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leadership and management
Questions and Answers of
Leadership And Management
Create a personal calendar using a computerized calendar system.AppendixLO1
Set limits on the demands made on one’s time.AppendixLO1
Organize work to make more effective use of available time.AppendixLO1
Incorporate time management techniques into clinical practice.AppendixLO1
Analyze activities at work using a time log.AppendixLO1
Set short- and long-term personal career goals.AppendixLO1
Discuss the rationale for good time management skills.AppendixLO1
Describe personal perceptions of time.AppendixLO1
Define the terms leadership and followership.AppendixLO1
Discuss the importance of effective leadership and followership for the new nurse.AppendixLO1
Discuss the qualities and behaviors that contribute to effective followership.AppendixLO1
Discuss the qualities and behaviors that contribute to effective leadership.AppendixLO1
Why is it important for nurses to be good leaders? What qualities have you observed from nurses on the units that exemplify effective leadership in action? How do you think these behaviors might have
Why are effective followers as important as effective leaders?AppendixLO1
Review the various leadership theories discussed in the chapter.Which ones might apply to leading in today’s health-care environment? Support your answer with specific examples.AppendixLO1
Select an individual whose leadership skills you particularly admire.What are some qualities and behaviors that this individual displays? How do these relate to the leadership theories discussed in
As a new graduate, what leadership and followership skills will you work on developing or enhancing during the first 3 months of your first nursing position? Why?AppendixLO1
Two new associate-degree graduates were hired for the pediatric unit. Both worked three 12-hour shifts a week, Jan in the day-to-evening shift and Ronnie at night.Whenever their shifts connected,
Define the term management.AppendixLO1
Distinguish scientific management and human relations–based management.AppendixLO1
Explain servant leadership.AppendixLO1
Discuss the qualities and behaviors that contribute to effective management.AppendixLO1
Why should new graduates decline nursing management positions? At what point do you think a nurse is ready to assume managerial responsibilities?AppendixLO1
Which theory, scientific management or human relations, do you believe is most useful to nurse managers? Explain your choice.AppendixLO1
Compare servant leadership with scientific management.Which approach do you prefer? Why?AppendixLO1
Describe your ideal nurse manger in terms of the person for whom you would most like to work.Then describe the worst nurse manager you can imagine, and explain why this person would be very
List 10 behaviors of nurse managers, then rank them from least to most important.What rationale(s)did you use in ranking them?AppendixLO1
Joe Garcia has been an operating room nurse for 5 years. He was often on call on Saturday and Sunday, but he enjoyed his work and knew that he was good at it.Joe was called to come in on a busy
Identify three major sources of laws.AppendixLO1
Explain the differences between various types of laws.AppendixLO1
Differentiate between negligence and malpractice.AppendixLO1
Explain the difference between an intentional and an unintentional tort.AppendixLO1
Explain how standards of care are used in determining negligence and malpractice.AppendixLO1
Describe how nurse practice acts guide nursing practice.AppendixLO1
Explain the purpose of licensure.AppendixLO1
Discuss issues of licensure.AppendixLO1
Explain the difference between internal standards and external standards.AppendixLO1
Discuss advance directives and how they pertain to clients’rights.AppendixLO1
Discuss the legal implications of the Health Insurance Portability and Accountability Act (HIPAA)AppendixLO1
How do federal laws, court decisions, and state boards of nursing affect nursing practice? Give an example of each.AppendixLO1
Obtain a copy of the nurse practice act in your state.What are some of the penalties for violation of the rules and regulations?AppendixLO1
The next time you are on your clinical unit, look at the nursing documentation done by several different staff members. Do you believe it is adequate? Explain your rationale.AppendixLO1
How does your institution handle medication errors?AppendixLO1
If a nurse is found to be less than proficient in the delivery of safe care, how should the nurse manager remedy the situation?AppendixLO1
Describe the where appropriate standards of care may be found. Explain whether each is an example of an internal or external standard of care.AppendixLO1
Explain the importance of federal agencies in setting standards of care in health-care institutions.AppendixLO1
What is the difference between consent and informed consent?AppendixLO1
Look at the forms for advance directives and DNR policies in your institution. Do they follow the guidelines of the Patient Self-Determination Act?AppendixLO1
What should a practicing nurse do to stay out of court? What should a nurse not do?AppendixLO1
What impact would a law that prevents mandatory overtime have on nurses, nursing care, and the health-care industry?AppendixLO1
