Traditionally, a hospital cuts back on registered nurse staffing ...

[joe]

Traditionally, a hospital cuts back on registered nurse staffing for budgetary reasons. The hospital chief executive officer (CEO) wanted to decrease the operating budget by reducing the number of travel nurses being used on the units.
 
  The nurse managers protested this decision loudly because they feared a resulting shortage of staff. The hospital CEO used what type of decision-making model?
  a.
  Rational model
  b.
  Bureaucratic model
  c.
  Political model
  d.
  Collegial model

Question 2

Which of the following is an example of effective decision making?
 
  a. Counseling an employee for taking off one sick day
  b. Implementing changes before explaining them to the staff
  c. Including staff from one shift to help make a decision
  d. Implementing the decision that has been made

[jackie]

Answer to Question 1

ANS: B
The bureaucratic model is based on the promises of historical norms and operating routines. This model values operational efficiency based on history and tradition. It does not recognize informal channels of communication and ignores political struggles for power.

Answer to Question 2

ANS: D
After a decision has been made, it must be implemented. A decision that is not put into action is useless.