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Arts and Humanities
Final Exam Leadership
Terms in this set (108)
Hard working, financially conservative, cautious, value lessons of history, support hierarchy, respect authority, transitioning into retirement, value face to face communication
Another name for the veterans
Traditionalists or Mature Generation
Baby Boomers birth year:
Baby Boomers characteristics
work is a defining part of their self-worth and evaluation of others, value their individualism, express themselves creatively, most egocentric generation, largest cohort in nursing, strong work ethic, enjoy collegiately
Generation X birth year
Generation X characteristics
Latchkey children (raised in single family households), value self-reliance, value work-life balance, less loyal to the corporate culture, technology became an important part of their lives (began in this time period), recognition belief
Millennial Generation birth year
Another name for millennial generation
Net Gen or Gen Y
Millennial generation characteristics
global, second largest generation cohort, drawn to families for safety and security, accept multiculturalism, need structure and guidance, technology and instant communication is a big part of their life, often compared to veterans in their values
What are two sources of potential multigenerational conflict in the workplace?
Work ethic, technology
What are three characteristics of nurse leaders important to Gen X and Millennial nurses
Coaching and motivation, communication, and conflict resolution
Name three negative communication styles discussed by Chinn that need to be overcome for successful conflict transformation.
Anger, Gossip, Divisiveness
Definition of anger
a word used in many societies to suggest many negative feelings and dynamics in human relationships
obscures commonalities, side-tracking groups from developing solidarity in their diversity
talk outside the group about people and events in the group, can be a destructive such of group conflict or it can be an important source of group energy and creativity
"I feel rejected because I am never included in things."
"I am angry because I didn't know about the change in our meeting time"
When you use the process of conflict transformation, you learn to discuss an issue in a way that is free of your own interpretation and that clearly conveys your thoughts on the manner.
Which health care reimbursement program pays for persons age 65 and older and some disabled persons?
Factors that influence nurse staffing from shift to shift include:
mix of licensed/unlicensed staff available, changing patient acuity, changes in patient census, regulatory requirements
Peer review feedback is anonymous
Peer review is conducted by a nurse of the same rank/level of practice
Peer review focuses on maintaining standards of nursing practice and addresses the following key focus areas:
Role actualization, quality and safety, practice advancement
Chaleff asserts that followers do not orbit around a leader. Instead followers and leaders both orbit around their:
How should followership be defined?
A role one chooses to accept
Which action indicates the nurse is an effective follower?
Participates actively, rather than passively
A follower thinks critically about the leader's suggestions but remains passive and perhaps even somewhat hostile. What type of follower is this?
A follower assumes an active role because the leader has credibility. According to Kouzes and Posner (2011), which characteristics make leaders have credibility?
Honesty, ability to be inspiring and forward-looking
How can nurse leaders and nurse followers facilitate collaboration?
Empower one another
A nurse follower is an active participant but is dependent on others and does not engage in critical thinking. What type of follower is this nurse?
Which description best portrays an effective nurse follower?
Is self-directing, looks at the "bigger picture" and speaks truthfully
Several nurses on a unit consistently criticize new practice ideas that are generated and are rude to the new orientees and students. How should nurse leaders on this unit best help those nurses to become better followers?
Ask them to propose solutions to the practices they are criticizing
Parse (2009) reflects on the importance of power in her humanbecoming leading-following model. Parse acknowledges that power lies in one's position but also emphasizes which other concept?
Power that lies within the person is most effective
A nurse manager uses transformational leadership and maximizes unit participation in unit decisions. What is the vision of the nurse manager for staff members?
To work cohesively and collaboratively for meeting goals
Which principle will a transformational leader follow?
Leaders and followers raise one another to higher levels of motivation and mortality
Which outcome is priority for a transformational leader?
Which practice should a transformational nurse leader include according to Maslow?
Celebrate followers accomplishments
Core attributes of professional governance include
Accountability, collateral relationships, professional obligation, decision making
The relationship between the work demands placed on an employee given a specified amount of time and resources
The employee's decision- making and autonomy in the job
The employee's decision-making and autonomy in the job
Recognition for work contributions- can be monetary, social, personal, or a combination of the above
The extent that trust, openness and respect are present in organizations and their decision-making processes
The congruence of organizational priorities and values with those of employees
Which action indicates a nurse leader is following the chaos theory?
