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Managing & Coordinating Nursing Care 4th Edition By J.K – Test Bank
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chapter 02
| 1. | Given a matrix organizational structure in which each unit manager reports directly to the nursing administrator and works directly with the staff development department, who should do the performance evaluation for the unit manager? | |
| A) | CEO (administrator) | |
| B) | Nursing administrator | |
| C) | Staff development officer | |
| D) | RN | |
| 2. | In an organization in which the housekeeping director and the nursing director are on the same level, both report to a higher level administrator, and both have individual unit managers who report to them, to whom should the staff nurse direct concerns about the adequacy of the cleaning done by an individual housekeeper? | |
| A) | To the housekeeper individually | |
| B) | To the nursing unit manager | |
| C) | To the director of nursing | |
| D) | To the director of housekeeping | |
| 3. | In applying Maslow’s hierarchy of needs to members of an organization, the informal organization is most likely to meet which needs? | |
| A) | Belonging/social | |
| B) | Ego or self-esteem | |
| C) | Security/safety | |
| D) | Physiologic | |
| 4. | Before John accepted a position at Mercy Hospital, he asked a number of employees about their perceptions of the prevailing feelings and values of the organization. What was he evaluating? | |
| A) | The informal organization | |
| B) | The organizational culture | |
| C) | The organizational climate | |
| D) | The organizational philosophy | |
| 5. | Mary works in an organization in which the nursing staff and the nursing management are both involved in making decisions as opposed to having the decisions made at an administrative level only. Which professional practice model does this represent? | |
| A) | An autocratic model | |
| B) | A democratic model | |
| C) | A multicratic model | |
| D) | A shared governance model | |
| 6. | A nurse who is interested in participating in decision making is most likely to find this opportunity in which type of organization? | |
| A) | Tall | |
| B) | Flat | |
| C) | Matrix | |
| D) | There is no difference | |
| 7. | What is meant by the term organizational structure? (Mark all that apply.) | |
| A) | The way in which decision making occurs | |
| B) | The way in which a group is formed | |
| C) | The way in which the informal organization operates | |
| D) | The way in which social alliances are made | |
| E) | The way in which lines of communication flow | |
| 8. | Why is a hospital’s mission statement important to clients? | |
| A) | It helps clients to know if the institution will meet their needs. | |
| B) | It helps clients to know if the hospital is good. | |
| C) | It helps clients to know how care is given. | |
| D) | It helps clients to know how culturally diverse the institution is. | |
| 9. | Where would you look to gain information about who is to make specific decisions for an organization? | |
| A) | In the mission statement | |
| B) | In the policy manual | |
| C) | In the procedure manual | |
| D) | In the philosophy statement | |
| 10. | Why might you want to change the organizational culture or climate? | |
| A) | You may feel the efforts and accomplishments of the employees receive too little recognition. | |
| B) | You disagree with the unit supervisor regarding staffing patterns. | |
| C) | You believe there is a better method of introducing a new procedure. | |
| D) | You want to take actions that will result in an internal promotion. | |
| 11. | The form of care delivery in which an individual monitors the patient’s interaction with the entire health care system is known as which one of the following? | |
| A) | Primary nursing | |
| B) | The case method | |
| C) | Total patient care | |
| D) | Case management | |
| 12. | What is the purpose of the nursing philosophy of any organization? | |
| A) | It is needed for legal incorporation. | |
| B) | It spells out the broad goals of that organization. | |
| C) | It outlines the values and beliefs of members. | |
| D) | It identifies the spiritual affiliation of the organization. | |
| 13. | What are the criteria for Magnet Hospital Status? (Mark all that apply.) | |
| A) | Low staff nurse turnover rate | |
| B) | High educational level of staff nurses | |
| C) | Appropriate resolution of grievances | |
| D) | Data collection by staff nurses | |
| E) | Authoritarian management throughout organization | |
| 14. | What is known as the official power an individual has to approve an action, to command an action, or to enforce a decision? | |
| A) | Accountability | |
| B) | Advocacy | |
| C) | Authenticity | |
| D) | Authority | |
| 15. | Which of the following is the best definition of span of control? | |
| A) | The number of subordinates for which one person in the organization is responsible | |
| B) | The right one person has to control resources and actions | |
| C) | The responsibility one person has for seeing that the activities are carried out | |
| D) | The way actions occur within an organization | |
| 16. | As public scrutiny of health care facilities becomes more common, more attention will be paid to organizational ______________. |
| 17. | In hospitals with shared governance, what are nurses now doing? | |
| A) | Defining salaries and benefits | |
| B) | Providing excellent patient care | |
| C) | Having more satisfactory social relationships | |
| D) | Showing a decreased level of job satisfaction | |
| 18. | In a shared governance model, managers must learn to share ___________ over key areas that were their sole domain such as scheduling, budgeting, and staffing. |
| 19. | The informal organization is a necessary and integral part of every organization. Informal communication is often termed as coming via the ______________. |
| 20. | The informal organization, while primarily social in nature, can assist an organization in what? | |
