HESI Leadership and Management Study Guide 2023

HESI Leadership and Management Study Guide 2023 1 Who should explain a surgical procedure to a pt? RN should make sure that the operative permit is signed and on the chart. It is NOT the RN's responsibility to explain the procedure to the client. Good Samaritan Act? Means of protecting a nurse when he or she is performing emergency care If the nurse carries out a provider's prescription that she is not prepared for and does not inform the provider about her lack of preparation? The nurse is soley responsible for any damages. If nurse informs provider of her lack of preparation in carrying out a prescription and carries out the prescription anywa? The nurse and the physician are liable for damages Can the nurse alter the prescription dosage of drug? NEVER. Nursing judgement cannot be substituted with medical judgement. If she believes the dosage is wrong, she should inform the health care provider, record the response of the provider, inform the nursing supervisor, refuse to carry out wrong prescription. What should a nurse do if she believes a provider's prescription is made with poor judgement? - i.e. she doesn't believe the pt needs a tranquilizer. Record that the health care provider was notified and that the prescription was questioned. Carry out the prescription as ordered. Nurse Practice Acts govern policies related to making assignments. Ie for a sterile dressing change: Should be done by an RN or LPN-licensed practical nurse, who has been checked off this procedure. What does assertive communication start with? "I need" rather than "you must" Motivation comes from within an individual. What can a nurse leader provide? Nurse leader can provide an environment that will promote motivation through positive feedback, respect, and seeking input. Look for responses that demonstrate these behaviors. What kind of style does effective leadership require? Assertive communication=democratic/participative. Does not require passive=laissez faire/permissive or aggressive= authoritative/autocratic. HESI Leadership and Management Study Guide 2023 2 What are characteristics of nursing manager? 1) Authority 2) accountability 3) responsibility 4) leadership 5) commitment to quality. What are the skills of nursing manager? 1) Communication- act as liaison between clients and others. Engage in conflict resolution 2) Organization- review management outcomes and plan overall strategies to address client problems. 3) Delegation- identify role/responsibilities of health care members of the team. 4) Supervision- supervise care provided by others. 5) Critical thinking- serve as resource person to other staff When delegating to the right person, what qualities should the nurse be aware of of the delegetee? documented Appropriate: 1) education 2) training 3) skills 4) experience 5) demonstrated and competence Do UAPS generally perform invasive or sterile procedures? No RN is accountable to adhering to the 3 basic aspects of supervision when delegating to other health care personnel such as LPN's, graduate nurses, inexperienced nurses, student nurses, UAP's. What are 3 aspects of supervision? 1) Direction and guidance 2) Evaluation/monitoring 3) Follow up. Nurse process: Assessment, analysis, diagnosis, planning, evaluation, and any activity requiring nursing judgement- may not be delegated to UAP. Where do delegated activities of the nursing process fall under for a UAP? Under the implementation phase of nursing process. HESI Leadership and Management Study Guide 2023 3 How should nurses prioritize on which patient see assess first? 1. Which patient is most critically ill? 2. Which client is more likely to experience a significant change in condition? 3. Which client requires assessment specifically by an RN. What are high priorities when assigning rooms for clients? Infection and safety. Must analyze the desired outcomes. Should be based on the nurses abilities, the individual client's needs, and the needs of the entire group of assigned clients. Client with infection? Should not share room with immuno-compromised or surgical patient. Lewin's Change Theory: Unfreezing Moving Refreezing Unfreezing: initiation of change. Moving: motivation toward a change Refreezing: implementation of a change Change causes anxiety. What does an effective nurse do? Uses problem solving skills to recognize factors such as anxiety that contribute to resistance to change and uses decision making and interpersonal skills to overcome that resistance. Interventions that demonstrate these skills include: seeking input, showing respect, valuing opinions, and building trust. In a disaster and bioterorrism management, nurse must consider what? Community and the individual Biologic agents? Anthrax, ricin, radiation, smallpox, botulism, pneumonic plague, sarin, inhalation tularemia, and viral hemorrhagic agents- ie ebola. 3 levels of disaster management: Disaster preparedness, disaster response, disaster recovery Levels of prevention in disaster management? Primary: develop disaster plan, train rescue workers in triage and first aid, educate personnel about shelter management, educate public. Secondary: Triage, treatment of injuries, tx of other conditions like mental health, shelter supervision.