An accreditation visitor observes the following situations in a ...

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An accreditation visitor observes the following situations in a health care organization. Which situation would this visitor interpret and document as evidence of the shared governance type of shared leadership?
 
  1. Nurses working in groups and managing themselves
  2. Nursing leadership originating from a desire to serve and share
  3. Two nurses sharing the management role
  4. Nurses formally organized to make decisions regarding practice standards

Question 2

Which indicates the priority nursing diagnosis for handling a change made difficult by laggards or rejecters?
 
  1. Knowledge Deficit related to lack of willingness to discuss planned change
  2. Noncompliance related to lack of willingness to comply with new policy
  3. Social Isolation related to antagonistic behavior when change discussed
  4. Risk for Role Performance Alteration related to antagonistic behavior

[amanda_14]

Answer to Question 1

4
Rationale 1: Nurses working in groups managing themselves are an example of self-directed work teams rather than shared governance.
Rationale 2: Servant leadership arises from a desire to serve and share. This leadership may or may not be shared.
Rationale 3: Two nurses sharing the management role are an example of co-leadership.
Rationale 4: Shared governance is a formal process. Decision making is done by designated nurse representatives.
Global Rationale:

Answer to Question 2

2
Explanation: 1. Noncompliance is correct because noncompliance may affect client care outcomes. Knowledge
Deficit and Social Isolation are less likely to specifically affect client care. Risk for Role
Performance Alteration indicates a risk for, which means it is only a potential problem.

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TYSM

[cpetit11]

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