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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
This statement is accusatory and unprofessional, potentially damaging the working relationship and not addressing the underlying reason for the missed task. It does not encourage open communication or problem-solving.
Choice B rationale
This statement expresses a lack of trust and is judgmental. It focuses on the nurse's feelings rather than the specific behavior and its impact on patient care. This approach is unlikely to lead to improved performance.
Choice C rationale
This statement directly addresses the missed task in a neutral and open-ended way. It prompts the nursing assistant to provide an explanation, allowing for identification of any barriers or misunderstandings and facilitating a constructive discussion.
Choice D rationale
This statement is sarcastic and potentially demeaning. It does not address the immediate issue of the missed vital signs and is unlikely to foster a positive learning environment or improve future performance. .
Correct Answer is A
Explanation
Choice A rationale
Assessing the patient's respiratory status with auscultation of lung sounds and pulse oximetry provides immediate and critical information about the severity of the shortness of breath and the patient's oxygenation. This data is essential for guiding immediate interventions and further assessment. Normal pulse oximetry is typically 95-100%.
Choice B rationale
Telling the patient the physician will be in shortly does not address the immediate distress of acute shortness of breath and delays necessary assessment and intervention. It offers false reassurance without taking any immediate action.
Choice C rationale
While ensuring patient privacy is important, it is not the priority action in a situation of acute shortness of breath. Addressing the immediate physiological compromise takes precedence over privacy concerns at the initial moment of assessment.
Choice D rationale
Reassuring the patient that the shortness of breath will be relieved shortly, without any assessment or intervention, is inappropriate and potentially dangerous. It does not address the underlying cause and may delay necessary treatment.
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