Chapter 11

Question 1 of 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?

Select one of the following:

a. Hierarchical position
b. Ancillary
c. Line position
d. Staff position

Explanation

Question 2 of 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:

Select one of the following:

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.

Explanation

Question 3 of 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:

Select one of the following:

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.

Explanation

Question 4 of 25

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

Select one of the following:

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.

Explanation

Question 5 of 25

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

Select one of the following:

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.

Explanation

Question 6 of 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:

Select one of the following:

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.

Explanation

Question 7 of 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:

Select one of the following:

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.

Explanation

Question 8 of 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:

Select one of the following:

a. bureaucratic.
b. decentralized.
c. delegated authority and responsibility.
d. delegated responsibility but no authority.

Explanation

Question 9 of 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:

Select one of the following:

a. the organizational structure.
b. line and staff responsibilities.
c. the policies and procedures.
d. government regulations.

Explanation

Question 10 of 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:

Select one of the following:

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.

Explanation

Question 11 of 25

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

Select one of the following:

a. vision statement.
b. statement of philosophy.
c. mission statement.
d. rationale for care.

Explanation

Question 12 of 25

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

Select one of the following:

a. vision statement.
b. mission statement.
c. goal statement.
d. statement of philosophy.

Explanation

Question 13 of 25

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

Select one of the following:

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.”

Explanation

Question 14 of 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:

Select one of the following:

a. hierarchical.
b. bureaucratic.
c. service-line.
d. matrix

Explanation

Question 15 of 25

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

Select one of the following:

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.

Explanation

Question 16 of 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?

Select one of the following:

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.”

Explanation

Question 17 of 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:

Select one of the following:

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.

Explanation

Question 18 of 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:

Select one of the following:

a. Chaos theory.
b. organizational redesign.
c. organizational reengineering.
d. restructuring.

Explanation

Question 19 of 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:

Select one of the following:

a. decreased patient satisfaction.
b. increased efficiency in costs.
c. a more positive perception of managers.
d. little change to manager-staff relationships.

Explanation

Question 20 of 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:

Select one of the following:

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.

Explanation

Question 21 of 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:

Select one of the following:

a. transformational leadership.
b. transactional leadership.
c. bureaucratic organization.
d. Chaos theory.

Explanation

Question 22 of 25

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22. In the Unity Healthcare organization, communication flows:

Select one of the following:

a. laterally.
b. bottom to top.
c. top to bottom.
d. intermittently.

Explanation

Question 23 of 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:

Select one of the following:

a. direct responsibility for patient care.
b. direct accountability for patient outcomes.
c. an authority relationship to staff.
d. an influence over patient outcomes.

Explanation

Question 24 of 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.

	Created by Esmeralda Espitia almost 5 years ago

Leadership test 1 (Leadership test 1) Quiz on Chapter 11 , created by Esmeralda Espitia on 08/02/2020.

Question 1 of 25

Select one of the following:

Explanation

Question 2 of 25

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

Select one of the following:

Explanation

Question 3 of 25

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:

Select one of the following:

Explanation

Question 4 of 25

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

Select one of the following:

Explanation

Question 5 of 25

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

Select one of the following:

Explanation

Question 6 of 25

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

Select one of the following:

Explanation

Question 7 of 25

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:

Select one of the following:

Explanation

Question 8 of 25

Select one of the following:

Explanation

Question 9 of 25

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:

Select one of the following:

Explanation

Question 10 of 25

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

Select one of the following:

Explanation

Question 11 of 25

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

Select one of the following:

Explanation

Question 12 of 25

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

Select one of the following:

Explanation

Question 13 of 25

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

Select one of the following:

Explanation

Question 14 of 25

Select one of the following:

Explanation

Question 15 of 25

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

Select one of the following:

Explanation

Question 16 of 25

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

Select one of the following:

Explanation

Question 17 of 25

Select one of the following:

Explanation

Question 18 of 25

Select one of the following:

Explanation

Question 19 of 25

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:

Select one of the following:

Explanation

Question 20 of 25

Select one of the following:

Explanation

Question 21 of 25

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:

Select one of the following:

Explanation

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