Leadership Exam #2 Review

docx

School

Keiser University, Orlando *

*We aren’t endorsed by this school

Course

NUR4888

Subject

Communications

Date

Apr 3, 2024

Type

docx

Pages

Uploaded by PresidentSnake4539

1. The process in which information, perception. and understanding are transmitted from person to person is a. articulation. b. communication. c. evaluation. d. pronunciation. 2. Unspoken affective or expressive behaviors best describe which type of communication? a. Effective communication b. Ineffective communication ¢. Non-verbal communication d. Verbal communication 3. A communication model that focuses on compassion, expression of emotion, and providing validation via support is the a. validation, emotion, reassurance, activity (VERA) framework. b. situation. background, assessment, and recommendation (SBAR) Communication Theory. . nonviolent communication (NVC) model. d. Human Relationship Model. 4. A human communication activity designed to influence another to change attitudes or alter behaviors by the use of techniques such as argument, reasoning. or pleading is known as a. advisement. b. consultation. c. persuasion. d. suggestion. 5. Which of the following is true about negotiation? It commonly results in a win-lose situation. It is aimed at solving problems, conflicts, or disputes. It is used only in contract and labor union disputes. It is the exchanging of favors or trading activity. IS 6. A nursing preceptor is giving feedback to a new nurse who currently is being oriented. Her preceptor suggests a better method of interacting with a family member by saying, “You might want to be cognizant of your non-verbal behaviors when talking with clients. Rather than continuing to chart when you are talking with an American family. stop charting, move closer to the family and client. look at them during the conversation. and take time to let them share their concerns.” This preceptor is giving advice about a. interpersonal communication. b. clarity. c. image. d. intention.

7. The transformational leader engages staff by 8. 10. 11. a. punishing errors. b. sharing vision and decision making. c. taking a top-down approach to leadership. d. making unilateral decisions for the team. An example of an external variable that may affect communication is a. circumstance. b. personality. c. thoughts. d. feelings. communication patterns exist between colleagues and serve to contribute to a hostile Work environment, high turnover, burnout, and job dissatisfaction. a. Defensive b. Disruptive c. Negotiating d. Humanizing Over lunch in the cafeteria, student nurses are sharing educational information about the patients for whom they are caring. This is a(n) a. breach of beneficence. b. example of maleficence. c. potential assault and battery charge. d. violation of the Health Insurance Portability and Accountability Act (HIPAA). Interpersonal communication is defined as a. the conscious intent by one individual to modify the thoughts or behaviors of others. b. a combination of written and spoken communication. c. atheory used to describe a manner of communicating. d. communication between two or more individuals involving face-to-face interaction. 12. Organizational tones are based mostly on a. unspoken cultural norms. commitment to success. communication behavior. leadership styles. 0 o

13. Which communication technique is most effective when handling patient complaints? [ Persuasion Bargaining Negotiation Non-verbal cues 14. A communication system developed originally to address communication patterns in critical 15. situations is a. VERA framework. b. NVC model. ¢ crucial conversations. d. TeamSTEPPS. The number one cause of preventable medical errors is a. hostile work environments. b. poor communication. c. ineffective leadership. d. staff competency. 16. Which communication format was developed to address the communication arm of the TeamSTEPPS model? a. NVC (nonviolent communication) b. SBAR (situation, background, assessment. and recommendation) c. VERA (validation. emotion, reassurance, activity) d. MI (motivational interviewing) 1. Effective communication is fostered through which of the following ingredients? (Select all that apply.) o ap o Trust Humility Respect Empathy Sympathy 2. NVC communication processes are grounded in (Select all that apply.) a. confrontation. b. empathy. c. compassion. d. honesty. . assertiveness.

