Leadership Styles
Effective in situations where crucial decisions are made?
What is autocratic/authoritarian?
Which tasks delegated to one of the nursing assistants by the new RN needs to be re-evaluated?
A. Apply hydrocortisone cream after giving a patient a bath.
B. Empty a urinary foley bag.
D. Collect and record vs.
E. Assist a patient with ambulating.
A. Apply hydrocortisone cream after giving a patient a bath.
The RN would assess this first- acute or chronic illness?
What is an acute illness?
The belief that individuals have the right to determine their own actions and the freedom to make their own decisions?
What is autonomy?
A client has been recently diagnosed with diabetes mellitus. Which of the following is the first step in teaching the client about the disorder? A. Gathers all the available resource materials. B. Plans for the evaluation of the session C. Assess and identify the client's knowledge and needs D. Decides on the teaching approach
What is C- Assess and identify the client's knowledge and needs
Shares information with their employees
What is democratic?
You are caring for a patient with throat cancer. Which task can be delegated to the CNA?
a. assist with oral hygiene
b. observe the patient's response to eating
c. initiate daily weights
d. provide resources for group therapy clinics
a. assist with oral hygiene
In Maslow's hierarchy, these will trump the need for shelter, food, water.
What are the ABC's?(Airway, oxygen, circulation, & breathing)
The principle that refers to faithfulness or honoring one's commitment or promises.
What is Fidelity?
The patient is the practitioner's partner during the time that care is being provided.
What is Patient-Centered Care?
Manager seeks to make as many decisions as possible.
What is Authoritarian Leadership?
Trach care, suctioning, check NG tube potency, insertion of a urinary catheter.
What are tasks that can be delegated to an LPN?
You are assigned to care for the following patients. Which patient should you assess first? A) A 68-year-old on a ventilator needing a sterile sputum specimen. B) A 57-year-old with COPD and pulse oximetry reading from the previous shift of 90% saturation. C) A 72-year-old with pneumonia who needs to be started on IV antibiotics. D) A 51-year-old with asthma who complains of shortness of breath after using a bronchodilator inhaler.
Answer: D) A 51-year-old with asthma who complains of SOB after using a bronchodilator. The patient with asthma did not achieve relief from shortness of breath after using the bronchodilator and is at risk for respiratory complications. This patient’s needs are urgent.
The duty to do or promote good.
What is Beneficence?
Autonomy, responsibility, and accountability
What are the critical components of the nursing profession?
I encourage group involvement and ownership.
What is Democratic Leadership?
Bathing, grooming, dressing, toileting.
What are tasks to delegate to an UAP?
Which of the following nursing actions has the HIGHEST priority for a teenager admitted with burns to 50% of his body?
a. counseling regarding problems with body image b. maintain airborne precautions c. maintain aseptic technique during procedures d. encourage peers to visit regularly
c. He is at high risk for infection so this is a patient safety concern. Think Maslow's hierarchy of needs
The obligation to be fair and equal treatment of all patients,
What is Justice?
Approves nursing programs, grants licenses, and establishes regulations for our nursing practice.
Who are the State Boards of Nursing?
I'm hands-off and allow group members to make the decisions.
What is Laissez-Faire Leadership?
The lack of desire of the nurse to delegate to others.
What is resistance to delegation?
Bonus-Why is there resistance?
A client is scheduled for a diagnostic procedure requiring the injection of radiopaque dye. Which information is the most critical for the nurse to check before the procedure? A. Intake and output B. Baseline vital signs C. Height and weight D. Allergy to iodine or shellfish
What is D- Allergy to iodine or shellfish.
The duty to do no harm and to prevent harm.
What is Nonmaleficence?
The method used to focus on process standards (e.g., documentation, adherence to practice standards).
What is quality assurance?