Which comment by a staff nurse would indicate to the nurse manager that further clarification ...

Answer to #1

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.

Answer to #2

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

Answer to #3

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.

Answer to #4

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).

Answer to #5

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.

Answer to #6

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.

Answer to #7

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.