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Leadership test 1 (Leadership test 1) Quiz am Chapter 11 , erstellt von Esmeralda Espitia am 08/02/2020.

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Chapter 11

Frage 1 von 25

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1. Because of rapid turnover and the ongoing hiring of new graduates, the skill levels of staff in a busy CCU are varied. Senior staff are becoming burned out with the need to provide mentorship and guidance to new staff. As the manager, you propose the addition of a nurse in advanced practice to provide consultation and education for staff. What is this position considered?

Wähle eine der folgenden:

  • a. Hierarchical position

  • b. Ancillary

  • c. Line position

  • d. Staff position

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Frage 2 von 25

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2. A hospital is working toward becoming a Magnet® hospital. The chief nursing officer is aware that professional nursing departments in Magnet® hospitals will:

Wähle eine der folgenden:

  • a. not be directed by nurses.

  • B. be virtual organizations

  • c. be designed to maintain nursing standards of practice

  • d. be entitled to have client care departments.

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Frage 3 von 25

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3. The chief nursing officer and the dean of the School of Nursing create a partnership based on belief that by establishing rules and regulations and controlling the environment, this partnership will:

Wähle eine der folgenden:

  • a. promote professional medical authority, autonomy, and responsibility.

  • b. need a degree of flexibility to engender success.

  • c. be essential for self-governance.

  • d. provide for the establishment of medical committees.

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Frage 4 von 25

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4. In matrix organizational structures, a nurse manager understands that this type of structure:

Wähle eine der folgenden:

  • a. is a simplified organizational structure.

  • b. has both a functional manager and a service or product-line manager.

  • c. arranges departments strictly according to function.

  • d. promotes harmony in organizational decision making.

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Frage 5 von 25

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5. Collaborative partnerships between hospitals and schools of nursing are examples of hybrid
organizational structures. A hybrid organizational structure:

Wähle eine der folgenden:

  • a. has many divisions of labor.

  • b. best fits long-term care units

  • c. has a mixture of the characteristics of various organizational types.

  • d. places the authority for decision making closest to the places where workers
    perform.

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Frage 6 von 25

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6. In opening a new dialysis unit, the nurse manager has to develop a philosophy for the unit. This philosophy needs to:

Wähle eine der folgenden:

  • a. reflect the culture of the unit and its values.

  • b. be developed by the nursing manager on the unit.

  • c. identify the clients that will be served on the unit.

  • d. replicate the organization’s philosophy.

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Frage 7 von 25

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7. The hospital administration gives approval to the chief nursing officer to hire clinical nurse specialists in staff positions rather than in administrative positions. A clinical specialist who has staff authority but no line authority typically is able to:

Wähle eine der folgenden:

  • a. function through influence.

  • b. take complete responsibility for the care of clients.

  • c. interview and hire staff nurses for designated nursing units.

  • d. be granted functional authority to determine standards of nursing care and enforce
    them.

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Frage 8 von 25

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8. A new director of nursing in a small rural hospital wants to make changes from the traditional model of governance to a shared-governance model. Select the characteristic below that best describes the traditional organizational structure in which a staff nurse is assigned to carry out nursing tasks for clients but is not given the chance to provide input into forming the policies and procedures by which care is delivered or the standards by which care is evaluated:

Wähle eine der folgenden:

  • a. bureaucratic.

  • b. decentralized.

  • c. delegated authority and responsibility.

  • d. delegated responsibility but no authority.

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Frage 9 von 25

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9. The chief nursing officer is given the task of reviewing and proposing revision of the organization’s mission, philosophy, and technology. In reviewing them, the chief nursing officer understands that they should be reflected in:

Wähle eine der folgenden:

  • a. the organizational structure.

  • b. line and staff responsibilities.

  • c. the policies and procedures.

  • d. government regulations.

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Frage 10 von 25

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10. The facilities department is experiencing some challenges and is undergoing reorganization. Because of your familiarity with systems theory, you:

Wähle eine der folgenden:

  • a. know that this challenge is their issue and that it has nothing to do with your unit.

  • b. understand that such events are localized and do not have an impact on the
    organizational culture.

  • c. know that the nature of challenges and reorganization in facilities will have an impact on other areas.

  • d. anticipate that your prior experiences with facilities have no effect on the current situation.

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Frage 11 von 25

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11. “Georgia Hospital will provide care that is a national example of consumer service” is a:

Wähle eine der folgenden:

  • a. vision statement.

  • b. statement of philosophy.

  • c. mission statement.

  • d. rationale for care.

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Frage 12 von 25

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12. “At Thoroughcare, we provide health care for women and children in transition” is an example of a:

Wähle eine der folgenden:

  • a. vision statement.

  • b. mission statement.

  • c. goal statement.

  • d. statement of philosophy.

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Frage 13 von 25

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13. What would be the most appropriate mission statement for a nursing center?

Wähle eine der folgenden:

  • a. “At Plentyville, we provide rehabilitative services for addicted adolescents.”

  • b. “Georgiatown provides treatment and prevention services for county residents.”

  • c. “At Heart, our aim is to provide services that lead the nation in health education
    and research.”

  • d. “At Coeur, we strive to achieve optimal pain management with patients who are
    experiencing chronic pain.”

