lOMoAR cPSD| 47061011
Chapter 13: Decentralization and Shared Governance
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. Shared governance is a model of organizational structure in which staff nurses are:
a. employed to establish mutual goals with clients.
b. empowered through autonomy and accountability.
c. engaged in problem-solving strategies and techniques.
d. equipped with evaluative thinking methodologies.
ANS: B
Shared governance is a model of organizational structure in which staff nurses are empowered
through autonomy and accountability.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. Decentralization occurs when:
a. equipment is being purchased from approved vendors.
b. hiring decisions are made at the executive level.
c. power is distributed to those closest to the work of caregiving.
d. supplies are distributed from one central supply area in the hospital.
ANS: C
Decision-making authority rests at lower levels in the organizational framework, closer to the
point of care, rather than being passed up through the chain of command to an executive.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. Which of the following statements best describes an organizational chart?
a. All job positions are displayed clearly in a two-dimensional drawing.
b. All outside organizations with relationships to the hospital are depicted.
c. Informal and formal structures within the organization are outlined.
d. It shows organizational positions and relationships in a visual representation.
ANS: D
.
, lOMoAR cPSD| 47061011
The organizational chart is a diagrammatic representation that displays “the flow of authority,
chain of command, titles, and functions.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. Nurses’ involvement in shared governance is an important component of:
a. practice models.
b. Magnet recognition.
c. increased reimbursement.
d. physician satisfaction.
ANS: B
Nurses’ involvement in governance is an important component of the American Nurses
Credentialing Center’s Magnet Recognition Program®.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. A nurse works in the critical care unit (CCU). She enjoys being on the unit charge nurse team,
the recruitment and retention team, and the peer evaluation team. The recruitment and retention
team is responsible for hiring new employees into the CCU. The five-member team, consisting of
three registered nurses (RNs), a unit clerk, and a nurse’s aide, conduct the interviewing process
with key questions that were developed by the team. This is an example of:
a. centralized power.
b. shared governance.
c. span of control.
d. vertical authority.
ANS: B
For shared governance to be effective, decision making must be shared by empowered staff at
the point where patients receive care.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. Which of the following leadership styles is best suited for implementation of a shared
governance structure? a. Authoritarian
b. Autocratic
c. Participative
d. Laissez-faire
.
Chapter 13: Decentralization and Shared Governance
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. Shared governance is a model of organizational structure in which staff nurses are:
a. employed to establish mutual goals with clients.
b. empowered through autonomy and accountability.
c. engaged in problem-solving strategies and techniques.
d. equipped with evaluative thinking methodologies.
ANS: B
Shared governance is a model of organizational structure in which staff nurses are empowered
through autonomy and accountability.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. Decentralization occurs when:
a. equipment is being purchased from approved vendors.
b. hiring decisions are made at the executive level.
c. power is distributed to those closest to the work of caregiving.
d. supplies are distributed from one central supply area in the hospital.
ANS: C
Decision-making authority rests at lower levels in the organizational framework, closer to the
point of care, rather than being passed up through the chain of command to an executive.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. Which of the following statements best describes an organizational chart?
a. All job positions are displayed clearly in a two-dimensional drawing.
b. All outside organizations with relationships to the hospital are depicted.
c. Informal and formal structures within the organization are outlined.
d. It shows organizational positions and relationships in a visual representation.
ANS: D
.
, lOMoAR cPSD| 47061011
The organizational chart is a diagrammatic representation that displays “the flow of authority,
chain of command, titles, and functions.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. Nurses’ involvement in shared governance is an important component of:
a. practice models.
b. Magnet recognition.
c. increased reimbursement.
d. physician satisfaction.
ANS: B
Nurses’ involvement in governance is an important component of the American Nurses
Credentialing Center’s Magnet Recognition Program®.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. A nurse works in the critical care unit (CCU). She enjoys being on the unit charge nurse team,
the recruitment and retention team, and the peer evaluation team. The recruitment and retention
team is responsible for hiring new employees into the CCU. The five-member team, consisting of
three registered nurses (RNs), a unit clerk, and a nurse’s aide, conduct the interviewing process
with key questions that were developed by the team. This is an example of:
a. centralized power.
b. shared governance.
c. span of control.
d. vertical authority.
ANS: B
For shared governance to be effective, decision making must be shared by empowered staff at
the point where patients receive care.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. Which of the following leadership styles is best suited for implementation of a shared
governance structure? a. Authoritarian
b. Autocratic
c. Participative
d. Laissez-faire
.
