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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Reliance on the manager for direct guidance does not demonstrate the proactive qualities of a follower in action. Followers should be able to work independently while understanding the direction provided by leaders.
Choice B reason: Avoiding the use of a new protocol until receiving peer feedback may indicate a lack of initiative or resistance to change, which are not characteristics of an effective follower.
Choice C reason: While adherence to decisions is important, strict adherence without question does not embody the critical thinking and engagement expected of a follower in action.
Choice D reason: Self-awareness and the ability to speak up reflect a follower who is engaged, thoughtful, and proactive, which are key qualities in a dynamic healthcare environment.
Correct Answer is A
Explanation
Choice A reason: Quality Management (QM) emphasizes systemic improvements and avoids assigning blame to individuals. It focuses on identifying and correcting processes that can lead to errors.
Choice B reason: A thorough commitment to quality improvement for the benefit of the organization is a fundamental principle of QM. It involves continuous efforts to enhance patient care and safety.
Choice C reason: QM relies on focusing on outcomes and making data-driven decisions. This ensures that changes lead to measurable improvements in patient care.
Choice D reason: QM operates most effectively within a flat, democratic organizational structure, which fosters open communication and collaboration among healthcare team members.
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