NURS 4800 - Leadership - Final Exam
Questions With Complete Solutions
RN scope of practice (delegating to UAP)
- increases scope of liability for RN
- RN is responsible for adequate supervision of
person
- liability is based on a supervisor's failure to
determine which patient needs could safely be
assigned to a subordinate or for failing to closely
monitor a subordinate
- the RN who delegates care to another competent
RN does not have the same legal delegation to
closely supervise that person's work as when the
care is delegated to UAP
delegation (RN scope of practice) - tasks must
- frequently recur in the daily care of a client or
group of clients
- are performed according to an established
standard sequence of steps
- involve little or no modification from one client-
care situation to another
- may be performed w a predictable outcome
- do not inherently involve ongoing assessment,
interpretation, or decision making which cannot be
logically separated from the procedure itself
,- do not endanger the health or well-being of
clients
span of control on organizatio nchart
refers to the # of people directly reporting to any
one manager and determines the # of interactions
expected of them
- too many people reporting to a single manager
delays decision making, whereas too few results in
an inefficient, top-heavy organization
first level manager
primary care nurses, team leaders, case manager,
charge nurses
middle level manager
directors, department heads, coordinators, unit
managers
top level managers
CEO, CNO, CTO, CFO
CEO - makes large decisions, responsible for
everything that happens in the hospital
functional organization
- staff members complete certain tasks for a group
of patients
- the charge nurse makes the assignments and
coordinates care and delegates some care
,- more complicated bc tasks are divided and the
nurse needs to make sure all tasks are carried out
in addition to the care that needs to be provided
- pts can get confused
- can be hard to create a personalized experience
- economoical and efficient means of providing
care - quality of care and holistic care not highest
priority
- allows care to be provided w minimal # of RNs,
and in many areas - works well in OR
how does functional organizational structure
arrange?
arranges departments and services w specialty
may lead to more fragmented care and possibility
of overlooking patient priority needs
service-line organizational structure
- a model taht coordinates the efforts of multiple
medical specialties to treat a specific patient
group; can be organized by health condition, organ
system, age, or gender
- a single manager oversees the functions to
produce a specific service
, how can service line be used for organization?
- can be used in some large institutions to address
the shortcomings that are endemic to traditional
large bureaucractic organizations
- smaller in scale than large bureaucratic systems
- would decide on the processes to be used to
achieve goals
matrix organization structure
- used in hospitals that include departments and
work cross-functionally they make complex
connections and hierarchies
- sometimes, those departments are not in exact
location or area, so matrix hospital org chart
provides a way to handle them
- best for orgs in highly competetive markets
design of matrix oragnization
designed to focus on both product and function
- function: all tasks required to produce the product
- product: end result of the function
Questions With Complete Solutions
RN scope of practice (delegating to UAP)
- increases scope of liability for RN
- RN is responsible for adequate supervision of
person
- liability is based on a supervisor's failure to
determine which patient needs could safely be
assigned to a subordinate or for failing to closely
monitor a subordinate
- the RN who delegates care to another competent
RN does not have the same legal delegation to
closely supervise that person's work as when the
care is delegated to UAP
delegation (RN scope of practice) - tasks must
- frequently recur in the daily care of a client or
group of clients
- are performed according to an established
standard sequence of steps
- involve little or no modification from one client-
care situation to another
- may be performed w a predictable outcome
- do not inherently involve ongoing assessment,
interpretation, or decision making which cannot be
logically separated from the procedure itself
,- do not endanger the health or well-being of
clients
span of control on organizatio nchart
refers to the # of people directly reporting to any
one manager and determines the # of interactions
expected of them
- too many people reporting to a single manager
delays decision making, whereas too few results in
an inefficient, top-heavy organization
first level manager
primary care nurses, team leaders, case manager,
charge nurses
middle level manager
directors, department heads, coordinators, unit
managers
top level managers
CEO, CNO, CTO, CFO
CEO - makes large decisions, responsible for
everything that happens in the hospital
functional organization
- staff members complete certain tasks for a group
of patients
- the charge nurse makes the assignments and
coordinates care and delegates some care
,- more complicated bc tasks are divided and the
nurse needs to make sure all tasks are carried out
in addition to the care that needs to be provided
- pts can get confused
- can be hard to create a personalized experience
- economoical and efficient means of providing
care - quality of care and holistic care not highest
priority
- allows care to be provided w minimal # of RNs,
and in many areas - works well in OR
how does functional organizational structure
arrange?
arranges departments and services w specialty
may lead to more fragmented care and possibility
of overlooking patient priority needs
service-line organizational structure
- a model taht coordinates the efforts of multiple
medical specialties to treat a specific patient
group; can be organized by health condition, organ
system, age, or gender
- a single manager oversees the functions to
produce a specific service
, how can service line be used for organization?
- can be used in some large institutions to address
the shortcomings that are endemic to traditional
large bureaucractic organizations
- smaller in scale than large bureaucratic systems
- would decide on the processes to be used to
achieve goals
matrix organization structure
- used in hospitals that include departments and
work cross-functionally they make complex
connections and hierarchies
- sometimes, those departments are not in exact
location or area, so matrix hospital org chart
provides a way to handle them
- best for orgs in highly competetive markets
design of matrix oragnization
designed to focus on both product and function
- function: all tasks required to produce the product
- product: end result of the function
