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Questions and Answers of
Leadership And Management
5. Self-scheduling can increase staff job satisfaction and commitment. What would be some of the disadvantages of self-scheduling?
1. Examine basic principles of time management.
2. Explore time-management strategies.
3. Identify barriers to time management.
1. Analyze your time for an average week. Use the time-analysis tool.
2. Plan your workday at the end of the preceding day.
3. Know your peak energy time. Do the most difficult work then.
4. Begin with the most important job.
5. Start the day by reviewing what you will be doing.
6. Don’t waste time at work by doing too much socializing.
7. Give yourself time each day to think, plan, and create.
8. Organize the necessary “tools” to complete a task.
9. Consolidate similar tasks or work.
10. Eliminate unnecessary work.
11. Delegate work that should be and can be done by others.
12. Break big tasks into smaller pieces.
What would help Joanne be more organized as evening charge nurse in the future?
What is your analysis of what happened in this situation?
Are the admissions of new patients a priority?
What could Cindy have done differently? What could Kim have done differently?
1. Keep your own record of time for an average week.Identify where you could save time.
2. Observe someone whom you believe uses time well.
What is the most significant activity or strategy this individual uses?
3. In your clinical experience, try to utilize (1) time analysis, (2) daily planning, and (3) task analysis for one week. Is there a difference in your efficiency?
4. Consider this situation: Ms. Smith, the nurse leader in a busy surgical division, notices that for the next two days, the unit will be slightly understaffed for the typical acuity and number of
1. Identify the purpose of a budget.
2. List the steps in the budgetary process.
3. Differentiate types of budgets.
4. Evaluate the components of the actual budget.
5. Analyze the relationship between the budget and the nursing department.
What are the reasons for the increase in revenue?
What expense lines are over budget?
Although a contribution to the gross margin was made, an explanation of the negative variances needs to be given, with a corrective action plan identified.
What information and new knowledge does Brenda need?
In what real way will this new responsibility enhance productivity in the division?
1. What do you think the nurse manager’s role should be concerning the finances of the organization?
2. Do you think the nursing staff has a responsibility to understand the unit’s budget? What role do they play in controlling it?
3. During your next clinical rotation, identify at least two cost-saving measures that the unit could implement.
4. Do some double-entry accounting of the money you began the week with and how you spent your funds. Was your spending what you anticipated?
5. On your next clinical rotation, observe the pattern of staff, the use of drugs and equipment, and anything that is unusual. Determine a simple budget for the division. Use categories for salaries,
1. Define informatics.
2. Identify the functions of informatics for Nursing Practice.
3. Explore ethical issues inherent in the use of informatics.
4. Explore future applications of informatics.
1. To document client care.
2. To facilitate communication among the patient’s health care team.
3. To provide a financial and legal record of the care delivered.
4. To improve the quality of health care?
What kind of data is necessary to evaluate a problem of this nature?
Where would this data come from?
Are solutions available via electronic means?
Is informatics a more efficient and accurate way of determining problems than just discussing presumed problems with supervisors or other leaders in the organization?
Defend your position.
Did Michelle use the right resource or should she have reviewed her clinical textbooks?
Are there any problems associated with information gained from the Internet? Is it accurate, up-to-date, and useful for various levels of nursing care?
Are there any concerns you should consider when using and interacting with patient Web sites?
1. Define informatics.
2. What are the advantages of organized information?Disadvantages?
3. A major analysis performed by nurse researchers identified the potential of a very serious and looming nurse shortage. How is this use of organized information helpful to policy makers and
4. How can confidentiality be maintained in open systems of communication, such as the Internet and patient records?
5. What future direction do you see for informatics?
What skills do you need to develop to be ready for the future of nursing informatics?
Consider again the model truck example discussed in Section 75, except that the maximum speed of the wind tunnel is only 50 m/s. Aerodynamic force data are taken for wind tunnel speeds between V = 20
1. Define the decision-making process.
2. List the elements of the decision-making process.
3. Analyze the relationship between decision making and leadership.
4. Define conflict.
5. Differentiate conflict management from decision making.
6. Identify categories of potential conflict.
7. List conflict management strategies.
8. Analyze the relationship between leadership and the management of conflict.
1. Each party must be motivated to resolve the issue.
2. Each party must have equal power relative to the issue.
3. Each party must have necessary information about the issue?
What is the basis of this problem?
Comment on Ellen’s plan for patient care.
Comment on the charge nurse’s intervention in this situation?
1. The nursing service department has been asked by administration to select three representatives from the nursing staff to serve on an ad hoc committee that will decide the distribution of widely
2. The nursing unit is without the services of a ward secretary for a week. The charge nurse wants to be fair to the staff and decides to take her turn at filling in for the vacationing ward
3. Consider the following statements, and respond to each with “yes” or “no” according to how you would actually respond, not on how you think you should respond.a. When I am publicly
4. How many yes responses did you make?_________?
5. How many no responses did you make?_________?
1. Understand basic concepts and principles related to ethics in nursing and health care.
2. Become familiar with the Code of Ethics for Nurses.
3. Discuss various challenges to ethical decision making in nursing practice.
4. Synthesize strategies for enhancing ethical decision making in nursing practice.
5. Understand the role of institutional ethics committees.
6. Understand common ethical issues facing nurses in their various professional relationships.
1. Who will be affected by the decision?
2. Considering the various stakeholders and your knowledge of ethical principles, what are the ethically relevant factors (that is, the goods/values, rights, or other factors that deserve
3. How does sensitivity toward some of the ethically relevant factors compete with sensitivity toward others?
4. Which ethically relevant factors ought to take precedence? Why?
5. What action(s) ought to be taken to respond appropriately to the more significant ethically relevant factors?
6. What (if anything) can still be done to manifest sensitivity toward the less-significant ethically relevant factors?
1. A physician comes into the room of an elderly woman, briefly tells her about a surgical procedure he intends to perform, and asks for her signature.The patient responds, “I know you’re a good
2. A fragile man in his 80s has many sensory and motor deficits from a cerebrovascular accident. When his heart stops, he is resuscitated, and he awakens to find himself hooked up to tubes and
3. One of your coworkers refuses to care for suicide patients in the intensive care, saying, “They wanted to die, so let them.” As a peer, how could you appeal to this nurse’s moral sense? What
4. It is not the practice in your institution to issue contracts to nursing service personnel. How would you, as a nurse leader, initiate a change in this practice?Describe how you would use ethical
5. You discover that one of your colleagues is stealing insulin syringes to take to her diabetic grandmother who cannot afford to buy such disposables. List the steps you would take in confronting
6. A young couple that has a newborn with multiple anomalies and deformities decides against any lifesustaining medical interventions. Using a debate format with another classmate, address the
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