NUR4590 NUR 4590 Latest

NUR4590 / NUR 4590 (Latest 2022 / 2023)

Exam 1: Professional Identity of the

Nurse Leader – Rasmussen What is leadership? - CORRECT ANSWER The ability to inspire others to achieve a desired outcome What is management? - CORRECT ANSWER The process of planning, organizing, directing, & coordinating the work within an organization Usually possess good leadership skills Effective leaders are not always in management What is the authoritative leadership style? - CORRECT ANSWER Makes decisions for the group Motivates by coercion Communication occurs down chain of command Work output high Good for crisis situations Effective for employees w/ little or no formal education What is the democratic leadership style? - CORRECT ANSWER Includes group when decisions are made Motivates by supporting staff achievements Communication up & down chain of command Work output good 1 / 4

Good when cooperating & collaborating What is the laissez-faire leadership style? - CORRECT ANSWER Makes very few decisions, does little planning Motivation is the responsibility of individual staff members Communication up & down, or b/t group members Work output low unless informal leader evolves Effective w/ professional employees What are the differences b/t a transformational leader vs. a transactional leader?

• CORRECT ANSWER Transformational
• Leaders empower followers to assume responsibility for communal vision
• Personal development is a secondary outcome

Actional

• Focus on immediate problems
• Maintain status quo
• Uses rewards to motivate followers

What is emotional intelligence? - CORRECT ANSWER Ability of an individual to perceive & manage emotions of self & others What are the five major management functions? - CORRECT ANSWER Planning - what needs to be done, who is doing it Organizing - lines of authority, communication, decisions Staffing- adequate staff & staffing mix Directing - manager influences & motivates staff Controlling - evaluation of staff & goals to make sure outcomes are being made 2 / 4

What is critical thinking? - CORRECT ANSWER Interpretation Analysis Evaluation Inference Explanation Skills that assist the nurse to determine the most appropriate action to take - "thinking outside the box" What is clinical reasoning? - CORRECT ANSWER Process of assessing & compiling data Selecting & discarding data used on relevance Using knowledge to make decisions about client care Problem solving (part of making a decision) Mental process used when analyzing the elements of a clinical situation & using analysis to make a decision What is clinical judgement? - CORRECT ANSWER Analyze data & related evidence Ascertain the meaning of the data & evidence Determine client outcomes desired &/or achieved as indicated by EBP Decision made requiring the course of action based off a critical analysis of data when using knowledge applied to clinical situation What should be prioritized? - CORRECT ANSWER Systemic before local

• "Life before limb"
• Client in shock over client w/ localized limb injury 3 / 4

Acute before chronic

• Mental confusion, chest pain over a client w/ chronic long-term illness

Actual problems before potential future problems

• Admin of med to client w/ acute pain over ambulation of a client at risk for

thrombophlebitis Listen to clients carefully, don't assume

• Post op pain could be due to pain in another location rather than expected

surgical pain Recognize & respond to trends vs. transient findings

• Gradual deterioration of LOC/GSC

Recognize signs of medical emergencies & comps vs. "expected findings"

• Signs of increasing ICP on pt w/ newly diagnosed stroke vs. clinical findings

expected following a stroke Apply clinical knowledge to procedural standards to determine the priority action

• Timing of admin of anti diabetic & antimicrobial meds is more important than

admin of some other meds What should you think about when trying to manage your time? - CORRECT ANSWER What must be done immediately?

• Analgesics ir antiemetic admin
• Assessment of an unstable client

What must be done by a specific time to ensure safety, quality care, & compliance?

• Med admin
• Vitals
• Blood glucose

What must be done by the end of shift?

• / 4