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 D
Explanation
Choice A rationale
Lack of exercise primarily affects the cardiovascular and musculoskeletal systems and is not a direct cause of fluid volume deficit. While it can indirectly impact overall health, it doesn't typically lead to significant fluid loss.
Choice B rationale
Excessive food intake, especially if high in sodium, can actually lead to fluid volume excess rather than deficit due to osmotic shifts and water retention.
Choice C rationale
Bed rest can lead to some fluid redistribution within the body but does not directly cause a significant loss of total body fluid. Immobility can affect other physiological processes more directly.
Choice D rationale
Excessive gastrointestinal losses, such as vomiting, diarrhea, or drainage from nasogastric tubes or ostomies, directly remove significant amounts of fluid and electrolytes from the body, leading to fluid volume deficit.
Correct Answer is C
Explanation
Choice A rationale
Subjective opinions like "pleasant to care for" lack specific, objective data about the patient's condition or care provided. Medical documentation should focus on factual observations and interventions related to the patient's health status.
Choice B rationale
"Voiding without difficulty" is a relevant observation regarding the patient's urinary function. However, it lacks specific details such as the amount, color, or clarity of the urine, which are important for a comprehensive assessment.
Choice C rationale
This statement provides specific and objective information about the patient's pain experience. It includes the patient's self-reported pain level (6/10), the location of the pain (left temporal area), and a relevant negative finding (no relief with positioning), all contributing to a clear understanding of the patient's condition.
Choice D rationale
"Onsite looks good" is vague and lacks specific details about the condition of a particular site (e.g., surgical wound, IV insertion site). Effective documentation requires descriptive terms regarding appearance, such as color, presence of drainage, swelling, or redness.
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