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Magnet certification requires a significant investment in time, money, and other resources. Why would a hospital seek this recognition? a. Physician groups want to work in Magnet hospitals. b. It helps nursing and ancillary services understand each other's role in caring for clients. c. It is ...

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  • September 10, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
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  • Leadership
  • Leadership
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Magnet certification requires a significant investment in time, money, and other resources. Why
would a hospital seek this recognition?

a. Physician groups want to work in Magnet hospitals.
b. It helps nursing and ancillary services understand each other's role in caring for clients.
c. It is a popular program to undertake.
d. Client safety is improved when nurse staffing meets Magnet standards. correct answers
Answer: d. Client safety is improved when nurse staffing meets Magnet standards.

Magnet certification results in an increase in client safety.

Quality management and benchmarking are two approaches used to improve the quality of care.
The major difference between these two approaches is which of the following?

a. Benchmarking looks only at outcomes specific to nursing.
b. Benchmarking compares outcomes in a variety of settings and disciplines.
c. Quality management is used only in the primary care setting.
d. Quality management is not useful in the outpatient setting. correct answers Answer: b.
Benchmarking compares outcomes in a variety of settings and disciplines.

The major difference between quality management and benchmarking is that benchmarking
compares outcomes in a variety of settings.

Cultural diversity presents an important challenge to nurse managers due to which of the
following?

a. 80% of nursing staff comes from one or more minority groups.
b. The increase in cultural diversity is seen both in the client population and the nursing staff.
c. Staff nurses are not trained to be culturally sensitive.
d. A nursing shortage exists. correct answers Answer: b. The increase in cultural diversity is seen
both in the client population and the nursing staff.

Cultural diversity presents an important challenge to nurse managers due to the increase in
cultural diversity seen both in the client population and the nursing staff.

One of the most important driving forces behind health care policy changes is which of the
following?

a. Emerging role of nurse practitioners
b. New technology
c. Ability to pay for health care
d. Outsourcing of services correct answers Answer: c. Ability to pay for health care

,One of the most important driving forces behind health care policy changes is the ability to pay
for health care.

Which of the following is an important emerging challenge to changes in health care?

a. Bioterrorism
b. Decrease in immigration
c. Nursing staff shortages
d. Increased surgical procedures correct answers Answer: a. Bioterrorism

Advanced technology in health care, such as integrated health records, has allowed the nurse to
do which of the following?

a. Track clients' vital signs
b. Skip the assessment step of the nursing process
c. Take blood samples
d. Prescribe medications correct answers Answer: a. Track clients' vital signs

A staff nurse attends a continuing education class on advanced technology in health care. The
nurse manager should interpret this as which of the following?

a. Only important for nurse managers
b. A waste of time
c. Essential to nursing care
d. Not important correct answers Answer: c. Essential to nursing care

Information technology will become increasingly integrated into systems of care.

The nurse manager is talking with the CNA about her time management. Which of the following
is an example of a nurse manager as coach?

a. "You never report AM blood sugar levels on time."
b. "You must get the vital signs taken on time or you will be disciplined."
c. "Your appearance is seldom professional."
d. "Your timely response to clients' call lights is exemplary." correct answers Answer: d. "Your
timely response to clients' call lights is exemplary."

Nurse managers must also be coaches, teachers, and facilitators.

Which of the following skills is essential for nurses in today's health care environment? (Select
all that apply.)

a. Management
b. Practice partnerships
c. Supervision
d. Delegation

,e. Communication correct answers Answer: a, d, e, c.

Management, supervision, delegation, and communication are all skills essential for nurses in
today's health care environment. Practice partnerships are integrated models of care, not nursing
skills.

In our culturally diverse society, barriers to health care result from:

a. Prejudice.
b. Differences in language.
c. Benchmarking.
d. Telehealth.
e. Different socioeconomic status. correct answers Answer: a, e, b. Prejudice.

The main factors that constitute barriers to health care are differences in language, different
socioeconomic status, and prejudice. Telehealth is using telecommunications technology to
provide medical and nursing services from afar. Benchmarking compares an organization's data
with similar organizations.

Which of the following is the correct definition of "chain of command"?

a. The tendency for people to perform as expected.
b. The hierarchy of authority and responsibility.
c. Activity directed through linear authority.
d. Relationship without authority. correct answers Answer: b. The hierarchy of authority and
responsibility.

The Hawthorne effect explains that the relationship between people and productivity is enhanced
by which of the following?

a. Creativity
b. Special attention
c. Organizations
d. Groups correct answers Answer: b. Special attention

The Hawthorne effect explains that the relationship between people and productivity is enhanced
by special attention.

Which of the following theories best depicts current health care delivery systems?

a. Contingency theory
b. Chaos theory
c. Open system theory
d. Closed system theory correct answers Answer: a. Contingency theory

, The contingency theory best depicts the current health care delivery systems. Contingency
theorists believe organizational performance can be enhanced by matching an organization's
structure to its environment. Closed systems are self-contained and usually can be found only in
the physical sciences. An open system, in contrast, interacts both internally and with its
environment.

Which of the following is true regarding health care systems today?

a. They are all privately owned.
b. Only HMOs are profitable.
c. There are multiple types of organizations.
d. They are all managed care organizations. correct answers Answer: c. There are multiple types
of organizations.

Health care systems primarily have functional structures. Which of the following would be an
example of this?

a. Open communication exists between Physical Therapy and Nursing.
b. All nursing tasks fall under nursing service.
c. Laboratory services have little authority.
d. Medicine has authority over nursing. correct answers Answer: b. All nursing tasks fall under
nursing service.

In functional structures, employees are grouped in departments by specialty, with similar tasks
being performed by the same group.

"Organizations are made up of intertwined links and diversified choices that generate
unanticipated consequences." This defines which of the following theories?

a. Contingency theory
b. Open system theory
c. Closed system theory
d. Chaos system theory correct answers Answer: d. Chaos system theory

The chaos theory is characterized by organizations that are made up of intertwined links and
diversified choices that generate unanticipated consequences. The contingency theory best
depicts the current health care delivery systems. Contingency theorists believe organizational
performance can be enhanced by matching an organization's structure to its environment. Closed
systems are self-contained, and usually can be found only in the physical sciences. An open
system, in contrast, interacts both internally and with its environment.

Integrated health care systems function in a variety of models. Which is a common characteristic
of all systems?

a. Provide care only in the primary care setting
b. Deliver selective care only

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