NUR4590 / NUR 4590 Exam 2: Professional Identity of
the Nurse Leader
What influences the structure of an organization? - ANSWER Number of
employees
What is the use of advanced practice roles? - ANSWER Specialization
The span of control for a nursing chief executive officer (CEO) who works in a major
rehabilitation and subacute facility network includes whom? - ANSWER Nurses and
non-nurses reporting to her
Define the span of control - ANSWER The number of subordinates a manager can
effectively and efficiently direct
The subordinates reporting to a nurse manager for a unit consisting of 40 nurses
who report to two clinical supervisors are known as what dimension of organizational
design? - ANSWER Span of control
A staff nurse has been working in the neonatal critical care unit for 10 years. She
believes that a professional nurse is a lifelong learner. Many staff members come to
her for clinical problem solving and advice. What does this nurse have? - ANSWER
Informal power
What is informal power? - ANSWER Relationships and alliances with people in the
organiation
An organizational chart with one line of management and one line of staff reflects
what type of organizational structure? - ANSWER Flat structure
The term "the buck stops here" best describes what term? - ANSWER
Accountability
What is the difference between centralized and decentralized structure? - ANSWER
Centralized - By taught management (EX: The CEO makes a decision that mandates
that white nursing caps will be worn by all RNs and blue nursing caps by all LPNs to
differentiate professional nurses and occupational nurses from nurses' aides and
other ancillary staff)
Decentralized - Decisions at point of activity
The patient is a 69-year-old woman who has a history of diabetes mellitus, PVD, and
MI. She was admitted to the hospital with a stroke and is being transferred to a
subacute facility and then to a rehabilitation facility. At every transfer she must
review her entire history, provide telephone numbers of family members, list all of
her medications, and list all home care. What process could improve the
fragmentation in work flow? - ANSWER Standardization
, The ways in which work is divided and coordinated among members and the
resulting network of relationships, roles, and work groups is called what? - ANSWER
Organizational social structure
According to __________ organizational approach, organizations are logical and
predictable with identifiable and scientifically measurable characteristics that can be
predicted, observed, or manipulated - ANSWER Objective
What organizational theory emphasized the informal aspects of organization social
structure and was influenced by the Hawthorn experiments? - ANSWER Human
relations school
The division of work by occupation or function is a form of what? - ANSWER
Specialization
Standardization of __________ provides a uniform structure for information delivery
and flow in order to facilitate exchange among those involved in common work
processes - ANSWER Communication
A rapid response team within an acute care hospital is comprised of critical care
physicians, nurses, and respiratory therapists. The team assists staff throughout the
hospital with detecting and managing imminent patient deterioration. This is an
example of _____________ organizational form - ANSWER Parallel
The structure of authority in an organization is known as what? - ANSWER
Hierarchy
The network or pattern of social relationships and friendship circles within an
organization is known as what? - ANSWER Informal structure
The nursing staff on a critical care unit thought that professional growth could be
enhanced. What interventions would support empowerment of the nursing staff? -
ANSWER Providing various methods for ongoing education and continuing
education units and working to make equipment and medications readily available
According to organization theories, there are three perspectives regarding the nature
of reality and knowledge within an organization. What are those perspectives? -
ANSWER Objectivism, subjectivism, and postmodernisn
According to contingency theory of organizational performance, an organization must
structure and adapt its nursing units to complement which two factors? - ANSWER
Environment and technology
What statements describe the benefits of specialization in the health care setting? -
ANSWER Improved work performance, increase in expertise, and improved
efficiency and outcomes
Dividing work by occupation leads to a functional organization where services are
arranged by the type of work performed. What are some benefits of the functional
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