A nurse manager in a hospital is deeply concerned that senior ...

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A nurse manager in a hospital is deeply concerned that senior administration makes decisions about budgetary directions that affect staffing and other resources without sharing the rationale for changes or demonstrating concern as to how these
 
  changes may affect patients or staff. She says she does not feel respected and is emotionally tired as a result. This situation represents: a. Bureaucratic organization.
  b. Realities of current health care.
  c. Negative organizational culture.
  d. Quantum leadership.

Question 2

An all-hazards command center should:
 
  a. facilitate planning meetings.
  b. provide a place for the commander to sleep.
  c. be operated by an emergency department triage nurse.
  d. be located near the security department.

[JaynaD87]

Answer to Question 1

D
Organizational culture refers to the basic assumptions and values of an organization and whether they contribute to relationships and decision making that is marked by empowerment, informa-tion sharing, and truthfulness. Positive work cultures contribute to a perception of being res-pected in the work environment. Collaborative organizational cultures are essential for nurse managers to proactively work in today's complex healthcare environment in a manner that en-gages them in their work. Interpersonal relationships can be fostered with organizational designs fostering a culture of collaboration, reward and recognition, communication, and a mentoring environment.

Answer to Question 2

D
The command center usually is located near the security department and is commanded by the administrator on call, along with the chief nurse officer, emergency departmentair care medical director, and safety and security director.