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leadership and management

Questions and Answers of Leadership And Management

Calculation of the demand for nurses isa. A state function.b. A national function.c. Still to be done accurately.d. Essential for funding of national legislation.
Uninsured populations are the result ofa. Excessive costs for coverage.b. Excess demand for insurance coverage.c. Lack of employment.d. Immigration status.
Time resourcesa. Can be controlled with time management training.b. Are not as important to understand and manage as human and financial resources.c. Will never be adequate given the complex world of
The current U.S. healthcare systema. Provides health care that is costly and inconsistent in quality levels.b. While costly, provides the most accessible care in the world.c. Would benefit from a
Productivity monitoring is intended to providea. A snapshot of the quality of care being delivered.b. One metric specific to efficiency of output to total work.c. The cost of current supply and
Dashboards area. Management tools created to display multiple metrics specific to an area of interest.b. Limited to executives because of patient privacy regulations.c. Another management fad that
Variance analysisa. Is additional work that takes place after the shift has ended and is often forgotten.b. Results in useful information about performance specific to a target.c. Requires high-level
Value measurements are intended to identifya. The cost–benefit ratio of dollars expended.b. A record of process measurements and outcome measurements.c. The positive change in a patient’s health
Describe the essential components and responsibilities of the nursing professional role.
List at least five options for career advancement.
Outline the challenges and opportunities in creating effective continuing competence models for nursing.
Understand the implications of violations of the nurse practice act and their relationship to continuing competence demonstration.
Describe the challenges of integrating technology advancements into the role of the professional nurse.
Building access and equity into the service framework requires equity, ownership, and engagement. What is the role of the professional nurse in this framework?
Unless there is a goodness of fit between the structure of the organization, the dynamics of human behavior, and the processes and tools used to undertake work, any one of these elements taken alone
Discuss how the technology revolution has influenced interprofessional relationships and the role of the professional nurse in building collateral relationships across the digital divide.
Discuss how the healthcare world’s digital infrastructure now makes it possible for providers to make evidence-based, value-driven decisions at the point of service.
Describe how the knowledge worker is essential to complex adaptive systems.
Clinical value and impact are the product of the divergence of effort requiring the deconstruction of transdisciplinary work and effort emphasizing the unilateral contribution of each discipline.
Describe how professional governance can create a framework for sustainable interactions, intersections, and collaborative behavior in an organization.
Define major concepts specific to healthcare policy.
Appreciate the challenges and nuances of policy development.
Describe at least three major health initiatives and their impact on nursing.
Identify future activities of the professional nurse to advance nursing from a policy perspective.
List the desired competencies of the clinical expert nurse in advancing healthcare policy.
Nursing professionalism is determined bya. The length of the nurse’s time in the profession.b. The length of time the nurse has held a license in good standing.c. The role identified by the
The transition from a competent nurse professional to a proficient nursea. Requires time, experience, and knowledge.b. Occurs within the first six months of practice.c. Occurs in all nurses within
Performance demonstration differs from performance evaluation on the basis ofa. The time required for sharing performance goals.b. The role of the unit-based team with which the nurse works.c. The
Nurse licensurea. Is not a requirement for continuing education credits.b. Is not affected when a nurse is involved in a system error.c. Is designed to inform the public that a nurse is safe to
Career trajectories area. Limited by geographic regions.b. Defined by local organizations.c. Nearly unlimited for nurses.d. Highly overestimated for nursing professionals.
Continuing competence for professional nursesa. Includes integration of skills, including cognitive, psychomotor, interpersonal, and attitude.b. Is an accountability assumed by the nursing board.c.
Technology competence isa. An emerging and essential requirement for competent nurses.b. Expected of all nurses providing patient care.c. Variable across organizations.d. Not regulated by nurse
Scholarly writing isa. Required for graduation from a bachelor of science degree in nursing program.b. A challenge based on the style of formatting required by the journal in which the article will
Membership in a professional organizationa. Is optional for a nurse professional in a rural setting.b. Is a reflection of commitment to support professional standards review and development.c. Is
Discontinuing relationshipsa. Is appropriate in managing professional relationships.b. Is unprofessional conduct.c. Is best accomplished with a coach or mentor as intermediary.d. Increases the amount
Describe the specific situation in one or two paragraphs.
List the key points you are trying to make with your information.Which problem are you trying to address or fix?
Review your situation and key points with another nurse in the class.Request constructive feedback to strengthen your article.
Complete a literature search in a major search engine (e.g., PubMed, CINAHL, ERIC) and summarize the information for inclusion in your article.
Identify at least two online and two paper publications that would be interested in your information.
Create a one- to two-page submission for one online and one print publication using the specific author guidelines. (Note: Focus on content of the article, not the article length.)
Create a letter of inquiry to the editor for consideration of publication.
Be aware of potential copyright violations (Catalano, 2014).
Describe your learning from this experience.
Appreciate the complexities of management and clinical delegation.
Describe the basic concepts of delegation and supervision as they relate to the delegation of nursing work.
Identify inappropriate delegation processes and the implications for negatively impacting patient care.
Develop strategies to address the common errors and breakdowns in delegation and supervision.
Develop skills to manage situations when delegation does not proceed as planned.
Healthcare policy is most effectively createda. at the state level.b. at the state and national levels.c. at the national level.d. at legislative, association, state, and national levels.
Nurse practice actsa. focus on discipline of nurses.b. are state based.c. require endorsement from the federal government to change any statutes.d. are consistent from state to state.
Nurse input into health policya. is essential because nurses are the largest caregiver group and are familiar with patient care issues.b. is seldom recognized or valued.c. is best done through a
