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leadership in healthcare essential
Questions and Answers of
Leadership In Healthcare Essential
Discuss the elements of a healthy nursing work environment.AppendixLO1
Which members would be included in an interprofessional team approach in the clinical setting? Select all that apply.1 Selected members from different departments throughout the hospital 2 All of the
Which statements are accurate with regard to team building? Select all that apply.1 All nurses should participate in a collaborative manner.2 Nurse managers must participate as team leaders in order
What components should be included in an agenda for a meeting? Select all that apply.1 Time and date of the meeting 2 Topics to be presented 3 Individuals who will be providing information 4 Phone
Nursing students are working together in a clinical simulation activity and being monitored by nursing faculty. Which statements if observed by nursing faculty during a clinical simulation activity
In a corrective plan of action, which violations would warrant documenting a written reprimand? Select all that apply.1 First 2 Second 3 Third 4 Fourth 5 All violation classes AppendixLO1
You are interviewing a nurse who arrives at the interview using a walker as an assistive device for ambulation. Which question if asked would be construed as violating the American with Disabilities
Which behavioral action if observed by a nurse leader would indicate effective coaching style?1 Providing constant feedback 2 Keeping a low profi le while looking toward inner self-refl ection 3
Despite best efforts, it has been decided that a nurse is to be terminated based on several recorded action plans without noted improvement or correction of incidents. The nurse manager and the chief
Which behavioral action by a charge nurse would indicate an example of destructive feedback if observed in a clinical setting relative to a nurse’s performance?1 Offering the nurse a set of sterile
Nursing management has been tasked with building a new team to address methods that can be used to promote health education in the clinical setting. Members of the previous team were all from the
Which statement best describes what is meant by the term “third-age nurses”?1 Refers to individuals who already had a professional career and then went back to school to obtain a nursing license
Based on Benner’s novice to expert model, which nurse would best serve as a preceptor for a new graduate nurse who is starting the orientation process on a medical-surgical unit and has no prior
Which employment option would be most benefi cial for a new graduate nurse who has just passed state boards and is newly licensed as a registered nurse?1 Orientation training lasting 30 days for a
In order to promote clinical competencies for the new graduate nurse, which orientation strategy would be most benefi cial?1 Didactic work in a classroom setting with other new hospital staff
What action would help to promote workforce sustainability in a hospital setting?1 Nurse managers hiring new employees to fi ll positions regardless of whether they have clinical experience 2
Explain how corrective action can be used to improve staff performance.AppendixLO1
Describe criteria used to give an effective performance appraisal.AppendixLO1
Describe the role of nurse leaders and managers in fostering teamwork and collaboration.AppendixLO1
Explain the importance of collaboration among nurses of different generations.AppendixLO1
Explain the stages of team development.AppendixLO1
Identify characteristics of an effective team.AppendixLO1
Identify appropriate and inappropriate interview questions.AppendixLO1
Outline the steps nurse leaders and managers must follow to create a sustainable workforce, including recruiting, interviewing, orienting, and retaining.AppendixLO1
3. To try out alternative ways of encouraging community members to develop leadership skills in planning and carrying out a health fair.
2. To learn about community member values and emotions by experiencing them in a simulated community situation.
1. To simulate a community organization meeting.
11. How can free and open communication, administrative support of and reward for problem-solving efforts, shared decision making, suffi cient time to problem solve, written statements of what the
10. How open have community residents been to the introduction of change in the past?
9. What past relationship between the change agent and the community might be infl uencing resistance to change now?
8. What is the relationship between the change agent and community residents?
7. Are community residents suffi ciently involved in planning for the change?
6. How aware are community residents of the need for change?
5. Who is likely to suffer from the change?
4. What new procedures or experiences will need to be developed as a result of a movement toward wellness?
3. What information or experiences must precede the change toward wellness?
2. What forces are operating to inhibit change toward wellness?
1. What factors in the system will be affected as a result of a change toward wellness?
16. Is there community disintegration? (Has a recent disaster, widespread ill health, extensive poverty, confusion of cultural values, weakening of religious affi liations, extensive migration of new
15. Is there a sense of trust between community members and leaders?
14. What segments in the community are receptive and hostile to outside infl uence?
13. What overlapping areas and missing links are there in wellness services?
12. Where is power located, how is it perceived, and how is it used?
11. Are there wide vacillations in power or frequent changes in the power base that could affect health planning or treatment?
10. Is leadership concentrated among a few groups or is it widely distributed in the community?
9. How readily are newcomers accepted by the community?
8. How are ad-hoc, neighborhood, or block associations used in decision making?
7. Are problems solved informally with board and committee meetings used only to record earlier decisions? How might this affect the community or the decision-making process?
6. Are there informal (rumor) communication channels?
5. How accurately does the local media portray information to the community?
4. Are communication messages based on a sense of community (we’re all in this together) or on stereotypes and the establishment of distance between groups (It’s us against them)? What is the
3. Is communication fragmented and ineffi cient? How does such communication seem to affect the community?
2. Are decisions made by default, based on the personal concerns of a few, or made by consensus? What are the consequences of this type of decision making?
