Sarah determines, in partnership with her patient, that current ...

[jessicacav]

Sarah determines, in partnership with her patient, that current medications are not enabling her patient, a married account executive with fibromyalgia, to continue with her employment and family responsibilities.
 
  After searching for additional information on fibromyalgia, Sarah finds nonpharmacologic interventions that are supported through credible evidence. Sarah suggests that the patient, her physician, and she meet to discuss the medications and possible options and a plan of care for the patient's discharge. This action exemplifies which of the four historical concepts identified by Lewis and Batey? a. Authority
  b. Responsibility
  c. Communication of conflict
  d. Autonomy

Question 2

With revenue reductions and cost-saving measures, the number of managers has been reduced, which has increased the number of team leaders supervised by managers by as many as three. This change may result in:
 
  a. Decreased patient satisfaction.
  b. Increased efficiency in costs.
  c. A more positive perception of managers.
  d. Little change to manager-staff relation-ships.

[juliaf]

Answer to Question 1

A
Authority refers to the use of professional status and power to act in the patient's best interests. In this example, Sarah is using her professional status and power to set up a conference in which her patient, the prescribing physician, and she can discuss what is not working for the patient and potential options.

Answer to Question 2

A
When a span of control becomes too large, supervision can become less effective, which can have a negative effect on staff-manager relationships and on the overall quality of patient care.