Chapter 14
As a result of the autonomy given to group members, which patient care delivery system is associated with democratic leadership?
What is team Nursing?
Page 358- Team nursing is also usually associated with democratic leadership. Group members are given as much autonomy as possible when performing assigned tasks, although the team shares responsibility and accountability collectively.
A nursing manager has called a meeting to inform his employees of a new way a procedure will be done due to evidence-based practice. What channel of communication is the manager using?
What is downward communication?
The manager is relaying information to his subordinates. Page. 499
During _____________, each party gives up something, and the emphasis is on accommodating differences between the parties.
What is Negotiation?
Rationale: During negotiation, each party gives up something, and the emphasis is on accommodating differences between the parties. Page 570.
The nurse addresses each patient individually, identifying the most cost-effective providers, treatments, and care settings possible. This is an example of what?
What is Case Management?
Rationale: In case management, nurses address each patient individually, identifying the most cost-effective providers, treatments, and care settings possible. In addition, the case manager helps patients access community resources, helps patients learn about their medication regimen and treatmentplan, and ensures that they have recommended tests and procedures. Pg 363
two levels of communication
What is Verbal and nonverbal
A nurse is in a patient’s home providing traditional nursing care and is responsible for cooking and house cleaning. This is an example of which patient care delivery model?
What is total patient care Nursing?
“Total patient care is the oldest mode of organizing patient care and occurs when a care provider assumes total responsibility for meeting all the needs of the patient.” PG. 355
Accurately describe communication?
What is exchange of ideas, thoughts, information, messages through speech, signals, writing, or behavior.
Rationale: In nursing, communication is critical between healthcare providers, patients, and caregivers. It is thus important for nurses to understand the meaning and components of communication. p. 496
____________ conflict embraces differing ideas and worldviews, in an effort to move the company towards its goals and mission.
What is constructive?
Rationale: constructive conflict embraces differing ideas and worldviews, in an effort to move the company towards its goals and mission. Pg. 556.
A diagonal exchange of communication definition
What is between differing hierarchy levels and job classifications
Rationale: In diagonal communication, the manager interacts with personnel and managers of other departments and groups such as physicians, who are not on the same level of the organizational hierarchy. Pg. 499
Negotiating parties reach an agreement that all parties can support, even if it does not represent everyone’s first priorities?
What is consensus?
Rationale: Consensus decision making does not provide complete satisfaction for everyone involved in the negotiation as initially unanimous decision would, but it does indicate willingness by all parties to accept the agreed-on condition. Pg 576
A nurse at an oncology center is aiding a patient newly diagnosed with breast cancer. She has explained to the patient she will be assisting the patient from that moment and throughout the course of the illness. What nurse role is this nurse occupying?
What is Nurse navigator?
Rationale: Nurse navigator commonly occurs in targeted clinical settings such as oncology, whereby a breast cancer nurse navigator might work with a patient from the time she or he is first diagnosed and then follow throughout course of the illness. Pg 368
The experienced nurse is describing to a graduate nurse the different channels of communication, Which of the following does the nurse describe as the most informal type of communication that flows quickly, haphazardly, and occurs at all hierarchical levels?
What is grapevine?
Pg. 499 The most informal communication network is often called the grapevine. Grapevine communication flows quickly and haphazardly among people at all hierarchical levels and usually involves three or four people at a time.
A family member approaches the charge nurse upset stating “I do not agree with the new treatment ordered for my mother.” This is an example of what type of conflict?
What is Interpersonal conflict?
Rationale: Page 559- Interpersonal conflict happens between two or more people with differing values, goals, and beliefs.
When mobbing occurs in the workplace, this is often referred as?
What is workplace violence?
Rationale: When bullying, incivility, and mobbing occur in the workplace, it is known as workplace violence. Pg. 566
An RN on the day surgery floor is required to take only vital signs of all the patients in that unit while another healthcare provider is assigned to hygienic care for all the patients for the day. What type of nursing care method is being used at this setting?
