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Leadership Exam 2_ Ch. 4, 8, 9, 10, 11, 12, 13 ,14 questions and and answers.
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Leadership Exam 2_ Ch. 4, 8, 9, 10, 11, 12, 13 ,14 questions and and answers.
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Leadership Exam 2: Ch. 4, 8, 9, 10, 11, 12,13 ,14
"At Thoroughcare, we provide health care for women and children in transition" is an
example of a:
a. Vision statement.b. Mission statement.c. Goal statement.d. Statement of philosophy. -
correct answer-b. Mission statement
Mission statements provide a reason or rationale for the existence of the organization and
are indicative of the structure of the organization and of who consumes the services
provided.
"Georgia Hospital will provide care that is a national example of consumer service" is a:
a. Vision statement.b. Statement of philosophy.c. Mission statement.d. Rationale for care. -
correct answer-a. Vision statement
A vision statement is an articulated goal that provides an inspirational target to which the
organization aspires at some future time. A statement of philosophy expresses values and
beliefs, and a mission statement provides the reason for the existence of the organization.
"Power in nursing" refers to the nurse's ability to:
A) protest unfair working conditions through walkouts and strikes.B) demonstrate knowledge
about organizational behavior.C) act on issues that influence nursing licensure but not
patient care.D) use one's influence to create change in pursuit of goals. - correct answer-D)
use one's influence to create change in pursuit of goals
Power is the use of one's influence. Nurses use power to create change related to their
goals for patient care, organizational effectiveness, development of the profession of
nursing, access to health care for the nation, and other arenas or issues that involve nurses.
6. In opening a new dialysis unit, the nurse manager has to develop a philosophy for the
unit. This philosophy needs to:
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. - correct answer-a. Reflect the culture of the unit and its values
A philosophy expresses the values and beliefs that members of the organization hold about
the nature of their work, about the people to whom they provide service, and about
themselves and others providing the services.
A 66-year-old native Chinese patient, hospitalized for a myocardial infarction, asks the nurse
manager about seeing his "acupuncture doctor" for treatment of his migraine headache. The
best response to this patient would be:a. "How long have you been using acupuncture
treatment?"b. "Do you think acupuncture relieves your pain satisfactorily?"c. "What have you
told your heart specialist about your migraines and treatment?"d. "Have you tried
nonprescription pain medication or been given a prescription drug for your headaches?" -
correct answer-A
,A busy neurologic ICU and step-down unit most likely would use which patient-classification
system?
a. Factor evaluation
b. Prototype evaluation
c. Hybrid system
d. AHRQ system - correct answer-a. Factor evaluation
A factor evaluation system is considered more objective than a prototype evaluation system.
It gives each task, thought process, and patient care activity a time or rating. Some patient
types with a single healthcare focus, such as maternal deliveries or outpatient surgical
patients, would be appropriately classified with a prototype system. Patients with more
complex care needs and a less predictable disease course, such as those with pneumonia
or stroke, are more appropriately evaluated with a factor system
A conflict develops between an associate nurse & a primary nurse over the assessment of a
pt with pulmonary edema. Based on her assessment of the pt, the associate nurse insists
that it is her role to change the care plan bc she is the one who has made the assessment.
As the nurse manager, you clarify that:
a) it is the role of the primary nurse to make alterations based on assessment data and
input.
b) the associate nurse is accountable and responsible while the primary nurse is off duty and
therefore is able to alter the care plan.
c) neither the primary nor the associate should make changes without first consulting you as
the manager.
d) it really does not matter who alters the nursing care plan as it depends on situation and
time to do so - correct answer-a) it is the role of the primary nurse to make alterations based
on assessment data and input
The primary nursing model assumes that the primary nurse is accountable for patient care,
even while off duty. The primary nurse is responsible for establishing the patient plan of care
and therefore for altering it with the input of an associate. The associate is responsible for
implementation of the established care plan when the primary nurse is off duty.
A facility that provides care for patients whose average length of stay is less than 30 days
and to patients whose average length of stay is longer than 30 days, and who require
inpatient and ambulatory care for addictions, through a spectrum of wellness and illness
services and providers, would be considered:
a. A healthcare networkb. A tertiary care institutionc. Rehabilitatived. Long-term care -
correct answer-a. A healthcare network
Healthcare networks embrace and provide wellness and illness services, including primary,
secondary, and tertiary care, through a network of providers.
A factor evaluation system:
a. Utilizes financial data to determine number of staff-to-patient ratios.
,b. Utilizes DRGs to determine acuity on a unit.
c. Combines interventions and time required for interventions to determine levels of care
required.
d. Combines financial resources and nursing interventions to determine patient contact
hours. - correct answer-c. Combines interventions and time required for interventions to
determine levels of care required
A factor evaluation system considers tasks, thought processes, and patient care activities
and gives them a time or rating. These are then used to determine the number of patient
care hours required.
A group of staff nurses is dissatisfied with the new ideas presented by the newly hired nurse
manager. The staff wants to keep their old procedures, and they resist the changes. Conflict
arises from:
a. Group decision-making options.b. Perceptions of incompatibility.c. Increases in group
cohesiveness.d. Debates, negotiations, and compromises. - correct answer-b. Perceptions
of incompatibilityConflict involves disagreement in values or beliefs within oneself or
between people that causes harm or has the potential to cause harm. Folger, Poole, and
Stutman (2012) add that conflict results from the interaction of interdependent people who
perceive incompatibility and the potential for interference.
A local hospital has formed a corporate partnership with a reputable HMO (health
maintenance organization). The nurse manager has had to educate staff and personnel
about the financial implications of this partnership. A Health Maintenance Organization
(HMO):
a. Provides more expensive care than other types of insurance plans.
b. Has a centralized administration that directs and compensates physician services.
c. Pays physicians on a fee-for-service basis.
d. Does not pay as much for acute care as other practice plans. - correct answer-b. Has a
centralized administration that directs and compensates physician services
The HMO is a configuration of healthcare agencies that provide basic and supplemental
health maintenance and treatment services to voluntary enrollees who prepay a fixed
periodic fee without regard to the amount of services used. HMOs have a centralized
administration that directs and pays salaries for physician practice (e.g., HMOs).
A Magnet hospital surveys the staff about job satisfaction. This type of environment, in which
nurses have authority & autonomy, is linked with:
a. Client satisfaction with the healthcare organizationb. Organizations with a limited number
of nurse managersc. Private, specialty organizations in urban areasd. Sophisticated
academic health sciences universities - correct answer-a. Client satisfaction with the
healthcare organization
Autonomy & authority in decision making that is consistent with scope of practice are linked
both to higher job satisfaction and to higher patient satisfaction with care. Job satisfaction is
an important indicator of the quality of patient care
, A new CEO has been hired at Valley Hospital who proposes to change the centralized
organizational structure that was put in place ten 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:
a. Chaos theory.b. Organizational redesign.c. Organizational reengineering.d. Restructuring.
- correct answer-c. Organizational reengineering
Reengineering involves a total overhaul of an organizational structure. It is a radical
reorganization of the totality of an organization's structure and work processes. In
reengineering, fundamentally new organizational expectations and relationships are created.
Redesign is a technique to analyze tasks to improve efficiency, and restructuring is a
technique to enhance organizational productivity.
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:
a. Bureaucraticb. Decentralizedc. Delegated authority and responsibilityd. Delegated
responsibility but no authority - correct answer-d. Delegated responsibility but no authority
In traditional structures, decision-making authority (right to act) is held by a centralized
decision-making body, so that staff members have responsibility for certain functions but do
not participate in decisions related to those functions.
A nurse educator is giving a workshop on conflict. During the sessions, he makes various
statements regarding conflict. All of the statements are true except:
a. Conflict can decrease creativity, thus acting as a deterrent for the development of new
ideas.b. Horizontal violence involves those with similar status but little power in the larger
context.c. Interprofessional collaboration reduces unresolved conflicts.d. All conflicts involve
some level of disagreement. - correct answer-a. Conflict can decrease creativity, thus acting
as a deterrent for the development of new ideas
The opposite is true because research has shown that conflict, like change, increases
creativity and allows for the development of new ideas.
A nurse manager in a for-profit environment finds it difficult to recruit staff. This difficulty may
be most related to aggressive profit goals and:
a. Lower salary compensation for staff.b. Rising expectations of impoverished and indigent
individuals for services.c. Poor orientation and retention practices for staff.d. An
overwhelming emphasis on accepting learners from health disciplines. - correct answer-a.
Lower salary compensation for staff
For-profit hospitals tend to have lower wage and salary costs that are most likely connected
to aggressive goals for profit.
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