Exam 14: Decentralization Shared Governance

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At its start, shared governance requires the education and support of organizational executives, managers, and point-of-care staff. The challenge for administrators in creating a shared governance is (select all that apply):

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A, D, E

The nurse manager should use which of the following behaviors when implementing a shared governance structure?

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B

In 2005, the World Health Organization (WHO) declared the need for the health care workforce to:

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B

In institutions that practice shared governance, the nurse manager's role is to (select all that apply):

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Research about shared governance suggests that it is:

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Avenues of power provide for the sources of structural empowerment in an organization. Avenues of power for nurses include (select all that apply):

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Which of the following statements best describes an organizational chart?

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To feel comfortable enough to practice autonomously and make effective decisions in an institution with a decentralized organizational philosophy, staff must be empowered with (select all that apply):

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Institutions organize and structure themselves by defining departmental function and authority to achieve a more coordinated effort. In institutions where the executive leader retains more decision-making authority, the operation takes on a more _____ philosophy.

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_____ refers to a process whereby nurses recognize that they have legitimate power and authority to make decisions regarding their practice.

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Decentralization occurs when:

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In an organization that has a decentralized organizational philosophy, decision-making authority rests in levels closer to the point of service rather than in the executive levels. Benefits of a decentralized organizational philosophy include (select all that apply):

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Organizational benefits of a culture of shared governance include (select all that apply):

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Education must be continually available to employees in institutions that practice shared governance. Educational programs should include (select all that apply):

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Decentralization and shared governance were strategies first introduced in the late 1970s. Shared governance is touted as a strategy to (select all that apply):

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One obstacle in the implementation of a shared governance model is that nurses have:

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Shared governance is a model of organizational structure in which staff nurses are:

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The purpose of an organization's philosophy is to:

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In institutions that practice shared governance, the responsibility for unit outcomes rests with the:

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Using a philosophy of centralized decision making, power distribution usually results in a _____ span of control, with _____ levels of management.

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