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Frage 14 von 25

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14. A primary care clinic is established in Pleasantville to provide comprehensive services to infants, children, and families within the community. The executive director of the clinic oversees physician and nursing services for infants, children, and families; a neurodevelopmental clinic; psychology, family counseling, and social work services; nutritional counseling; speech and hearing services; and physiotherapy. This type of organizational structure is known as:

Wähle eine der folgenden:

  • a. hierarchical.

  • b. bureaucratic.

  • c. service-line.

  • d. matrix

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Frage 15 von 25

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15. In what situations would you expect low morale and frustration?

Wähle eine der folgenden:

  • a. Statement of philosophy indicates “We value our staff.” When staff members
    leave, careful evaluation is done to determine whether staff should be replaced by
    full- or part-time employees.

  • b. Practices include annual staff recognition celebrations. During times of change,
    staff members are actively included in issue identification and solution finding.

  • c. Recruitment ads promise opportunities for advancement for everyone. Promotions
    are given only to individuals with long-standing service and entrenched
    relationships.

  • d. The vision indicates that there is strong commitment to lead in research. The
    organization has tried to implement a strong campaign to attract leading nurse researchers but has experienced difficulty in doing so.

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Frage 16 von 25

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16. At Orangetown Hospital, the nursing department is developing a mission statement for nursing. What would be a suitable mission statement?

Wähle eine der folgenden:

  • a. “Nursing provides services for patients admitted to Orangetown Hospital.”

  • b. “To participate fully in the professional services offered by Orangetown Hospital.”

  • c. “To lead by the lamp; services for seniors.”

  • d. “At Orangetown, the nursing department provides caring services that recognize the diversity of clients and promote optimal health with clients through partnership, education, and interprofessional collaboration.”

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Frage 17 von 25

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17. At Hospital XYZ, staff members on Y3 Unit have dealt with the third charge nurse in 3 years. Donna, the current charge nurse, lacks confidence in patient-nurse relationships, and scheduling and other processes are routinely left to the last minute. Staff members approached Donna first and then administration with their concerns about Donna’s effectiveness as a leader. The staff was told that the problem is likely staff related, that it is simply an unhappy group, and that there is nothing that will be done further about their concerns. The philosophy of the organization indicates that “open, transparent communication between staff and management is desired and supported,” and that “innovation and creative thinking are the foundation of the organization’s progress.” In assessing this situation as a newly hired senior executive, you anticipate that:

Wähle eine der folgenden:

  • a. staff members will resolve the conflict on their own.

  • b. the situation will lead to ongoing disgruntlement and attrition.

  • c. no further discussion or concerns will come out of the situation.

  • d. the head nurse will be able to resolve the conflict on her own.

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Frage 18 von 25

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18. A new CEO has been hired at Valley Hospital who proposes to change the centralized organizational structure that was put in place 10 years ago, based on widespread consultation with staff. The proposed structure involves substantial flattening of the organizational structure, with significant decision making being made at the point-of-care and an emphasis on interprofessional collaboration. There is a great deal of discussion about the balance between hospital-wide budget decision making and unit-based decision making. This discussion represents:

Wähle eine der folgenden:

  • a. Chaos theory.

  • b. organizational redesign.

  • c. organizational reengineering.

  • d. restructuring.

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Frage 19 von 25

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19. With revenue reductions and cost-saving measures, the number of managers has been reduced, this has increased the number of team leaders supervised by managers by as many as three. This change may result in:

Wähle eine der folgenden:

  • a. decreased patient satisfaction.

  • b. increased efficiency in costs.

  • c. a more positive perception of managers.

  • d. little change to manager-staff relationships.

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Frage 20 von 25

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20. Taylor Hospital has well-defined organizational units that provide maintenance, financial services, care for cardiac patients, care for surgical patients, and so on. The organizational chart indicates that surgical units report to a surgical manager and all nursing units report to a vice president of nursing; financial services to an accountant and then to a business executive; and so on. The primary disadvantage of this organizational structure is:

Wähle eine der folgenden:

  • a. breakdown in function and communication across specialties.

  • b. lack of congruence in culture and organizational values.

  • c. highly centralized decision making and authority.

  • d. wide span of control.

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Frage 21 von 25

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21. In the Unity Healthcare organization, decisions, including those at the unit level, are made by a group of senior executives. Rules for employees are clear, and nursing care is delineated by procedures and protocols. This exemplifies:

Wähle eine der folgenden:

  • a. transformational leadership.

  • b. transactional leadership.

  • c. bureaucratic organization.

  • d. Chaos theory.

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Frage 22 von 25

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22. In the Unity Healthcare organization, communication flows:

Wähle eine der folgenden:

  • a. laterally.

  • b. bottom to top.

  • c. top to bottom.

  • d. intermittently.

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Frage 23 von 25

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23. Sarah is a clinical nurse educator in the dialysis unit at Pines Health Center and provides education, consultation, and training support. Sarah has:

Wähle eine der folgenden:

  • a. direct responsibility for patient care.

  • b. direct accountability for patient outcomes.

  • c. an authority relationship to staff.

  • d. an influence over patient outcomes.

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Frage 24 von 25

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24. A statement such as “We believe in the right of patients to make choices and to have care that is sensitive to their preferences and needs” is a _____ statement.

Wähle eine der folgenden:

  • a. mission

  • b. goal

  • c. vision

  • d. philosophy

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Frage 25 von 25

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1. Organizational culture includes: (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • a. norms.

  • b. traditions.

  • c. behaviors.

  • d. values.

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