| A) | Upward communication | |
| B) | Meeting goals | |
| C) | Increasing staff turnover | |
| D) | Mandating teamwork | |
Answer Key
| 1. | B |
| 2. | B |
| 3. | A |
| 4. | C |
| 5. | D |
| 6. | B |
| 7. | A, B, E |
| 8. | A |
| 9. | B |
| 10. | A |
| 11. | D |
| 12. | C |
| 13. | A, C, D |
| 14. | A |
| 15. | A |
| 16. | Effectiveness |
| 17. | A |
| 18. | Authority |
| 19. | Grapevine |
| 20. | B |
chapter 04
Chapter04
| 1. | What might an individual staff nurse do to promote quality improvement? | |
| A) | Establish a committee to examine a problem area. | |
| B) | Initiate new procedures to replace those the nurse determines are outdated. | |
| C) | Set up a plan to evaluate a particular outcome. | |
| D) | Identify areas in which change is needed. | |
| 2. | What is a major characteristic of rapid process improvement? | |
| A) | The team assigned to the process is empowered to make changes. | |
| B) | Speed is of the essence regardless of who initiates the changes. | |
| C) | Management requires that changes be made. | |
| D) | It is a requirement of the Joint Commission. | |
| 3. | What strategy is best for learning what patients found most distressing about their hospital stay? | |
| A) | A written survey | |
| B) | A retrospective audit of records | |
| C) | Telephone interviews 1 week after discharge | |
| D) | A checklist provided at discharge | |
| 4. | Constant change is a characteristic of what approach to evaluation? | |
| A) | Quality assurance | |
| B) | Management by objectives | |
| C) | Continuous quality improvement | |
| D) | Scientific management | |
| 5. | The audit in which you are asked to participate will include patients who are still in the hospital. This is what type of audit? | |
| A) | Concurrent | |
| B) | Ex post facto | |
| C) | Prospective | |
| D) | Retrospective | |
| 6. | You have been asked to participate in an audit regarding care of patients with hip fractures. You will be: | |
| A) | Visiting patient rooms and observing the care given | |
| B) | Meeting with a group of nurses to review care | |
| C) | Planning standards for the care of patients with this diagnosis | |
| D) | Reviewing patient records of individuals who have been treated for a hip fracture | |
| 7. | “An admission nursing assessment will be completed within 6 hours of the patient’s admission to an inpatient unit.” This is an example of what type of standard? | |
| A) | Process | |
| B) | Outcome | |
| C) | Structural | |
| D) | Nursing specific | |
| 8. | “The postoperative infection rate will be no greater than 1% overall.” This is an example of what type of standard? | |
| A) | Process | |
| B) | Outcome | |
| C) | Structural | |
| D) | Health facility established | |
| 9. | “The emergency department shall have a qualified emergency physician present at all times.” This is an example of what type of standard? | |
| A) | Process | |
| B) | Outcome | |
| C) | Structural | |
| D) | Clinical practice | |
| 10. | In a continuous quality improvement program, quality ____________ are continuously examined. |
| 11. | What is a nursing specific standard? | |
| A) | AMA guidelines for care | |
| B) | Nurse Practice act | |
| C) | JCAHO standards | |
| D) | Hospital staffing standards | |
| 12. | A ____________ is a specific quantitative standard to which you compare your own institution. |
| 13. | The “100,000 Lives” campaign works toward what goals? (Mark all that apply.) | |
| A) | Prevent adverse drug events | |
| B) | Make sure all professional staff in a hospital are licensed | |
| C) | Deploy rapid response teams | |
| D) | Prevent community acquired pneumonia | |
| E) | Improve care of patients with myocardial infarctions | |
| 14. | Institutional goals are usually stated in broad terms and can be adapted to fit all areas of the hospital. What are the specific accomplishments that help achieve a goal? | |
| A) | Unit-specific goals | |
| B) | Objectives | |
| C) | Standards | |
| D) | Evaluations | |
| 15. | Conflict over ________ can occur within an institution. |
| 16. | What does risk management use to lower the risk of the institution being sued? | |
| A) | Standards of care | |
| B) | Surveys | |
| C) | Root cause analysis | |
| D) | Quality assurance data | |
| 17. | Why are key indicators used in evaluation in health care? | |
| A) | They are the most important aspects of care. | |
| B) | They have been shown to relate to overall quality. | |
| C) | They are simple to measure. | |
| D) | They can demonstrate excellence in care. | |
| 18. | If every level of administration is not fully committed to quality, then the organization will not be able to __________. |
| 19. | You are the staff educator at a small rural hospital. When planning an orientation class for new graduates, you know you have to teach about risk management. What information about the focus of risk management would you include in your class? | |
| A) | The focus of risk management is preventing events that could lead to institutional liability. | |
| B) | The focus of risk management is preventing injuries. | |
| C) | The focus of risk management is teaching staff about legal issues. | |
| D) | The focus of risk management is ensuring that documentation systems meet all appropriate standards. | |
| 20. | How are quality assurance and risk management related? | |
| A) | Quality assurance is focused only on patient concerns, whereas risk management covers a broader area. | |
| B) | Quality assurance is a tool used for risk management. | |
| C) | Risk management is one part of quality assurance. | |
| D) | They are separate programs and not related. | |
Answer Key
| 1. | D |
| 2. | A |
| 3. | A |
| 4. | C |
| 5. | A |
| 6. | D |
| 7. | A |
| 8. | B |
| 9. | C |
| 10. | Indicators |
| 11. | B |
| 12. | Benchmark |
| 13. | A, C, E |
| 14. | B |
| 15. | Goals |
| 16. | D |
| 17. | B |
| 18. | Change |
| 19. | A |
| 20. | B |
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