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leadership in healthcare essential

Questions and Answers of Leadership In Healthcare Essential

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
Jane, the charge nurse, has assigned Joo, a newly graduated nurse, to care for patients on the day shift with the assistance of a UAP. After receiving handoff report, Joo makes fast rounds on all his
The physical therapist (PT) is going to help the RN use a mechanical assist device to move a patient to a chair. The RN has not worked with this PT before. The RN and PT must work collaboratively to
Sylvia arrives at 0700 for her morning shift. She just completed her new graduate residency and she is excited about starting her new job. She is also a little nervous to be fully on her own. She had
Dr. Thompson operates a thriving patient practice in Chicago. Many of his patients are over 65 years of age. Many of them suffer with chronic healthcare conditions but do not require hospitalization.
The nurse is working in the ED with a 20-year-old patient with a history of asthma, who was admitted with severe difficulty breathing and wheezing. The nurse obtains vital signs and finds the patient
Mary, an RN, is busy with four patients. She receives a new order for an intravenous piggyback (IVPB) medication from the healthcare provider, and orders it from the pharmacy for her patient. When
President Jones was elected in 2020 on a campaign promoting tax code reform. Unfortunately for President Jones, the other political party has control of Congress. After several months of inaction,
A medical-surgical nurse with 15 years of experience has an excellent reputation for providing safe patient care and building rapport with patients and their families. Late one evening, an emergency
Bedside reporting can improve patient satisfaction and is a way to provide family-centered care. A nurse has been asked by the manager to create a policy regarding the use of bedside reporting on the
Mr. J has pain described as 5 on a scale of 0 to 10. The healthcare provider has ordered morphine for pain management. The new graduate nurse is working with the assigned senior staff nurse to
The hospital has well-established evidence-based procedures in place to prevent post-op surgical infections. A nurse who works on a surgical unit has noticed an increase in the number of post-op
It has been well established that good hand hygiene is essential for the prevention of infection. Nurses wash their hands with the provided alcohol hand gel as they enter and exit patients’ rooms.
A hospital system is working to decrease door to balloon times for patients who present to the ED with ST elevation myocardial infarctions (STEMI). Door to balloon is the amount of time that occurs
Patient satisfaction surveys have come back with concerns regarding the extensive amount of time it takes for call lights to be answered. The unit manager wants to identify ways to decrease the
Identify a leadership or management theory that can be used during a crisis.1.Describe how leadership and management theory apply to crisis management.2.How might a bedside nurse use leadership and
The unit-based nursing council identifies that the personal protective equipment (PPE) worn by staff has been tearing and asks their manager to support a proposal to change a safety protocol related
Joe, a staff nurse, is having lunch with some other nurses from the cardiac care unit. During the conversation, one of the nurses asks the group if they have noticed an increase in readmissions for
Mr. Ritchie has been hospitalized five times over the last 6 months for heart failure. He tells his nurse he doesn’t want to continue to come to the hospital; he is tired of tests and new
The SHARE Approach Five Steps to Shared Decision-Making 1.Seek your patient’s participation.2.Help your patient to explore and compare treatment options.3.Assess your patient’s values and
Jordan is receiving bedside shift report from Vincent, a new nurse. Vincent is nervous about giving the report in front of the patient. Vincent starts to give report but does not include important
In administering medication to a patient, the nurse sees that the medication administration record indicates the dose amount to be 5 mg. Because the dose seems high, the nurse decides to double check
John, a new graduate, just completed his 3-month orientation. He is given a complex patient assignment without the assistance of a preceptor. After receiving a quick bedside report from the night
A new graduate nurse is caring for a complex patient who has been hospitalized for over 2 weeks. The patient and the family have expressed frustration and mistrust in the healthcare team because of
A staff nurse was assigned to care for five patients on a busy cardiac unit for weekend dayshift. Normally, each nurse is assigned four patients but one nurse called out sick and the nursing
The risk manager at a community hospital reviewed occurrence report data trends over the last quarter and discovered an increasing trend of patients who arrived in the radiology department for an MRI
A 64-year-old woman suffered a compound fracture of the femur in a motor vehicle accident. On admission to the emergency department, she was asked about medications she takes at home which she
2. To analyze results, discuss additional strategies not tried, and tabulate findings for distribution to the class.
1. To participate in a focus group.
How do I help participants get past intellectualizations and reveal their real feelings?
What am I learning and what else needs to be asked?
How much time do I have to cover the rest of the questions?
Is there a question on the guide I developed that I should omit?
What do I need to ask now to understand what this participant means?
7. Discussion guides tend to include too many questions, which makes the experience less interactive than it could be (Stewart, Shamdasani, & Rook, 2006).
6. Getting participants to attend focus groups requires perseverance; consider providing a reward for participation .
5. Finding an environment conducive to comfortable self-disclosure may be difficult.
4. Because groups may vary, it is wise to include enough groups to provide a balance.
3. The technique requires practice to know when to pause, probe, or move to a new topic.
2. Care must be used to keep data in context and not lift comments out of context and sequence so that you come to premature conclusions.
1. You have less control than during an individual interview. Participants interact and influence one another.
4. Strengthen quantitative research designs by adding a qualitative component.
3. Produce insights for developing marketing strategies; and
2. Provide the means of evaluating existing programs;
1. Improve the planning and design of new programs;
15. I can develop a plan to deal with anything.
14. Feelings cannot destroy anyone—especially me.
13. It’s okay to feel sad or discouraged without getting depressed.
12. Even if I make a mistake, I am still a lovable person.
11. I can be angry without being resentful and full of hatred.
10. If I really hurt another person, I will apologize; otherwise I will not accept responsibility for their reactions.
9. I can overcome my guilt by actively fighting against it.
8. I am not responsible for the feelings of other people.
7. I am an adult and I can decide for myself what’s right and wrong.
6. I refuse to run away from my feelings by eating.
5. I refuse to allow myself to eat something if I don’t want to.
4. I am never trapped or helpless because I can leave a situation any time I want to.
3. I have handled myself well in situations like this before and I can do it again.
2. I am strong and can control myself in any situation.
1. I may not like it, but I can stand it.
6. When the timekeeper calls time, the recorder presents an evaluation of the group and /or provides short snippets of group interaction for discussion. Allow 20–45 minutes.
5. The chosen leader runs the group on the agreed-upon date.
4. Allow the group members 5 minutes to read the directions/guidelines for the type of group chosen and to volunteer to play various roles. If group members are totally unfamiliar with the type of
3. Have the group or instructor appoint a group process person responsible for calling “group process” and directing the group to attend to nonverbalized feelings that may be interfering with

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