Author Question: Which indicates the primary reason for the addition of the clinical microsystem as a nursing care ... (Read 53 times)

rmenurse · **on:** Jul 8, 2018

Which indicates the primary reason for the addition of the clinical microsystem as a nursing care delivery system?

1. Those who deliver the nursing care make the most educated decisions for a particular unit.
2. Clinical decision making is best made by nursing leaders for all units within that particular hospital.
3. Those nurses working in particular service area are best suited to make decisions for the clients in that
area.
4. Clinical decision making is best made by the clients who are served by a particular unit.

Question 2

Which situation is an example of organizational culture?

1. Every Friday the administrator allows everyone to wear crazy hats while on the units.
2. The cafeteria opens at 7:00 a.m. for breakfast, 11:00 a.m. for lunch, and 5:00 p.m. for dinner.
3. The administration has set the time clock to count staff late if clocking in 7 minutes after the shift starts.
4. ICU nurses know to take turns covering each other's clients to facilitate eating breakfast and lunch on the day shift.

Pswine · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

1
Explanation: 1. The clinical microsystem method began to allow those who are involved in a particular unit
make the decisions for that unit. The other options are not correct as they do not describe
decision making by those on the front lines on a particular unit.

Answer to Question 2

4
Rationale 1: As this is a systemwide condition initiated by the administrator, it is an example of organizational environment.
Rationale 2: These are set rules published for everyone, including visitors, and make up part of the organizational environment.
Rationale 3: This is a systemwide rule established by administration and is part of the organizational environment.
Rationale 4: The nurses have created this system of coverage informally as part of their daily work. This is an example of organizational culture and may vary from unit to unit.
Global Rationale: