HESI 101 Nursing Leadership = Everything (Final) Complete!
HESI 101-RN Leadership Final Exam-with -2026-2027
Nursing LeadershipÂÂ
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1. #1 thing to remember about negative feedback
2. 2 biggest/worst actions that lead to malpractice lawsuits
3. 2 out of 3 people leave a job because of this
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Unsatisfactory work must be acknowledged and discussed
Altering/falsifying a medical record, violation of an internal or external standard of practice
Ineffective/incompetent management
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4. 2 types of change Planned/Managed, Unplanned/Reactive
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5. 2 types of resistance to change
6. 2 ways to be an emotionally stable leader
7. 3 qualifications for RN licensure in the USA
8. 3 quality behaviors of effective nurse managers?
9. 3 stages of lewins theory of change
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Active resistance and passive resistance
1. Recognize and understand your own emotions, learn to manage them, stay calm and clear headed.
2. Listen to others, perceive unspoken concerns, acknowledge others perspectives, helpful
Graduate from an approved RN program, english language proficiency, disclosure of criminal convictions
Interpersonal, decisional and informational behaviors along with leadership, business sense and clinical expertise
Unfreeze(take out of comfort zone), Change(discomfort), Refreeze(new comfort zone)
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10. 3 types of liability Personal, vicarious, employer/corporate
11. 4 stages of burnout 1. high expectations and idealism, 2. pessimism
and early job dis , 3. withdrawal and isolation 4. irreversible detachment and loss of interest
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12. According to JCAHO what is the reason for a large number of sentinel events that occur?
13. According to Rogers what are typical
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Communication deficits among health care providers
innovators, early adapters, early majority, late majority, laggards and rejectors.
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responses to change?
14. Advice for giving feedback
15. AKA - Bottling emotions (inappropriate way of dealing reality shock)
16. These are activities that an RN may NOT delegate
17. These are clinical protocols involving all disciplines
18. These are established guidelines for the nursing profession to ensure quality of care
19. are influenced by values
20. These are non life essential values (things, people, ideas, kindness, and understanding)
21. These are offenses committed against state laws
22. These are organized thoughts about why people exist in the universe
23. Behaviors at risk for violence
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Give both negative and positive, give immediately, give frequently, give negative feedback in private, base it on observed behavior, include suggestions for change.
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Initial and follow up assessments, decisions and judgements about client plan of care, interventions that require professional RN knowledge or skills, decisions/judgements needed to evaluate care
Critical pathways
Nursing Standards
Choices Extrinsic values
Criminal acts
Beliefs
History of violent behavior, delusions paranoia suspicion, aggression, threats, rapid speech, anger, stiff posture, clenched fists, ETOH/drug
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use, male or youth, unrealistic policies/procedures
24. Causes of reality shock Culture shock (expectations distorted with
reality), incongruent school values and work values, lack of support, lack of a mentor
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25. Choices to resolve conflict
26. Common actions leading to malpractice lawsuits
27. Common causes of negligence
28. Common mistakes made during change implementation
29. The CQI program evaluates what 3 things?
30. Describe the traditional organizational structure
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Avoid it, accommodate, compete, compromise, collaborate
Fail to assess properly, fail to report changes in pt status, fail to document, fail to obtain informed consent, fail to report co-worker negligence, fail to provide adequate education * TWO BIGGEST* Altering/falsifying a medical record and Violation of an internal or external standard of practice
Client falls, equipment injuries, failure to monitor, failure to communicate, medication errors, medical errors
Failure to make need for change clear, unclear goals, too little time, poor leadership, insufficient coordination of the change process, insufficient education, dismissing complaints
1.Structure within which care is given, 2. the process of giving the care 3. the outcome of that care
Tall and narrow chain of command - Employees ranked top to bottom with the number on bottom greater than the top, authority is at the top only, power is distributed, communication is a challenge because of all of the layers of power
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31. Dont's of feedback Focus on negatives, let personalities intrude, be
vague, play favorites, correct people publicly
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32. Do's and Don'ts for managing diversity
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Do - recognize it, value it and develop support for it, Ensure fairness, make all of the above part of your philosophy. Don't- pretend all are alike, expect everyone to conform, seek quick solutions, develop different performance standards, expect one workshop/meeting to solve it.