Which structure is reflected by the statement "Nursing practice is best determined by nurses"?
1. Hybrid
2. Shared governance
3. Matrix
4. Functional
2
Rationale 1: Hybrid structure is typical of a growing institution and consists of both self-contained units and functional units. Top administrators still make many of the decisions for the organization.
Rationale 2: Shared governance is a form of participative decision making. Nurses gain control over practice, are more accountable, and feel empowered.
Rationale 3: Matrix structure combines functional structure and product structure into one overlapping structure. The dual authority created can be frustrating and confusing. Managers and administrators make many of the organizational decisions.
Rationale 4: Functional structure is a traditional structure in which employees are grouped in departments by specialty. Most decisions are made by senior managers.
Global Rationale:
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A nurse prepares to discharge a client who has heart failure. Which questions should the nurse ask to ensure this client's safety prior to discharging home? (Select all that apply.)
a. "Are your bedroom and bathroom on the first floor?" b. "What social support do you have at home?" c. "Will you be able to afford your oxygen therapy?" d. "What spiritual beliefs may impact your recovery?" e. "Are you able to accurately weigh yourself at home?"
The nurse understands that, compared with a mature woman, the pregnant adolescent is at greater risk for:
A. thrombophlebitis. B. excessive weight gain. C. respiratory tract infection. D. pregnancy-induced hypertension.
The nurse is preparing a community presentation on family development. Which of the following statements should the nurse include?
A. The youngest child's age determines the family's current stage. B. A family does not experience overlapping of stages. C. Family development ends when the youngest child leaves home. D. The stages describe the family's progression over time.
The early studies in LMX reported that
a. After the in-groups are formed, the vertical dyads are formed b. After the out-groups are formed, the vertical dyads are formed c. The vertical dyads form the basis for in-group and out-group formation d. The vertical dyads are independent from in-group and out-group formation