A new director of nursing in a small rural hospital wants to make changes from the traditional model of governance to a shared-governance model
Select the characteristic below that best describes the traditional organizational structure in which a staff nurse is assigned to carry out nursing tasks for clients but is not given the chance to provide input into forming the policies and procedures by which care is delivered or the standards by which care is evaluated:
a. Bureaucratic
b. Decentralized
c. Delegated authority and responsibility
d. Delegated responsibility but no authority
ANS: D
In traditional structures, decision-making authority (right to act) is held by a centralized decision-making body, so that staff members have responsibility for certain functions but do not participate in decisions related to those functions.
You might also like to view...
The nurse manager is reviewing the collaboration continuum in preparation for presenting this information during a staff meeting. In which order, from lowest to highest, should the manager explain this continuum?
1. Referral 2. Consultation 3. Coordination 4. Co-management 5. Parallel functioning 6. Information exchange 7. Parallel communication
What type of education would be appropriate for you to provide for Mrs Afualo and her family prior to her discharge?
A 60-year-old female patient, Mrs Teuila Afualo, presents at the day surgery unit (DSU) for an open repair of an umbilical hernia at 8 am. She is of Islander background and has brought several of her family members with her. On admission, you calculate her body mass index (BMI) to be 38, note that her respirations are shallow and rapid, and that she appears to be extremely anxious. Her medical history highlights that she has type 2 diabetes, which is managed with metformin, although she tells you that she has not been diligent about taking or recording her blood glucose level (BGL) regularly. She also informs you that a ‘couple of months ago' her GP prescribed tablets to treat her cholesterol and her blood pressure but she can't remember the names of them, and her son doesn't know them either. She has not taken any of these medications prior to her admission, her reason being that she was fasting. Her BP is 160/90 mmHg and her fasting BGL is found to be 12 mmol/L. You also identify that Mrs Afualo did not attend the preadmission clinic. She explains that she could not attend because her son was not available to drive her. Consequently, she has not had a preoperative chest X-ray (CXR) or any blood tests as per her surgeon's protocols. A check of Mrs Afualo's consent form in the presence of her son reveals it has not been signed and that she is somewhat confused about her intended surgery. What will be an ideal response?
Which approach to solving missing values problems does not reduce statistical power?
a. Deletion methods b. Imputation methods c. Both approaches are the same with regard to power. d. It depends on which particular imputation or deletion method is used.
The nurse has provided the education to the parent of a young child prescribed valproic acid (Depakene) syrup. Which statement made by the parent indicates an understanding of the teaching?
A. "I should not mix this with carbonated beverages." B. "If my child gets a headache from this, I can administer a baby aspirin." C. "I can still give the clonazepam (Klonopin) prescribed by the psychiatrist for sleep." D. "I can give this on a full stomach or an empty stomach."