Uses intuition and is comfortable with uncertainty
Which most significant characteristic will assist nurses to grow in this chaotic healthcare environment?
When someone questions a procedure, a commonly heard statement by many nurses is "We've always done it this way." Which description best illustrates this attitude?
Which action will help a nurse provide strategic leadership?
A nurse wants to make a change on the unit. Which principle should the nurse remember?
A change in one part of the system affects other parts of the system.
A nurse has a conflict with a coworker and uses avoidance. Which outcome will most likely occur?
Cause tension while negatively influencing care
Which action by a nurse leader is paramount for making innovative changes in nursing?
Using diverse skill sets
Compare Kotter's model of change to Lewin's framework for assistance in initiating a goal for nursing. Which steps of Kotter's model correlate to Lewin's stage 2? Select all that apply.
Encourage risk-taking, offer incentives for success of the goal, evaluate implications of the change as it takes hold
A nurse leader is mentoring, providing personal attention, and role modeling. which leadership element is the nurse demonstrating?
Which important quality of a leader is often overlooked?
Being a risk taker
Broome (2011) asserts that leaders who will shape the future need to:
Know when to lead and when to follow
A nurse manager uses an assessment tool to identify eight practices, such as sensing and envisioning, and uses observations to identify personality characteristics to identify new nurses for leadership. Which two theories did the nurse manager blend?
Innovative leadership theory and trait theory
In Chinn's (2012) Peace and Power, you learned that peace is not the same as "keeping the peace". Which of the following are examples of destructive habits within a group? Select all that apply.
Playing it safe in order to avoid confrontation, withholding information to protect someone else, doing whatever is required to keep on good terms
What are essentials of improving your emotional intelligence?
Developing emotional awareness, accepting feedback from others, continuing education, understanding inappropriate behaviors
How would you summarize the concept of emotional intelligence?
It is the ability to respond to others and manage one's own feeling's
What subject demonstrates a nurse is working on strengthening emotional intelligence?
The nurse leader sponsors staff recognition days, celebrates staff of the month days, and publishes accomplishments of staff members. Which primary component is the nurse leader trying to foster the staff members?
Which skills are necessary for a nurse to be a good leader and manager?
Networking, troubleshooting, risk management
You are speaking with your team about self esteem. Select which concepts that you as a nurse leader should include:
Freedom to act, Independence, Mastery
Can be strategic if there is a need to cool down or to gather more information
A true mutual solution when both sets of interests are too important to be compromised
A resolution where either one or more individuals give up something on an issue
Winning at all costs- high assertiveness and low cooperation
Preserving harmony and relationships at all costs without dealing with the issue at hand
A mode of conflict resolution that might be used when there is an emergency or a quick decision is vital or unpopular
In direct opposition to the ANA's position on patient advocacy and advancing the standard of care delivery
Using this method can lead to a perception of you as weak ineffective or fearful of change
Not a mode of resolution when patient safety is involved
A stage of conflict that can be observed in many situations i.e. phone calls, phone messages or face-to-face interactions
Typical sources of conflict in healthcare:
Limited time or resources, differing goals, work styles or perspectives, cultural diversity among colleagues and patients, high-involvement work settings, disparities in knowledge or power
Five stages of conflict:
Latent stage, perceived stage, felt stage, manifest stage, aftermath
"conflicts brewing"- actual conflict has not yet developed however factors are present that have a high likelihood of causing conflict to occur
"full awareness of a conflict" - a party perceives that a problem is present though an actual conflict might not actually exist
"stress and anxiety related to the conflict are experienced by one or more of the individuals" -those involved begin to feel an emotional response to the conflict
"observing the conflict" - the parties involved are aware of the conflict and action is taken, actions at this stage can be positive and strive towards conflict resolution or can be negative and include debating, competing, or withdrawal of one or more parties from the situation
"the outcome of a conflict, resolution, or dissolution" -completion of the conflict process and can be negative or positive
Five styles of managing conflict are:
Accommodating/cooperation, compromising/negotiating, collaborating, competing/coercing
preserving harmony and relationships at all costs without dealing with the issue at hand
- one party sacrifices something, allowing the other party to get what it wants, opposite of competing, the original problem might not actually be resolved, lose-win situation
a resolution where either one or more individuals give up something on an issue
-each party gives up something, to consider this a win/lose situation, both parties must give up something equally important
