A new CEO has been hired at Valley Hospital who proposes to change the centralized organiza-tional structure that was put in place ten years ago, based on widespread consultation with staff
The proposed structure involves substantial flattening of the organizational structure, with sig-nificant decision making being made at the point-of-care and an emphasis on interprofessional collaboration. There is a great deal of discussion about the balance between hospital-wide budget decision making and unit-based decision making. This discussion represents: a. Chaos theory.
b. Organizational redesign.
c. Organizational reengineering.
d. Restructuring.
C
Reengineering involves a total overhaul of an organizational structure. It is a radical reorganiza-tion of the totality of an organization's structure and work processes. In reengineering, funda-mentally new organizational expectations and relationships are created. Redesign is a technique to analyze tasks to improve efficiency, and restructuring is a technique to enhance organiza-tional productivity.
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How should the nurse describe change?
1. Positive or negative, planned or unplanned 2. Prevented and managed 3. Negative, doesn't have to occur, easily managed 4. Difficult and always negative
The nurse on the 7-7 shift is assigning a component of care to an unlicensed nursing personnel (UNP) employee. The night nurse should remain:
a. Accountable. b. Responsible. c. Authoritative and liable. d. Responsible and task-oriented.
The community health nurse has just completed a presentation to a group of parents regarding drowning prevention. Which statements by the parents indicate understanding of the teaching? Select all that apply
A) "I am so glad our 6-year-old child had swim lessons. We really can't afford a fence around our pool." B) "Since we have a 16-year-old I am really concerned about supervision when our child is swimming in the ocean." C) "We always make sure our babysitter keeps her CPR training up to date." D) "It is scary to think that we have a pool and drowning is the second leading cause of accidental death in children." E) "We make sure to keep our bathroom door closed when our 10-month-old is walking around the house since the door handle is too high to reach."
When removing a gown from a patient who has a weak or paralyzed arm,
A. ask the nurse to remove the gown, to prevent injury. B. remove the gown from both arms simultaneously. C. remove the gown from the strong arm first. D. remove the gown from the weak arm first.