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

3. A client’s wife is concerned about her husband’s declining health. He has been admitted with an acute myocardial infarction and has had two myocardial infarctions before this admission. He is not a candidate for surgery. She and her husband have discussed “no breathing machine” for long-standing care, but she is unsure of his wishes if he were to need a “breathing machine” for a short period. The nurse discusses his current condition and care with the client and his wife. She also organizes a team meeting consisting of the client’s physicians, social worker, pastoral care person. and nursing staff. During this meeting, the nurse helps the wife share her concerns and the client’s concerns with the rest of the team. ‘What type of communication technique is being utilized by the nurse? (Select all that applv.) Bargaining Negotiation Persuasion Spiritual assessment Collective action oo os 4. Which of the following are examples of patient privacy or security breaches? (Select all that apply.) a. Encrypted e-mail communications . Fax transmission sent to incorrect physician office c. Prescription given to patient with wrong label attached Case management coordinator obtaining information about a patient’s diagnosis Discharge summary given to patient’s spouse o a 5. Which of the dimensions of spirituality should nurses assess for in care delivery? (Select all that apply.) a. Culture b. Beliefs c. Values d. Social e Religious 6. Effectiveness and sustainability of change is based on the skilled communication of leadership and stakeholders endorsing the change process. What are some barriers that can interfere with change? (Select all that apply.) a. Inwardly focused cultures Transformational leadership Fear of the unknown Arrogant attitudes Safety culture oao o

. Transformational leadership focuses on engaging staff to become stakeholders in a shared ‘mission and vision. Which of the following are correct statements? (Select all that apply.) a. Transformational leaders have an authoritarian style of communication. b. Effective transformational nurse leaders engage their staff through role modeling and mentorship of inclusion behaviors. Communicating is a process competency. ¢. Transformational leaders have a rigid bureaucratic one-way communication network. d. The communication of transformational leaders is focused on positive interchanges. e Effective transformational leaders listen more than they talk, are open to all new ideas, and create a culture of safety. . Group readiness levels can be assessed in four stages. Which of the following statements is accurate regarding group readiness? (Select all that apply.) a. Members are organized and secure about their roles in the forming stage. At the forming stage, the group needs direction in defining goals. During the storming period. there is more willingness to accept the group goals. The group becomes self-managing during the norming period. During the performing period. the members willingly perform the task. oa0 o . E-mail is a great tool for communication. When should e-mail #ot be used? (Select all that apply.) a. When you are mad b. When scheduling a meeting . When you are canceling or apologizing d. Ifthere is any chance your words could be misunderstood e When rebuking or criticizing . Any collection of interconnected individuals working together for the same purpose is known as a(n) a. club. b. group. c. meeting. d. organization. . A type of group that is stable, meets periodically, has an identified purpose, and is part of the organizational structure is called a a. club. b. committee. . group. d. meeting. Team building is the process of a group. a. forming b. identifying organizing unifying

4. A small number of people with complementary skills who are committed to a common purpose, performance goals, and approach for which they hold themselves mutually accountable and whose membership should be consistent is known as a a. committee. b. group. c. team. d. unit. 5. A collection of individuals who are led by a strong. clearly focused leader and who come together to share information and ideas and possibly make decisions is known as a a. committee. b. pseudoteam. c. team. d. work group. 6. Innursing, the reason groups form is a. monetary rewards. b. mandatory obligations. c. physical needs. d. professional socialization. 7. Group problem solving is known to be more effective over individual problem solving because of a larger knowledge and information base, increased acceptance of solutions, more approaches to a problem. lower economic costs, and the ability for a. group development. b. individual expression. ¢ hierarchical bonding. d. organizational team building. 8. Some of the major disadvantages to group decision making are negativity, individual focus, and a. autonomous conclusion. b. disruptive conflicts. . group synergy. d. inaccurate data interpretation. 9. A group of tenured nursing faculty at a major university votes on whether a faculty member should receive tenured status. This type of decision making is referred to as a. autocratic decision procedure. b. consultative decision procedure. c. delegated decision procedure. d. joint decision making.

