Which statement represents the type of decentralization of authority found in decision making?
1. The nurse manager of a unit needs to discuss hiring decisions with the chief
nursing officer.
2. The charge nurse has responsibility for deciding which nurses are sent home early on each shift.
3. The staff nurse discusses methods of fixing a problem with the nurse manager
prior to initiating a change in routine.
4. The nursing supervisor decides the budget expenditures for each nursing
department for the entire fiscal year.
Answer: 4
Rationale: The nursing supervisor who is responsible for the entire nursing budget is practicing centralized decision making. This requires an enormous amount of authority. The nurse manager discussing hiring decisions and the staff nurse discussing a problem with the nurse manager are examples of decentralized decision making without much authority. While the charge nurse decides which nurses go home early is an example of decentralized decision making, more authority is needed to decide budgetary issues.
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