Questions and Answers of Leadership In Healthcare Essential

b. Do nurses seem more likely to stereotype themselves than others might? Why?
Did people tend to use socially acceptable, rational introductions? If so, is this characteristic of the orientation phase of a group? If not, what explanations does the group have for the presence
5. When all group members, including the leader, have introduced themselves, the entire group convenes.
4. The group leader asks the group members, “Will each of you introduce yourself to the group, say what you do, who you are as a person, and why you are participating in this exercise? Who will
3. The group leader appoints a recorder from among her group members. The recorder is asked to jot down observations regarding how people introduce themselves, how group members react toward being
2. The group or the instructor appoints a leader for each group.
1. The group or instructor appoints a timekeeper. The timekeeper makes sure that each person’s introduction does not exceed 3 minutes. Whenever a group member takes more than 3 minutes, the
3. To observe group processes characteristic of the orientation phase of groups?
2. To observe how others present themselves to the group .
1. To practice introducing self to others .
. How can what was learned in this exercise be applied in actual group situations?
h. How could each concern be handled in the most effective way? (Refer to Chapters 1–3 and 5 for specific interventions.)
g. What concerns were expressed about being in (or leading)a group? (These may be written on a chalkboard or shown in overhead projection transparencies and used for reference purposes.)
f. Did the recorder interfere with speaking and/or listening; if so, in what way?
e. What skills are required by a recorder as compared to a speaker or listener?
d. How does a listener encourage a speaker to speak?
c. What did the listeners observe about the speakers?
b. What helpful or not helpful attitudes did the speakers in eah group perceive in their listeners, that is, nonverbal clues of attention, support, boredom, etc.?
a. What did the recorders in each group observe?
3. To examine common concerns regarding being in group situations?
2. To compare and contrast the listening and telling skills of various participants .
1. To provide practice as leader, recorder, and listener in groups .
What common group patterns and what unique group characteristics does this group have?
What is contributing to closedness in the group?
What can be done to enhance openness in the group system?
How can subsystems be infl uenced to have congruent interests with the larger group system?
What can be done to promote primarily positive growth?
Which patterns promote positive growth and which seem to promote negative growth?
What patterns of behavior are developing in the group?
How can professionals take political action?
How can members of this community be assisted to improve their level of wellness?
How can the staff deal more constructively with Mr. A’s behavior?
How can personnel best provide services for a group of 25 clients?
What is the most effective way for the team to function?
Mr. Luigi, an 85-year-old patient, is ready to be discharged after having colon resection surgery 4 days ago. Mr. Luigi still has a Jackson Pratt drain in place, a Stage III hospital-acquired
Mrs. Smith is an 85-year-old female who is admitted with an exacerbation of congestive heart failure. Mrs. Smith has a history of hypertension and diabetes mellitus type 2. In the emergency
Mrs. Leddy is a 68-year-old female patient admitted to the unit with a diagnosis of unexplained weight loss of 60 pounds over the past 3 months. Mrs. Leddy is quiet and withdrawn and difficult to
A new-to-practice nurse in the third week of nursing orientation in a busy surgical unit is assigned to care for a 65-year-old male who was admitted to the unit after having had total knee
Javier, a new-to-practice nurse, graduated from nursing school 3 months ago. He has since passed his National Council Licensure Examination (NCLEX-RN®) and has accepted his first nursing position.
An RN works in a primary care clinic affiliated with the local community hospital. Using the PCMH Model, each care team manages a panel of 1,200 patients. In preparation for the weekly team meeting,
A nurse, working part-time in a three-unit long-term care (LTC) facility with two other RNs on New Year’s Day, begins the morning with assessments of all assigned patients. The nurse first assesses
Student nurses in a community clinical experience in an urban school district are tasked with performing capillary blood draws via fingersticks for lead screenings on 4- and 5-year-old students. The
Mr. Thomas is a 55-year-old male who presented to the emergency department (ED)with a gunshot wound. Due to the immediate situation’s urgency, little information was exchanged regarding the
A school nurse in a large high school in Chicago, Illinois, has noticed teens coming to the clinic with unusual mouth sores and/or an unexplained cough. After researching potential causes of these
A QI nurse has been asked to be the project leader on a project addressing compliance with hourly patient rounding. The QI nurse will lead the team, which includes administration, such as the chief
A QI team is currently working on a project to reduce patient falls. To determine if their intervention will have the desired effect, the QI team piloted the project on one unit. The team chose to
Kristen is a unit director at a hospital experiencing an increasing quantity of mislabeled laboratory specimens. She decides to assemble a team to design a QI project to decrease the number of
In a nursing course, students are required to submit all class assignments as a hard copy before class. The students would like to submit the papers electronically so there will be documentation of
Fara is a staff nurse working in an outpatient cardiovascular clinic. Today she is working in the hypertensive clinic. During her assessment of a patient, the patient’s blood pressure is 170/90.
