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leadership and management

Questions and Answers of Leadership And Management

• describe key components of Total Quality Management and the Toyota Production System philosophy
• write nursing criteria for process, outcome, and structure audits
• differentiate among process, outcome, structure, and concurrent, retrospective, and prospective audits
• identify appropriate corrective action to be taken when standards have not been met
• collect and analyze quality control data to determine whether established standards have been met
• determine appropriate criteria or standards for measuring quality
• identify strategies for eliminating sexual harassment in the workplace
• identify the purpose of the Occupational Safety and Health Act
• identify how the Civil Rights Act, the Americans with Disabilities Act, and the Age Discrimination and Employment Act have attempted to reduce discrimination in the workplace
• explain how equal employment legislation has affected employment and hiring practices
• explore labor laws regarding overtime and working conditions present in the state in which he or she lives or will seek employment
• differentiate between federal and state labor standards and labor contracts
• philosophically debate the potential confl icts inherent in having a professional organization also serve as a collective bargaining agent
• identify major legislation that has impacted the ability of nurses to unionize
• describe the leader’s and manager’s roles in collective bargaining
• describe the relationship between national economic prosperity, the existence of nursing shortages and surpluses, and the unionization rates of nurses
• differentiate between the formal and informal stages of grievance procedures
• identify factors that infl uence whether nurses join unions
• recognize the challenges and well as rewards in seeking consensus to address group conflict
• describe how alternative dispute resolution might be used to resolve confl icts when negotiation has not been successful
• identify the components of effective collaboration
• identify effective ways to counter commonly used tactics in confl ict negotiation
• describe strategies that can be used before, during, and after negotiation to increase the likelihood that desired outcomes will be achieved
• select appropriate confl ict resolution strategies to solve various confl ict situations
• identify the functional and dysfunctional results of various methods of confl ict resolution
• seek win/win confl ict resolution outcomes whenever possible
• identify the stages of confl ict
• differentiate between qualitative and quantitative confl ict and between intrapersonal and interpersonal confl ict
• describe actions the manager can take to reduce the liability of supervision, particularly when delegating tasks
• describe cultural phenomena that must be considered when delegating to a multicultural staff
• identify leadership strategies that can be used to reduce subordinate resistance to delegation
• determine whether delegation to an unlicensed worker is appropriate in a given situation, using a decision tree developed by the National Council of State Boards of Nursing (NCSBN) or a State
• discuss how the role of the RN as delegator has changed with the increased use of nursing assistive personnel and unlicensed assistive personnel
• identify factors that must be considered when determining those tasks that can be safely delegated to subordinates
• recognize the need to give adequate information and authority to complete delegated tasks
• identify common causes of underdelegation, overdelegation, and improper delegation as well as strategies to overcome these common delegation errors
• differentiate between tasks that should and should not be delegated
• delegate tasks using appropriate priority setting and use of personnel in vicarious situations
• recognize delegation as a learned skill imperative to professional nursing practice
• identify specifi c strategies that increase the likelihood of effective delegation
• identify specifi c group-building and maintenance roles that must be established for groups to accomplish work
• accurately assess stages of group formation (forming, storming, norming, and performing)
• describe the opportunities as well as the challenges new technologies pose for communication in contemporary organizations
• recognize the need for confi dentiality in sensitive interpersonal, group, or organizational communication
• recognize culture and gender as signifi cant variables impacting communication
• demonstrate listening skills consistent with those outlined in the GRRRR (Greeting, Respectful Listening, Review, Recommend or Request More Information, and Reward) listening model
• write in a clear and concise manner using appropriate language for the receiver of the message
• recognize SBAR (Situation, Background, Assessment, Recommendation) as a structured, orderly approach in providing accurate, relevant information, in emergent patient situations as well as routine
• diagram upward, downward, horizontal, and diagonal communication
• differentiate among assertive, passive and aggressive, and passive–aggressive communication
• choose appropriate communication modes for specifi c situations and messages
• describe strategies managers can take to increase the likelihood of clear and complete organizational communication
• identify barriers to effective organizational communication
• differentiate between the internal and external climate in which communication occurs
• identify the relationship between the sender, message, and receiver in any given communication
• describe the constraints managers face in creating a climate that will motivate employees
• identify positive reinforcement techniques that may be used by a manager in an organization
• develop increased self-awareness about personal motivation and the need for“self-care” to remain motivated in a leadership or management role
• develop strategies for creating a motivating work environment
• recognize the need to individualize reward systems for each subordinate
• delineate how the work of individual motivation theorists has contributed to the understanding of what motivates individuals inside and outside the work setting