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

10. Group as well as individual accountability exists within a a. work group. b. true team. c. pseudoteam. d. committee. 11. The hospital’s regulatory department is experiencing The Joint Commission survey. The surveyors want to review hospital policies for infection control before they leave for the evening. The regulatory team leader states that she can stay past her regular hours to wait for them and acknowledges that there will be a need for a policy change before the surveyors return the following day. All of the department managers stay to assist the regulatory team leader with the required documentation. This is an example of a a. work group. b. committee. c. true team. d. group. 12. A temporary group of individuals formed to carry out a specific mission or project is known asa a. club. b. group. c. meeting. d. task force. 13. The stage of group development where control issues arise and disputes or disagreements begin to emerge is the stage. a. orientation b. adaptation c. emergence d. working 14. The nurse manager within a small department has requested that the staff decide department coverage over the holidays. The department is not associated with patient care and serves as a supportive role to the organization. The staff is to present the manager with the coverage plan during the month of December. This is an example of which type of decision? a. Autocratic decision procedure b. Consultative decision procedure c. Joint decision making d. Delegated decision procedure 15. The critical care unit of a hospital utilizes team huddles at change of shift. This is an opportunity for the clinical supervisors to connect with team members and review the upcoming shift or any quick topics that need to be communicated. This is an example of a(n) meeting. information-sharing opinion-seeking problenr-solving strategy [

16. A multidisciplinary committee meets monthly to discuss medication safety issues within the acute care areas. The quality director consistently arrives late for meetings and spends her time in the meeting answering e-mails on her smart phone. What type of disruptive behavior does this exhibit? a. Compulsive talker b. Interrupter c. Squasher d. Unreliable . Why is an interdisciplinary. team-based approach essential in health care? (Select all that apply.) a. Reimbursement protocols and government regulations require them. b. Diverse team’s enhanced ability to adapt to continuous or sudden change. c. A collective pool of thinking styles allows for greater exchange of information, ideas, and problem solving. d. Rapid information dissemination is most efficient with multidisciplinary teams. . Engaging teams in this process allows for diverse points of view, creativity, and innovation. ‘What are some of the positive aspects of utilizing teams in a professional setting such as health care? (Select all that apply.) a. Teams have the potential to perform at higher levels than individuals on their own. b. Teams are a way to keep decision making at the management level. . Teams may contribute to constraints within the budget. d. Teams can motivate individual members and provide encouragement. constructive criticism, and praise. e Teams can make individuals feel more connected to the larger organization. ‘When teams are assigned. but not designed, dysfunction can occur. What are some characteristics of a dysfunctional team? (Select all that apply.) Confusion over the purpose of the team Lacks real authority Effective interpersonal communication patterns Team needs placed above individual needs Lack of evaluation criteria o0 o Group interactions are composed of which of the following elements? (Select all that apply.) The unique way the group interrelates and begins to work together The values and norms of each individual The process of problem solving The communication that occurs among group members The roles played by each member oo os

5. A nursing professional practice council is being formulated within an organization. Nurses from the three acute settings will meet monthly to discuss safety. policy. and practice needs within the organization. What are some of the reasons for this group formation? (Select all that apply.) To provide professional socialization To provide an exchange forum To provide a mechanism for independent work accomplishment To allow members to test a theory To create a sense of status and esteem fpogm 6. Work group disruption has been shown to be linked to negative outcomes. What are some factors that can contribute to work group disruptions? (Select all that apply.) a. Budget constraints b. Multidisciplinary attendance c. Reorganization d. Absenteeism e. Turnover 7. What are some of the advantages to group work related to problem solving? (Select all that apply.) af,p'l'here is greater sharing of knowledge and information. b. Individuals are less likely to accept a solution. ¢. Complex problems are more manageable in a group. d. Groups discourage individual expression. e Group decision making is cost-effective. 8. Team dynamics can become dysfunctional over time. What are some factors that can contribute to team dysfunction? (Select all that apply.) a. Taking accountability b. Absence of trust c. Negotiating expectations d. Fear of conflict e Lack of commitment 9. Effective groups will have a variety of roles. Which of the following are examples of group-building roles? (Select all that apply.) a. Encourager Listener c. Summarizer d. Compromiser ¢ Recorder 10. In planning for an effective committee meeting, what are some of the roles of the leader? (Select all that apply.) a. Allowing the group to set the agenda during the meeting Speaking for every member to ensure all opinions are heard Identifying the purpose of the meeting Ensuring that the meeting starts and ends on time Keeping the meeting directed toward accomplishing objectives sao o