What is Functional Method?
Pg 375 (personnel were assigned to complete certain tasks rather than care for specific patients)
What type of model of patient care is when the teams are small and called care pairs, consisting of one RN and two LVNs and it requires less communication, allowing members better use of their time for direct patient care activities?
What is Modular nursing?
Rationale: Uses a mini team (two or three members with at least one member being an RN), with members of the modular nursing team sometimes called care pairs. In addition, a small tram requires less communication, allowing members better use of their time for direct patient care activities. Pg. 359
External climates existing in communication?
What is Weather conditions, temperature, timing, and the organizational climate
External climate also includes status, power, and authority as barriers to manager–subordinate communication. Pg. 497
The Conflict process involves several stages, which stage involves conflict becoming emotionalized?
What is felt conflict?
Rationale: Felt conflict, occurs when the conflict becomes emotionalized. Pg. 560
An emergency room nurse is giving report to a medical surgical nurse on a patient they are about to receive. The nurse is summarizing the patient’s condition and stating what problem she thinks is going on. What stage of the SBAR communication tool is she at?
What is Assessment?
Pg. 505 table 19.3 Assessment: summarize the patient’s condition and state what you think the problem is.
A nurse listening to a patient’s concerns. She tried to seek additional information on what would make the patient feel better during their stay at the hospital. What part of the GRRRR listening model is she using?
What is recommend or request more information
Rationale Pg. 508 table 19.4 Recommend or request more information in the GRRRR model involves seeking information as necessary
One of the disadvantages of this model of patient care organization is that each caregiver caring for the same patient can theoretically modify the care regimen. Which model of organization is this?
What is Total patient care?
Rationale: Disadvantages to this model: Each caregiver caring for the patient can theoretically modify the care regimen. Therefore, if there are three shifts, the patient could receive three different approaches to care, often resulting in confusion for the patient. Page 356.
The nurse is explaining the different group task roles to a student nurse. Which of the following is the role of the elaborator?
What is Giving examples or extends meanings of suggestions given and how they could work
Elaborator. Gives examples or extends meanings of suggestions given and how they could work. Energizer: Stimulates and prods the group to act and raises the level of its actions. Information seeker: Searches for a factual basis for the group’s work. Orienter: Summarizes decisions and actions; identifies and questions departures from predetermined goals. Pg #516
A nurse approaches her manager and mentions that she had a disagreement with a fellow coworker. The manager encourages the nurse to speak face-to-face with her coworker to fix the misunderstanding rather than using e-mail, text, or notes. The nursing manager is advocating for which conflict resolution strategy?
What is confrontation?
Rationale: “Managers can urge subordinates to attempt to handle their own problems by using face-to-face communication to resolve conflicts, as e-mails, answering machine messages, and notes are too impersonal for interpersonal conflicts that can have a significant conflict aftermath.” PG 565
Carl a nurse in the telemetry unit is approached by coworker Beth about the lack of knowledge of newly employed nurse. She laughingly told Carl that she decided to call the new nurse “baby nurse” until the graduated to “pull-ups”. What would be the appropriate action that Carl should take?
What is Inform Beth that her actions are wrong and that all coworkers deserved to be treated with dignity and respect.
Rationale: In addition, ANA’s Code of Ethics for Nurses with Interpretive Statements states that nurses are required to create an ethical environment and culture of civility and kindness, treating colleagues, coworkers, employees, students, and others with dignity and respect. Pg 570
A graduate nurse is conversing with a nurse from case management in regard to the function of multidisciplinary action plans (MAPs). The graduate nurse shows understanding of MAPs by which statement?
What is Indication of nursing interventions should occur?
Pg. 363 The care MAP is a combination of a critical pathway and a nursing care plan. In addition, the care MAP indicates times when nursing interventions should occur. All health-care providers follow the care MAP to facilitate expected outcomes.