Discuss the way values are formed.AppendixLO1
Differentiate between personal ethics and professional ethics.AppendixLO1
Compare and contrast various ethical theories.AppendixLO1
Discuss virtue ethics.AppendixLO1
Apply the seven basic ethical principles to an ethical issue.AppendixLO1
Analyze the impact that sociocultural factors have on ethical decision making by nursing personnel.AppendixLO1
Discuss the influence organizational ethics have on nursing practice.AppendixLO1
Identify an ethical dilemma in the clinical setting.AppendixLO1
Discuss current ethical issues in health care and possible solutions.AppendixLO1
What is the difference between intrinsic and extrinsic values? Make a list of your intrinsic values.AppendixLO1
Consider a decision you made recently that was based on your values. How did you make your choice?AppendixLO1
Describe how you could use the valuing process of choosing, prizing, and acting in making the decision considered in Question 2.AppendixLO1
Which of your personal values would be primary if you were assigned to care for a microcephalic infant whose parents have decided to withhold all food and fluids?AppendixLO1
The parents of the microcephalic 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 responding
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
Recognize the various ways in which health-care organizations differ.AppendixLO1
Explain the importance of organizational culture.AppendixLO1
Define power and empowerment.AppendixLO1
Identify sources of power in a health-care organization.AppendixLO1
Describe several ways in which nurses can be empowered.AppendixLO1
Describe the organizational characteristics of a facility in which you currently have a clinical assignment. Include the following: the type of organization, the organizational culture, how the
Define power, and describe how power affects the relationships between people of different disciplines (e.g., nursing, medicine, physical therapy, housekeeping, administration, finance, social work)
Discuss ways in which nurses can become more empowered. How can you use your leadership skills to do this?AppendixLO1
• recognize the importance of the manager not assuming the role of counselor or treatment provider for employees who are chemically or psychologically impaired
• analyze how personal feelings, values, and biases regarding chemical impairment may alter one’s ability to confront and/or help the chemically impaired employee
• identify behaviors and actions that may signify chemical impairment in an employee or colleague
• describe the risk factors that result in an increased risk for chemical addiction in the nursing profession
• develop strategies that assist marginal employees to be contributing members of the workforce
• determine appropriate levels of discipline for rule-breaking in specifi c situations
• analyze situations in which discipline is required and identify appropriate strategies for constructively modifying behavior
• compare and contrast how the disciplinary process may vary between unionized and nonunionized organizations
• seek to eliminate rules that are outdated or no longer appropriate in the environments in which they function
• identify factors that must be present to foster a climate of self-discipline in employees
• differentiate between constructive and destructive discipline
• describe the usual steps in progressive discipline
• identify the “hot stove” rules described by McGregor to make discipline as fair and growth-producing as possible
• identify what conditions should be present before, during, and after the performance appraisal that increase the likelihood of a positive outcome
• differentiate between performance appraisal tools such as rating scales, checklists, essays, self-appraisal, and management by objectives (MBOs)
• develop an awareness of biases that infl uence a person’s ability to complete a fair and objective performance appraisal
• gather data for performance appraisals in a systematic manner that is fair and objective
• describe coaching techniques that promote employee growth in work performance
• provide feedback regarding peer performance in a constructive and assertive manner
• identify factors that increase the likelihood that a performance appraisal will develop and motivate staff
• identify and use appropriate performance appraisal tools for measuring professional nursing performance
• empower subordinates and followers to participate in continuous quality improvement programs
• debate the importance of articulating “nursing–sensitive” outcome measures in measuring the quality of healthcare
• describe national efforts such as the NMDS, NIC, HEDIS, and ORYX to standardize the collection of quality care data
• analyze subjectively and objectively the impact of DRGs and the prospective payment system on the quality of care of hospitalized patients
• describe the role of organizations such as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the American Nurses Association, and the Agency for Healthcare Research and
• select appropriate quantitative and qualitative tools to measure quality in given situations
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