Nursing Leadership Exam #2 QUESTIONS AND ANSWERS ALL CORRECT

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Nursing Leadership Exam #2 QUESTIONS AND ANSWERS ALL CORRECT Formal organizational structure Correct Answer: The emphasis is on *organizational positions* and formal power; Provides a framework fo... r defining managerial authority, responsibility, and accountability Informal organizational structure Correct Answer: The focus is on the *employees, their relationships*, and the informal power that is inherent within those relationships; Has its own leaders and communication channel (grapevine) Stages of Conflict Resolution Correct Answer: Latent conflict --> e.g. staffing changes (recipe for conflict) Perceived conflict --> People become aware of conflict Helpful Tips for conflict resolution Correct Answer: -Get all the information possible. *Differentiated between facts and opinions* -*Listen* carefully and do not prejudge Ombudsperson Correct Answer: Investigate grievances filed by one party against another and to ensure that individuals involved in conflicts understand their rights *Bottom line* in negotiation Correct Answer: The very least for which a person will settle is Common conflict resolution Correct Answer: Compromising Centralized decision making Correct Answer: Staffing decisions are made by personnel in a central office or staffing center. May or may not be staffed by RNs (Occurring somewhere else - fairer to all employees because policies tend to be employed more consistently and impartially) Decentralized decision making Correct Answer: Unit manager responsible for covering all scheduled staff absences (Lead to increased autonomy and flexibility) Organizational Culture Correct Answer: The *values and behaviors* that contribute to the unique social and psychological environment of an organization Power Correct Answer: The *authority and ability* to get things accomplished; The capacity or potential to get others to do something Total Patient Care Correct Answer: The *oldest mode of organizing patient care*; Nurses assume *total responsibility for meeting the needs of all assigned patients* during their time on duty Functional Method of Nursing Correct Answer: Uses relatively unskilled workers who have been trained to complete certain tasks; *Care is assigned by task* rather than by patient - tasks completed quickly with little confusion Disadvantage of Functional Nursing Correct Answer: Lead to fragmented care and possibly overlooking patient priority needs Team Nursing Correct Answer: Ancillary personnel *collaborates in providing care to a group of patients* under the direction of a professional nurse Modular Nursing Correct Answer: Modification of team and primary nursing, uses a smaller team; *Pairs professional nurses with ancillary staff* to deliver care to groups of patients Primary Nursing/Relationship-Based Nursing Correct Answer: *Brings the nurse back to the bedside* to provide clinical care; Job satisfaction is high, however this method is difficult to implement Diverse skill mix Case Management Nursing Correct Answer: Collaborative process that *assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet an individual's health* needs through communication and available resources to promote quality, cost-effective outcomes; The focus is on individual clients, not populations of clients Cost-effectiveness Correct Answer: Most neglected aspect of accountability in staff development. All activities evaluated for quality control, impact on institution, cost effectiveness Organizational impact Correct Answer: *Difficult to measure*. Assessing quality of care, medication errors, accidents, quality of clinical judgement, turnover, productivity How do you select optimum mode of organizing patient care? Correct Answer: It's based on patient acuity, not just economics acuity Correct Answer: The optimum mode of organizing patient care should be based on patient _______ and not economics alone Induction Correct Answer: First phase of Indoctrination: Takes place after employee has been selected, but before performing job role (Includes all activities that provide education) Orientation Correct Answer: Education/Activities specific for the position Staffing Correct Answer: The leader-manager recruits, selects, orients, and promotes *personnel development* to accomplish the goals of the organization Diversity Correct Answer: ___________ brings new perspectives to thinking and problem solving (Generational _____ should be viewed as a strength in the workplace) Recruitment Correct Answer: The process of *actively seeking out or attracting applicants* for existing positions; Should always be an ongoing process NOT the key to adequate staffing One of the best ways to maintain adequate employee pool is by _______ Correct Answer: Word of mouth turnover Correct Answer: Some ___________ is normal and in fact desirable; It infuses the organization with *fresh ideas* Retention (occurs only when the organization is able to create a work environment that makes staff want to stay) - Avoid burnout, opportunities to advance Correct Answer: What is the key to adequate staffing? Scheduling Correct Answer: ______________ can be difficult and requires high-level expertise 24/7 Interviewing Correct Answer: The most common method for employee selection used by managers (Can be too subjective); Most time-consuming; Make decisions based on a short interaction with an applicant High Intra-rater Reliability Correct Answer: Same interviewer consistently rate interviewee the same (Giving same results - negative, not qualified) Low Inter-rater Reliability Correct Answer: Two different interviewers conduct unstructured interviews of sample applicant (rating is not consistent - different results) Aspects carrying most weight when recommending for OR against hiring Correct Answer: -The Requirements of the Job (Qualified Vs. Over Qualified) -Personal Bias (Examine the negative feelings occurring in the interview Common interview mistake Correct Answer: Asking about salary, vacation or promotions too early in the interview Major defect of the interview is _____ Correct Answer: Subjectivity Illegal Interview Inquiries Correct Answer: Age, Martial Status, Children, Race, Sexual Preference, Financial status, National origin, religion Inter-rater Reliability is better if ____ Correct Answer: *Interview is structured and the same format is used* Validity occurs when ____ Correct Answer: The interview measures what it is supposed to measure Decentralized staffing Correct Answer: This type of staffing leads to increased autonomy and flexibility Centralized staffing Correct Answer: This type of staffing is fairer to all employees because policies tend to be employed more consistently and impartially Float Correct Answer: ________ staff *must be able to perform the core competencies of the unit* they are floating to meet their legal and moral obligations as caregivers [Show More]

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