1. Are community decisions made before adequate information has been obtained? What possible effect(s) might this have?
5. How could already existing agencies or groups be used more effectively?
4. What kind of formal and special education programs are available and how are they used by the community?
3. What youth agencies/helpers are there and how do young people relate to them?
2. What kinds of religious/spiritual organizations or groups exist in the community and what is their prevailing view of human motivation?
1. How do families, faculty, administrators, etc., teach their members to act?
6. Is there a prevailing view that people who deviate from accepted behavioral patterns should be punished? How is this belief put into practice?
5. Does the community reject the idea of placing treatment facilities for its deviants within the community? How?
4. Are there humane or highly institutionalized agencies available in the community to help deal with deviant members? What are they?
3. What political, educational, or social views lead to rejection of those who deviate from the norm?
2. How are homosexuals, delinquents, the homeless, or those who abuse alcohol, drugs, or food treated by community members? If so, in what way?
1. Are those with psychiatric/mental health diffi culties rejected by the community?If so, in what way?
6. How can family members of community residents be considered in planning wellness programs and be used to provide needed support systems?
5. What specifi c risk factors exist in this population and how are they being addressed or not?
4. What do questionnaire or survey methods tell you about what type of wellness activities community residents would participate in if offered?
3. What do records of health services, workers’ compensation claims, and accident and safety records tell you about how needs are met and what wellness needs are not being met?
2. What do the community’s clergy, health care practitioners, welfare agencies, and clients know about what needs are not being met?
1. Are needs met or prevented from being met by space, culture, age, sex, family, income, occupation level, or community resource factors?
7. What community resources are available and where are they? (Where are the schools, hospitals, shopping areas, and clinics located in relation to available transportation? What self-help or
6. What are the occupational levels? (Are they hard-driving executives who leave the family’s health concerns to their wives, action-oriented population who learns by doing, a mix?) What does the
5. What income levels are represented and to what extent? (wealthy, middle-class, poor who receive governmental or charitable assistance for health care, or a mix)
4. What are the community’s age, sex, and family groupings like? (elderly population, single-occupancy commuter group, young-marrieds with children, singles, a mix)
3. What are the cultural mix and stability of the population? (Are there one or more cultural groups living in harmony or in confl ict, and how much acculturation and stress occur due to people
2. How safe and healthful are work and school environments? (Are smokers and nonsmokers segregated? Are junk food and cigarette vending machines highly accessible? Are alternatives offered? Is the
1. How is space distributed and used? (buildings, crowded areas, natural and physical barriers to social interaction, parks, playgrounds)
7. How much acculturation and stress occur due to people who move in or out of the area? (Clark, 2002)?
6. What cultural groups are living in harmony or in confl ict?
5. What is the cultural mix and stability of the population?
4. How successful was the leader in keeping the group on focus and achieving the goal? What else could the leader have done to keep the group focused?
3. To practice analyzing organizational leadership situations?
2. To practice recording organizational leadership situations>
1. To practice organizational leadership actions?
Describe the impact of the Institute of Medicine (IOM) reports on the quality of health care in the United States.AppendixLO1
Defi ne the IOM competencies, outline the IOM’s six aims for health care, and analyze the IOM’s 10 rules for health care in the 21st century.AppendixLO1
Compare and contrast the IOM competencies and the Quality and Safety Education for Nurses (QSEN) core competencies.AppendixLO1
Identify and describe fundamental elements for each core competency for nursing.AppendixLO1
Discuss the importance of effective nursing leadership and management in providing safe and quality patient-centered care.AppendixLO1
The nurse is aware that the optimal healing environment, which is a component of the Patient-Centered Care Quality and Safety Education in Nursing (QSEN) competency, is designed to assist the patient
What is the fi rst step that nurses should take in integrating evidence-based practice on a nursing unit?1 Research how other nursing units have implemented evidence-based nursing.2 Ensure that the
Nurses are aware that the Quality and Safety Education in Nursing (QSEN)competency, Teamwork and Collaboration, requires what specifi c type of collaboration?1 Multidisciplinary 2 Interdisciplinary 3
The nurse is aware that human factors engineering is utilized to accomplish what goal?1 Decrease errors in nursing care.2 Ensure that there is adequate staffi ng on a nursing unit.3 Determine whether
The nurse understands that improvement of safety in nursing is dependent on evidence-based practice and which element of the safety competency?1 Resilience 2 Human factors engineering 3
The nurse manager has decided to use the strategies of the Institute of Medicine (IOM), To Err Is Human, to improve health care on the nursing unit. The nurse has identifi ed that patient safety,
The nurse leader as a part of the patient-centered care Quality Safety Education in Nursing (QSEN) competency has encouraged all nurses to be advocates for their patients. The nurse leader knows that
The nurse manager, using the Institute of Medicine’s 10 Rules for Healthcare Delivery in the 21st Century, knows that the policies and procedures should be based on what?1 Education of the staff
The nurse manager has encouraged the nurses to provide patients on the unit any toiletries that are needed but to determine whether the patient needs these supplies before providing them. Which one
The nurse manager recognizes that health-care organizations have been slow to accept the principles of quality improvement for what reason?1 Health-care organizations had programs comparable to
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