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Questions and Answers of Leadership And Management

5. How does your clinical institution handle medication errors?
4. Th e next time you are on your clinical unit, look at the nursing documentation done by several diff erent staff members. Do you believe it is adequate? Explain your rationale.
3. Review the minutes or documents of a state board meeting. What were the most common issues for nurses to be called before the board of nursing? What were the resulting disciplinary actions?
2. Obtain a copy of the nurse practice act in your state. What are some of the penalties for violation of the rules and regulations?
1. How do federal laws, court decisions, and SBONs aff ect nursing practice? Give an example of each.
10. A nurse is providing care to a patient whose family has previously brought suit against another hospital and two physicians. Under which ethical principle should the nurse practice?1. Justice 2.
9. A nurse ’ s signifi cant other undergoes exploratory surgery at the hospital where the nurse is an employee. Which practice is most appropriate?1. Th e nurse is an employee; therefore, access to
8. Which of the following demonstrates a nurse as advocating for a patient? Th e nurse 1. calls a nursing supervisor in confl icting situations.2. reviews and understands the law as it applies to the
7. A nurse is caring for a patient who feels that life should not be prolonged when hope is gone. She has decided that she does not want extraordinary measures taken when her life is at its end. She
6. A nurse is working on an ethics committee to determine the best course of action for a patient who is dying. Th e nurse considers the positive and negative outcomes of the decision to assist with
5. Which best describes the diff erence between patient privacy and patient confi dentiality?1. Confi dentiality occurs between persons who are close, whereas privacy can aff ect anyone.2. Privacy is
4. A patient asks a nurse if he has to agree to the health provider ’ s treatment plan. Th e nurse asks the patient about his concerns. Which ethical principle is the nurse applying in this
3. Health Insurance Portability and Accountability Act (HIPAA) regulations guard confi dentiality. In several situations, confi dentiality can be breached and information can be reported to other
2. Th e ANA Code of Ethics With Interpretive Statements guides nurses in ethical behaviors.Provision 3 of the ANA Code of Ethics says: “Th e nurse promotes, advocates for, and strives to protect
1. Several studies have shown that although care planning and advance directives are available to clients, only a minority actually complete them. Which of the following has been shown to be related
Andy is assigned to care for a 14-year-old girl, Amanda, admitted with a large tumor located in the left groin area. During an assessment, Amanda shares her personal feelings with Andy. She tells him
7. During the past several weeks, you have noticed that your closest friend, Jamie, has been erratic and making poor patient care decisions. On two separate occasions you quietly intervened and “fi
6. Your friend is single and feels that her “biological clock is ticking.” She decides to undergo in vitro fertilization using donor sperm. She tells you that she has researched the donor ’ s
5. Th e parents of the anencephalic infant in Question 4 confront you and ask, “What would you do if this were your baby?” What do you think would be most important for you to consider in
4. Which of your personal values would be primary if you were assigned to care for an anencephalic infant whose parents have decided to donate the baby ’ s organs?
3. Describe how you could use the valuing process of choosing, prizing, and acting in making the decision considered in Question 2.
2. Consider a decision you recently made that you based on your values. How did you make your choice?
1. What is the diff erence between intrinsic and extrinsic values? Make a list of your intrinsic values.
10. Professional accountability serves the following purpose: Select all that apply.1. To provide a basis for ethical decision making 2. To respect the decision of the client 3. To maintain standards
9. Which of the following represent the knowledge and skills expected of the professional nurse?Select all that apply.1. Accountability 2. Advocacy 3. Autonomy 4. Social networking 5. Participation
8. Nursing practice in the 21st century is an art and science that focuses on:1. Th e client 2. Th e nursing process 3. Cultural diversity 4. Th e health-care facility
7. Which of the following is unique to a professional standard of decision making?Select all that apply.1. Weighs benefi ts and risks when making a decision 2. Analyzes and examines choices more
6. Nurses at a community hospital are in an education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. Th is is which type of education?1.
5. APRNs generally: Select all that apply.1. Function independently 2. Function as unit directors 3. Work in acute care settings 4. Work in the university setting 5. Hold advanced degrees
4. Th e NCLEX® for nurses is exactly the same in every state in the United States. Th e examination:1. Guarantees safe nursing care for all patients 2. Ensures standard nursing care for all patients
3. You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk with your colleagues about using the nursing code of ethics for professional
2. Who stated that the “function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death)”?1.
1. Nursing has its origins with 1. Florence Nightingale 2. Th e Knights of Columbus 3. Religious orders 4. Wars and battles
Th e younger nurses in your health-care institution have created a petition to change the dress code policy. Th ey feel it is antiquated and rigid. Rather than wearing uniforms or scrubs on the
1. Th omas went to nursing school on a U.S. Public Health Service scholarship. He has been directed to go to a rural village in a small Central American country to work in a local health
5. Formulate your plan to prepare for the NCLEX®.Case Studies to Promote Critical Reasoning
4. Professional behaviors include a commitment to lifelong learning. What does “lifelong learning”mean beyond mandatory continuing education?
3. Review the mission and purpose of the ANA or another national nursing organization online.Do you believe that nurses should belong to these organizations? Explain your answer.
2. What is your defi nition of nursing? How does it compare or contrast with Virginia Henderson ’ s defi nition?
1. Read Notes on Nursing: What It Is and What It Is Not by Florence Nightingale. How much of its content is still true today?
What issues may arise when the care delivery system is changed? What does the RN need to consider when implementing these changes?AppendixLO1
How would you begin discussion on quality and safety issues with the nurse manager or colleague?
