Read the scenario below and highlight the statement (by clicking the sentence) that does NOT demonstrate shared governance. Select all that apply.

The board of directors of a hospital engages in a strategic planning process for the implementation of a facility-wide change that especially affects the nursing department. The directors insist on hosting regular "closed-door" board meetings, in which affected staff members and stakeholders are prohibited to attend. Information from these meetings are kept confidential, inaccessible to anyone outside the meetings. The directors have scheduled periodic town hall meetings, inviting all stakeholders and employees within the organization to share their thoughts concerning the impending change. After months of planning, the board of directors considers the feedback gathered and makes an unexpected decision to which leaders of the nursing department were largely unaware.

The directors insist on hosting regular "closed-door" board meetings

Information from these meetings are kept confidential

The directors have scheduled periodic town hall meetings

the board of directors considers the feedback gathered and makes an unexpected decision

Answer and Explanation

The Correct Answer is ["A","B","D"]

These actions contradict the principles of shared governance, which emphasize transparency, inclusive participation, and collaborative decision-making. In a shared governance model, all stakeholders, especially those directly affected by changes, should have access to information and the opportunity to contribute to the decision-making process. The scenario described shows a lack of these elements.

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Correct Answer is B

Explanation

A. This statement involves critical thinking and interpretation of assessment findings, which should be performed by the RN.
B. Asking the LPN to verify the medications the client is taking is appropriate delegation since it involves a task that LPNs are qualified to perform and does not require complex decision-making.
C. Documenting the admission assessment should be completed by the RN, especially if it involves interpreting the findings.
D. Performing the initial assessment is a responsibility of the RN, as it requires comprehensive assessment skills and clinical judgment.

A. Refreezing B. Moving C. Unfreezing D. Experiencing the change

Correct Answer is C

Explanation

A. Refreezing is the stage where changes are solidified and new behaviors are established after the change has been implemented. This is not the current stage since you are still in the process of identifying the need for change.
B. Moving involves the actual implementation of the change, but you have not yet begun this phase; you're still recognizing the need for change.
C. Unfreezing is characterized by recognizing the need for change and creating awareness about it. Since you are shocked by the outdated practice and want to initiate change, you are in this stage as you prepare for the transition.
D. Experiencing the change is not one of Lewin's stages and does not accurately describe your current situation of acknowledging the need for change.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An RN on a behavioral health unit is assessing a client. The RN plans to delegate part of the nursing process to a licensed practical nurse (LPN). Which of the following statements by the RN indicates appropriate delegation to the LPN?

Correct Answer is B

Explanation

As a new manager, you are shocked to learn that your unit is still using heparin in heparin locks. You are aware of evidence related to this practice and want to change this practice as quickly as possible on your unit. You are in which stage of Lewin's stages of change?

Correct Answer is C

Explanation

A nurse is teaching a class on ethical principles. The nurse should include that protecting a client's safety by not causing harm refers to which of the following ethical principles?

At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment the RN assumes:

A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?

A charge nurse is observing the actions of an assistive personnel (AP). Which of the following actions by the AP is appropriate?

A nurse is caring for a client whose informed consent form has been signed in preparation for a procedure. The client states, "I have decided not to have the procedure." Which of the following actions should the nurse take?

By following a shared leadership model, the nurse manager believes that staff members will learn to function synergistically. Some teams function synergistically because members:

The following statements describe the keys to an effective team EXCEPT:

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