NUR 195 Exam 2 Study Guide
Exam 1 Recap:
Autocratic leaders – retains all authority and responsibility and is primarily concerned with
tasks and goal accomplishment. Assigns clearly defined tasks and establishes one-
way communication. Good for crisis and code situations.
Democratic leaders – A people-centered approach that allows employees to participate in
the decision making process. Emphasis is on team building and collaboration. Best
type of leadership for mature employees who work well in a group.
Laissez-Faire leaders – Free-run or permissive leadership that allows employees to “do
their own thing” Seldom works in a healthcare setting due to the complexity of the
work environment.
Situational leaders – Takes into account the style of the leader, the group being
managed, and the situation at hand. Style is flexible based on the needs of the task.
This style allows professional growth for the leader and the staff. Situational
leadership is best suited for a health care facility.
Transactional leaders – focus on the daily operations of an organization and develop an
exchange relationship with followers. The transaction entails rewarding followers
when they perform and correcting them when necessary.
5 Rights of Delegation
1) Right Task – ensuring that the task delegated is within the scope and ability of the
person who will be performing it.
2) Right Circumstances – Appropriate patient setting, access to available
resources, and other relevant factors.
3) Right Person – the right person is delegating the right tasks to the
right employee for performance on the right patient.
4) Right Direction/Communication – Give a clear concise description of the
task, including its objective, limits, and expectations. Ongoing
communication
among staff is essential for patient care.
5) Right Supervision – Provide appropriate monitoring, evaluation, intervention as
needed, and feedback. Personnel must feel comfortable seeking assistance
and asking questions. Accountability remains with the delegating nurse.
Exam 2 New Material:
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, Clinical Judgment – is an interpretation or conclusion about a patient’s needs, concerns, or
health problems, and/or the decision to take action/or not, use or modify standard
approaches, or improvise new ones as deemed appropriate by the patient’s
response.
Tanner ’s Model of Clinical Judgment
Noticing – Noticing is the most important piece of making an effective judgment to address
a patient issue. Once an issue is noticed the nurse immediately gathers additional
information and draws on his or her, background, including theoretical knowledge,
past experiences with similar patients as well as the relationship and knowledge of
this particular patient within the specific context of care, and ethical beliefs about
what is right in this situation.
Interpreting – Drawing on a variety of reasoning patterns to interpret the meaning of
what has been noticed.
Responding – once the patient data has been sorted and interpreted, the nurse uses his
or her interpretation to respond to the particular patient issue through one or
more nursing interventions.
Reflecting –
Reflection in Action – is the understanding of patient responses to nursing actions
while care is occurring. Through observations and interactions with the patient, the
nurse determines patient status and adjusts care accordingly.
Reflection on Action – consideration of the situation after patient care occurs. The
nurse contemplates a situation and considers what was successful and what was
unsuccessful. This is critical for development of knowledge and improvement in
reasoning.
Health Care Quality
Health Care Quality – is the degree to which health services for individuals and
populations increase the likelihood of desired health outcomes and are consistent
with current professional knowledge.
Attributes of Health Care Quality
➢ Safe – care to be delivered correctly without error
➢ Effective – integration of curative and preventative services and refraining from
providing services to those who are not likely to benefit
➢ Timely – refers to reducing wait time for health care delivery services
➢ Patient-Centered Care – is care that is responsive to individual patient preferences,
needs, and values and ensures that these considerations guide all clinical decisions.
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