Case Study on Delegation, Decision Making, & Staff Motivation Julio works on a general surgical unit at a large teaching hospital in a major…

Question Answered step-by-step Case Study on Delegation, Decision Making, & Staff Motivation Julio works on a general surgical unit at a large teaching hospital in a major metropolitan area. This institution services the entire geographical region, including indigent and non-English speaking patients, and, because of its fine reputation, administers care to international patients and individuals who reside in other states. Like many health-care institutions, this one has been attempting to manage expenses by using more unlicensed assistive personnel (UAP) to assist with patient care. Lately, the number of patients requiring surgery has increased. The acuity of these clients has been quite high, requiring a great deal of time from the nursing staff. Julio arrived at work at 6:30 a.m., his usual time. He looked at the census board and discovered that the unit was filled, and Bed Control was calling all night to have clients discharged or transferred to make room for several clients who had been in the emergency department since the previous evening. He also discovered that the other RN assigned to his team called in sick. His nurse manager has been unable to get coverage for the sick call therefore his team consists of himself, two UAP, and an LPN who is shared by two teams. He has eight patients on his team: Ms. A:  is pre-op for surgery and needs pre- and post-operative teaching.Ms. B.is a 35-year-old woman scheduled for a modified radical mastectomy for the treatment of breast cancer; Ms.  C and Mr. D are second-day postoperative patients, who require dressing changes, are receiving post-operative IV antibiotics, and need to be ambulated; Mr. E  is a postoperative patient who is required to remain on total bedrest, has a nasogastric tube to suction as well as a chest tube, is on total parenteral nutrition and lipids, needs a central venous catheter line dressing change, has an IV, is taking multiple IV medications, and has a Foley catheter;Mr. F  is ready for discharge and needs discharge instruction; and Ms. G needs to be transferred to a subacute unit and a report must be given to the RN of that unit. Once Ms. G is transferred and Mr. F  are discharged, the emergency department will be sending two patients  to the unit for admission.Questions 8-12 are based on concepts for staff delegation discussed in Marquis & Huston Chapter 20 8) A performance appraisal states that the nurse-manager oftenunder delegates. What is potential cause of this delegation error? a)     A high degree of trust insubordinates            b)    A democratic leadership stylec)     A need forperfectionism        d)    Sufficient time to accomplish unit goals alone. 9. A nurse-manager needs to delegate some tasks. Whatconsideration should the nurse-manager prioritize when identifying theappropriate person to whom to delegate a specific task? a)     Whose turn it is to delegate atask      b)    The qualifications of the person regarding thetask   c)     The fiscal cost of delegating the taskd)    Whether the person has experience with similartasks 10. A nurse-manager’s subordinate is having difficulty carryingout a delegated task. What is the manager’s best initial action? a)     Release the subordinate from the task so he orshe will not become demoralized.   b)    Be available to the employee as a role model andresource for the task.       c)     Assign another more experienced employee tohelp with the task.   d)    Reassign the employee a different, less complextask. 11. What principle should guide the nurse’s delegation of tasksto unlicensed assistive personnel (UAP)? a)     It is safe to assume that the UAP has at leasta high school diploma as a minimum hiringcriterion.           b)    Like all members of the care team, UAP stands tolose their licensure in case of negligentpractice.          c)     No federal or community standards have beenestablished for training the broad classification ofUAP.    d)    The nurse is protected from liability whenallowing the UAP to perform only those tasks the employer includes in their jobdescription. 12. Periodically during the day, the nurse-manager checks withthe team members to determine whether they are having difficulty completingtheir assigned tasks. This describes which manager role? a)     Skills evaluation   b)    Clientsafety          c)     Effectivedelegation          d)    Micromanagement Questions12-17are based on concepts for employee motivation discussed in Marquis &Huston Chapter 18 12. A nurse-manager oversees approximately 12 employees. Whatstrategy should the manager prioritize when trying to motivate the employees? a)     Offer praise for exceptionalperformance.     b)    Advocate for an increase inpay.        c)     Apply motivational strategies that arepersonally meaningful to each employee.     d)    Apply punishments objectively and fairly. 13. A nurse-manager is applying Herzberg’s motivation-hygienetheory. What strategy would the manager most likely use to motivate employees? a)     Advocating for an increase insalary  b)    Approving vacation requests  c)     Protecting employee’s jobsecurity    d)    Praising an employee’s exceptional achievement 14. Which factor is most likely to provide intrinsic motivationto an employee? a)     The employee’s ambitious career aspirationsb)    The employee’s need to elicit approval from theimmediate supervisor.      c)     The employee’s need to avoid punishment forunsafe practice.        d)    The employee’s fear of being passed up for apromotion. 15. A nurse-manager who is operating from the position ofMcGregor’s Theory X will most likely hold what assumption about employees? a)     Putting forth effort comes naturally foremployees.  b)    Workers are inherently diligent, responsible,and helpful.    c)     Workers are fundamentally uncreative andindifferent toward their work.   d)    It is impossible to accurately identify whatmotivates an employee. 16. For several months, a nurse-manager has been rewardingemployees’ performance in an effort to motivate them. The nurse-manager shouldbe aware of what unintended consequence of this practice? a)     Employees may set unrealistically high goalsfor themselves.          b)    Unhealthy competition may develop between coworkers.     c)     Employees’ intrinsic motivation may becomeblunted.         d)    Employees may expect a corresponding increase insalary. 17. A nurse-manager wants to express appreciation to anemployee. What statement is most effective? a)     “You’re doing an excellent job of provided carefor you clients.”    b)    “I really admire everything that you do on theunit.”c)     “You did an exemplary job of handling a veryheavy workload this shift.”  d)    “Your performance demonstrates a strong commitmentto the profession.”ReferenceMarquis, B. L., & Huston, C. J. (2021). Leadership roles and management functions in  nursing. (10th ed.). Philadelphia, PA: Wolters Kluwer. Health Science Science Nursing NURS MISC Share QuestionEmailCopy link Comments (0)

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