Exam A-3 Flashcards

1
Q

leadership style where a majority of decisions are made by the manager. the manager: dictates work to be done and who will do it, allows little opportunity for input, communication flows only downward, emphasis on task completion,

A

autocratic/authoritative leadership

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2
Q

the type of leadership where decision making is encouraged among workers. It represents the middle ground and includes: asking for input, voting, developing a consensus. human relationships are important and communication flows both up and down the chain of command.

A

democratic/participative leadership

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3
Q

leadership style where little or no direction or guidance is provided. coworkers make their own decisions. maximum freedom for individuals. leadership vacuum may occur in which an informal leader may arise.

A

Laissez-faire/permissive leadership

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4
Q

leadership style that combines the positive features of authoritative/autocratic and democratic/participative leadership styles.
leader provides maximum structure the situation requires but also provides maximum group participation when appropriate.

A

multicratic leadership

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5
Q

PEW health commission recommendations (1995)

A

the commission recommended differentiated practice. Meaning, that the role of the ADN should be different than that of the BSN.

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6
Q

the practice of structuring roles on the basis of education, experience and competence

A

differentiated practice

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7
Q

the system in which healthcare services are controlled and monitored carefully to ensure that policies are followed and that neither too much nor too little care is provided thus minimizing costs.

A

case management

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8
Q

the ___ ___ follows pts from the diagnostic phase to hospitalization, rehab and back to home for home care. They manage the pt’s interaction with the entire healthcare system

A

case manager

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9
Q

the system of nursing in which the nurse provides direct care for the pt and is responsible for that pt’s care 24/7. this nurse develops a care plan which is then followed by associate nurses on other shifts.

A

primary care nursing

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10
Q

nursing system in which each nurse is assigned one task and she performs that task for all the pts in the unit. i.e. one nurse starts all the IVs in the unit and another takes all the temperatures. allows for efficient care of many patients.

A

functional method of nursing

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11
Q

the nursing care system of the early 1900’s when one nurse worked with one pt and met all of that pt’s needs. She usually lived in the pt’s home and provided total care and light housekeeping.

A

case method of nursing

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12
Q

the type of nursing system where each unit has two or more teams composed of providers of various education levels (CNA, RN, LPN, etc). An experienced RN was the team leader and the team worked together to provide comprehensive care.

A

team nursing

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13
Q

system of nursing care in which one RN is assigned to all the care needs of a group of 4-6 pts. Care is focused on the total person. Gives nurses more control and autonomy.

A

total patient care

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14
Q

Nursing care system where care is provided to a group of pts by an RN and an LPN or CNA. The RN plans the care and is assisted with tasks by the CNA or LPN.

A

partnership model of pt care

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15
Q

Pt care units are divided into modules. The same team of providers were consistently assigned to a particular module. An RN was the leader of each module.

A

modular care

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16
Q

A standardized language that describes actions nurses perform in all settings and all specialties.
The interventions are numbered to facilitate computerization and organized into classes

A

Nursing interventions classification - NIC

17
Q

A diagnostic classification system used to identify and approve nursing diagnoses.

A

NANDA 1

18
Q

Nursing outcomes classification - NOC

A

Alphabetized classification system of nursing outcomes. Stating outcomes allows tracking of positive and negative changes in pt condition.

19
Q

outcome

A

Pts state, behavior or perception that is measurable and responsive to nursing interventions.

20
Q

Taxonomy designed to document client care from admission to d/c. Uses terms and codes to classify client’s health problems, interventions performed and client outcomes.

A

OMAHA System

21
Q

Nurse’s communication typically flows up the chain of command to the ___ ___. i.e. I’d the nurse disagrees with the physician’s diagnosis, he goes to the ___ ___ instead of approaching the physician.

A

Nurse manager

22
Q

A profession that has legal authority to set its own standards.

A

Autonomous profession

23
Q

Advantage of primary nursing

A

Primary nurse is responsible for the pt making the nurse accountable 24/7

24
Q

Role of a pt advocate in decision making

A

Pt advocate should assist pt in making a decision by making sure pt is educated and has all the info necessary to make an informed decision.

25
Q

Basing nursing practice on theory has been a major influence to nursing becoming a profession. Another advantage of basing practice on theory is….

A

Theory allows for a testable, specialized knowledge base.

26
Q

Characteristics of a profession:

A

Body of specialized knowledge
Uses scientific method to increase body of knowledge
Education within institutions of higher education
Control of professional activity, policy and autonomy
Code of ethics
Lifetime commitment to profession
Service to the public

27
Q

Critical pathways

A

Outline the outcomes and care activities for each day of a pts hospitalization. Directs the entire healthcare team (multidisciplinary) in daily care.

Each standard organizes sequences the care required for a pt at specific times in the treatment.

28
Q

Used to compare nursing performance to established standards and benchmarks.

A

Peer review

29
Q

Used to plan nursing care of the pt and evaluate the efficacy of the care

A

Nursing care plans

30
Q

Utilization reviews are used to evaluate ___ ___

A

Cost effectiveness

31
Q

Multidisciplinary treatment plans with a timeline to achieve goals

A

Critical (clinical) pathways