true mutual solution when both sets of interests are too important to be compromised
- both parties set aside their original individual goals work together to achieve a new common goal
-requires mutual respect, positive communication, and shared decision-making between parties
can be strategic if there is a need to cool down or to gather more information
-both parties know there is a conflict, but they refuse to face it or work toward a resolution
-can be appropriate for minor conflicts or when one party holds more power than the other party or if the issue can work itself out over time
-(in direct opposition to the ANAs position on patient advocacy and advancing the standard of care delivery)
winning at all costs, high assertiveness and low cooperation
- one party pursues a desired solution at the expense of others
-managers can use this when a quick or unpopular decision must be made
-the party who lose something can experience anger, aggravation, and a desire for retribution
(a mode of conflict resolution that might be used when there is an emergency or quick decision is vital or unpopular)
The ability of an individual to perceive and manage the emotions of self and others
Emotional intelligent leader characteristics
self-awareness, self-regulation, motivation, empathy, social skills
Types of leadership characteristics/theories
authoritative, democratic, laissez-faire
-make decisions for the group
-motivates by coercion
-communication occurs down the chain of command
-work output by staff is usually high: good for crisis situations and bureaucratic settings
-effective for employees with little or no formal education
-Includes the group when decisions are made
-motivates by supporting staff achievements
-communication occurs up and down the chain of command
-work output by staff is usually good quality: good when cooperation and collaboration are necessary
-makes very few decisions, and does little planning
-motivation is largely responsibility of individual staff members
-communication occurs up and down the chain of command between group members
-work output is low unless an informal leader evolves from the group
-effective with professional employees
Characteristics of leaders
Initiative, inspiration, energy, positive attitude, communication skills, respect, problem-solving and critical thinking skills
Definition of transformational leaders
empower followers to assume responsibility for communal vision, and personal development is a secondary outcome
Definition of transactional leaders:
focus on immediate problems, maintaining the status quo and using rewards to motivate followers
-data should be collected over time and not just represent isolated incidents
-actual observed behavior should be documented/used as evidence of satisfactory or unsatisfactory performance : these can be called anecdotal notes and are kept in the unit manager or equivalent position's files
Peer review definition
the evaluation of a colleague's practice by another peer
-begins with an orientation of staff to the peer review process, their professional responsibility in regard of promoting growth of colleagues, and the disposition of data collected
-focus on the peer's performance in relation to the job description or an appraisal tool that is based on institutional standards
-be shared with the peer and usually the manager
-be only part of the data used when completing a staff members performance appraisal
What is in a nurses scope of practice:
reinforcing client teaching from a standard care plan
preforming tracheostomy care
checking NG tube patency
administering enteral feedings
inserting a urinary catheter
Scope of practice for AP
Activities of daily living
Feeding (without swallow precautions)Positioning
intake and output
How is health care financed for military and veterans?
Made with part A and Part B
Part A of medicare covers:
Part A pays for persons 65 and older and some disabled persons
-includes hospital, hospice, home health, skilled nursing care, paid for with social security taxes, does not include long-term custodial nursing home care
Part B covers:
optional insurance that covers physician services, medical equipment and diagnostic tests
- paid for with federal taxes and monthly premiums paid by recipients
- drug benefit plan is also optional
- does not cover eye or hearing examinations, or dental services
-state level program paid for by combination of state and federal funds- programs vary by state
-includes hospital care, physician payments, laboratory, radiology and other diagnostic tests prenatal and preventive care, nursing home and home health services
-provides services for blind, medically indigent, disabled, children with disabilities
Private health care insurance
-employer group policies
-individual policies (affordable care act, blue cross, etc)
-often does not cover part-time, seasonal or service position
-coverage is regulated by affordable care act
Out of pocket payments
-direct costs paid by individuals who do not have insurance
-when service provided is not covered by insurance plan
-when insurance plan co-covers partial payment along individual subscriber (deductibles, co-payments, co-insurance)
Most insurance plans do no cover:
-cosmetic surgeries, alternative health care therapies, vision plans, dental plans, non-prescription over the counter medications
Health care reimbursement modes
-managed care :includes both service and finance features-can be based on cost allowances or prospective payment systems
-organized delivery systems
-value based purchasing
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