NURSING MANAGEMENT & LEADERSHIP Instruction: Choose the correct answer fro %# the choices !

e"ow# Erasure eans wron$

A ho e"ess &erson has !een a' itte' to the hos&ita" with u"ti&"e hea"th care &ro!"e s# The nurse ana$er( &h)sician( socia" wor*er( an' c"inica" 'ietician are wor*in$ to$ether to care for the &atient# This inter'isci&"inar) interaction is referre' to as: a# co""a!oration !# consu"tation c# continuit) '# coor'ination A nurse ana$er who a*es a 'ecision !ase' on the a',ice of e &"o)ees who ha,e e-&erience with or *now"e'$e of the issue at han' is usin$ which 'ecision. a*in$ st)"e/ a# Authoritati,e !# !ureaucratic c# consu"tati,e '# faci"itati,e A nurse ana$er notices that ,ariations in the s*i"" "e,e"s an' e-&eriences of staff e !ers inf"uence their a'a&ta!i"it) to chan$e# The ost a&&ro&riate "ea'ershi& st)"e to fester $rowth in this situation is: a# Autocratic !# 'e ocratic c# &artici&ator) '# situationa" The nurse an$er notice' that the inci'ence of &atient fa""s has increase' on one unit of the hos&ita"# The nurse ana$er first e-a ines: a# the hos&ita"2s nursin$ &o"ic) on &atient safe")# !# the hos&ita"2s nursin$ &roce'ures for &atient &rotection# c# unit i &"e entation of safet) &recautions '# unit staff e !er2s *now"e'$e of &atient &rotection &roce'ures# An a'u"t hea"th c"inica" nurse s&ecia"ist ser,es as the "iason of Hos&ita" 4 to the Re$iona" P"annin$ Co ittee for o"'er a'u"ts an' is as*e' to chair a new su!co ittee on hea"th care issues# This re5uest is a'e !ecause of the c"inica" nurse s&ecia"ists: The a'u"t hea"th c"inica" nurse s&ecia"ists acce&ts a new &osition as the ana$er of a nei$h!orhoo' hea"th c"inic# 7hich strate$) 'oes the c"inica" nurse s&ecia"ist use to esta!"ish effecti,e "ea'ershi& at the c"inic/ a# To announce new &o"icies at the ne-t staff eetin$# !# To encoura$e in'e&en'ence in the staff !) &ro otin$ &ro!"e .so",in$ s*i""s# c# To &ost&one situations which a) re5uire 'ifficu"t staff 'ecisions# '# To use e &"o)ee e,a"uations as incenti,es for coo&eration A hea"thcare or$ani9ation 'eci'es to hire an e-terna" consu"tant to he"& with its reor$ani9ation e,en thou$h 5ua"ifie' interna" consu"tants are on staff# E-terna" consu"tants are use' !ecause e-terna" consu"tants: a# Can !e in'e&en'ent fro the &ower structure# !# Ha,e ore insi$ht into the or$ani9ation an' its nor s# c# Ma) !e "ess cost") for the or$ani9ation# '# S&en' ore ti e on the &ro:ect# In or'er for an or$ani9ation to successfu"") user a ana$e ent.!).o!:ecti,es a&&roach# It a# Nurse ana$er2s authorit) to $i,e 'ifferentia" awar's !# Nurse ana$er2s authorit) to a*e awar's !ase' on &erfor ance c# <r$ani9ation2s focus on actions rather than on outco es '# <r$ani9ation2s focus on &ro$ress ust ini i9e the:

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1#

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6#

8#

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7hen an e &"o)ee re5uests a chan$e>f"e-i!i"it) in the wor* sche'u"e( the ana$er sen's the e &"o)ee to the unit2s sche'u"in$ co ittee# This st)"e of ana$e ent fo""ows the &rinci&"es out"ine' in: a# Her9!er$2s theor) c# McGre$or2s theor) !# Mas"ow2s theor) '# Theor) ? etho' !) which &erfor ance of care is e,a"uate' for: c# re"ia!i"it) '# ,a"i'it)

%@# <utco es e,a"uation is a 5ua"it) ana$e ent a# Effecti,eness !# efficienc)

