HESI 101 Nursing Leadership = Everything (Final) Complete!

HESI 101-RN Leadership Final Exam-with 100% verified solutions-2023-2024

Nursing Leadership 

1. #1 thing to remember about negative feedback

2. 2 biggest/worst actions that lead to malpractice lawsuits

3. 2 out of 3 people leave a job because of this

Unsatisfactory work must be acknowledged and discussed

Altering/falsifying a medical record, violation of an internal or external standard of practice

Ineffective/incompetent management

4. 2 types of change Planned/Managed, Unplanned/Reactive

5. 2 types of resistance to change

6. 2 ways to be an emotionally stable leader

7. 3 qualifications for RN licensure in the USA

8. 3 quality behaviors of effective nurse managers?

9. 3 stages of lewins theory of change

Active resistance and passive resistance

1. Recognize and understand your own emotions, learn to manage them, stay calm and clear headed.

2. Listen to others, perceive unspoken concerns, acknowledge others perspectives, helpful

Graduate from an approved RN program, english language proficiency, disclosure of criminal convictions

Interpersonal, decisional and informational behaviors along with leadership, business sense and clinical expertise

Unfreeze(take out of comfort zone), Change(discomfort), Refreeze(new comfort zone)

10. 3 types of liability Personal, vicarious, employer/corporate

11. 4 stages of burnout 1. high expectations and idealism, 2. pessimism

and early job dissatisfaction, 3. withdrawal and isolation 4. irreversible detachment and loss of interest

12. According to JCAHO what is the reason for a large number of sentinel events that occur?

13. According to Rogers what are typical

Communication deficits among health care providers

innovators, early adapters, early majority, late majority, laggards and rejectors.

responses to change?

14. Advice for giving feedback

15. AKA - Bottling emotions (inappropriate way of dealing reality shock)

16. These are activities that an RN may NOT delegate

17. These are clinical protocols involving all disciplines

18. These are established guidelines for the nursing profession to ensure quality of care

19. are influenced by values

20. These are non life essential values (things, people, ideas, kindness, and understanding)

21. These are offenses committed against state laws

22. These are organized thoughts about why people exist in the universe

23. Behaviors at risk for violence

Give both negative and positive, give immediately, give frequently, give negative feedback in private, base it on observed behavior, include suggestions for change.

Rutter

Initial and follow up assessments, decisions and judgements about client plan of care, interventions that require professional RN knowledge or skills, decisions/judgements needed to evaluate care

Critical pathways

Nursing Standards

Choices Extrinsic values

Criminal acts

Beliefs

History of violent behavior, delusions paranoia suspicion, aggression, threats, rapid speech, anger, stiff posture, clenched fists, ETOH/drug

use, male or youth, unrealistic policies/procedures

24. Causes of reality shock Culture shock (expectations distorted with

reality), incongruent school values and work values, lack of support, lack of a mentor

25. Choices to resolve conflict

26. Common actions leading to malpractice lawsuits

27. Common causes of negligence

28. Common mistakes made during change implementation

29. The CQI program evaluates what 3 things?

30. Describe the traditional organizational structure

Avoid it, accommodate, compete, compromise, collaborate

Fail to assess properly, fail to report changes in pt status, fail to document, fail to obtain informed consent, fail to report co-worker negligence, fail to provide adequate education * TWO BIGGEST* Altering/falsifying a medical record and Violation of an internal or external standard of practice

Client falls, equipment injuries, failure to monitor, failure to communicate, medication errors, medical errors

Failure to make need for change clear, unclear goals, too little time, poor leadership, insufficient coordination of the change process, insufficient education, dismissing complaints

1.Structure within which care is given, 2. the process of giving the care 3. the outcome of that care

Tall and narrow chain of command - Employees ranked top to bottom with the number on bottom greater than the top, authority is at the top only, power is distributed, communication is a challenge because of all of the layers of power

31. Dont's of feedback Focus on negatives, let personalities intrude, be

vague, play favorites, correct people publicly

32. Do's and Don'ts for managing diversity

Do - recognize it, value it and develop support for it, Ensure fairness, make all of the above part of your philosophy. Don't- pretend all are alike, expect everyone to conform, seek quick solutions, develop different performance standards, expect one workshop/meeting to solve it.