The nurses and the unit manager have been involved in shared decision-making related to the model of nursing care delivery that the unit will adopt. All individuals have participated and been involved in decision-making and implementation of changes. When issues arise during implementation, it is expected that:
Individual expertise will be utilized to provide solutions, but responsibility for the change is shared.
This will contribute to widespread skepticism among the staff about the probability of success.
Accountability resides entirely with the unit manager.
No one really has any accountability or responsibility for the changes.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This action directly represents the patient's interests, which is a core aspect of advocacy, especially in situations where the patient may not be able to speak for themselves.
Choice B reason: While working in a free clinic is a form of service and support, it does not necessarily involve advocating for specific individuals or causes.
Choice C reason: Participation in a needle exchange program is more of a public health intervention than a direct form of advocacy for individual patients.
Choice D reason: Compiling resources can be helpful, but advocacy typically involves more direct action on behalf of individuals or specific groups' rights and needs.
Correct Answer is B
Explanation
Choice A reason: Posting comparisons of client satisfaction scores can be motivating for the staff, but it may also create unnecessary competition and stress, which could negatively impact client care and satisfaction.
Choice B reason: Involving staff in resolving client issues quickly and effectively can directly improve client satisfaction. It demonstrates a commitment to addressing concerns and improving the client experience.
Choice C reason: Asking clients to put complaints in writing can be part of a formal grievance process, but it may not strengthen client satisfaction as it could be perceived as bureaucratic and unresponsive.
Choice D reason: Ensuring that staff apologize only when it is their fault does not foster a culture of accountability and service recovery, which are important for client satisfaction. Apologies can be powerful in healing and restoring client trust, even if the staff is not at fault.
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