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

. A nurse on a medical-surgical floor has been asked to join a research committee. She agrees to this request because of her great admiration for the vice president of nursing. This is an example of dimension of power. a. dependence b. relational c. subversive d. tactical . A staff nurse frequently is providing positive comments to get the manager in a good mood before asking about additional vacation time. This influence tactic is known as a. consultation. b. ingratiation. c. inspiration appeals. d. rational persuasion. . Management offers a day of pampering at a spa if nurses agree to work 3 out of 4 weekends over the summer. This type of power is known as a. coercive. b expert. c. legitimate. d. reward. The nursing supervisor informs the staff that if they refuse to stay on the nursing unit and work an additional 8-hour shift. they will be reported to the state for patient abandonment. This type of power is known as a. coercive. b. expert. c. legitimate. d. reward. Subunit power is derived from a. being independent within the organization. b. providing resources on which the organization most depends. c. supplying multiple cross-trainable functions within the organization. d. voicing unique opinions and values within the organization. . A nursing manager is leading a recruitment and retention committee. She manages in a laissez-faire style. Her co-leader is a staff nurse who is very detail oriented. The nurse ‘manager usually leads the meetings. During the meeting, the staff nurse frequently needs to interject information that has not been presented. She also creates the agenda and communicates information with other team members. This scenario depicts which type of conflict? a. Competitive b. Disruptive ¢ Organizational d. Task

7. A hospital nurse manager is involved in conflict management between two staff members. The process of collaborating occurs when a. one person seeks to satisfy his/her own interests. b. both sides strive to meet the interests of both parties. c. aperson chooses to withdraw from conflict. d. one party seeks to appease the other. 8. Nurses derive much of their power from being 9. 10. 11. 12. a. authority figures in emergent situations. b. central to the delivery of health care services. c. organized through public associations. d. the care coordinator of the health care team. A well-known talk show host presents information to a congressional committee to garner support for cancer research. This type of power refers to povwer. a. coercive b. expert c. legitimate d. referent is an influence tactic where another person is given praise or sympathy in an effort to make the other person feel important. a. Assertiveness b. Ingratiation <. Rationality d. Upward appeal Subunit or power refers to relationships across departments. a. vertical b. organizational c. horizontal d. exertional A disagreement or differences between the members of two or more groups over authority. territory. and resources is called conflict. a. intragroup b. intergroup c. interpersonal d. intrapersonal

13. 14. is a personal quality that is admired in the person with referent power. a. Problem solving b. Authority c. Knowledge d. Coercive power A common source of conflict in nursing occurs when the nurse wants to perform patient teaching or counseling, but there are competing priorities and the nurse has inadequate time to spend with the patient. This type of conflict is related to a. interpersonal conflict. b. intergroup conflict. ¢. intrapersonal conflict. d. intragroup conflict. Nurses must use which of these to facilitate change in health care organizations? (Select all that applv.) a. Actualization b. Authorization c. Influence Ratification Power o A ‘What are the consequences or outcomes of nurse empowerment? (Select all that apply.) a. Increased compensation and benefits b. Decreased burnout c. Decreased job strain d. Increased job satisfaction and work effectiveness Increased trust in the workplace The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine have assessed progress made on recommendations for the future of nursing. What are the recommendations for nurses? (Select all that apply.) a. Remove barriers to practice and care. b. Maintain current leadership roles. c. Promote diversity. d. Transform education. e. Improve data. ‘Which of the following are the formal dimensions of power? (Select all that apply.) Social aspect Relational aspect Dependence aspect Independent aspect Sanctioning aspect o0 oe

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

5. Empowerment for nurses may consist of three components. Which three of the following c -omponents may help nurses become empowered to use their power for better patient care? (Select all that apply.) o0 o A state in which a nurse has assumed control over his or her own practice A social relationship between two or more people A workplace that promotes opportunities for growth A nurse’s sense of meaning as expressed in values and work role Interdependence of personnel ‘What are the two major content dimensions of power? (Select all that apply.) a. Influence b. Integrity c. Authority d. Dominance e. Control Which of the following statements accurately describe the varying mechanisms of power? (Select all that apply.) a. Connection power is based on the perception that the influencer has access to powerful people or groups. b. Legitimate power is based on fear. c. Expert power results from expertise, special skill. or knowledge. d. Information power refers to skill in making rational appeals. e. Referent power is based on admiration for a person. 8. Which of the following statements describe structural determinants of power within an organization? (Select all that applv.) PR g Power is derived from independence. Power is derived from providing resources. Power is derived from certainty. Power is derived from being irreplaceable. Power is derived from the ability to affect the decision process. 9. Organizational change is associated with both direct and indirect costs for which leaders must be prepared. Which of the following are examples of indirect costs associated with conflict? (Select all that apply.) oo os Loss of team morale Disrupted communication Disability or stress claims Decreased management productivity related to time spent resolving conflict Loss of motivation for achieving team goals