Maria( a new") re$istere' nurse was hire' !) the Sao Pau"o Me'ica" Center an' was assi$ne' to wor* at the Me'ica".Sur$ica" Unit# The war' has a tota" ca&acit) of 3@ an' with 1 nurses assi$ne' 'urin$ the AM an' PM shifts an' 0 nurses 'urin$ the ni$ht shift# The fo""owin$ 5uestions refer to this situation# %%# If )ou are the hea' nurse of this unit( which of the fo""owin$ wou"' !e )our &riorit) res&onsi!i"it) for Nurse Maria/ a# Inter,iew her as to her ca&acit) to &erfor her :o!# !# <!tain her &ersona" 'ata an' aca'e ic recor's as new") hire' nurse# c# P"an for an in.ser,ice staff 'e,e"o& ent &ro$ra to u&'ate Nurse Maria# '# <rient her to the unit( &ersonne"( &o"icies an' S<P of the unit# %+# As the ana$er of the unit( )ou &"a) an i &ortant ro"e in the orientation of a new e &"o)ee# 7hich of the fo""owin$ is N<T true a!out orientation &ro$ra s/ a# It ini i9es "i*e"ihoo' of ru"e ,io"ations !# It fosters fee"in$s of !e"on$in$ an' acce&tance c# It &ro,i'es the new e &"o)ee an o&&ortunit) for &ro otion '# It &ro otes enthusias an' ora"e# %0# Nurse Maria to"' the hea' nurse that she rea"") en:o)e' the tour of the hos&ita"2s &h)sica" &"ant# This a# She interacte' with co.wor*ers !# She chec*e' the stoc*s in the su&&") station c# She o!ser,e' the who"e hos&ita" A its 'e&art ents( units( sections '# She a'e roun's of a"" the &atients in the hos&ita" %1# Durin$ the orientation &hase( Nurse Maria was to"' !) the hea' nurse to rea' the hos&ita" heart the reason for which that hos&ita" e-ists# She shou"' focus on the: a# Mission state ent c# Bision State ent !# <r$ani9ationa" Phi"oso&h) '# <r$ani9ationa" Goa"s an' <!:ecti,es eans:

anua" an' *now !)

%3# 7hi"e rea'in$ the hos&ita" anua"( her attention was ca""e' !) this set of state ent: The !oar' of 'irectors( e'ica" an' nursin$ staff an' a' inistrators of San Pau"o Me'ica" Center !e"ie,e that hu an !ein$s are uni5ueCCThis is the hos&ita"2s a# Mission State ent c# Bision State ent !# <r$ani9ationa" Phi"oso&h) '# <r$ani9ationa" $oa"s an' <!:ecti,es %6# Nurse Maria wi"" see the re"ationshi& in the or$ani9ationa" structure of the hos&ita" in the for ca""e': a# D"ow chart !# Gantt chart c# Patient2s chart '# <r$ani9ationa" chart %8# She wou"' &ro!a!") see her :o! 'escri&tion as a staff nurse written in the a# Hea' nurse2s "o$!oo* c# <ffice of Chief Nurse !# Nursin$ Ser,ice Manua" '# Patient2s Chart %;# The or$ani9ationa" chart te""s the nurse the fo""owin$: a# %(+(0 %# Lea'ershi& an' su!or'inates in the or$ani9ation !# +(0(1 +# Ro"es>&ositions in the or$ani9ation c# %(+(1 0# E-act nu !er of in'i,i'ua"s in the or$ani9ation '# A"" 1# Location in the hierarchica" "e,e" %=# Durin$ the orientation( sche'u"in$ was a"so 'iscusse'( which is !ein$ 'one !) the Chief Nurse who usua"") 'oes the assi$n ent of nursin$ &ersonne" to the ,arious hos&ita" areas inc"u'in$ shifts of 'uties an' off 'uties# This re&resents which t)&e of sche'u"in$/ a# centra"i9e' !# 'ecentra"i9e' c# c)c"ica" '# se"f.sche'u"in$ +@# Dette' or !ro*en "ines on the or$ani9ationa" chart re&resent: a# %(+ %# Staff &ositions !# %(+(0 +# A',isor) &ositions c# %(0 0# Chain of Co an' '# %(0(1 1# Line &ositions +%# The ,ertica" so"i' "ine !etween in'i,i'ua"s in the or$ani9ationa" chart that !est 'escri!es the conce&t of one &erson>one !oss in'icates# a# Chain of co an' !# S&an of contro"c# Unit) of co an' '# Sca"ar Chain ++# After stu')in$ the or$ani9ationa" chart of the hos&ita"( Nurse Maria E'itha is now aware of her re"ationshi& with her hea' nurse which is: a# for a" !# infor a" c# coor'inate' '# 'e"e$ate' of a 'ocu ent

