Leadership and Nursing Care Management 6th Edition Huber Test Bank
Chapter 13: Decentralization and Shared Governance Huber: Leadership & Nursing Care Management, 6th Edition MULTIPLE CHOICE 1. Shared governance is a model of organizational structure in which staff nurses are: a. employed to establish mutual goals with clients. b. empowered through autonomy and accountability. c. engaged in problem-solving strategies and techniques. d. equipped with evaluative thinking methodologies. ANS: B
Shared governance is a model of organizational structure in which staff nurses are empowered through autonomy and accountability. DIF: Cognitive Level: Remember (Knowledge) TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment: Management of Care 2. Decentralization occurs when: a. equipment is being purchased from approved vendors. b. hiring decisions are made at the executive level. c. power is distributed to those closest to the work of caregiving. d. supplies are distributed from one central supply area in the hospital. ANS: C
Decision-making authority rests at lower NUR INGlevels B.CinOthe M organizational framework, closer to the S T point of care, rather than being passed up through the chain of command to an executive. DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment: Management of Care 3. Which of the following statements best describes an organizational chart? a. All job positions are displayed clearly in a two-dimensional drawing. b. All outside organizations with relationships to the hospital are depicted. c. Informal and formal structures within the organization are outlined. d. It shows organizational positions and relationships in a visual representation. ANS: D
The organizational chart is a diagrammatic representation that displays “the flow of authority, chain of command, titles, and functions. DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment: Management of Care 4. Nurses’ involvement in shared governance is an important component of: a. practice models. b. Magnet recognition. c. increased reimbursement.
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