A nursing group has been very successful in achieving its goals ...

[OSWALD]

A nursing group has been very successful in achieving its goals even though the group has lacked leadership. Which of the following factors is probably most responsible for the group's success in goal achievement?
 
  a. Life experience c. Informal organizational structures
  b. Extrinsic satisfaction d. Cohesive groups

Question 2

The National Council of State Boards of Nursing (NCSBN) Delegation Decision-Making Tree consists of four steps. Which of the following is not one of these steps?
 
  a. assessment of the patient, staff, and situational context
  b. planning of the context based on the delegation needs
  c. surveillance, supervision, and monitoring of the delegation to assure compliance with standards of practice, policy, and procedures
  d. evaluation and feedback to consider the effectiveness of the delegation

[johnharpe]

Answer to Question 1

D
Substitutes for leadership are variables that eliminate the need for leadership or nullify the effect of the
leader's behavior. These include cohesive groups, work experience, intrinsic satisfaction, formal
organizational structures, professionalism, indifference to rewards, routine tasks, feedback provided by
the task, rigid adherence to rules, role distance, and low position power of the leader.

Answer to Question 2

B
The National Council of State Boards of Nursing (NCSBN) developed a Delegation Decision-Making Tree as a means of providing consistent guidelines for nursing delegation of staff. The NCSBN Delegation Decision-Making Tree consists of four steps: 1) assessment of the patient, staff, and situational context, and planning of the delegation based upon the patient's needs and resources available (not planning of the context based on the delegation needs); 2) communication with the delegate to provide direction and opportunities for interaction while the task is being completed; 3) surveillance, supervision, and monitoring of the delegation to assure compliance with standards of practice, policy, and procedures; and 4) evaluation and feedback to consider the effectiveness of the delegation.