Mikayla is a bedside nurse on a same-day surgery unit. Mikayla noticed that when she discharges a patient the physician does not consistently order a postoperative office visit. Often, the patient is
Roberto is the nurse manager on a medical-surgical floor. He recently received the monthly report on nursing overtime and noticed overtime costs have been rising. He walks to the nursing station to
The bedside nurse is working with a nurse researcher who is planning an implementation science research study of an intervention to prevent falls in an inpatient neurology unit. The nurse is
The nurse is a member of the hospital’s infection control team. The hospital initiated a robust re-education effort about hand hygiene and ensured that all staff had ready access to alcohol-based
The improvement team in the opening scenario conducted medical record reviews and many interviews with nurses and other interprofessional staff on the preoperative and postoperative units, operating
The nurse has been asked by the hospital’s new clinical dietitian to join an interprofessional team that wants to start a support group for patients with diabetes. The purpose of forming the group
The nurses on the medical-surgical unit noted a high readmission rate related to hypoglycemia in type 2 diabetes (T2D) patients, including those newly diagnosed and patients who were newly
A hospital with several outpatient clinics decides to directly implement a vastly proven evidence-based intervention of co-locating mental health (MH) providers with primary care providers (PCP),
Kim is a charge nurse on an inpatient general-surgical unit and recently learned at a conference that healthcare-associated infections (HAIs) are significant in the acute care setting and affect
At a staff meeting, the control chart of aggregate medication errors, Figure 12.7, is presented. The facility PSO is very concerned about the 37 errors that occurred in April. The PSO informs the
At a Unit C QI meeting, a nurse asks for assistance interpreting the run chart on Unit C’s pain reassessment compliance presented in Figure 12.6. The nurse wants to know if the unit improved their
Two nurses have agreed to collect data on a QI project to decrease the number of patients who cancel their clinic appointments at two different surgical clinics. These patients are called clinic
While participating on a QI team, the nurse asked to create an operational definition for falls. Several team members offer ideas:•A “fall” is defined as the number of patients who fall and for
As a day shift nurse on a patient-care unit, the nurse performs assessments on the patients at the beginning of the shift. The first patient that the nurse assesses is an 85-year-old man admitted
Because healthcare processes are complex and often people-dependent, risks or deviation from what the process is expected to accomplish may result (International Organization for Standardization,
You are a member of your organization’s CPR Committee. One committee responsibility is to review all rapid response team (RRT) documents to determine if the RRT was an appropriate action and what
You are a nurse manager of a long-term care unit. Due to the Coronavirus pandemic, the facility leadership is requiring every unit to develop creative methods that may reduce the risk of transmission
QI teams often use Dr. W. Edwards Deming’s Plan-Do-Study-Act (PDSA) model to implement QI projects. Deming incorporated knowledge of engineering, operations, and management with the goal of
You are the nurse representative on a QI project team that plans to reduce the use of mental health restraints. The project has been going on for 3 months, yet the expectation was it would be
A home care nurse is admitting a new patient. While conducting the medication reconciliation based on the nursing admission policy, the patient hands the nurse a bottle of erythromycin he has been
During change of shift bedside assessment, the oncoming nurse sees that the trachea of a patient, who is postop carotid endarterectomy, is not midline, and the patient is drooling. The offgoing nurse
The nurse is working a weekend evening shift on a medical unit. While the nurse is passing medications, one of the patients, an obese patient who is unsteady on his feet, wants to get out of bed and
The nurse is assigned a 79-year-old female patient who was admitted to the unit after experiencing a cerebrovascular accident. The patient has limited mobility in bed and prefers a supine position.
