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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Speaking to an assistive personnel with a demeaning tone represents vertical violence, where a person in a position of authority mistreats a subordinate.
B. Rudeness towards a nurse manager is also an example of vertical violence because it involves an inappropriate interaction between different hierarchical levels.
C. Refusing to help a charge nurse is a form of unprofessional behavior but does not exemplify lateral violence, as it doesn't involve peers at the same level.
D. Rolling one's eyes at another nurse after providing a report is a clear example of lateral violence, where one peer demonstrates disrespect or hostility towards another peer.
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.
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