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:

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.

Choice A reason: This choice is incorrect because effective followership involves questioning and providing feedback to leaders, which can lead to improved decision-making and innovation.

Choice B reason: This is the correct choice. In the context of nursing, leaders often take on the role of followers as well. They collaborate with other leaders and sometimes follow directives from higher management or adhere to policies, showing that leadership is not a one-way process but a dynamic interchange.

Choice C reason: This choice is incorrect. While followers do need structure, it does not necessarily have to be linear. Effective followership encourages independent critical thinking and active engagement, which can lead to job satisfaction and better patient outcomes.

Choice D reason: This choice is partially correct. While leaders should provide guidance to new staff, it is also important for leaders to encourage autonomy and critical thinking, allowing new staff to develop their skills and confidence.