Week 2 Topics - Sherpath Quiz Leadership

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3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 1/20 Exit Performance Week 2 Topics - Sherpath Quiz Due Mar 17, 2024 by 11:59 pm Final Score 85% 17 out of 20 questions answered correctly Completed on Mar 17, 2024 9:35 pm Incorrect (3) Report content error In which year did the American Academy of Ambulatory Care Nursing (AAACN) publish the first telenursing scope and standards of practice for telehealth nursing? 1989
3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 2/20 Rationale AAACN published the first telenursing scope and standards of practice for telehealth nursing in June 1999, which outlined six core roles for virtual nurses to embody: (1) patient education, (2) mentoring and education of teams, (3) surveillance of patient quality and safety using “real-time,” (4) admission, (5) discharge activities, and (6) physician rounding. p. 279 Report content error Which occurrence is a major contributor to medication errors? Rationale Medication preparation and administration are two processes that are particularly prone to interruption. Distraction and interruption are two occurrences that contribute to medication errors by nurses. Multitasking, not single-tasking, is associated with distraction and medication errors. A 1999 2009 2019 Frequent interruptions Single-tasking during medication preparation Decreased patient-to-nurse ratio Poor documentation
3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 3/20 stressful work environment, such as with short-staffing, which can cause an increased (not decreased) patient-to-nurse ratio, can increase the risk of an error. Poor documentation is not a potential cause of a medication error. p. 72 Report content error
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3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 4/20 Which term is best described as the decision-making that is grounded in the professional thought process? Rationale Clinical reasoning is the decision-making process based on professional thought and experience. Organizational, or managerial, decision-making is the process that is used to make decisions for groups of patients at the organizational or health system level. Clinical decision-making is the clinical judgment needed when caring for patients. Clinical judgment is the formation and evaluation of hypotheses pertaining to assessment data. p. 69 Organizational decision-making Clinical decision-making Clinical reasoning Clinical judgment Correct (17) Report content error Which source of power did French and Raven identify? Select all that apply. One, some, or all responses may be correct. Symbolic Reward
3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 5/20 Rationale French and Raven identified five bases or sources of power, which are reward, coercive, legitimate, expert, and referent. The most recent source of power has been described as capital. Different types of capital power include economic, cultural, social, and symbolic. pp. 176-177 Report content error Which nursing sensitive indicator relates to outcome? Rationale Antibiotic stewardship is one of the nursing sensitive indicators related to outcome. Nurse turnover rate and staff or skill mix are indicators related to structure. Careful listening is a patient satisfaction outcome and not a nursing sensitive indicator. Legitimate Economic Expert Nurse turnover rate Staff or skill mix Antibiotic stewardship Careful listening
3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 6/20 p. 269 Report content error Which characteristic of authority is accurate? Rationale A characteristic of authority is that its source is solely structural whereas the source of influence may be personal characteristics, expertise, or opportunity. Influence is the dynamic, tactical element of power whereas authority is the static, structural aspect of power. Influence is multidirectional; it can flow upward, downward, or horizontally whereas authority is unidirectional and flows downwards only. The domain, scope, and legitimacy of influence are typically ambiguous whereas authority is circumscribed. Test-Taking Tip: If you are unable to answer a multiple-choice question immediately, eliminate the alternatives that you know are incorrect, and proceed from that point. The same goes for a multiple-response question that requires you to choose two or more of the given alternatives. If a fill- in-the-blank question poses a problem, read the situation and essential information carefully, and then formulate your response. p. 182 Dynamic, tactical element of power Multidirectional Structural source of authority Ambiguous domain and scope
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3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 7/20 Report content error Which factor affects how health care decisions are made? Select all that apply. One, some, or all responses may be correct. Rationale The decision-making environment is the context in which decisions are made. There are many factors that affect the way these decisions are made, including the complexity of patient care needs, staff union contracts, reimbursement regulations, leadership styles, and budgetary constraints. p. 69 Report content error Reimbursement regulations Complexity of patient care needs Union contracts Leadership styles Budgetary constraints
