ANCC Study Guide: Review of Test Questions

In assessing the philosophy for nursing services for possible revision, the nurse executive is most heavily influenced by the organization's: a. mission statement b. consumer surveys c. financial resources d. policy statements - Answer- Correct answer is: a. mission statement The organization's philosophy must always be consistent with the mission of the enterprise. In this way, there is clarify of intent about what the organization stands for and what it intends to accomplish. In planning for change, the successful change agent makes a commitment to: a. help followers arrive at total consensus regarding the change. b. encourage subgroup opposition to change so many viewpoints can be heard c. utilize change by drift if resistance to change is too strong d. be available to support those affected by change until refreezing occurs. - Answer- The correct answer is: d Unless there is support until the desired change has replaced the status quo, the likelihood of "backsliding" is high. The successful change agent recognizes the need to help her or his clients remain with the process until the desired change has replaced the prior way of doing things. Strategic planning: a. focuses on the long-range goals for the organization b. requires a broad range of management expertise c. is synonymous with tactical planning d. is generally a middle-management function. - Answer- The correct answer is: a. Strategic planning, in contract to tactical planning, is future-directed and concerned primarily with putting in place the resources to achieve long-term goals. In planning for managed care, which of the folllowing goals would be most appropriate for the nurse manager? a. Clinical outcomes should occur within a prescribed time frame. b. Case managers should not function as providers of patient care. c. Managed care practice should be unit-based and unit-specific. d. Outcome management should be carried out for each patient. - Answer- The correct answer is: a. Evid