Federal Nursing Home Administrator Practice Exam

What is the implication of a nurse practitioner giving orders that challenge the authority of the director of nursing?

1. It enhances teamwork

2. It fosters collaboration

3. It can undermine the director of nursing

4. It demonstrates clear hierarchy

The correct answer is: It can undermine the director of nursing

When a nurse practitioner gives orders that challenge the authority of the director of nursing, it can create a situation where the established leadership structure is compromised. The director of nursing typically holds a position of authority and responsibility for overseeing nursing staff and care delivery. When a nurse practitioner issues orders that contradict or bypass the director's authority, it has the potential to confuse roles and responsibilities among the nursing staff. This can lead to a breakdown in communication, hinder effective teamwork, and ultimately impact the quality of patient care. By undermining the authority of the director of nursing, the actions of the nurse practitioner can generate conflict within the team and create an environment where protocols and policies may not be followed, as staff may not know whom to follow. A strong hierarchy is essential in healthcare settings to ensure clear lines of communication and accountability, so challenging this hierarchy can have detrimental effects on team dynamics and patient outcomes.