3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 8/20 Which nursing care delivery model became the foundation for public health nursing and community service delivery? Rationale Private duty was the original way nursing care was delivered and later became the foundation of public health nursing and community service delivery. There are five traditional nursing models of care, which are private duty nursing, functional nursing, team nursing, primary nursing, and case management. p. 274 Report content error To become effective leaders, nurses need which area of expertise other than health care? Private duty nursing Primary nursing Functional nursing Team nursing Policy Productivity Promotion Partnership
3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 9/20 Rationale Nurses require expertise regarding politics, policy, and power to become effective leaders. Although it is important to understand and manage productivity and ensure promotions and partnerships as a leader, it does not need to be an area of expertise. p. 184 Report content error According to Rosenstein and O’Daniel, which result occurs due to conflict between health care professionals? Select all that apply. One, some, or all responses may be correct. Rationale According to a study by Rosenstein and O’Daniel, a conflict between health care professionals is associated with decreased providers’ attention to patient care, employee satisfaction, and morale. An increased number of patients is not due to a conflict between health care professionals. Such conflicts also do not result in increased productivity. Decreased employee satisfaction Increased turnover Increased number of patients Decreased attention to patient care Increased productivity
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3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 10/20 Test-Taking Tip: Be alert for details about what you are being asked to do. In this question type, you are asked to select all options that apply to a given situation or patient. All options likely relate to the situation, but only some of the options may relate directly to the situation. p. 185 Report content error Which strategy would the nurse manager use to improve a nurse's job satisfaction? Rationale Providing praise is an easy way for the manager to improve job satisfaction. Frequent feedback, if negative, can be disheartening for nurses who are working hard. Assuming a micromanagement leadership style and discouraging autonomous decision-making do not contribute to a healthy and productive work environment. p. 73 Provide praise. Offer frequent feedback. Assume a micromanagement style of leadership. Discourage autonomous decisions.
3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 11/20 Report content error Which term describes an organizational structure that promotes autonomous decision-making at the point of care and empowerment? Rationale Shared governance is a decision-making approach that promotes empowerment, autonomous decision-making at the point of care, and shared accountability among all layers of the organization. Pilot projects are carefully designed trials of a solution to test their feasibility. Transformational leadership is a form of leadership that inspires and motivates a team. Evidence-informed decision-making is a strategy that uses evidence to make managerial decisions. p. 74 Report content error Pilot projects Shared governance Transformational leadership Evidence-informed decision-making
3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 12/20 Which kind of innovative nursing care delivery is demonstrated by the use of a risk assessment tool that uses prescribed algorithms and data calculated in real time from medical record entries to identify patients at risk for sepsis? Rationale ML is an example of a risk assessment tool that uses prescribed algorithms and data calculated in real time from medical record entries to identify patients at risk for sepsis. The VN care delivery model uses telecommunication technologies remotely to perform patient evaluations, care interventions, and interpretation of data. In health care, AI could be used to rank various types of data, provide applicable treatment options for care providers, and deploy a virtual assistant for nurses. Moxi is the name of a robot, designed to assist nurses with mundane tasks. Due to AI integration, Moxi can learn various behavior patterns and has predictive abilities that allow for the coordination of supplies with the patient’s plan of care. p. 280 Report content error Virtual nursing (VN) Artificial intelligence (AI) Moxi Machine learning (ML)
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3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 13/20 Which kind of conflict arises when one party, whether it is an individual or a group of individuals, perceives its goals, values, or opinions are being thwarted by an interdependent counterpart? Rationale Workplace conflict emerges when one party, whether it is an individual or a group of individuals, perceives its goals, values, or opinions being thwarted by an interdependent counterpart. Organizational conflict is defined as the struggle over scarce organizational resources. Process conflict involves incompatibilities in views about how the work should be accomplished. Task-related conflict arises from the way the team is doing its job, including the pros and cons of certain task approaches. p. 186 Report content error Organizational conflict Process conflict Workplace conflict Task-related conflict