The dark side of politicsa. is specific to certain types of legislation.b. requires competence in negotiation.c. is an unfortunate and negative result of negotiating in bad faith.d. is the result of
Policy is distinguished from politics in thata. policy reflects the outcome while politics reflects the human processes to achieve a policy.b. policy reflects the desired outcome while politics
Institutional policiesa. are guidelines that do not have consequences if they are not followed.b. are designed to serve the social needs of the community.c. are created by state agencies to support
The U.S. Department of Health and Human Servicesa. is a federal agency funded by Congress.b. provides funding for both federal and state initiatives.c. does not provide funding for Medicare.d.
Accountability care organizationsa. are expected to provide improved coordination and documentation of patient care.b. are limited to urban areas near universities.c. do not require initial funding
Nurse licensurea. is intended to provide a vehicle for continuing education documentation.b. is intended to provide evidence of safe practitioners and to protect the public.c. is intended to inform
Understand basic elements and characteristics of professional negotiation.
Define the unique characteristics and obligation of the clinical leader in facilitating and coordinating negotiation and its processes.
Delineate the elements and characteristics of dynamic negotiation and the stages necessary for successful negotiation processes.
Outline the principles and characteristics of negotiation and problem solving as a part of the clinical leadership experience.
List at least six components of negotiation and the characteristics of each.
State at least three reasons why the clinical leader must use negotiation processes every day as a part of leadership expression.
Legal delegation includes the oversight and delegation ofa. the work of unlicensed support staff.b. the operational and clinical work identified in the organizational chart.c. the work of licensed
Supervision as a component of the delegation processa. is an essential activity of the delegation.b. requires continuing education documentation and verification of competence of the RN.c. is
There are several purposes of delegation. Which of the following is not a purpose of the delegation process?a. increased workload management effectivenessb. improvement of patient satisfactionc. full
Strategies to increase delegation competence includea. personal assessment of delegation abilities.b. identification of the need for discipline when delegation does not occur.c. regular training
Challenges for RNs in delegation are significant becausea. delegation principles are not taught in nursing school.b. some nurses believe their nursing license is at risk when delegating to unlicensed
Determining when not to delegate includes consideration ofa. the patient’s condition during the previous shift.b. the discharge status of the patient.c. the significant potential for harm.d. the
Inappropriate delegation occurs whena. effective supervision takes place on site.b. medication administration is delegated by a licensed person to an unlicensed person without medication
Boundary clarity is an important foundation for effective delegation becausea. it provides guidelines for making equitable assignments.b. the work of the nurse is clearly defined.c. the limits and
Accountability differs from responsibility in thata. accountability includes expectations to perform authorized work based on licensure or job description.b. responsibility is about the provision of
Assignment differs from delegation in thata. neither delegation nor assigning requires authority.b. ownership of authority for the tasks belongs only to the RN.c. delegation requires authority for
The RN has delegated the following to other members of the healthcare team.Which delegation is appropriate?a. patient ambulation to a physical therapy assistantb. administration of oral
When preparing to delegate an appropriate task, what should the RN do?a. avoid delegating to an employee who complains about accepting assignmentsb. communicate the expectation that the delegate ask
Understand the basic elements and characteristics of professional accountability.
Define the unique characteristics of an obligation of ownership and its relationship to accountability.
Delineate team and interdisciplinary characteristics of accountability and the need for discipline-specific clarity in directing purposeful teamwork.
Outline the unique characteristics of professional accountability and its role in fulfilling a profession’s social mandate.
List at least five elements of the role and relationship of accountability and undertaking risk in clinical practice.
State the essential relationship between performance and accountability, and describe the impact of the leadership role in the clinical service environment.
Understand the requirements of linking and integrating leader learning in a way that can be effectively applied.
Define the basic elements of leadership and translate them into situations and scenarios that require leadership application.
Enumerate the components of a leadership challenge or problem and the steps and processes associated with its resolution.
Outline the approaches to issue identification and selection of appropriate strategies to reflect on the issue and to construct mechanisms for its resolution.
List at least five major components of each chapter’s leadership focus and explain the impact that focus has on the role of clinical leadership.
State personal leadership growth and developmental needs that define the individual journey and trajectory of leadership and create a guide for personal leadership development.
How is the professional nurse accountable for designing clinical processes that demonstrate individual competence and a deep understanding of the work?
What is the professional nurse’s Accountability in the delegation process?
Individual ownership implies a commitment to engage with others in their learning and development and in mentoring and sharing in the learning process. True or false?
One of the unique characteristics of a professional is the recognition of the intensity of the fit between the person as an individual and the person as a professional. True or false?
Onboarding interviews are not nearly as important as exit interviews because the staff and leadership get more accurate information from exit interviews about the work environment and staff
Individual accountability cannot be sustained if the system structure allows it to be legitimately expressed only by those who own it. True or false?
How is the professional nurse accountable for designing clinical processes that demonstrate individual competence and a deep understanding of the work?
What are the elements of a profession? In the profession of nursing, which elements have room for continued growth?
What is the role of the nurse leader on a team?
What is the role of the leader in evidence-based shared leadership?
In a small group, discuss the level of trust among your work colleagues.Consider these topics: belief in others’ promises, trust in the knowledge and data shared, and how you know when trust is
Is there a relationship in which you can identify the behaviors that support trust and those that decrease trust levels?

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