joint Commission) POLICY & PROCEDURES
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What other guidlines guide your practice
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Should know it or know where to look it up
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What should the nurse know regarding policy and procedure?
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Leadership establishes goals and visions Management carry out goals & visions by planning, organizing, motivating with management resources (people, equipment)
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What is the difference between leadership and management?
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CEO’s, Directors
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In most organizations, what is the title of leaders?
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Leadership
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What comes first? Leadership or management?
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Transpersonal caring
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Caring that is human to human
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Holistic caring
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Caring for the whole person – mind, body, spirit
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Holistic caring – the art of caring which is high touch vs high tech
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What is Watson’s theory of caring
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Critical care nurses ( ICU, emergency department, burn units, shock, trauma
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What is an example of high tech nursing?
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After high tech care is given and crisis averted (pt’s life is saved) holistic (high touch) care is given
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What is an example of high touch nursing
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Helps you priortize Helps you understand behavior (basic needs must be met)
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How does Maslow’s fit into nursing?
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Don’t have to continue in school Can do certifications, community hospitals
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How can an LPN expand her practice after becoming lisenced?
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Manage staff, scheduling, manage budget, manage pt care (responsible 24 hr/day)
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What is the function of the nurse manager?
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Responsible for making assignments, make sure orders are picked up and carried out (responsible for managing the shift)
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What is the function of the charge nurse?
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Risk for exposure to lethal viruses (HIV, SARS), terrorism, cultural diversity, illegal immigrants
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What are some healthcare issues in the US?
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The competency level of the staff and the accuity of the pt
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What must the charge nurse know with regard to making assignments?
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You need an intrepreter. Can’t be family. Must be someone with a medical background
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How does culture affect health care?
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People cross the border for health care with no insurance. Hospitals must treat them which reduces profit of hospital
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How does illegal immigrants affect health care?
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Victims need care – in a disaster, care is given to the ones most easily treated first
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How does terrorism affect health care?
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Telehealth
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Health care done via the phone?
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Medicare
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Federal insurance for people > 65
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Medicaid
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State isnurance for lowe income people – majority are children
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Paradigm
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How a person sees the world
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Nursing paradigm
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Learning through theories and clinical theories
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Shift in paradigm
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Changes hou you think and see things
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Know the facility you are applying to. Know the mission and vision Do you have the skills to meet their needs? complete application Send application & resume
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How do you prepare for a job interview?
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Your resume
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Where does the first impression of a potential employer come from?
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Nursing theory and skills
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Practice of nursing requires extensive use of what?
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Mentor
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Someone you can look up to, who has experience – can be formal or informal
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Preceptor
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Someone who is there to show you daily routing, makd sure you are competent to take care of pts (orientation)
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Your manager
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Who is the first person you should tell you are leaving the job?
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Your appearance
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What is just as important as your resume?
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Be on time Wear proper uniform
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What is most important when you are starting a new job?
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A combination of science and caring High tech and high touch
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What is the best description of caritas
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Have education required Have skills required Have creditionals required Professionalism, loyality to the organization The physical ability to do the job
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What is employer’s expectations of a potential employee?
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Knowing that = having the knowledg of how to do it Knowing how = having the actual skill and experience
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What is the difference between knowing that and knowing how?
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Can’t ask about age, marital status, kids, religion, health issues
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What are your rights in an interview (illegal questions they can’t ask)?
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Non-judgemental – Nurse-pt communication
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What is therapeutic communication?
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The sender and receiver both understand what was communicated
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What is effective communication?
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The receiver fully understands what was communicated
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What is successful communication
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Communication blocks – language barrer, attitude, anger, not paying attention
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What are some causes of failed communication?
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Stay calm – pull the person aside away from patients – be proactive, not reactive – Don’t attack (facts, not emotion) – Use “I statements”
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What are actions to take for hostile or assertive communication?
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Listening
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What is the biggest part of communication
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Doing things different
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What is change
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Goals are not met
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What is reason for change?
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Planned & unplanned or accidental
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What are types of change?
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Planned
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What is the best kind of change?
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Driving = what is driving the change Restraining = What is restraining the change
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What are the forces of change?
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Unfreeze Move Refreeze
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According to Lewin’s theory, what are the phases of change?
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Allows people to know what is going on and what is being considered
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What occurs in the unfreezing phase?
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That driving and restraining forces have been considered and good decisions are being made
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An effective unfreezing phase assumes what?
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Do not implement change until unfreezing has taken place Provide psychological safety for people involved in change
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2 rules in the unfreezing process
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You are not through with the unfreezing process
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If as a manager, you try to implement change and meed resistance, what is likely cause?
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Moving
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The phase that is the actual implementation of change?
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Refreezing
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The phase of change where change has taken place and it is stabilized and integrated and becomes part of regular work?
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Starting change before everyone is aware or prepared for change
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Common mistake made during change?
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Maslow’s = basic needs must be met first Watson’s = holistic caring – caring for the person as a whole – high touch or transpersonal caring
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How does Maslow’s and Watson’s fit into setting priorities?
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Formal leader – has a title (Nurse Manager) Informal leder – has no title but has leadership qualities, a go to person
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What is the difference between a formal and an informal leader?

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