Nursing Management Principles

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Questions and Answers

What challenge is most likely faced by Nurse Maria, who manages 25 staff members?

  • Identifying potential leaders on the team
  • Difficulty with direct supervision of staff (correct)
  • Facing accusations of neglect or poor management
  • Easily coordinating all staff activities

Ms. Reyes, as Chief Nurse, encourages the nursing team to participate in setting clear objectives and developing goals. Which element of administration does this action reflect?

  • Directing
  • Planning (correct)
  • Organizing
  • Controlling

Nurse Jake discovers that he has a narrow span of control. What is the primary advantage of this situation?

  • Identifying other staff members with high potential
  • Supervising more than 15 subordinates directly
  • Effectively motivating the team
  • Being better positioned to provide close supervision of staff (correct)

Which statement accurately describes the primary focus of management?

<p>Focusing on managing costs, productivity, and staffing (D)</p> Signup and view all the answers

Nurse Maria spends most of her time developing and submitting shift schedules for 25 nurses. Which level of management does Nurse Maria operate in?

<p>Front line level (D)</p> Signup and view all the answers

The theories of Maslow, Herzberg, McGregor, and Ouchi focus primarily on what aspect of employees?

<p>Motivational theory (D)</p> Signup and view all the answers

Nurse Jake wants to become an effective leader. What action should he prioritize?

<p>Build a trusting relationship with his team (A)</p> Signup and view all the answers

Maria's clinical expertise, experience, and education are considered what type of power within her role?

<p>Expert power (D)</p> Signup and view all the answers

Ms. Reyes defines the roles and responsibilities of various nursing positions. What element of administration does this reflect?

<p>Organizing (C)</p> Signup and view all the answers

Which statement accurately describes the purpose of the chain of command in an organizational structure?

<p>Allows staff to question orders and consult with higher levels of authority (C)</p> Signup and view all the answers

After one month, Ms. Reyes and her team evaluate the implemented regulatory measures and make necessary adjustments. Which administrative function does this fall under?

<p>Evaluation (C)</p> Signup and view all the answers

Which skill is considered most crucial for Ms. Castro in performing her role as a nurse administrator?

<p>Auditing skills (B)</p> Signup and view all the answers

What is the primary role of a primary nurse in the primary nursing model?

<p>Planning and coordinating patient care from admission to discharge (D)</p> Signup and view all the answers

Which principle is most important regarding the value and satisfaction of primary nursing?

<p>The holistic approach ensures continuity of care and efficient nursing care through a therapeutic relationship (A)</p> Signup and view all the answers

In primary nursing, how many patients does the staff typically care for?

<p>A small group of patients typically 3-5 (D)</p> Signup and view all the answers

What is the responsibility of the head nurse in primary nursing?

<p>The head nurse (B)</p> Signup and view all the answers

In surgery, the doctor orders Lidocaine as a local anesthetic, but Nurse Maggie is uncertain about the dosage. What happens NEXT?

<p>Clarify the order with the doctor (C)</p> Signup and view all the answers

According to Mintzberg, which of the following is not one of the basic managerial roles?

<p>Influential role (B)</p> Signup and view all the answers

After completing the planning phase, what task do we prioritize, according to the text?

<p>establishing the organizational structure (C)</p> Signup and view all the answers

With Blake-Mouton Managerial Grid, which options is mismatched??

<p>Country club management: Low concern for people + High concern for results (B)</p> Signup and view all the answers

During a physical and verbal altercations, one nurse issues an apology. What response?

<p>Accommodation (B)</p> Signup and view all the answers

What behavior is a demonstration of a charismatic leadership?

<p>Possesses an inspirational quality that attracts followers and earns their respect (C)</p> Signup and view all the answers

Which factor does not contribute to the researchability of a proposed problem?

<p>Readability of findings (B)</p> Signup and view all the answers

Nurse A's former manager demonstrates passion and listens. What type of leadership style?

<p>Servant leader (A)</p> Signup and view all the answers

What should you not including in data analysis

<p>Names of the sample (D)</p> Signup and view all the answers

What method is appropriate for pre-post testing patients?

<p>Descriptive (D)</p> Signup and view all the answers

What is essential for categorization?

<p>Categorize the collected data (D)</p> Signup and view all the answers

Nurse Maria oversees what staff may face with this control?

