Leadership structures in health care can be centralized or decentralized. The nurse understands that she is working in a centralized structured environment when which of the following occurs?
a. All organizational decisions must be approved by the CEO.
b. Changes can be made rapidly based on immediate needs.
c. Nurses must work under a dual-authority structure.
d. Decisions can be made at the "point of care.".
A
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A In a centralized leadership structured environment, all decisions are made from the top down, usually without input from staff.
B Is an example of a decentralized environment in which decisions can be made more quickly as needed.
C Is an example of a decentralized environment in which decisions can be made more quickly as needed.
D Is an example of a decentralized environment in which decisions can be made more quickly as needed.
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