Leadership Exam 1

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Leadership Exam 1
2011-01-31 22:40:25
Nursing Leadership

NUR 880
Show Answers:

  1. Define Autocratic Leadership
    make decisions without consulting anyone
  2. Define Democratic Leadership
    • involve people in their decisions, even if they
    • make decision
  3. Define Laissez-Faire Leadership
    • leader is not usually involved in decision
    • making. Other parts are capable and
    • motivated to make decisions
  4. Define Participative Leadership
    • makes max use of participative methods, engages
    • people in making decisions and work well at all levels
  5. Define Exploitative Leadership
    • the leader uses threats and other fear-based methods to
    • achieve conformance
  6. Define Benevolent Leadership
    • the leader is concerned for people and forms a
    • benevolent dictatorship. Rewards and performance is praised. Decisions delegated but most by leader
  7. Describe Trait Theory
    • People are born with inherited traits
    • Some traits are particularly suited to leadership
  8. Describe Weber’s Bureaucracy and Authority
    • Traditional- determined by power
    • Rational- regulation. Legal
    • Charismatic- personality
    • Rules based on division and accomplishment,
    • hierarchy
  9. Describe Transformational Leadership
    • People will follow a leader who inspires them
    • Has vision and passion, maintains personal integrity
    • Injects enthusiasm and energy
  10. Describe Collective Leadership
    Property of a social system, can occur anywhere, is a complex process of mutual influence, is within everyone's grasp, is only one factor influencing organizational performance, and is viewed in context
  11. Describe Scientific Management
    • all about numbers, research
    • efficiency, best use of resources
    • Depersonalizes- gets rid of the relationship
  12. Describe Hawthorne effect
    • improve work when you know people are watching
    • you
  13. Describe McGregor’s X & Y
    • X- bad people, innately lazy, must be threatened or at risk because people are evil.
    • Y- good, people are efficient, want to succeed, “people are good at heart” theme.
    • Both come from social sciences
  14. Discuss Ethical Principles Autonomy
    • right to choose care
    • People who don’t have are children and people deemed unfit
  15. Discuss Ethical Principles Beneficence
    • do good, avoid evil.
    • Do what is best for the patient
  16. Discuss Ethical Principles Non-malfesance
    • first doing no harm.
    • Ex. End of life care- does the treatment cause more harm than good
  17. Discuss Ethical Principles Utility
    • act results in as much good as other alternatives.
    • Ex. Coercion to prevent suicide.
  18. Discuss Ethical Principles Justice
  19. Discuss Ethical Principles Veracity
    always telling the truth
  20. Discuss Ethical Principles Fidelity
    keeping promises
  21. Discuss Ethical Principles Confidentiality
    legal implications
  22. Resolution of Ethical Dilemmas
    • Get the facts
    • Who is affected
    • What are the options
    • Test your decision
  23. Nursing Tort Law
    • A wrongful act committed against a person or property in absence of contract
    • Unintentional: negligence (omission or commission)
    • Intentional: assault, battery, false imprisionment, intentional infliction of emotional distress, client abandonment
  24. Interpret Malpractice Defenses: Contributory Negligence
    • Clients are not allowed to receive money if they contributed to the injury
    • Ex. they caused the injury
  25. Interpret Malpractice Defenses: Comparative Negligence
    • Based on the percentage of fault (nurse, physician, client)
    • all at risk
  26. Interpret Malpractice Defenses: Assumption of Risk
    If a listed complication occurs after informed consent, the client has assumed that risk
  27. Interpret Malpractice Defenses: Good Samaritan Act
    Protected in emergency situations when care is given according to established guidelines and was within scope of education/ practice
  28. Interpret Malpractice Defenses: Unavoidable Accident
    Accidents happen without contributions from HCPs
  29. Interpret Malpractice Defenses: Defense of the Fact
    • Nurses followed standards of care
    • Standards of care that weren't followed did not result directly in injury
    • Ex. dobholf in chest
  30. DNR orders
    • Legally separate from advanced directives
    • Process of the decision and the specifics of that status should be documented
    • DNR status should be communicated and looked up every shift
  31. Kohlberg’s Moral Development Theory: Preconventional
    • Avoid punishment, defer to power (external)
    • Doing what is satisfying to self or reciprocal sharing
  32. Kohlberg’s Moral Development Theory: Conventional
    • Behave so others will approve (don't rock the boat)
    • Maintain status quo
    • (Do what society thinks is right)
  33. Kohlberg’s Moral Development Theory: Postconventional
    • Contracts with clients about care
    • Acts based on universal ethics
    • (How I believe, this is whats right)
    • (Advocacy)
  34. Stress & Stages of Burnout
    • Stress is all about perception
    • Honeymoon- high expectations
    • Balancing Act- cannot be entire life
    • Chronic Sx- physical problems, start calling in
    • Crisis- H/A, tired
    • Enmeshment- CHRONIC mental or physical illness
  35. Role Conflict/Transition
    • Others expectations different from yours
    • Letting go- of the old role
    • Tuning in- into the new role, be aware of expectations
    • Mastering environment- become informed (polices, heirarchy of mgt)
    • Using prior skills- bedside manner
  36. Bandura’s Social Cognitive Theory
    • "I can do this"
    • Must have incentives- salary
    • Must have the resources- environmental
    • Must not have social contraints- family structures have an influence
  37. External vs. internal motivators
  38. Horizontal violence
  39. The 10 Rules of successful communication
    • Use Small Words
    • Use Short Sentences
    • Credibility is as important as Philosophy
    • Consistency Matters
    • Novelty: Offer Something New
    • Sounds & Texture Matter
    • Speak Aspirationally
    • Visualize
    • Ask A Question
    • Provide Context & Explain Relevance