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
In planning for change,...
1). 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
Ans: 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.
2). 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.
Ans: 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.
3). 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.
Ans: 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.
4).
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, 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.
Ans: The correct answer is: a.
Evidence-based trajectories with defined outcomes should be used to effectively and
efficiently manage the care of most patients to achieve long-term goals.
5). Critical pathways outline a patient's expected progress from admission to discharge and are
part of:
a. functional nursing
b. primary care nursing
c. case management
d. team nursing.
Ans: Correct answer is: c. case management.
Critical pathways are inherent in the case management approach to care and guide care
across the continuum.
6). When using a patient classification system, the nurse executive should understand that
such systems:
a. are used to solve unit staffing shortages.
b. use nonvariable nursing care hours.
c. are designed to eliminate human error
d. are periodically reevaluated
Ans: Correct Answer: d. are periodically reevaluated
The dynamic nature of health care, changing patient characteristics, the introduction of
new technology, and so forth, require that nursing departments periodically review the
current patient classification process.
7). When evaluating the nursing service philosophy, the most important thing to ascertain is
that the philosophy:
a. is congruent wit the mission of the organization
b. can be implemented in a cost-effective manner
c. flows from organizational goals
d. is brief and simply worded.
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