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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Accepting the security levels as a consequence of funding realities may be seen as passive and could potentially compromise the safety of the nurses and patients. It does not address the concerns of the nurses or seek to improve the situation.
Choice B reason: Referring the matter to the head of security and letting them deal with it removes the opportunity for nurses to be informed and involved in the decision-making process, which can lead to feelings of helplessness and frustration.
Choice C reason: Providing nurses with information about the rationale for recent changes in security staffing empowers them with knowledge and may help in understanding the broader context of the decisions made, which can alleviate concerns and foster a sense of inclusion in the workplace.
Choice D reason: While providing mentors to help nurses defuse aggressiveness can be beneficial in managing difficult situations, it does not address the root concern of decreased security presence and the reasons behind it.
Correct Answer is B
Explanation
Choice A reason: Communication is the act of conveying information and ideas from one individual or group to another. It is an essential part of collaboration and teamwork but does not specifically describe the emotional involvement in a project or event.
Choice B reason: Commitment refers to the state of being dedicated to a cause or activity. An emotionally committed individual is likely to show passion and dedication, which aligns with the description provided in the question.
Choice C reason: Willingness to cooperate indicates a readiness to work together with others, which is important in a collaborative environment. However, it does not inherently include the emotional aspect of passion and dedication.
Choice D reason: Contentment is a state of satisfaction and happiness. While it may result from successful involvement in a project or event, it does not specifically denote the emotional investment or active dedication described.
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