<p>She may find it difficult to maintain direct supervision of her staff. (D)</p> Signup and view all the answers

What element for Reyes does their activity fall under?

<p>Planning (C)</p> Signup and view all the answers

Is this the correct statement related to compassion as a technique?

<p>Expressing appreciation (A)</p> Signup and view all the answers

A function is explained within nursing, which statement is incorrect?

<p>It enhances nurse-patient interaction. (D)</p> Signup and view all the answers

Regarding messaging, what is appropriate?

<p>Sender (C)</p> Signup and view all the answers

What type of care model is likely to fragmented

<p>Patient care becomes fragmented, reducing holistic care (D)</p> Signup and view all the answers

What should a supervisor do to fix a supervisor's discussion?

<p>Reschedule the discussion for a later time. (B)</p> Signup and view all the answers

If a communication helps trends. What response is appropriate?

<p>Cultural diversity (A)</p> Signup and view all the answers

What is it called what the lead nurse oversees a group of nurses is called?

<p>Team nursing (D)</p> Signup and view all the answers

What communication is physical?

<p>Kinesthetic (D)</p> Signup and view all the answers

What should you implement regarding all aspects of care during a shift?

<p>Total patient care (C)</p> Signup and view all the answers

If the unit is organized approproately, what actions does the manager do?

<p>The primary nurse is responsible for care planning, while associate nurses carry out the plan (C)</p> Signup and view all the answers

One key was advatnage, with care for many patients.

<p>Accountability (A)</p> Signup and view all the answers

Flashcards

Wide span of control

When a nurse manages many staff, it can cause difficulty in overseeing everyone effectively.

Close supervision

Close monitoring, especially to junior staff.

Planning Definition

Establishing objectives and a philosophy to guide actions.

Management Goal

To achieve the organizational goals of each department

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Effective leadership

How to build trust

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Expert Power

Power from experience and expertise.

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Organizing

Defining roles and responsibilities.

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Organizational structure

Communication between staff and higher levels of authority

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Evaluation

Administrative function to review

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Continuing process

meeting the process meets goals & targets

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Crucial Management Tasks

among all various management tasks are Decision Making & Communicating

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Primary nurse

Plans & coordinates patient care from admission to discharge

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Associate nurse

Responsible for overall care of patient during primary nurse off days

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Leadership in primary nursing

Head Nurse

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Primary nursing

Small group of typically 3-5 pt.

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Basic managerial roles

According to Mintzberg there roles are Interpersonal, Informational, and Decisional roles

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Effectiveness of pre-op

Review existing literature on topic

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Leadership styles

Possesses an inspirational quality that attracts followers

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Which Factor does NOT contribute to the researchability?

Readability of findings

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When Nurse A demonstrates passion for serving followers

Servant Leadership

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What should NOT be included in research table?

Names of the sample

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The statement “You are so kind & considerate”.

Expressing appreciation

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Initiating the message

Sender

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Principles of communication

Cultural Diversity

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Nurse Supervisor Carla care model

Team Nursing

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Decentralized structure

Tall organization

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Coordinating patient diet

Charge nurse/Head nurse

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Type 2 DM scheduled

Consult with dietician/nutritionist

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NOT a characteristic of delegation?

Supervising employees in all their duties

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Newly hired nurse

Assign him a mentor

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conflict?

Leadership approach that is widely accepted

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Except which...

Allowing only positive feedback

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Employee evaluation

Review job description & performance criteria

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NOT a well-designed performance evaluation tool

Universally accepted

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Measure care quality

Task analysis & Quality assurance

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Assess nursing production

Employee performance review

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Feedback details?