+0# In or'er to or$ani9e an' 'e"i,er nursin$ care to &atients( it was entione' that $oo' assi$n ent to staff is a"wa)s a &riorit) in the institution# The fo""owin$ are true a!out $oo' assi$n ent e-ce&t one: a# Shou"' !e re"ate' to the in'i,i'ua"2s &re,ious e-&erience !# Shou"' &ro,i'e for new "earnin$ e-&erience c# Shou"' !e within the in'i,i'ua"2s a!i"it) to co &"ete '# Shou"' !e eas) an' a,oi' cha""en$in$ tas*s +1# Choosin$ the ost a&&ro&riate o'e of or$ani9in$ &atient care is i &ortant# The o'e of or$ani9in$ &atient care where nurses assu e tota" res&onsi!i"it) for $i,in$ a"" care to &atients 'urin$ their ti e on 'ut) is a# Case etho' nursin$ c# tea nursin$ !# Dunctiona" nursin$ '# &ri ar) nursin$ +3# This s)ste of &ro,i'in$ care is !ase' on the conce&t of 'i,ision of "a!or where nurses an' other care$i,ers &erfor s&ecific tas*s E&re&arin$ e'ication( ornin$ care( etcF in the 'e"i,er) of nursin$ care# a# Case etho' nursin$ c# tea nursin$ !# Dunctiona" nursin$ '# &ri ar) nursin$ +6# The hea' nurse &ointe' out that the 'isa',anta$e to case etho' nursin$: a# <ccurs when the nurse is ina'e5uate traine' to &ro,i'e tota" care to &atients !# Is associate' with i &ro&er i &"e entation 'ue to &oor tea &"annin$ c# <ccurs when the nurse is inca&a!"e of coor'inatin$ a tea co &ose' of RNs '# Is that it a) "ea' to fra$ ente' care 'ue to 'i,ision of tas*s a on$ &ersonne" +8# 7hich of the etho's of 'e"i,erin$ nursin$ care is not cost.effecti,e an' where turno,er rate is hi$h/ a# Dunctiona" nursin$ c# tea nursin$ !# Case etho'>tota" care etho' '# Pri ar) nursin$ +;# As the ana$er in the unit( it is i &ortant to *now that co unication is a "ea'ershi&> ana$eria" function# The &rocess of co unication has se,era" co &onents( which in,o",e the use of a"" the sense# These co &onents areG a# %(+(1 %# S&ea*in$ !# %(0(1 +# 7ritin$ c# %(+(0 0# Listenin$ '# A"" 1# <!ser,in$ +=# Hecause "ar$e or$ani9ations are so co &"e-( co unication( channe"s use' !) a ana$er a) in,o",e 'ownwar'( u&war'( hori9onta"( or throu$h the $ra&e,ine# 7hich of the fo""owin$ is consi'ere' the ost infor a" co unication networ* that f"ows ra&i'") an' is su!:ect to error 'istortion/ a# U&war' co unication c# Hori9onta" co unication !# Downwar' co unication '# Gra&e,ine co unication 0@# Downwar' co a# %(+(0 !# %(+(1 c# %(1 '# A"" unication in an or$ani9ation a) co e in the for s of: %# Po"icies +# Manua"s 0# Inci'ents>situationa" re&orts 1# Me oran'a