10. The main effects of conflict are individual effects. interpersonal relationships, and organizational effects. What are some of the positive effects of conflict within an organization? (Select all that apply.) a. Absenteeism Team cohesiveness Disrupted communication Stimulation of creativity and innovation Improved quality of decisions 11. Negotiation is a form of conflict resolution. Which of the following terms are associated with negotiation? (Select all that apply.) Conciliation Distributive bargaining Arbitration Mediation Collective bargaining 12. Which of the following are factors that influence the way conflict is handled within an organization? (Select all that apply.) a. Behavioral predispositions of individuals b. Bureaucratic hierarchy . Social pressure in the environment d. . [ oo os Rules and procedures Position power 1. Which of these statements are true about culture? a. Culture remains consistent. b. Individuals identify with one culture during their lifetime. c. Culture is complex. d. Culture excludes religion. 2. A client of Vietnamese background is admitted to the unit after a hysterectomy. She has an order for clear liquids. When her tray is brought to her. she refuses the lime Jell-O. Which response by the nurse is most appropriate? a. “Idon’t blame you. I don’t like lime Jell-O either.” b. “Tell me about your cultural beliefs to best help you.” ¢ “Why don’t you want to eat the lime Jell-0?” d. “It is important for you to eat so that you will heal.” 3. Cultural diversity refers to the variety of cultural or ethnic groups within a society. belief that one’s own culture is similar to another’s culture. realization that all people in a particular culture have the same beliefs. view that individuals living in a country should speak the native language. [

10. ‘Which of these is the fastest growing minority group in the United States? a. Asians b. Caucasians c. Blacks d. Hispanics Which of the following ethnic populations has seen the fastest growth? a. African Americans b. Iranians c. Hispanics d. Vietnamese Equity is the absence of avoidable differences among groups of people, whether those groups are defined socially, economically, demographically, or geographically. Which group formulated this definition? a. World Health Organization b. Affordable Care Act c. Centers for Disease Control d. Agency for Healthcare Research and Quality Recognizing one’s own prejudices and learning about other people’s differences is the first step toward a. cultural diversity. b. multicultural competence. c. social change. d. valuing. A nurse believes that she should provide optimal care to all clients, regardless of their cultural background. She is struggling with her emotions when caring for a client with a violent criminal background. What would be the best course of action for this nurse? a. Avoiding the client as much as possible but providing care b. Identifying her biases but providing care ¢ Requesting another patient assignment d. Taking sick days while the patient is hospitalized Which of the following supports successful workplace diversity? a. Being a “devil’s advocate™ b. Holding tight to one’s cultural values c. Respect for differences d. Withholding judgment of others According to the National Healthcare Quality and Disparities Report, which group has worse access to health care in America, compared with Whites? a. Hispanics b, Asians . Blacks d. American Indians

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

11. The variation among groups of people with respect to habits, values, preferences, beliefs, taboos, and rules for behavior determined to be appropriate for individual and societal interaction is known as a. bias. b, diversity. c. culture d. stereotyping. 12. What is the most modifiable factor in the provision of equitable health care? a. Availability of services b. Socioeconomic status c. Care that is responsive to cultural needs d. Education level 13. When nurses portray an attitude that their cultural group is superior to another. it is known as practicing the concept of cultural a. diversity. b. egocentrism. . ethnocentrism. d. prejudice. 14. A White nurse from the United States is assigned to care for a Vietnamese woman who speaks little English. had a baby 2 months ago. and is 1 day postoperative after fibroid removal. The nurse knows that traditional Vietnamese women will avoid drinking or eating “sour” foods such as lime Jell-O or other citrus types of liquids after surgery. She confirms her patient’s values and beliefs. The nurse is exhibiting characteristics of a. cultural competence. b. ethnic sensitivity. c. stereotyping. d. nonjudgmental behavior. 15. This generational cohort currently dominates the U.S. workforce. They have grown up with little economic competition. Efficiency. teamwork. quality, and service have thrived under their leadership. This generational cohort is known as a. baby boomers. b. Generation X. c. Internet Generation. d. Mature Generation. 16. This generational cohort was the first generation of latchkey kids who had to be resourceful at an early age. They are skeptical of traditional practices and beliefs. They strive for a balanced life. This group is known as a. baby boomers. b. Generation X. c. Internet Generation.