Narrative Evaluation

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Outline task management

Gantt chart

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Study Notes

  • Nurse Maria manages 25 staff, which can lead to difficulty in supervising staff because of the wide span of control.
  • Nurse Jake uses close supervision due to a narrow span of control.
  • Ms. Reyes, working in a 50-bed hospital, is engaged in planning actions and philosophy elements.
  • Management is synonymous with achieving the organizational goals of each department.
  • Nurse Maria and Nurse Jake represent different types of management at the frontline level.
  • Trust-building is key to becoming an effective leader.
  • Clinical expertise and experience allows for the use of expert power.
  • Ms. Reyes defined roles and responsibilities for organizing.
  • Organizational structure allows staff to question orders and consult with higher levels of authority.
  • Ms. Reyes performs administrative function at the evaluation stage after one month.
  • A continuing process meets goals and targets through continuous re-evaluation and assessment.
  • Ms. Castro considers decision-making and communication skills the most crucial management tasks.
  • Plans and coordinates patient care from admission to discharge is the primary responsibility of a primary nurse.
  • Associate nurses are responsible for overall patient care during primary nurses' days off.
  • Head nurses are responsible for leadership in primary nursing.
  • In primary nursing, nurses are typically responsible for small groups of 3-5 patients.
  • An influential role is NOT among Mintzberg's basic managerial roles; interpersonal, informational, and decisional roles are.
  • Review existing literature on the topic when planning a study on the effectiveness of pre-op to reduce pain medication use.
  • Following the planning phase, nurse Marc will establish the organizational structure, staff the unit, delegate tasks, schedule, supervise, develop job descriptions, and communicate task.
  • Posesses an inspirational quality that attracts followers best describes the leadership styles of a chief nurse.
  • Readability of findings does NOT contribute to researchability.
  • Servant leadership appears when a former manager demonstrates passion for serving followers.
  • Names of the sample should NOT be included in a research table.
  • Descriptive research methodology describes effectiveness.
  • Categorizing the collective data will significantly aid in the analysis of research data.
  • "You are so kind & considerate" expresses appreciation.
  • In communication, the sender is initiating the message.
  • Cultural diversity help nurses to adapt the principles of communication
  • New care models involve the team nursing system under Nurse Supervisor Carla.
  • A Tall organization is NOT compatible with a decentralized structure.
  • For a patient with a nut allergy, charge nurses or head nurses are responsible for coordinating the patient's diet.
  • Consult with a dietician/nutritionist when dealing with a patient with type 2 diabetes scheduled for thyroidectomy who is drinking aloevera juice.
  • Supervising employees in all their duties is NOT a characteristic of delegation.
  • Assigning him a mentor is vital for Newly hired nurse Jacob in the ER dept., until he can work independently.
  • Leadership approach that is widely accepted is NOT a common cause of conflict in an organization.
  • Allowing only positive feedback needs to shift from the role of head nurse mediating conflict between people.
  • Review the job description & performance criteria first when scheduling an employee evaluation.
  • A well-designed performance evaluation tool is not always universally accepted.
  • Task analysis & Quality assurance method is commonly used to measure nursing care quality.
  • An employee performance review is the most effective tool for assessing nursing performance and productivity.
  • Narrative evaluation occurs when a staff nurse write detailed feedback
  • A Gantt chart outlines tasks and assigns deadlines for project management.
  • A rating scale is an evaluation form uses likert scale.
  • Anecdotal report is a nurse document observation on co-workers technical skills & teamwork ability
  • Self-actualization is NOT part of McClelland theory
  • McClelland theory of basic needs consists of Achievement, Power, & Affiliation) Self-actualization is part of Maslow's Hierarchy of needs
  • Primary focus is Belongingness in Maslow's 3rd level of needs.
  • The 3rd level of Maslow's Hierarchy of needs consist of "Love and Belongingness."
  • Leadership theory takes humanistic approach & motivation, Theory Z.
  • A nurse supervisor prepares an operating budget for daily operation.
  • Henri Fayol developed the 14 principle of management.
  • Hospital administrators creates contingency plans for unexpected emergencies.
  • 65 RNs are needed in a tertiary hospital with a total of 270 beds.
  • A primary hospital with 60 beds calculates 44.347.5 annual nursing care hours required.
  • Duty of the nurse is 40 hours per week.
  • Span of control refers to the number of subordinates.
