A nurse has concerns about some of the practices on the hospital unit and met with the unit manager to explain these concerns. After the meeting, the nurse felt misunderstood and rebuffed by the manager
How should the nurse determine who in the organization to meet with next?
A) Consult with the hospital bureaucracy
B) Enlist the help of a union representative
C) Ask colleagues about who is most influential in the organization
D) Refer to the hospital's chain of command
Ans: D
The chain of command represents the path of authority and accountability from
individuals at the top of the organization to those at the base of the organization. The nurse
should most likely meet with the person who is above the manager in the chain of command.
The hospital bureaucracy, the union, and the persons who are informally influential are less
likely to help the nurse identify the appropriate person with whom to meet.
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