• recognize the need to create a work environment in which both organizational and individual needs can be met
• differentiate between intrinsic and extrinsic motivation
• describe the relationship between motivation and behavior
Interview the nurse manager of a health care organization to gain an understanding of how various costs are managed. Use the following questions to guide the interview:What method is used to measure
Look around your clinical agency. Do you see any dashboards? What do they reveal about your agency?
Review Figure 10-3. Construct a competitive analysis for two nursing units where you are doing your clinical experience. What did you observe?
The following should be done immediately after an operational budget has been put into place:A. Demographic information B. Regulatory infl uences C. Competitive analysis D. Budget monitoring
Profi t is synonymous with A. dividends.B. billing privileges.C. margin.D. certifi cate of need.
Economics is the study of A. the cost:quality interface.B. cost accounting.C. the cost of doing business.D. how to manage scarcity of resources.
An operational budget accounts for A. the purchase of minor and major equipment.B. construction and renovation.C. income and expenses associated with daily activity within an organization.D.
You are a new nurse and you have increasing concerns regarding the staffi ng levels on your unit.You are becoming increasingly anxious each time you go to work. What should you do?
You are a nurse on a new unit for psychiatric patients.What should be considered in planning for FTEs and staffi ng for this unit?
How do you know whether the outcomes of your staffi ng plan are positive? What measures do you have available in your organization that indicate your staffi ng is adequate or inadequate?
The medical-surgical unit provides 200 hours of care daily to 20 patients. Their NHPPD is which of the following?A. 1 B. 10 C. 20 D. 200
Patient outcomes are the result of many variables, one being the model of care delivery that is utilized. From the following scenarios, select which is the worst fi t between patient need and care
If your RN staff members receive 4 weeks of vacation and 10 days of sick time per year, how many productive hours would each RN work in that year if she utilized all of her benefi ted time?A. 2,080
Patient classifi cation systems measure nursing workload required by the patient. The higher the patient’s acuity, the more care the patient requires.Which of the following statements is a weakness
Review the job descriptions of NAP and RNs in the institution in which you are doing your clinical rotation. Compare the job descriptions. Do the job descriptions identify what the NAP can do? What
You are caring for a new patient in Room 2510. You are trying to decide whether to delegate his care to NAP Jill or to NAP Penny. Use the Decision Grid below to decide.
Which patient will you delegate to the LPN?A. the patient who has a fl eet enema ordered B. the patient who needs to be started on a twenty-four-hour urine collection C. the patient who is elderly
When a nurse asks another nurse to observe his or her group of patients while the nurse is at lunch and one patient falls out of bed while the nurse is gone, which nurse is responsible?A. The nurse
After a patient’s blood transfusion is completed, which health care personnel can obtain the vital signs? Select all that apply.A. RN B. LPN C. NAP D. new graduate nurse
Which of the following is an inappropriate task for an LPN/LVN?A. taking vital signs on a new patient B. completing a portable blood glucose monitor and reporting it to the RN C. completing a pain
Find out who your congress people are. Write or email them and fi nd out what health care legislation they are supporting at www.house.gov or www.senate.gov.
Sign up for the Freedom Corps at www.freedomcorps.gov. Are there any opportunities at this Web site in which you are interested?
Identify a nursing leader. Observe the leader and note what type of power they use to meet objectives.
As a new school nurse, you become aware of some state laws that actually get in the way of providing the best care for your students. What are the best steps in becoming politically active and
Politics exist because of which of the following statements?A. They are required by law.B. Resources cannot be limited by political process.C. Some people want to control more resources than
When a person fears another enough to act or behave differently than he would otherwise, the source of the other person’s power is called A. coercive power.B. reward power.C. expert power.D.
Suppose that, as a new nurse, you propose a change in a longstanding unit routine. You can expect:A. support from the head nurse.B. resistance from your coworkers.C. resistance from anyone who is
Discuss with a nurse manager how she determines whether a confl ict is occurring and what steps she takes to manage it. Share the information with your classmates.
Select a change project that you have experienced in a clinical situation and discuss with your classmates how the change agent maintained momentum for the project. What approaches did the change
Identify an often unreliable form of communication on a nursing unit.A. The grapevine B. Minutes from a staff meeting C. A memo from the unit director D. A medical center newsletter
Identify the theorist who fi rst proposed the original change theory model.A. Rogers B. Havelock C. Lewin D. Lippitt
Select the best reason why change is necessary.A. To maintain the status quo B. To enhance the quality of health care C. To encourage staff turnover D. To increase the cost of patient care
The change agent and the person responsible for confl ict management have what characteristic in common?A. Secretive and willful B. Trustworthy and a good communicator C. Ambitious and avoiding D.
What is often the most desirable confl ict management technique?A. Avoiding B. Competing C. Negotiating D. Collaborating
On the unit on which you work as a registered nurse, the team is quite interdisciplinary in nature:you directly work with licensed practical nurses, nursing assistive personnel, a secretary, one
You are a nurse on a 38-bed medical surgical unit.In light of some vacancies, the nurse manager has hired a licensed practical nurse to fi ll a position in which only registered nurses had worked

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