Answer to Question 1
a
a. Correct: In shared governance, committees that include administrators and direct care nurses focus on decisions related to the standard of nursing practice, and this committee structure operates concurrently with the hierarchical hospital and nursing administration structures. However, the rapid time frame required for many decisions can mean that these decisions are made by administration rather than through committees, because shared governance involves a longer decision-making process.
b. Incorrect: Shared governance is not a hierarchical model of decision making.
c. Incorrect: Shared governance does not involve government influence in decision making.
d. Incorrect: In shared governance, decisions are made by committees, so this is not a major challenge. The challenge is that this type of decision-making process takes time, and may not work well when there are time constraints on decision making.
Answer to Question 2
A, B, C, D
Your role would include acting clearly within the law at all times, knowing your legal rights, knowing
the rights of your manager, and reporting unlawful acts by the manager to the NLRB. The process
does not include demanding a salary increase or reporting unsafe nursing practice to the NLRB.
Unsafe practices of another nurse should be reported to your immediate supervisor.
Time Estimates for Specific Office Procedures Cont.
Ethical Decision-Making Model
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