17. A patient from the Philippines has been admitted to the ICU after a motor vehicle accident. The patient has a very large group of family and friends wanting to visit. hold vigils, and provide meals to the visitors and staff. This is an example of a. inflexible attitude b. ambiguity c. ethnocentrism d. collectivism 18. Eliminating can be accomplished through access to high-quality care. promoting patient-centered care and maintaining accurate data to monitor the quality of care provided. a. diversity b. cultural incompetence c. health disparities d. miscommunication 19. Members of a generation who are linked through shared life experiences in their formative years are known as a. baby boomers. b. generational markers. c. generation gaps. d. cohorts. 20. A 17-year-old male has presented to the emergency department with appendicitis. He speaks English, but his mother speaks Spanish. The mother needs to consent for the surgery since the patient is a minor. The doctor determines that the consent is not needed due to the emergent nature of the case. If the doctor proceeds without obtaining consent, he may face a. cultural competence. b. linguistic competence. ¢ miscommunication concerns. d. liability claims. 1. Culturally competent organizations benefit from meeting the diverse health care needs of the population it serves. What are the social benefits to the organization? (Select all that applv.) Increases mutual respect. Increases community participation. Meets regulatory guidelines. Assists patient and families in their care. Increases cost savings. 2. When communicating health information with diverse populations, miscommunication and misunderstanding can lead to (Select all that apply.) cultural competence. malpractice claims. informed consent. errors. increased cost. oap o E N O

3. 4. 1. There are three major issues in cross-cultural communication. They are (Select all that apply.) a. ambiguity. b. ethnocentrism. ¢ inflexible attitude. d. collectivism. e negotiation. In order to make a positive contribution to care of patients, it is critical that nurses recognize ‘which of the following aspects of culture? (Select all that apply.) Culture of the clinician Culture of the patient and family Spiritual beliefs of the clinician Culture of co-workers Spiritual beliefs of the patient om0 o . Which of these are true regarding millennials in the work environment? (Select all that apply.) a. They need clear definitions of outcomes. b. They thrive on deadlines. ¢. Most enjoy working on their own. d. They struggle with multitasking. <. They lack problem-solving skills. The nurse manager of a nursing unit is a White, female working with a high percentage of Middle Eastern nursing staff. Which of these statements are true about the communication and leadership style of a low-context culture? (Select all that applv.) Rules are clear and tend to be followed. Low-context cultures require extensive, detailed explanations. Verbal communication is less explicit. Decisions are made in face-to-face conversations. Decisions are focused around tasks. LA O Which of the following factors influences the structure of an organization? a. Age of the building b. Brand of computer system ¢. Number of employees d. Square footage of the facility Within nursing practice, the use of advanced practice roles is an example of a. cross-training. b. departmentalization. c. fragmentation. d. specialization. The nursing chief executive officer (CEO) works in a major rehabilitation and subacute facility network. Her span of control refers to the number of miles in which the network resides. ancillary staff accountable to her. nurses and non-nurses reporting to her. inpatients that the facilities service. o o