  • When illustrating organization structure, Unity of control/Unity of command is NOT essential
  • 100 bed capacity requires 40 hour week law mandates employee minimum
  • 98-99 defines the curriculum of AHSE
  • The overall BSN excludes camaraderie.
  • Board Recognizes specialty organizations is embodies in RA 9173.
  • Non-maleficence occurs if Nurse Antonia a DM client, provides too hot soak clothes to a patient could damage the patient further.
  • Nurse Anthony's Interrogation depends on veracity.
  • Autonomy is respecting the patient's decision.
  • Accessory is loss of injected epi in patient's death
  • Consummated is the action of a nurse administering Higher lanoxone dose (Intentional)
  • Negligence is IV Therapy, while the Nurse is busy..
  • Theft occurs when medication box has no medication, but another patient has and gets meds.
  • The first official nursing law in Philippines (1919) was Act of 2808.
  • The first official Board exam of nursing took place in 1920
  • 3 years of experience is clinically mandatory.
  • Objecting a doubtful doctors order is not a ground for revocation of license,.
  • Code of ethics, does not have a legal guarantee for correct characteristics.
  • Legal documents are needed for Jusrisdiction
  • The answer is license
  • Validate/Verify the doctors order when noticing double calcium channel blockers while preparing meds.
  • Profession is an occupation or calling requiring advanced training
  • Except the ASEA Curriculum nurses must have professional preparation
  • Legal document given by the Government is a license
  • To be a nurse one must qualify to have a masters.
  • The Scope of nursing practice is embodied in nursing.
  • Soft nursing practice requires one to be competency professional
  • When there is Therapeutic milleu there are Florence Nightingale
  • Philippine Nursing Act lists what does not requires further training. Excluding; Suturing of perineal lacerations
  • Excluding suturing of perineal lacerations for acts without further training in Philippine Nursing Act.
  • In every certificate of Registration, Board Examination Rating is required.
  • An applicant has resided atleast 3 consecutive years under Sec.20 of RA9173
  • Delegation: Transfer of task responsibility. Reasons not to delegate:
  • It is NOT an opportunity to transfer one's accountability to a task.
  • Leadership Theory: Trait theory is leadership styles suggests that a few people are born with the necessary characteristics to be a great leader.
  • Leadership Styles: Autocratic leadership is most suited when conducting triage.
  • Staffing Methods: Team nursing is a method where Tasks are divided among the nursing staff. -Ex: One nurse takes vital signs, another administers medication, and another does documentation.
  • Leadership: Leaders may or may not have official appointments.
  • Planning: Strategic planning is the long-term planning.
  • Delegation: Taking CVP can be delegated to the nursing aide when the patient is stable
  • Patient Assignment: Float nurses shouldn't be assigned::A 4-year-old with VSD following cardiac catheterization.
  • Research Method: Quantitative research is rooted in the measurement of quantity or amount.
  • Research Variables: A research hypothesis is defined as a testable statement of a potential relationship between two or more variables.
  • Research Design: Research design is the blueprint of research work .
  • Research design: Long-term research the longitudinal research approach deal with.
  • Definition (COVID-19): Constructive definition defined Illness caused by a novel coronavirus is defined as COVID-19.
  • Research Study: Significance of the study is part of the study mentioned that COVID-19 lockdowns can significantly decrease students' psychological well-being.
  • Research Variable: COVID-19 lockdowns it the independent variable.
  • Psychological well-being Dependent variable is measured Based on the study, "Effects of COVID-19 lockdowns on students' psychological well-being.
  • Nursing Research Nursing research is a systematic, objective process of analyzing phenomena important to nursing
  • Data Types: Empirical Data is Data observed by the use of the sense organs
  • Nursing Research: Main reason for improve nursing care for clients.
  • Confidentiality The researcher promised that the client's name will not be shared with anyone but some personal information be shared with the research team and sponsoring company
  • Research and Literature The most important reason for conducting a review of related literature before conducting a research study is A determination will be made about the existing knowledge in the identified problem area.
  • Nursing Research Study: The primary source of nursing research study is written by the researcher who conducted the study.
  • The primary source of nursing research study is journal wuth research article published and written by the researchers themselves.
  • Research: Mainly qualitative and based on the "effect of breast implants" in relation to the number of her suitors
  • Research analysis Quantitative helps researchers is wants to know, “What is the relationship between time spent on the simulator and operator error rate?”