0%# A ru or circu"ate' that a ass "a).off an' cuts in &a) wi"" ta*e &"ace in the hos&ita" !ecause authorities c"ai e' the) are "osin$ inco e# As the o,era"" su&er,isor( )our initia" tas* is: a# Direct") refute the ru or to those who 'o not *now a!out it# !# Meet the staff an' 'en) the ru or c# Tr) to i e'iate") refute it with in'is&uta!"e facts if )ou can '# Iee& si"ent a!out it an' &reten' )ou 'o not *now a!out it 0+# Ru or is a for of co unication which is c"assifie' as: a# U&war' co unication c# Gra&e,ine co unication !# Si'ewar' co unication '# Routine co unication 00# As nurse ana$er( )ou fin' it effecti,e to co unicate in the for of e os( which can !e 'istri!ute' interna"") within the unit# The fo""owin$ shou"' !e o!ser,e' when writin$ a e o: a# %(+(0 %# Shou"' a*e the ain &oint at the !e$innin$ !# %(0(1 +# <n") essentia" infor ation shou"' !e $i,en c# %(1 0# Shou"' !e written si &") without authoritarian "an$ua$e '# A"" 1# Use hea'in$s to 'irect the rea'er to s&ecific issues 01# Nurse Maria was to"' that in co unications( she shou"' e-ercise asserti,e !eha,ior# 7hich of the fo""owin$ is true a!out asserti,e co unication/ a# E-&ressin$ onese"f in 'irect an' a&&ro&riate wa)s

!# Re ain si"ent first an' e-&ress what )ou fee" stron$") a!out an issue "ater c# E-&ressin$ onese"f in 'irect an' "ess hosti"e anner '# E-&ressin$ onese"f with "i ite' ,er!a" e-chan$e 03# Essentia"")( asserti,eness in nursin$ in,o",es: a# Settin$ $oa"s an' co unicate c"ear") !# Actin$ on $oa"s in c"ear an' consistent anner c# Ta*in$ res&onsi!i"it) for the conse5uences of one2 actions '# A"" of the a!o,e Nurse E'uar'o is a new") a&&ointe' Nurse Su&er,isor of San Mariano Me'ica" Center# Since he is new in the &osition( he is sti"" "earnin$ his wa) throu$h the or$ani9ation# In or'er to a*e hi ore e5ui&&e' with his ana$eria" &osition he 'eci'e' to re,iew the 'ifferent conce&ts an' theories of ana$e ent an' "ea'ershi&# The fo""owin$ 5uestions refer to this situation# 06# He reca""s that the ana$e ent &rocess in,o",es fi,e functions which fo""ow the fo""owin$ se5uence# a# P"annin$( staffin$( or$ani9in$( contro""in$( 'irectin$ !# P"annin$( or$ani9in$( 'irectin$( staffin$( contro""in$ c# <r$ani9in$( &"annin$( 'irectin$( staffin$( contro""in$ '# P"annin$( or$ani9in$( staffin$( 'irectin$( contro""in$ 08# The ana$e ent function that in,o",es 'eci'in$ in a',ance what to 'o( how to 'o it( when to 'o it( an' who to 'o it is: a# P"annin$ !# Staffin$ c# <r$ani9in$ '# Directin$ 0;# Nurse E'uar'o is aware that there are three "e,e"s of s*i""s( which he shou"' &ossess as a# Conce&tua" s*i""s( "iterar) s*i""s( technica" s*i""s !# Po"itica" s*i""s( conce&tua" s*i""s( hu an s*i""s c# Inter&ersona" s*i""s( technica" s*i""s( hu an s*i""s '# Conce&tua" s*i""s( inter&ersona" s*i""s( technica" s*i""s ana$er# These are:

