The nurse is interviewing for a position in a newly opened ...

[Brittanyd9008]

The nurse is interviewing for a position in a newly opened hospital. Which observation would best indicate to this nurse that the organization follows a shared governance model?
 
  1. Among the documents provided by the human resources department is an organizational chart of the nursing department, indicating that the director is the highest-ranking member.
  2. Conversation with a staff nurse reveals that the nurse feels empowered in making patient care decisions.
  3. The mission statement of the hospital describes centralized power.
  4. A staff nurse mentions that each individual staff member has complete autonomy.

Question 2

What action should be taken by the nurse who is preparing to delegate a task?
 
  1. Assess the documentation that will need to be completed regarding the task.
  2. Review of all the patients' charts on the team.
  3. Review the complexity and skill required to perform the task.
  4. Ask the patient if having someone other than the nurse provide care is acceptable.

[DHRUVSHAH]

Answer to Question 1

2
Explanation: 1. This documents that the hospital follows the classical theory of organization.
2. Shared governance increases each nurse's influence over the organization, empowering staff.
3. This is a classical organizational model.
4. Although the shared governance model does provide some autonomy, there is also an understanding that staff is expected to collaborate and function cooperatively with both management and colleagues.

Answer to Question 2

3
Explanation: 1. The nurse will be responsible for this documentation whether the task is delegated or not.
2. This is not necessary prior to delegating tasks. The nurse is responsible for delegating the correct task to the correct person. These tasks may vary depending upon each patient's situation, but it is not necessary to review all of the charts prior to delegating.
3. These are essential components of the decision to delegate or not to delegate a task.
4. The nurse likely will have to delegate some routine care tasks in order to complete the care necessary. It is not necessary to ask the patient's permission to delegate tasks.