Explain how technology enhances and promotes safe patient care, educates patients and consumers, evaluates health-care delivery, and enhances the nurse’s knowledge base in your practice and at your
Review the nonprofit organizations and government agencies that influence and advocate for quality and safety in the health-care system.What do the organizations or agencies do that supports the
Describe how regulatory agencies and accrediting agencies affect patient care and outcomes at the bedside.AppendixLO1
What are evidence-based practices that promote quality and safety within the health-care system?AppendixLO1
Based on patient safety goals for the current year, what will you do to ensure adherence to these goals?AppendixLO1
Discuss the role of the nurse in CQI and risk management.AppendixLO1
Review the section in this chapter on risk management. In what areas of risk do you feel you are the most vulnerable? How will you work on correcting your risk?AppendixLO1
What SCMs have you seen implemented in practice? Which ones might you use to assist you in planning care? If you have not seen any, ask the nurse manager what is used on the unit.AppendixLO1
What problems have you identified during your clinical experiences that could be considered issues to be addressed using CQI?AppendixLO1
How have historical, social, political, and economic trends affected your practice? Give specific examples and their implications.AppendixLO1
Promote the role of the nurse in the contemporary health-care environment.AppendixLO1
Describe the effects of communication on patient-centered care, interdisciplinary collaboration, and safety.AppendixLO1
Explain the use of technology to enhance and promote safe patient care, educate patients and consumers, evaluate health-care delivery, and enhance the nurse’s knowledge base.AppendixLO1
Examine factors contributing to medical errors and evidence-based methods for the prevention of medical errors.AppendixLO1
Discuss the role of the nurse in continuous quality improvement(CQI) and risk management.AppendixLO1
Explain the importance of quality improvement (QI) for the nurse, patient, organization, and health-care delivery system.AppendixLO1
Analyze historical, social, political, and economic trends affecting the nursing profession and the health-care delivery system.AppendixLO1
Discuss the history of quality and safety within the U.S.health-care system.AppendixLO1
What type of nursing delivery model is implemented on your assigned clinical unit? Give examples of the roles of the personnel engaged in client care to support your answer.AppendixLO1
Bring the client census from your assigned clinical unit to class. Using the Delegation Decision-Making Grid, decide which clients you would assign to the personnel on the unit. Give reasons for your
How would you have handled the situation if you were Linda?AppendixLO1
If you were the nurse manager, how would you have handled Laura’s situation?AppendixLO1
What are the nurse manager’s legal responsibilities in supervising UAP?AppendixLO1
What is the difference between the delegation and the assignment of a task?AppendixLO1
What factors need to be considered when delegating tasks?AppendixLO1
What are the responsibilities of the professional nurse when delegating tasks to an LPN or UAP?AppendixLO1
Explain the various nursing care delivery models.AppendixLO1
Make appropriate assignments to team members.AppendixLO1
Recognize barriers to successful delegation.AppendixLO1
Understand the legal implications of making assignments to other health-care personnel.AppendixLO1
Define the term unlicensed assistive personnel.AppendixLO1
Define the term delegation.AppendixLO1
Describe the process of implementing a change from beginning to end. Use an example from your clinical experience to illustrate this process.AppendixLO1
How can leaders overcome resistance to change?AppendixLO1
Why do people resist change? Why do nursing staff members seem particularly resistant to change?AppendixLO1
Why is change inevitable? What would happen if no change at all occurred in health care?AppendixLO1
Assume a leadership role in implementing change.AppendixLO1
Suggest strategies to reduce resistance to change.AppendixLO1
Recognize resistance to change and identify its sources.AppendixLO1
Describe the process of change.AppendixLO1
A not-for-profit hospice center in a small community received a generous gift from the grateful family of a patient who had died recently. The family asked only that the money be “put to the best
Identify a conflict (actual or potential) in your clinical area, and explain how either problem resolution or negotiation could be used to resolve it.AppendixLO1
Give an example of how each of the seven sources of conflict listed in this chapter can lead to a serious problem. Then discuss ways to prevent the occurrence of conflict from each of the eight
Debate the question of whether conflict is constructive or destructive. How can good leadership affect the outcome of a conflict?AppendixLO1
Discuss the purposes of collective bargaining.AppendixLO1
Participate in informal negotiations.AppendixLO1
Guide an individual or small group through the process of problem resolution.AppendixLO1
Identify common sources of conflict in the workplace.AppendixLO1
Tyrell Jones is a new unlicensed assistant who has been assigned to your acute rehabilitation unit.Tyrell is a hard worker; he comes in early and often stays late to finish his work. But Tyrell is
What is peer review? How is it different from other types of evaluation? Why is it important?AppendixLO1
Describe an ideal version of a 3-month performance appraisal of a new staff nurse.Why do nurse managers sometimes fail to meet this ideal when providing formal evaluative feedback? Can new staff
Describe the difference between constructive (helpful) and destructive (unhelpful) feedback.AppendixLO1
Why is feedback important? Who needs to receive feedback? Who should give feedback to health-care providers?AppendixLO1
A patient is admitted to the same-day surgical center for a breast biopsy. She is accompanied by her significant other, who has just had an altercation with an admissions secretary about their
A physician orders “Vit K 10 mg IV.”You realize that this is a dangerous order. How would you approach the physician?AppendixLO1
This is your first position as an RN, and you are working with an LPN who has been on the unit for 20 years. On your first day she says to you, “The only difference between you and me is the size
Participate in formal peer review.AppendixLO1
Evaluate the conduct of performance appraisals.AppendixLO1

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