The New Leadership Challenge ; Creating the Future of Nursing 6th Edition by Grossman - Ch. 1-11, 9781719640411, with Rationales
The New Leadership Challenge ; Creating the Future of Nursing 6th Edition by Grossman - Ch. 1-11, 9781719640411, with Rationales
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Test Bank: The New Leadership Challenge ; Creating the
Future of Nursing 6th Edition by Grossman - Ch. 1-11,
9781719640411, with Rationales
Leadership occurs when influencing others to - ANSWER: act
Manager roles: Authority - ANSWER: Official power given by organization to direct work of others
Conveyed through leadership action
Manager roles: accountability - ANSWER: Ability and willingness to assume responsibility and
consequences
Authoritarian Leadership - ANSWER: Makes the decisions for the group
Directive, autocratic, or bureaucratic
Negative connotations
Democratic Leadership - ANSWER: Participative leadership
Leader
Acts as a catalyst or facilitator
Seeks participation or consultation of subordinates
Actively guides the group toward achieving the group goals
Provides constructive criticism, offers information, makes suggestions, asks questions
Drawback of democratic leadership - ANSWER: not everyone will be pleased by the chosen outcome,
not everyone loves having the option (they want to be told), there is less deadline meeting than
authoritairan
Laissez-faire Leadership - ANSWER: Non-directional leadership
Minimal participation
Group's members act independently of each other
Boss comes in and says good morning, goes into office and doesn't do anything else
Con: every group needs a leader to spearhead things and get things going and motivated
Situational Leadership - ANSWER: Levels of direction and support vary depending on the maturity of
the group
Value placed on accomplishment of tasks and on interpersonal relationships
Leadership style changes based on task, urgency, and individual needs
Charismatic Leadership - ANSWER: Emotional relationship between the leader and group members
Inspires other by obtaining emotional commitment
Followers have faith and belief in leader's abilities
Transactional Leadership - ANSWER: Traditional manager focused on the day-to-day tasks of achieving
organizational goals
Relationship is based on exchange for some resource valued by the follower
Transformational Leadership - ANSWER: Emphasizes the importance of interpersonal relationships
Leader serves as a role model who encourages and empowers team members to achieve team and
personal goals
Vital in creation of healthcare system that embodies community well-being, basic care for all, cost-
effectiveness, and holistic nursing care
, Caring Leadership - ANSWER: An extension of transformational leadership
Good management is a matter of love
Proper management involves caring for people, not manipulation
Servant Leadership - ANSWER: Based on the desire to serve first; then conscious choice brings one to
aspire to lead
Leader and followers work together to attain desired goal; decision making is shared
Nursing Delivery Models: Total Patient Care - ANSWER: Case method
Earliest model of nursing care
Private-duty nurses
Client-centered
Client has consistent contact with one nurse during shift
-continuity of care
-This may be typical approach with most medical-surgical units—everything from assessment to
medication admin to assist with ADLs to communication with provider to d/c teaching
Problems with Total Patient Care - ANSWER: -patient newly diagnosed with diabetes: if the nurse
doesn't know anything about it then that patient won't be well taken care of
-if the nurse has too many patients with complex illnesses then they will be overloaded
- Level of nursing practice needs to be assessed before nurses are assigned to patients
Nursing Delivery Models: Functional method - ANSWER: Evolved from concepts of scientific
management
Focuses on jobs to be completed
Task-oriented approach
-Consider an Emergency Room setting or a surgical area
Nursing Delivery Models: Team nursing - ANSWER: Individualized nursing care given to clients by a
nursing team led by a professional nurse
Members include RNs, LPNs, nursing assistants
Responsible for coordinated nursing during a shift
Emphasizes humanistic values and individualized client care at a personal level
Nurse leader motivates employees
-The RN-LPN-tech all have the same patients assigned..."B hall" or 310-319...a block of rooms
Nursing Delivery Models: Primary nursing - ANSWER: A system in which one nurse is responsible for
total care of a number of clients 24 hours a day, seven days a week
Provides comprehensive, individualized, and consistent care
Associates provide care, but the primary nurse plans and coordinates care
-Use more with stable patient population, long-term care
Nursing Delivery Models: Interdisciplinary team model - ANSWER: Team consists of all disciplines
required to provide quality care to client
Each team member brings expertise to help client achieve quality outcome
All members focus on client's needs and collaborate to meet those needs
- Think about grand rounds where all the disciplines are represented (Md, PT, Nutrition, home care,
RN, etc.)
Problems with: Functional method - ANSWER: they have fragmentation of care, different nurse in
every area but nurses only know their specialty (someone forgets to do something then it never gets
done bc the next person assumes the last person did it)
Problems with: Team nursing - ANSWER: some teams won't work well together and won't get work
done
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