Week 2 Topics - Sherpath Quiz Leadership
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28994
Subject
Communications
Date
Apr 3, 2024
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20
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Week 2 Topics - Sherpath Quiz
Due Mar 17, 2024 by 11:59 pm
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17 out of 20 questions answered correctly
Completed on Mar 17, 2024 9:35 pm
Incorrect (3)
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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
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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
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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
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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
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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)
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Which source of power did French and Raven identify? Select
all that apply. One, some, or all responses may be correct.
Symbolic
Reward
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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
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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
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p. 269
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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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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
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Reimbursement regulations
Complexity of patient care needs
Union contracts
Leadership styles
Budgetary constraints
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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
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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
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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
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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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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
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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.
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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
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Pilot projects
Shared governance
Transformational leadership
Evidence-informed decision-making
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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
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Virtual nursing (VN)
Artificial intelligence (AI)
Moxi
Machine learning (ML)
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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
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Organizational conflict
Process conflict
Workplace conflict
Task-related conflict
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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
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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
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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
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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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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
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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
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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
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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
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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 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
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Chapter 4, Managerial Decision-Making
Huber: Leadership and Nursing Care Management, Seventh Edition
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