Author Question: A long-term care facility's organization reflects a functional structure. Which facility practice ... (Read 167 times)

brutforce · **on:** Jul 8, 2018

A long-term care facility's organization reflects a functional structure. Which facility practice reflects a basic weakness in this organizational strategy?

1. The nursing department is responsible for writing the client's comprehensive care plan.
2. The dietary department is responsible for nutritional assessment.
3. All nursing tasks fall under the nursing department.
4. Physical and occupational therapy departments coordinate and evaluate activities of daily living.

Question 2

Which constitutes organizational culture?

1. All nurses know to take turns covering each others clients to facilitate eating breakfast and lunch on day
shift.
2. The administration has set the time clock to count staff late if clocking in 7 minutes after the shift starts.
3. The cafeteria opens at 0700 for breakfast, 1100 for lunch, and 1700 for dinner.
4. Every Friday the administrator allows everyone to wear crazy hats while on the units.

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

Answer to Question 1

1
Rationale 1: In functional structure, individual departments are grouped and responsible for specific tasks. A weakness of the functional structure is that coordination of services across departments is poor. Nursing would find it difficult to write a comprehensive care plan without input from other departments.
Rationale 2: In functional structure, individual departments are grouped and responsible for specific tasks. The dietary department would be responsible for nutritional assessment in this structure, so this is not a weakness.
Rationale 3: In functional structure, individual departments are grouped and responsible for specific tasks. All nursing tasks would be grouped under the nursing department, so this is not a weakness.
Rationale 4: In functional structure, individual departments are grouped and responsible for specific tasks. Physical and occupational therapy would logically coordinate and evaluate activities of daily living, so this is not a weakness.
Global Rationale:

Answer to Question 2

1
Explanation: 1. The unspoken rules of the organization make up the culture. Thus, nurses covering for each
other is the appropriate option. The other options are part of the organizational environment.