0=# He is a"so aware that &"annin$ is 'escri!e' as a"wa)s future.oriente' an' that there are two a:or t)&es: strate$ic &"annin$ an' o&erationa" &"annin$# 7hich of the fo""owin$ is N<T true a!out strate$ic &"annin$/ a# It is "on$.ran$e' &"annin$ !# Docus is on the entire or$ani9ation c# Deter ines where an or$ani9ation is $oin$ o,er the ne-t )ear or ore# '# Dea"s with 'a).to.'a) aintenance acti,ities 1@# Hu'$ets are usua"") inc"u'e' in the strate$ic &"an# <&eratin$ !u'$et inc"u'es the fo""owin$( E4CEPT: a# 7a$es an' sa"aries c# &urchase of !ui"'in$s !# Cost of e"ectricit) '# re&airs an' aintenance 1%# Nurse E'uar'o a"so reca""s that or$ani9in$ is necessar) !ecause &eo&"e acco &"ish ore wor* than cou"' !e 'one in'i,i'ua"")# The nu !er of &eo&"e re&ortin$ to hi as nurse su&er,isor re&resents his: a# Unit) of co an' c# s&an of contro" !# Sco&e of res&onsi!i"it) '# 'e$ree of authorit) 1+# As a nurse su&er,isor( Nurse E'uar'o shou"' un'erstan' the interre"ationshi&s a on$ authorit)( res&onsi!i"it) an' accounta!i"it)# 7hich of the fo""owin$ state ents is N<T correct: a# Mana$ers shou"' a"wa)s !e assi$ne' res&onsi!i"it) with conco itant authorit) !# If authorit) is not co ensurate to the res&onsi!i"it)( ro"e confusion occurs# c# A nurse is !ein$ accounta!"e for the res&onsi!i"ities inherent in her &osition# '# Res&onsi!i"it) is an a$ree ent to acce&t the conse5uences of one2s actions 10# De"e$ation is an i &ortant s*i"" that e,er) nurse "ea'er> ana$er ust aster# Nurse E'uar'o shou"' "earn what can an' cannot !e 'e"e$ate'# 7hich of the fo""owin$ is correct# a# A ana$er can $i,e awa) the o,era"" res&onsi!i"it)( authorit)( an' accounta!i"it) for the co &"etion of a"" acti,ities in the area !# De"e$ation of 'uties a) not a"wa)s !e !ase' on &o"icies c# Ma*in$ fina" e,a"uation an' 'isci&"inin$ of staff can !e 'e"e$ate' !) ana$ers '# A"thou$h e,er) staff ust !e accounta!"e for her own &erfor ance( the ana$er ust acce&t accounta!i"it) for the fina" resu"ts# 11# 7hen 'e"e$ation( it is !est to *ee& infor e' after )ou 'e"e$ate# This a# e,a"uatin$ &ro$ress of 'e"e$ate' acti,ities !# $ettin$ &erio'ic re&orts an' e-a ine resu"ts c# $i,in$ co en'ation when the 'e"e$ate' wor* is 'one we"" '# a"" of the a!o,e eans:

13# A !e$innin$ nurse ana$er "i*e Nurse E'uar'o can !e$in to !ui"' a &ower !ase# 7hich of the fo""owin$ is N<T a $oo' of enhancin$ &ower/ a# E-&an'in$ &ersona" resources c# Show an a$$ressi,e i a$e to others !# Present a &owerfu" &icture to other '# Increase &rofessiona" s*i""s an' *now"e'$e 16# H) ,irtue of his or$ani9ationa" &osition( Nurse E'uar'o has the reco$ni9e' authorit) o,er others# The t)&e of &ower that he has is ca""e'# a# Rewar' &ower !# E-&ert &ower c# Coarci,e &ower '# "e$iti ate &ower 18# 7hen a su!or'inate reco$ni9es his su&erior2s a',ance' s*i"" or *now"e'$e an' fo""ow his or'ers !ecause of his !e"ief that his su&erior *nows !est( that su&erior is sai' to ha,e: a# Le$iti ate &ower c# referent &ower !# Rewar' &ower '# e-&ert &ower 1;# Staffin$ is one of the a:or functions of a nurse ana$er# Dactors affectin$ staffin$ inc"u'e the fo""owin$ E4CEPT: a# a' inistrati,e &o"icies c# a,ai"a!i"it) of suita!"e &eo&"e !# t)&e of wor* to !e &erfor e' '# in.ser,ice e'ucation 1=# 7hich of the fo""owin$ are the ana$er2s functions in staff 'e,e"o& ent/ a# Ensures that a"" staff are co &etent for ro"es assi$ne' !# Dre5uent") assesses "earnin$ nee's of the units c# Ensures that there are a'e5uate resources for staff 'e,e"o& ent '# A"" of the a!o,e 3@# A"" staff 'e,e"o& ent acti,ities shou"' !e e,a"uate' for which of the fo""owin$# E4CEPT a# Jua"it) contro" c# i &act on the or$ani9ation !# cost effecti,eness '# effect of the &u!"ic 3%# Directin$ is nursin$ in,o",es $i,in$ or'ers an' 'irections to others to attain 5ua"it) &atient care# 7hich of the fo""owin$ is N<T a 'irectin$ function of a nurse ana$er/ a# Lea'ershi& c# oti,ation !# Co unication '# e,a"uation 3+# 7hich of the fo""owin$ can !est enhance the staff nurse2s oti,ation to i &ro,e hi se"f>herse"f/ a# Inf"uence of frien's c# co it ent to e-ce""ence in wor* !# "ess su&er,ision '# re&ort inci'ent to the hea' nurse 30# If Nurse E'uar'o was a Theor) 4 nurse ana$er( what wou"' !e his t)&ica" &erce&tion of his nursin$ staff/ a# The) 'is"i*e their *in' of wor* c# The) a,oi' a''e' res&onsi!i"ities !# The) &refer to !e su&er,ise' '# A"" of the a!o,e 31# Nurse E'uar'o is intereste' in usin$ Theor) ? A a Ka&anese ana$e ent conce&t# 7hich is N<T a characteristic of this ana$e ent o'e"/ a# A for of a &artici&ati,e ana$e ent c# Lon$.ter e &"o) ent !# &ersona" concern for the e &"o)ee '# Short.ter e &"o) ent 33# The ana$e ent function that inc"u'es the &ur&osefu" consi'eration of the future o!:ecti,es of an or$ani9ation# a# P"annin$ !# or$ani9in$ c# 'irectin$ '# contro""in$ 36# P"annin$ is i &ortant for the fo""owin$ reasons e-ce&t: a# He"&s to a'a&t to chan$e an' re'uce uncertaint) !# It i &ro,es &erfor ance c# it ensures coor'inate' actions '# it structure' the wor* of the or$ani9ation

38# A"" &"annin$ has to consi'er !asic ste&s that inc"u'e: %# 7hat is to !e 'one/+# 7hen to 'o it 0# 7ho is to 'o it 1# How to 'o it a# %(+ &0 on") !# +(0(&1 on") c# none of the a!o,e '# a"" of the a!o,e 3;# It is the &ur&ose of the or$ani9ationG the reason for its !ein$ that2s wh) or$ani9ation e-ists# a# ission !# ,ision c# &hi"oso&h) ' o!:ecti,es 3=# A !roa'( c"ear an' concise state ent su ari9in$ what the or$ani9ation 'oes# a# Mission state ent !# ,ision state ent c# $oa" 6@# The assess ent of stren$ths( wea*nesses an' i'entif)in$ o&&ortunities an' threats of an or$ani9ation for future i &ro,e ent# a# S7<T ana")sis !# MH7A techni5ue c# S7AT tea

6%# In &"annin$( it in,o",es o&erationa"") 'efinin$ the o!:ecti,e !) e-&ressin$ it in ter s of s&ecific actions or o&erations# a# Action &"an !# 'ai") &"an c# 'e,e"o& ent &"an 6+# A ana$e ent function that in,o",es structurin$ the wor*( a*in$ the !est use of resources so as to achie,e co on $oa"s# a# <r$ani9in$ !# &"annin$ c# contro""in$ '# staffin$ 60# A s a"" nu !er of &eo&"e with co &"e entar) s*i""s who wor* towar's acco &"ish ent of co which the) ho"' the se",es utua"") accounta!"e# a# Tea !# $rou& c# or$ani9in$ 61# The a!i"it) to e-ert inf"uence in the or$ani9ation !e)on' authorit)( which is 'eri,e' fro a# &ower !# e &ower c# authorit) &osition# a*in$ on $oa"s for

63# The 'e"e$ation of authorit) to an in'i,i'ua" or tea G in,o",in$ e &"o)ees in settin$ o!:ecti,es an' 'ecisions that resu"ts in $reater :o! satisfaction an' &ro'ucti,it)# a# E &ower ent !# Power c# Inf"uence 66# A ana$e ent function that in,o",es $ettin$ thin$s 'one throu$h &eo&"e A focusin$ on "ea'in$ an' hu an resources# a# Directin$ !# "ea'in$ c# contro""in$ 68# Tea 'e,e"o& ent inc"u'e which of the fo""owin$ &hases: a# Dor in$( &erfor in$( stor in$( nor in$ c# Dor in$( stor in$( nor in$( &erfor in$ c# Nor in$( for in$( stor in$( &erfor in$

oti,atin$

6;# 7hen an e &"o)ee is $i,en res&onsi!i"it) for a :o!( what ust a"so !e $i,en e5ua"") i &ortant in or'er to ha,e effecti,e 'e"e$ation/ a# Authorit) !# &ower c# e"i$i!i"it) 6=# It is the o!"i$ation to 'o assi$ne' tas*s# a# Lia!i"it) !# Res&onsi!i"it) 8@# It is answerin$ for the resu"t of one2s o issions# a# Res&onsi!i"it) !# Accounta!i"it) c# authorit) c# authorit)

