Decentralization occurs when:

Supplies are distributed from one central supply area in the hospital.

Equipment is being purchased from approved vendors.

High decisions are made at the executive level.

Power is distributed to those closest to the work of caregiving.

Answer and Explanation

The Correct Answer is D

Choice A reason: While supplies distribution is a logistical function, it does not necessarily reflect the concept of decentralization in the context of leader-follower relationships.

Choice B reason: Purchasing equipment from approved vendors is a procurement process and does not directly relate to the decentralization of decision-making in leader-follower dynamics.

Choice C reason: Decisions made at the executive level represent a centralized approach rather than decentralization, which involves distributing decision-making power.

Choice D reason: This is the correct answer because decentralization in the leader-follower relationship refers to the distribution of decision-making power to those who are directly involved in care delivery. This empowers staff and can lead to more effective and responsive caregiving.

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Correct Answer is A

Explanation

Choice A reason: Advocating for the patient means the nurse manager is acting on behalf of the patient's interests, especially when the patient is unable to do so. This includes ensuring the patient receives necessary medical care regardless of their ability to pay.

Choice B reason: Empowering the patient typically involves educating and enabling them to make informed decisions about their own care. While important, it does not directly relate to the nurse manager's actions in this scenario.

Choice C reason: Avoiding litigation may be a secondary benefit of advocating for the patient, but it is not the primary intention described in this scenario. The focus is on patient care, not legal consequences.

Choice D reason: Supporting the clinical pathway involves following established protocols for patient care. While the nurse manager's actions may align with the clinical pathway, the term does not capture the advocacy aspect of ensuring treatment for a patient who cannot pay.

A. Clyde requires an anticoagulant. He tells the nurse about his medications. He neglects to mention he's taking an herbal supplement. B. Claude is booked for bowel surgery. His doctor explains about the colostomy. Later, Claude tells his wife that he really doesn't know what the doctor meant by colostomy. C. Sarah is a new parent who finds that nurses on the children's unit are very helpful. She is eager to accept all suggestions, including those that she does not understand. D. George keeps a list of all medications, including OTC and natural remedies. Before every appointment, he makes a list of questions to bring and asks for clarification when he has conflicting information.

Correct Answer is ["A","B","C"]

Explanation

Choice A reason: Clyde is at risk because he fails to disclose the use of an herbal supplement, which could interact with his prescribed anticoagulant medication. It's important for healthcare providers to have a complete understanding of all substances a patient is taking to avoid adverse drug interactions.

Choice B reason: Claude is at risk because he does not understand the medical procedure he is about to undergo. Informed consent is a critical component of healthcare, and misunderstanding the nature of a procedure can lead to unexpected outcomes and dissatisfaction with care.

Choice C reason: Sarah is at risk because she accepts medical advice without understanding it. This can lead to misuse of medications or failure to follow treatment plans, which can compromise the effectiveness of care and potentially lead to harm.

Choice D reason: George is not considered at risk because he is proactive about his healthcare. He keeps detailed records and actively seeks to understand his treatment, which is indicative of an active healthcare consumer.

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Decentralization occurs when:

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Naxlex Comprehensive Predictor Exams

A nurse manager insists on ensuring that a patient receives the treatment that is customary for the condition, despite the patient's inability to pay. The nurse manager is:

Correct Answer is A

Explanation

Which patients would be considered 'at risk' non-active healthcare consumers during a healthcare visit? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

Two employees disagree about who should work on Christmas Day. The bottom line is that one will have to work the first half of the shift and the other the second half. What is the best method for the manager to decide who will work each half?

A nurse manager has decided that it is essential to institute some personal time management steps to balance work and home life. The manager's first step should be to:

A nurse manager is aware that which of the following is an internal factor that impacts staffing?

In opening a new dialysis unit, the nurse manager has to develop a philosophy for the unit. This philosophy needs to:

After attending a regular monthly unit meeting, a nurse considers the impact of a new protocol on patient care delivery. Which of the following examples best describes a follower in action?

Which of the following actions best exemplifies advocacy?

The nurse manager plans a series of staff development workshops for charge nurses to help them deal with conflicts. The first workshop introduces the four stages of conflict, which are: