Author Question: Which has affected change in nursing care delivery systems? 1. Increased acute care client days ... (Read 89 times)

Marty · **on:** Jul 8, 2018

Which has affected change in nursing care delivery systems?

1. Increased acute care client days
2. Decreased acuity level of clients
3. Availability of registered nurses
4. Enhanced hospital revenues

Question 2

What is occurring as the traditional parallel structure found in hospitals is being replaced by service-line structure?

1. Adaptation and innovation are encouraged.
2. The medical staff has become autonomous from the organization.
3. Two lines of authority have been created.
4. Organizational structure is becoming much clearer.

Cheesycrackers · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

3
Explanation: 1. The availability of nurses has historically affected the method of client care delivery. Nursing
shortages have required nurses to be creative in caring for clients. Increased acute care days,
decreased acuity, and enhanced hospital revenues are incorrect because client days have
decreased, acuity levels have increased, and hospital revenues have been challenged.

Answer to Question 2

1
Rationale 1: Service-line structure is appropriate when environmental uncertainty is high and the organization requires frequent adaptation and innovation.
Rationale 2: The medical staff is autonomous from the organization in parallel structure. This autonomy is reduced by service-line structure.
Rationale 3: Parallel structure exists when there are two lines of authority in an organization.
Rationale 4: Organizational structure is much clearer in a parallel structure.
Global Rationale: