A health care organization characterized by clear, precise rules for employees, nursing care delineated by procedures and protocols, and a majority of decisions made by senior administrators is best described as:

Functional structure.

Transformational leadership.

Matrix service line.

Bureaucratic.

Answer and Explanation

The Correct Answer is D

Choice A reason: A functional structure is an organizational design that groups employees by their similar skills and expertise. While it involves clear roles and responsibilities, it does not necessarily imply that the majority of decisions are made by senior administrators.

Choice B reason: Transformational leadership is a style of leadership where the leader works with teams to identify needed change, creating a vision to guide the change through inspiration. This does not specifically describe an organization with clear rules and procedures.

Choice C reason: A matrix service line is a type of management system that combines a traditional departmental structure with a project-based structure. This choice does not fit the description of an organization primarily governed by strict rules and senior administrator decisions.

Choice D reason: This is the correct answer because a bureaucratic organization is characterized by formal procedures and protocols, a clear hierarchy, and decision-making authority typically residing with senior administrators. This structure is designed to ensure efficiency and consistency in operations.

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Correct Answer is C

Explanation

Choice A reason: Accepting the security levels as a consequence of funding realities may be seen as passive and could potentially compromise the safety of the nurses and patients. It does not address the concerns of the nurses or seek to improve the situation.

Choice B reason: Referring the matter to the head of security and letting them deal with it removes the opportunity for nurses to be informed and involved in the decision-making process, which can lead to feelings of helplessness and frustration.

Choice C reason: Providing nurses with information about the rationale for recent changes in security staffing empowers them with knowledge and may help in understanding the broader context of the decisions made, which can alleviate concerns and foster a sense of inclusion in the workplace.

Choice D reason: While providing mentors to help nurses defuse aggressiveness can be beneficial in managing difficult situations, it does not address the root concern of decreased security presence and the reasons behind it.

A. Individual expertise will be utilized to provide solutions, but responsibility for the change is shared. B. This will contribute to widespread skepticism among the staff about the probability of success. C. Accountability resides entirely with the unit manager. D. No one really has any accountability or responsibility for the changes.

Correct Answer is A

Explanation

Choice A reason: Utilizing individual expertise while sharing responsibility ensures that all team members are involved in problem-solving and that no single person is burdened with the outcome. This approach aligns with the principles of shared decision-making, which emphasize collaboration and collective accountability.

Choice B reason: Shared decision-making aims to reduce skepticism by involving staff in the decision-making process, thereby increasing buy-in and the likelihood of success. Widespread skepticism would suggest a failure in the decision-making process.

Choice C reason: In a shared decision-making model, accountability does not rest solely with the unit manager. Instead, it is distributed among all individuals involved in the decision-making process.

Choice D reason: The statement that no one has any accountability or responsibility for the changes is incorrect. Shared decision-making requires that all participants take responsibility for the decisions made and their outcomes.

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A health care organization characterized by clear, precise rules for employees, nursing care delineated by procedures and protocols, and a majority of decisions made by senior administrators is best described as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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