8%# A &art of the 'e"e$ation &rocess where!) the su&er,isor acce&ts the co &"ete' tas*s an' ac*now"e'$in$ the su!or'inates2 efforts# a# A&&reciatin$ !# Au'itin$ c# Monitorin$ 8+# Her9!er$2s theor) of oti,ation 'escri!es nee's in ter s of satisfaction an' 'issatisfaction# Satisfaction co es fro oti,ators such as: a# Achie,e ent !# reco$nition c# wor* itse"f '# a an' ! on") e# a"" 80# An infor a" 'a) to 'a) on$oin$ instructin$ of e &"o)ees is ca""e': a# entorin$ !# coachin$ c# counse"in$ 81# In coachin$ e &"o)ees( the first thin$s a coach shou"' 'o is to a# 'e onstrate what to 'o c# &re&are' the "earner !# crate a &ositi,e at os&here '# &raise the "earner 83# This is a for a" re"ationshi& !etween a new") hire' e &"o)ee an' a ,eteran e &"o)ee who ser,es as ro"e a# coachin$ !# trainin$ c# entorshi& '# counse"in$ 86# The &rocess of &assin$ infor ation an' un'erstan'in$ fro one &erson to another is ca""e' a# co en'ation !# consu"tation c# co unication 88# In the co unication &rocess( which 'o not !e"on$ to the $rou& a# Sen'er an' recei,er !# essa$e an' channe" c# e. ai" an' facsi i"e 8;# 7hat e"e ent of the co unication &rocess initiates co unication a# enco'er !# 'eco'er c# essa$e '# noise o'e"

8=# The su&er,isor shou"' &a) attention to ru ors( $ossi&s an' truthfu" infor ation !ut not 'e&en' on it for accurate infor ation# These are ca""e' a# I &ressions !# $ra&e,ine c# noise '# e-&ressions

;@# The &rocess throu$h which stan'ar's for &erfor ance of &eo&"e an' &rocesses are set( co a&&"ie' is ca""e'# a# <r$ani9in$ !# coor'inatin$ c# contro""in$ '# 'irectin$ ;%# The &rocess throu$h which stan'ar's for &erfor ance of &eo&"e an' &rocesses are set( co a&&"ie' is ca""e' a# "ea'in$ !# coor'inatin$ c# contro""in$ ;+# It is a $ui'e"ine esta!"ishe' as the !asis for a# contro" !# ti e"ine easurin$ &erfor ance# c# stan'ar'

unicate' an'

unicate' an'

;0# Lou *new ,er) we"" that a"" of the fo""owin$ are &ur&oses of e,a"uation E4CEPT one: a# Ensures 5ua"it) of nursin$ care &ro,i'e' !) the e &"o)ee# !# Pro,i'es ,isi!i"it) an' eans for e &"o)ees to onitor their own &erfor ance c# Pro,i'es su!stan'ar' criteria for esta!"ishin$ co &anions '# Kustifies the use of resources ;1# Lou notice' that the e,a"uation fro of: a# Anec'ota" re&ort !# Ran*in$ sca"e use' is a Li*ert.t)&e sca"e fro c# Ratin$ sca"e '# chec*"ist % to 3 as the hi$hest# This is an e-a &"e

;3# A correcti,e action ta*en !) the su&er,isor when an e &"o)ee 'oes not a!i'e !) or$ani9ationa" ru"es an' stan'ar's# a# ter ination !# contro" '# 'isci&"ine ;6# 7hich of the fo""owin$ are co on 'isci&"inar) &ro!"e s in the wor*&"ace a# atten'ance an' &erfor ance !# iscon'uct c# a an' ! '# a on") ;8# Disci&"inar) treat ent in 'isci&"ine is the "ast# a# written warnin$ ost or$ani9ations is &ro$ressi,e# 7hich of the fo""owin$ ste&s of &ro$ressi,e !# sus&ension c# ter ination of e &"o) ent c# sus&ension

