Which nursing leadership approach demonstrates decentralized management?

The nurse manager sets unit policies, conducts annual reviews, and disciplines the staff as needed.

The nurse manager makes rounds on the unit every day to monitor for problems with patient care.

The staff nurses work with the manager to review care options to prevent surgical site infections.

The nurse manager conducts regular staff meetings to provide updates about new equipment and agency policies.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Centralized management involves top-down decision-making, where the nurse manager holds authority for policies, reviews, and disciplinary actions. This structure concentrates power and control at the managerial level, limiting staff input and autonomy in shaping unit operations and standards of practice.

Choice B rationale

Regularly monitoring patient care by making rounds is a supervisory function, ensuring adherence to established protocols and identifying immediate issues. While important for quality assurance, it doesn't inherently decentralize decision-making or empower staff in a collaborative manner.

Choice C rationale

Decentralized management empowers staff at lower levels to participate in decision-making processes. When staff nurses collaborate with the manager to review care options and implement preventive strategies, it distributes authority and fosters a sense of ownership and shared responsibility for patient outcomes.

Choice D rationale

Conducting regular staff meetings to disseminate information about new equipment and policies is a communication strategy that ensures staff are informed. However, it does not necessarily involve staff in the formulation or decision-making processes related to these changes, maintaining a more centralized approach.

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Free Nursing Study Resources

Correct Answer is ["2120"]

Explanation

Step 1: Convert ounces of popsicle to milliliters. 1 oz is approximately 30 mL, so 8 oz × 30 mL/oz = 240 mL.

Step 2: Total oral intake is the sum of popsicle and ice chips. 240 mL + 80 mL = 320 mL.

Step 3: Intravenous fluid intake is the infusion rate multiplied by the duration of the shift. The shift is 12 hours (6 AM to 6 PM), so 150 mL/hr × 12 hr = 1800 mL.

Step 4: Total intake is the sum of oral and intravenous intake. 320 mL + 1800 mL = 2120 mL.

Final Answer: 2120 mL.

A. Perform a focused patient assessment. B. Administer prescribed medication. C. Create the nursing plan of care for the patient. D. Determine the patient's family history.

Correct Answer is A

Explanation

Choice A rationale

Performing a focused patient assessment at the beginning of the shift is the priority action as it allows the nurse to gather current data about the patient's condition. This assessment provides the foundation for identifying the patient's immediate needs, establishing priorities, and planning appropriate care for the shift. It ensures that any changes in the patient's status since the last shift are promptly identified and addressed.

Choice B rationale

Administering prescribed medication is an important nursing responsibility, but it should occur after the initial assessment. The assessment may reveal changes in the patient's condition that could affect the timing or appropriateness of medication administration. Prioritizing assessment ensures medication administration is safe and based on the most current patient data.

Choice C rationale

Creating the nursing plan of care is an ongoing process that is informed by the initial and subsequent patient assessments. While a plan of care guides nursing interventions, the immediate need at the start of the shift is to assess the patient's current status to ensure the plan remains relevant and addresses any new or changing needs.

Choice D rationale

Determining the patient's family history is typically part of the comprehensive admission assessment. While relevant for understanding the patient's overall health risks, it is not the priority action at the beginning of each shift. The immediate focus should be on the patient's current physical and emotional status to guide immediate care.

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Which nursing leadership approach demonstrates decentralized management?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Calculate the intake for the 6 AM to 6 PM shift. A patient consumes 8 oz of a popsicle and 80 mL of ice chips during the shift. Intravenous fluids infused at 150 mL/hr during the shift. The Foley catheter was emptied of 800 mL at 1 AM & 925 mL at 6 PM. 80 mL were emptied from a drain at 6 PM.

Correct Answer is ["2120"]

Explanation

Which is the first action of the nurse when starting care for the patient at the beginning of the shift?

Correct Answer is A

Explanation

True or False: An important consideration when developing the care plan is to ensure that the physician is involved in the process.

What is the priority action of the nurse immediately after receiving a medication telephone order from a physician?

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