Chapter 02: Organizational Structure of Health Care
Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition
1. In interviewing for a new position, a nurse may want to inquire about the institution’s views
on autonomy in the workplace for nurses. The nurse concludes that autonomy is valued when
told that the unit has
a. infrequent “floating.”
c. cover of another nurse’s assignment while she or he is on break.
d. hourly pay differential for the night shift.
In a self-governance working environment, staff are encouraged to be autonomous, which
includes self-scheduling. Option A is incorrect because it does not address autonomy. Option
C is incorrect because they are decisions made by the organization and are practiced
throughout the organization. Option D is incorrect because they are decisions made by the
organization and practiced throughout the organization.
DIF: Cognitive Level: Application REF: page 16
2. The student nurse learns about the advantages and disadvantages of various patient care
delivery models. The student understands that besides an historical perspective of nursing
practice, a patient delivery care model may need to be instituted to adapt to
a. alterations in available staff due to weather emergencies.
b. the financial environment of the patient population.
c. a wide range of ages among the staff.
d. a limited number of unlicensed staff on the unit.
Patient delivery models are instituted based on various elements including clinical
decision-making and work allocation; thus, changes may need to be made in an emergency
based on availability of staff. The other options do not describe a fundamental element used in
the decision-making process for delivery mode.
DIF: Cognitive Level: Application REF: page 19
3. An agency nurse is assigned to work on a unit that uses the team nursing model of health care
delivery. Which of the following would the nurse expect to experience in this environment?
a. UAP taking vital signs and giving baths
b. RN taking vital signs and giving baths
c. RN delegating patient care delivery to a group of patients
d. Charge nurse delegating care delivery
In a team nursing environment, an RN delegates patient care to a group of patients. Option A
is incorrect because it is practiced in a functional model environment. Option B is incorrect
because it is seen in primary nursing. Option D is incorrect because it may be seen in all types
of health care delivery models.