;;# The i"'est for of 'isci&"ine is: a# written warnin$ !# ,er!a" warnin$ ;=# The nurse a# %(+(0 !# %(0(1 c# %(+(1 '# %(+(0(1

ana$er shou"' !e $ui'e' !) ru"es in ana$in$ 'isci&"ine in the wor* &"ace( which inc"u'e: %# Punish ent shou"' fit the offense +# The in'i,i'ua" an' not the $rou& shou"' !e confronte' 0# It shou"' !e o!:ecti,e( stic*in$ to facts 1# Ru"es that ref"ect &ersona" !ias shou"' !e a,oi'e'

=@# A !asic for of 5ua"it) 'ata co""ection is the nursin$ au'it# An au'it is: a# essentia"") an e-a ination c# an accountin$ of &re'eter ine' in'icators !# a ,erification '# A"" of the a!o,e =%# 7hich of the fo""owin$ for s of nursin$ au'it focuses on the settin$ in which care ta*es &"ace/ a# Structure au'its !# &rocess au'its c# outco e au'its =+# Inci'ent re&ortin$ is an effecti,e techni5ue of a $oo' ris* ana$e ent &ro$ra # 7hich of the fo""owin$ shou"' !e inc"u'e' in an inci'ent re&ort/ a# %(+(0 %# Na e( a''ress( a$e an' con'ition of in'i,i'ua" in,o",e' !# %(0(1 +# E-act "ocation( 'ate an' ti e of inci'ent c# 0(1 on") 0# Descri&tion of the occurrence an' action ta*en '# %(+(0(1 1# Na es of witnesses =0# Inci'ent re&orts are 'esi$ne' to ser,e which of the fo""owin$ functions: a# %(+(0 %# I &ro,e ana$e ent an' care of &atients !# %(+(1 +# Dor in.ser,ice e'ucation c# %(+ on") 0# Dor a' inistrati,e su&er,ision '# %(+(0(1 1# Me'ico "e$a" co,era$e =1# A &art of nursin$ ana$e ent is the theor) of nursin$ "ea'ershi&# <ne of the fo""owin$ is N<T true a!out "ea'ershi&G a# It is a &rocess of inf"uencin$ a $rou& towar's attain ent of $oa"s# !# As a"wa)s( !efore there can !e a "ea'er( there ust !e a $rou& to !e "e'# c# E,er) su&er,isor is a"wa)s a "ea'er

'# A "ea'er is a ,isionar)( a faci"itator( an' a chan$e a$ent# =3# 7hich of the fo""owin$ is the essence of Transfor ationa" "ea'ershi&/ a# s&iritua"it) !# ,ision c# co it ent '# e &ower ent =6# 7hich ana$e ent s*i"" is !est ref"ecti,e of the a!i"it) to "in* with a &rofessiona" su&&ort s)ste reinforce ent( infor ation an' $ui'ance in his &rofessiona" 'e,e"o& ent a# conce&tua" s*i""s c# hu an re"ations !# technica" s*i""s '# networ*in$ s*i""s =8# 7hen a hea' nurse anifests "ea'ershi& !eha,ior characteri9e' !) !ein$ &er issi,e an' fosters free'o e,er)one an' want e,er)!o') to fee" $oo' is an e-a &"e of: a# Autocratic "ea'ershi& !# De ocratic "ea'ershi& c# Laisse9 Daire =;# 7hat a&&roach to "ea'ershi& su$$ests that no one "ea'ershi& st)"e is i'ea" for e,er) situation/ a# Heha,iora" !# hu an re"ations c# contin$enc) ==# In co &arin$ ana$e ent an' nursin$ &rocesses( the contro""in$ function of which ste& of the nursin$ &rocess/ a# Assess ent !# I &"e entation c# e,a"uation ana$e ent &ara""e"s that of for

for

%@@#In'octrination as a ana$e ent function in,o",es $ui'in$ a':ust ent of an e &"o)ee to the or$ani9ation an' the wor* en,iron ent# 7hat is the "ast &hase of this function that in,o",es intro'ucin$ e &"o)ees to the ,a"ues an' cu"ture of the unit/ a# In'uction !# orientation c# socia"i9ation

G<<D LUCI an' G<D HLESSM