Nursing Management Test Questions – Flashcards
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Why is Management & Leadership important in Nursing?
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Nurses supervise unlicensed personal Nurses can supervise others (Charge, supervisor, manager) Nurses can supervise the pt assigned to their care No matter what role nurse is in, it is a people business
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Role
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An organized set of behaviors that are attributed to a specific person or position *Pt care, charting, education, delegation, managing, pt advocate
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Management
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The process of effectively working with people *Appointed official position/ doing things right
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Leadership
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Activity influencing others to cooperate towards a common goal *Informal, can be appointed, mostly unofficial *Doing the right things
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Difference Between Leadership & Management
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Leader selects & assumes role Leader is way of behaving to cause others to respond bc they want to, not have to *Leader focuses on getting everyone together to get same process done Manager is assigned or appointed to the role Management is a problem-oriented process with similarities to the nursing process *Manager focuses on the process
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Functions of Management/Leadership
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Planning- what is to be done Organizing- how it is to be done Directing- who is to do it Controlling- when & how it will be done
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Autocratic
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Do it my way
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Democratic
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Majority rules
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Laissez-Fair
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Laid back
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Management Style
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No style works in every situation Leadership MUST be compatible with task, setting, situation To be a GOOD leader you must be credible AND competent Have awareness, assertiveness, & accountability
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Types of Power
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Legitimate Referent Reward Coercive Expert Informational Connective Motivational
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Legitimate Power
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Earned the right
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Referent Power
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Respect/ person has power
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Reward Power
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People rewarded for actions
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Coercive Power
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Forced
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Expert Power
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Knowledgeable
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Informational Power
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Always knows whats going on
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Connective Power
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More personal (connected with people)
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Motivational Power
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Person motivated you
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Developing Leadership Style
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Continue to LEARN & GROW Seek a role model/mentor Maintain personal physical resources Retain an OPEN mind & develop flexibility Demonstrate respect & consideration for others Believe in yourself
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Nurses Communications
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Pt MD Health care disciplines (RT, OT, PT, social worker, etc) Other Nurses Unlicensed personal Family *Must have knowledge & skill to communicate effectively & safely with ALL
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Patient Communication
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Educate: Disease process Health care Medications Help them understand what MD told them
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MD-RN Communication
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Nurses are taught to be narrative & descriptive (talk in care plans) MD taught to solve problems-want just the "headlines" *Verbal (repeat), orders, updates, notes in charts, written, critical labs, telephone *BE ORGANIZED (thought & communication) *BE COMPETENT (technically & socially)
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Time Management
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ABC's & Life threatening
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ANA Definition of Delegation
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The transfer of responsibility for the performance of an activity from on individual to another, with the former retaining accountability for the outcome (RN responsible) *You are NOT super nurse, it is ok to delegate APPROPRIATE tasks
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5 Rights for Delegation
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Right Task Right circumstance Right person Right direction Right supervision *Must have ALL 5 rights to delegate *Pt stable- check 5 rights then delegate *Pt NOT stable- DO NOT DELEGATE as much
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Things to Consider before Delegation
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Pt condition Complexity of task Potential for harm Level of problem solving needed Predictability of task outcome Degree of pt/family interaction required Are infection control measures required?
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Right Task
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Be aware of institutions policy on delegation & what unlicensed personal can do Be aware of state practice guidelines Can NOT delegate- Assessments, Teaching, Care Plans
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Right Circumstance
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Can you determine the strengths & weaknesses of team members? *Assign based on strengths *Encourage best care possible *Ask about competency levels
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Right Person
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*Task MUST be Withing scope of RN Fall within role expectations of person delegating to The person must be competent enough Congruent with legal requirements, professional standards, & instructional policy Not place pt safety as risk
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Right Direction
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How do you make sure person delegated to understands? *Provide direction that is: Clear Concise Correct Complete
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Right Supervision
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Ask for persons input FIRST Give credit for accomplishments & effort Share perceptions with others Explore different POV Agree on a plan for the future, include FU time
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Causes of Conflict with Delegation
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Role conflict- 2 people w/ same responsibilities Communication Conflict- failing to discuss differences Goal conflict- Perception one person has placed his/her advancement ahead of others Personality conflict- 2 or more people unable to resolve
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Common Areas of Conflict
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Quality of care Tx decisions Family involvement Staff inconsistency
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Conflict Resolution
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Competition Avoidance Accommodation Compromise Collaboration
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LPN Responsibilities in Acute Care (Hospitals)
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PO meds Shift assessments (never admission/initial) Reinforcement (ONLY) of RN teaching *Unstable pt should NOT be assigned to LPN *Can change depending on institution
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LPN Responsibility in Extended Care (Nursing Home)
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PO medication Admission Assessment Telephone/verbal orders Shift assessment Teaching
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LPN Can NEVER
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IVP medications Start blood or blood product transfusion NO EDUCATION IN ACUTE CARE