  • Registration of nurses Primary purpose is to protect the health of the public
  • Citizen doctrine: Jus soli doctrine applies when a baby is born in a different country and the law in that said place makes the baby a citizen there regardless of the parents' citizenship
  • Mass oath taking ceremony is not mandatory to receive his bachelor degree in Nursing. In the same year, he took the PNLE and passed.
  • 15 units of CPD is required for a nurse to be able to renew his/her license?
  • principle of two-fold effect: While an act is morally good, a negative consequence could be an unavoidable incident.
  • A mentally-ill patient suddenly acts violently. In this case, the doctor ordered the nurses and the nursing assistants to restrain the patient depending on Epikia
  • therapy will actually be more harmful than the disease and knowing that the client will be subjected to harmful chemicals, this nurse is struggling depends on the ethical principle of Nonmaleficence
  • newley the newly hired nurse needs further teaching is if You cannot reveal information about the diagnosis unless the attending physician permits so.
  • Nurse relies on the ethical principle on Autonomy that Daria states "I don't need surgery. This will go away on its own."
  • Senior citizens are indirect contributor under the UHC Act.
  • Professional Regulation Commission is the appropriate authority to administer, implement, and enforce the regulatory powers.
  • Enforcement of regulatory policies pertains to the quasi-judicial power of the PRC.
  • The following are functions of the Professional Regulatory Board of Nursing is Conduct the licensure examination for nurses., Promulgate a Code of Ethics, Custody of all records of the Board, Implement continuing development programs, To recommend to the President persons for appointment to the Board.
  • Licensed nurses from foreign countries is not covered employed by schools/colleges of nursing as exchange professors in a branch or specialty of nursing
  • Suspension cannot exceed 4 years while revocation could be longer.
  • Correct statements that revocation may be reversed within 4 years.
  • The nurse would require further education to work with patients. A: Neglegience is the answer given when the nurse found the client lying on the floor upon assessment with a fracture noted in the left leg.
  • Elements of negligence that determine is the nurse commited negligience is: Existence of duty, A:2 and A:3 and A:4 and A:5 elements
  • Answering B- Negligence comes in when the nurse patient had a client diagnosed with osteoporosis
  • The justifying circumstance in question is when there is Self-defense
  • The doctorime that holds the hospital responsible as well as the nurse depending on the case is Respondeat superior
  • Answer- C A patient was found to die due to infection from sponges left in his abdomen. Which doctrine will apply to determine criminal liability of the surgeon? C Captain of the ship
    The court asks the physician to produce the medical record, x-ray films, and laboratory tests, this is for Subpoena duces tecum
  • The correct action that Nurse Maggie is assisting in an operation. The doctor asked for Lidocaine to be used as a local anesthesia. What is your next action? B Clarify the order with the doctor'
  • Harbizon and Myers offer a classic three-fold concept to emphasize the broader scope of Management which described as Elite class
  • A group of people that policies and management Organization
  • Chief nurse of policies -System of Autority
  • Staff nurse in hospital - Interpersonal role
  • As a job of nurse - conceptual skill
  • Nurse in Phillipines - Master's degree in Nursing
  • Management in function - i, ii, iii, iv
  • Budget goals are set - A Planning
  • Establish authority - Organizing
  • Organizational structure- Job description
  • Ms. Mendoza wants is certain - Controlling
  • The maintenance with RA 4666 Content job - D. non
  • Hospital is highest. D expert power
  • Major in difference - A
  • Theories are good in qualities - A
  • Manager of 32 - Laissez faire
  • Multiple Trauma - Antocracy
  • Medical-Under highly structure
  • Transformational leader -use right-fororms
  • Quantum is one that has - Emerged
  • Describe nurse . A
  • Authority -Leader to infleucne to others
  • Theory that is well. D. Emotional Intelligence
  • Emotinal inelligence - Compietences
  • Leadshio that is suocessfu - Trait Theory
  • Meeting manager. B- Authorcratic
  • Stable management - C
  • Does the workers- D is the answer
  • A's former is - C servent Leader
  • Notice that the - 3 leaders -B goals-inspire
  • Pthat- Giving -C -Open world -A that
  • Adminatator C Lidershi Relational D
  • Vays .C Report-D
  • Ethcal. D Hospotal. D Lierature..A Pationts... A Deter.. 2 to three... B
    Salary -B Is benefits, A Is holistic understanding.. A Not is 10.. Is A B function - C. Join -D Unable. 8 Told...B Nurse problem - B The statement -- D Hospital - C In order - B Assit B Charge. A Jacob - B S
  • C D B A A holistic...A A A C B C B A A A B D C

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