Title: Which comment by a staff nurse would indicate to the nurse manager that further clarification ... Post by: Tasha p on Mar 8, 2018 Which comment by a staff nurse would indicate to the nurse manager that further clarification regarding the concept of shared governance is needed? Shared governance:
a. formalizes and insists upon collaboration among the health care team members. b. affirms that the patient is the center of care. c. distributes power more evenly among nursing staff and leaders. d. provides an outlet for the recognition of inappropriate processes. Question 2 What are the steps to changing an organization's culture? What will be an ideal response? Question 3 What impact does a negative organizational culture have on employee productivity, commitment, and morale? What will be an ideal response? Question 4 Some examples of common monetary awards for health care malpractice awarded in jury trials by juries are listed below. Which is not necessarily correct? a. vision loss8 million b. wrongful death (pulmonary embol-ism)5 million c. microcephaly in newborn17 million d. brachial plexus injury52 million Question 5 When speaking with a tax consultant, you ask if there is a difference between the 401k and the 403b retirement plans. The tax consultant would be correct in replying which of the following? a. There is no difference between the two plans b. The primary difference between the two is that the 401k is a plan offered by a nonprofitorganization, and the 403b is offered by a for-profit organization. c. The primary difference between the two is that the 403b is a plan offered by a privateorganization, and the 401K is offered by a public organization. d. The primary difference between the two is that the 403b is a plan offered by a nonprofit organization, and the 401K is offered by a for-profit organization. Question 6 After a class discussion on teamwork, the instructor asked the participants if they could identify some of the disadvantages of teamwork. Which of the following responses would indicate that further teaching is needed? a. Teams may take longer to accomplish a task or achieve a goal. b. Teams equalize power through shared governance. c. Team process takes time, effort, and resources. d. Team members may disagree on the best course of action to take for a specific situation. Question 7 Define a culture of bullying and provide an example from your clinical practice area. What will be an ideal response? Title: Which comment by a staff nurse would indicate to the nurse manager that further clarification ... Post by: ilmanihza on Mar 8, 2018 D Shared governance is the process that formalizes and insists upon collaboration among the members of the health care team and confirms that the patient is the center of care. It is also a means by which power can be equalized because it is more evenly distributed among the team members. It is not a means by which inappropriate behaviors or processes are confronted, criticized, or affirmed. Correct answers should include all of the following steps. 1. A group of key employees is formed, including those responsible for implementing change 2. Group collects input and reaches agreement about the current culture 3. Group comes to an agreement on a preferred future for culture of organization 4. Discrepancies between the actual and the ideal culture are identified 5. Group determines what they would like to keep and what they would like to change 6. Small changes are celebrated 7. Leaders develop their skills in leading change 8. Group develops a strategic action plan 9. Group identifies ways to communicate change Correct answers should include the following information. o Organizational culture has an impact on employee productivity, commitment, and morale. Where employees are treated fairly and respectfully, there has been associated increased employee productivity, increased helpful behaviours, and lower rates of absence from work. D Medical malpractice cases can be settled out of court or can go to trial where they are subject to the decision of the jury. Some examples of monetary awards by jury trial in health care cases include: 1) vision loss8 million; 2) wrongful death (pulmonary embolism)5 million; 3) microcephaly in newborn17 million; and 4) brachial plexus injury13.3 million (not 52 million). D The primary difference between the two is that the 403b is a plan offered by a nonprofit organization, and the 401K is offered by a for-profit organization. B A positive advantage of teamwork is that it equalizes power through shared governance. If the participant in the class gave this response, he would be incorrect and further teaching would be indicated. There are several disadvantages to teamwork. It may take longer to accomplish a task or achieve a goal due to the size and diversity of disciplines involved. Members may not agree with ways to accomplish goals, or they may disagree with group process or solutions. The team process takes time, effort, and resources. Some members may lack motivation, ability, or skills to adequately participate in the team process. This may be due to differences in personality, work ethics, language, or different perceptions of what needs to be accomplished. Correct answers should include the following information. o A culture of bullying is one in which horizontal and/or vertical violence is endemic. Like other oppressed groups, the anger nurses experience because of the control held by a powerful group is turned inward, toward other members of their group, resulting in horizontal violence. |