3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 14/20 Which framework or theory would be useful for the nurse leader to use to test the impact of a recently developed care delivery model that integrates greater use of digital tools and artificial intelligence on safe quality care delivery outcomes? Rationale Donabedian’s structure , process, outcome framework can help identify the impact of new care delivery on outcomes that reflect the structure of the delivery system and its impact as it is delivered and evaluated. Systems theory is focused upon the complex relationships between cohesive groups of interrelated, interdependent parts. The nursing process is a systematic approach to support patient-centered care. Diffusion of innovation theory describes how new practices (innovations) are adopted from the standpoint of the users. p. 281 Report content error Which term describes a decision support technique that uses data to build improvement models? Systems theory Nursing process framework Diffusion of innovation theory Donabedian’s structure, process, outcome framework Six Sigma
3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 15/20 Rationale Six Sigma is the term that describes a decision support technique that uses data to build process improvement models. SBAR Is a communication technique frequently used during patient care handoffs. Simulation exercises are used to practice clinical skills and verify provider competency at those skills. Shared governance is a decision-making approach that promotes shared accountability and autonomous decision-making. p. 77 Report content error Which result of conflict is considered constructive? Rationale Conflict is functional and constructive when it improves the quality of decisions, stimulates innovation and creativity, encourages interest and curiosity, allows a forum for problems and tensions to be aired and SBAR Simulation Shared governance Fosters change Encourages tension Decreases cohesiveness Encourages exclusivity
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3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 16/20 released, and fosters an environment of self-evaluation and change. Encouraging tension and exclusivity and decreasing cohesiveness are not constructive effects of conflict. p. 186 Report content error
3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 17/20 Which category is included as a process in the conceptual framework used to identify structures and processes that promote positive outcomes? Select all that apply. One, some, or all responses may be correct. Rationale The conceptual framework is frequently used to identify structures and processes that promote positive outcomes. In this framework, processes consist of two categories: clinical processes and interpersonal processes. Structures in the framework support the care delivery process and focus on how delivery of care is organized, the skill mix of the team, and the available number of care providers. p. 270 Report content error Which statement defines indirect intervention? Skill mix of the team Organization of delivery of care Care delivery process Clinical process Interpersonal process Asking another person to make the decision Working within the interprofessional team
3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 18/20 Rationale Indirect intervention encourages others to solve the problem themselves, such as using conflict management strategies when dealing with a conflict with a family member. Asking another person to make a decision describes the process of delegation. Working within an interprofessional team is known as collaboration . The process of facilitation describes the fostering of a climate that encourages creativity and interdependence. p. 77 Report content error Which report discusses the frequency of medical errors in the health care system? Rationale To Err Is Human was published by the Institute of Medicine (IOM) and highlights the number of errors that occur in the health care system. The Encouraging others to solve the problems themselves Fostering a climate that encourages creativity and interdependence The Future of Nursing To Err Is Human National Healthcare Quality and Disparities Report Informing the Future
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3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 19/20 3 topics covered Chapter 15, Professional Practice Models Huber: Leadership and Nursing Care Management, Seventh Edition You Chapter 10, Power and Conflict Huber: Leadership and Nursing Care Management, Seventh Edition Novice You Future of Nursing was also published by the IOM but discusses the need for nurses to be more involved in leadership roles in the health care system. The National Healthcare Qualities and Disparities Report is an annual report published by the Agency for Healthcare Research and Quality that discusses quality issues and health disparities in the American health care system. Informing the Future is a book published by the IOM that discusses ways to optimize the health care system in a way that is cost-efficient and effective for everyone. p. 79 Quiz me on this topic Quiz me on this topic Novice Intermediate Proficient Questions answered 6 Novice Intermediate Proficient Questions answered 6
3/20/24, 7:53 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/54178997 20/20 Chapter 4, Managerial Decision-Making Huber: Leadership and Nursing Care Management, Seventh Edition Novice You Quiz me on this topic Novice Intermediate Proficient Questions answered 8