The experienced nurse is working on a medical unit with a new graduate nurse who has a reputation of being forgetful. When approaching the unit station, the experienced nurse overhears a physician
The oncoming nurse is doing bedside rounds with the offgoing nurse. One of the patients is a 57-year-old male admitted for a poorly healing lower extremity wound. The offgoing nurse stops outside the
The nurse is administering morning medications. The unit is noisy and busy. Physicians are making rounds with the resident teams, breakfast trays are being delivered, and patients are ringing their
The nurse decided to help another nurse and ambulate Mr. Smith as he said that he wanted to get out of bed and try to walk. The nurse had heard morning report and knew the patient had his surgery the
Mr. Armitage is a 56-year-old patient admitted 1 day ago with atrial fibrillation, an abnormal heart rhythm, along with fatigue and dizziness. During an assessment of Mr. Armitage, the nurse notes
The nurse is part of a team working on a project to reduce 30-day hospital readmissions for heart failure. The team consists of a social worker, pharmacist, cardiologist, case manager, dietitian, and
The nurse is working in a pediatrician’s office. Some new patients’ parents are concerned about the COVID-19 vaccinations causing harm to their child and are refusing to have their child
A nurse, a nutritionist, and a physical therapist have been caring for an overweight young adult patient with type 2 diabetes. They all are aware that type 2 diabetes is a widespread disease and
Cheryl is a nurse on a medical-surgical unit. During her shift, the patient in room 302’s intravenous (IV) smart pump alarmed for an obstruction in the line. Cheryl repositioned the patient’s arm
Devon is a nurse working on a medical-surgical unit that was converted to a unit devoted to caring for COVID-19 patients who require hospitalization but do not require intensive care. During one of
A 65-year-old man comes to the emergency department via ambulance after being in a car accident. He is currently unresponsive and has no family members present. He does have a wallet and
A patient is discharged from the hospital after a thyroidectomy and, during the discharge process, was given a code to access the hospital’s web-based patient portal. At home, the patient logs into
The new nurse and a senior colleague are assigned to the same patient room. The new nurse is caring for the patient in Bed B and the senior colleague is caring for the patient in Bed A. While in the
The nurse is caring for a patient with an extensive burn injury that is scheduled for skin grafting at the end of the week. The patient’s white blood cell count is 3.8 mm3. The patient is ordered a
During morning assessment, the nurse identifies that Mr. John Smith, room 304, admitted for infection, has hives covering most of his back, a finding that was not reported during the patient handoff
The nurse is caring for a patient admitted through the emergency department with new-onset dyspnea. She is 5 days post hysterectomy and has been on bedrest while at home. While in the treatment room,
The manager of a critical care unit wants to implement self-scheduling among his 80-member staff. He appoints two staff members from the night shift, two staff members from the day shift, one
The nurse is caring for a patient admitted the previous night with exacerbation of chronic heart failure. The patient was stabilized with treatment that included bedrest, IV diuretic therapy, oxygen
A patient’s wife and son tell the nurse they are concerned about their husband and father’s care. The son states he is worried about his father’s lack of energy since having a colectomy for
Charles Ellington, a 78-year-old male, presents to the clinic with long-term peripheral artery disease (PAD). He complains that the pain in his feet and legs are worse with exertion than 1 year ago.
Eleanor is a 32-year-old woman recently diagnosed with stage IV cervical cancer. She has learned that it has spread into her bladder and rectum, along with some local lymph nodes. The 5-year survival
Mary is a 28-year-old female in the prime of her life. She has completed her master’s degree in education and is employed as a kindergarten teacher, which she absolutely loves. She has always been
Nurse Tsosie is caring for Mrs. Aleksandra Kowalski, a patient recently diagnosed with diabetes. Mrs. Kowalski speaks English as a second language and is a recent immigrant to the United States. The
Nurse Shondra is caring for a patient, James Jackson, with a severely low hemoglobin and red blood cell values. The physician has ordered one unit of packed red blood cells. Shondra finds that there
Anne Davis, a 72-year-old female, was admitted to the hospital due to knee pain, increasing agitation, difficulty sleeping, and intermittent confusion. The physician suspects that Mrs. Davis’
Consider the following situation and identify the nurse’s behaviors associated with promoting the patient’s sense of control over her care. Mrs. Huong Nguyen, an 81-year-old female, is in a
A nurse working in the emergency department asks an AP if he wants to try to start an intravenous line (IV). The nurse knows the AP is graduating from an RN program in a few short months. Without
Joseph is a new nurse. He must delegate ambulating a patient to the AP.1.Use the Scope of Nursing Practice Decision-Making Framework to help Joseph determine a safe delegation of the ambulation.2.How

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