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leadership and management

Questions and Answers of Leadership And Management

7. You suspect that one of your staff nurses is stealing patients’ drugs for personal use. Her suspicious behavior has also been called to your attention by some of her coworkers. What ethical
1. Describe the differences between General Systems Theory and Classical Theory.
2. Discuss the key differences among the concepts of centralized, decentralized, and team approaches to managing people.
3. Explain subsystems of an organization.
4. List the various components of a social system.
5. Distinguish among different types of power as observed in a health care setting.
6. Identify at least three properties of an organization.
Who is most responsible for correcting this situation?
What forms of power are being used in this situation?
Would creating a work team composed of specific nurses and nurse aides be helpful?
What situational forces led to this situation? Can they be addressed?
What do you think of the policy?
Do conditions change the interpretation of a policy?
What else could have been done in this situation?
1. Draw the formal organization chart at the agency where you are currently working as a student nurse.
2. Examine the chain of authority in your clinical agency.Draw a representation of who influences whom. Does this match the formal chart of your agency?
3. Distinguish between the different types of power.From your clinical experience, identify individuals who use each type of power. What position does each hold, and what behavior does each exhibit?
4. From the checklist on page 144, identify if working teams (from your experience or observation) are effective or ineffective:
1. Explain the traditional management functions of planning, organizing, staffing, directing, coordinating, and controlling.
2. Describe how nursing management work differs from general management in industry.
3. Identify at least five key characteristics of effective nurse managers.
4. Discuss the strengths and weaknesses of different systems of nursing care delivery.
5. Apply the management assessment tool to a health care setting issue.
1. Effects of the managed care environment on patient outcomes.
2. Impact of organizational change(s) on patient outcomes.
3. Development of tools to measure nurse-sensitive patient outcomes.
4. Impact of administrative practices on patient outcomes.
5. Effect of nursing interventions on patient outcomes.
6. Role of informatics in measurement of outcomes.
7. Effect of changing skill mix on patient outcomes.
8. Identification of nursing’s contribution to the bottom line.
9. Development of outcomes that can be used across the care continuum.
10. Quality care and its key outcomes.
1. Early in the chapter, nursing management was differentiated from professional management on the basis of a general philosophical position. Develop a position for nursing service. State simply, but
2. Develop a managerial orientation, including a course outline of what the nurse manager needs to know.
3. Divide the class into three groups. Have each group represent a different level of management. Give each group time to devise a plan that would reflect the type of planning expected at each level.
4. Observe a manager using the functions of management. Think about what it is the manager does while performing each of the following: (1) directing, (2) coordinating, and (3) controlling.
5. Take a real-life situation from your current clinical agency and apply the managerial assessment tool to identify relevant information. Select a management decision that you think would be best.
1. Describe how delegation facilitates the efficient use of resources.
2. List at least three guidelines for effective delegation.
3. Discuss at least five common barriers to delegation.
4. Identify the legal issues related to the process of delegation.
5. Assess the delegation process in the clinical setting where unlicensed assistive personnel work with licensed registered nurses.
What would you have done?
Did Bob have the right to change the pattern of care delivery and to reorganize the work of the unit?
What is your analysis of this situation?
What would you have done?
How does understanding the process of delegation assist in conflict resolution?
1. Discuss some ways to implement effective delegation. What fundamental skills are required of the nurse manager in order to delegate properly?
2. From your clinical practice, observe and identify how the nurse managers delegate. Note the processes and techniques that an effective delegator uses. Notice the same when ineffective delegation
3. List three tasks that you would consider easy to delegate and three that you would consider difficult. Would you use the same techniques for both?
4. What legal issues are involved in the process of delegation? What information is required of the nurse manager to reduce the risk of legal problems?
5. Consider the following situations and determine whether or not the nurse manager is liable for the actions:
When a nurse aide (allowed by policy) charts the care of a patient in the Nurse’s Notes and the RN cosigns the entries. (Remember that the chart is a legal document and that an RN is responsible
1. Define key terms associated with standards.
2. Describe three stipulations required to meet certification standards.
3. Identify the federal health insurance programs that lead to the review of appropriate and effective care.
4. Discuss the relationship between clinical practice guidelines and outcome standards.
5. List the conditions that must be met to claim injury due to negligence.
What are the appropriate steps to take when an accident has occurred?
Is an incident report required?
What could Mary have done differently?
Was Mary’s practice consistent with the institution’s policy on restraints?
What could the head nurse have done differently?
1. Review your nurse practice act. Discuss in class what this act means to you as a professional.
2. Select a patient’s chart, and review it to see what diagnosis is selected for the patient’s condition. Find out how much the hospital will be reimbursed for the care, depending on the
3. Review the written standards of your agency. Are the standards monitored? How?
4. You are a case manager, and one of the patient care associates working with you spilled a basin of hot water on himself or herself. Complete the incident/occurrence report. What information should
5. Define “nursing malpractice.” What constitutes a legal transgression? What can you do to protect yourself from a malpractice suit?
1. Identify the major forces dominating the health care system today.
2. List the factors that contribute to the rising cost of health care.
3. Analyze the issues that impact the nursing shortage.
4. Differentiate leadership from management.
5. Evaluate the situational-behaviorial framework of leadership/management.
6. Analyze U.S. policy on financing health care delivery?
Is Mr. Smith practicing leadership or management? What is the difference?
What value is there in calling a meeting among the staff?
Are the nurses powerless in this situation?
What potential strategies might address the nurses’ issues?
1. What are the dominant forces in the current health care system? Discuss both the positive and negative effects of these forces on the nursing profession.
2. What are your views on the financing of health care? Should there be a single-payer system, or should the U.S. continue in its present strategy?Define managed care. What implications does it have
3. A patient enters the community HMO with a serious respiratory problem. The patient needs immediate medical attention. What will be the likely process of care that the patient will receive? How
4. What strategies would you consider to address the shortage of nurses in the workforce?
5. As a student in a nursing program, what skills do you believe will be helpful to you in your professional career?
6. Evaluate the health care environment in your current organization or complex using this checklist:
1. Identify major leadership theories.
2. Differentiate leadership theory from leadership development.
3. Identify traits most associated with leadership.
4. Analyze the process model of leadership.
5. Analyze the relationship between the behavioral/situational framework and leadership
Is this the way to handle a concern about a nursing skill?
What could Bob have done differently?
Was the charge nurse justified in reporting this incident to the supervisor?
Is there any hope for an autocratic leader? Is the style of leadership solely a function of personality and thus intractable? Are different behavioral responses able to be learned in the work
Is it possible for a person to understand the needs of subordinates and to become more flexible in a leadership style?
What type of leadership style would be effective in this situation?
What leadership behaviors would be necessary to bring more structure to the flow and treatment of emergency patients?
Do you have a personal history of helping others to improve their work?
Do others bring tough problems to you?
Are you able to work in stressful situations?

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