In the Unity Healthcare organization, decisions, including those at the unit level, are made by a group of senior executives. Rules for employees are clear, and nursing care is delineated by pro-cedures and protocols. This exemplifies:
a. Transformational leadership.
b. Transactional leadership.
c. Bureaucratic organization.
d. Chaos theory.
C
Organizational structure refers to the organization of a work group, rather than to its leadership, and includes where decisions are made and what the relationships are between groups. In the example given, power is centrally located, with all decisions regarding policies and procedures flowing from this central location, which is characteristic of bureaucratic organizations.
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The nurse clarifies that the antibiotic given to the patient with a cold is to:
a. cure the cold. b. reduce the symptoms. c. prevent a secondary bacterial infection. d. protect the immune system.
The rectovaginal examination is an important component of the total pelvic examination because it:
a. is the most direct cervical examination route. b. is a more comfortable examination for the posthysterectomy patient. c. is an alternate source for cytology speci-mens. d. allows the examiner to reach almost 2.5 cm higher into the pelvis.
The use of which one of the following nonsteroidal anti-inflammatory drugs is associated with the development of central nervous system adverse effects?
a. aspirin c. diclofenac b. indomethacin d. ibuprofen
The midwife performs a vaginal exam and determines that the fetal head is at a -2 station. The nurse knows that birth:
1. Is imminent. 2. Is likely to occur in 1–2 hours. 3. Will occur later in the shift. 4. Is difficult to predict.