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

. A nurse manager is responsible for a unit consisting of 40 nurses who report to two clinical supervisors. In addition, there are 10 support staff who report to an administrative supervisor. The subordinates reporting to this manager are known as which dimension of organizational design? a. Division of labor b. Hierarchy c. Span of control d. Decentralization . 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. This nurse has a. decisional authority. b. formal power. c. informal power. d. quantum authority. . An organizational chart with one line of management and one line of staff reflects which of the following types of organizational structures? a. Authoritarian structure b. Flat structure ¢ Power structure d. Vertical structure . The phrase “the buck stops here” best describes which of the following terms? a. Accountability b. Authority c. Responsibility d. Trustworthiness . Patient surveys convey that they are uncertain about who is the registered nurse (RN). The CEO makes a decision that mandates that white nursing caps will be worn by all RNs and blue nursing caps by all licensed practical nurses to differentiate professional nurses and occupational nurses from nurses’ aides and other ancillary staff. Which type of structure does this represent? a. Centralized b. Decentralized . Nonparticipative d. Participative . The patient is a 69-year-old woman who has a history of diabetes mellitus, peripheral vascular disease, and myocardial infarctions. 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 30 of her medications, and list all home care and medical supply companies. Which of these processes could improve the fragmentation in work flow? a. Departmentalization b. Standardization c. Specialization d. Subdivision

10. The ways in which work is divided and coordinated among members and the resulting network of relationships, roles. and work groups is the a. organization. b. organizational social structure. c. structure. d. formal relationship. 11. According to the ____organizational approach, organizations are logical and predictable with identifiable and sci scientifically measurable characteristics that can be predicted. observed. or manipulated. a. objective b. subjective c. postmodern d. realistic 12. Which organizational theory emphasized the informal aspects of organization social structure and was influenced by the Hawthorne experiments? a. Bureaucratic theory b. Scientific management school ¢. Classical management theory d. Human relations school 13. The division of work by occupation or function is a form of a. specialization. b. interdependence. c. uncertainty. d. technology. 14. Standardization of _____ provides a uniform structure for information delivery and flow in order to facilitate exchange among those involved in common work processes. a. physician orders b. communication c. work processes d. work outputs 15. 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 a organizational form. a. parallel b. functional ¢ modified program d. matrix 16. The structure of authority in an organization is known as the a. authority. b. centralization. c. bureaucracy. d. hierarchy.

17. The network or pattern of social relationships and friendship circles within an organization is known as the a. clique. b. formal structure. c. informal structure. d. hierarchy. . The nursing staff on a critical care unit thought that professional growth could be enhanced. ‘Which of the following interventions would support empowerment of the nursing staff? (Select all that apply.) a. Eliminating computers and reverting back to paperwork b. Increasing pay wages for ancillary and professional staff c. Providing various methods for ongoing education and continuing education units d. 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. Which of the following are those perspectives? (Select all that apply.) a. Objectivism b. Subjectivism c. Postmodernism d. Realism According to the contingency theory of organizational performance, an organization must structure and adapt its nursing units to complement which two factors? (Select all that apply.) Skill set Patient population Environment Technology Finances ‘Which of the following statements describe the benefits of specialization in the health care setting? (Select all that apply.) a. Improved work performance b. Increase in expertise ¢ Improved efficiency and outcomes d. Increased workload e. Increased error reporting 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 form within the health care organization? (Select all that apply.) a. Professional silo b. Fragmented care delivery c. Cost reduction d. Enhanced performance and quality e Promotion of professional development o e o

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

6. An organizational chart is used to depict (Select all that apply.) a visual display of the organization s positions. the intentional relationships among positions. open positions within human resources. flow of authority. advisory committees. a0 ow 7. Which of the following statements are accurate when describing responsibility and accountability? (Select all that apply.) a. The assignment of responsibility assumes accountability. b. A manager is assigned responsibility by a subordinate. c. Accountability is the liability for task performance. d. The assignment of responsibility and the granting of authority create accountability. ¢ Accountability flows upward or outward. 8. Managers apply their leadership skills to their reporting relationships to release energy and talents of people in a manner that adds value to the work they perform. What are some examples of the effects of added value? (Select all that apply.) a. Increased compensation b. Improved productivity ¢. Organizational commitment d. Organizational citizenship behaviors 9. An organization with a flat structure has minimal layers of management. What are some of the advantages of a flat organizational structure? (Select all that apply.) a. Fewer divisions facilitating streamlining of goals and problem solving b. Greater supervisory capability c. Greater innovation d. Layers of accountability for completion of work e Enhanced responsiveness to consumers Shared governance is a model of organizational structure in which staff nurses are a. employed to establish mutual goals with clients. b. empowered through autonomy and accountability. c. engaged in problem-solving strategies and techniques. d. equipped with evaluative thinking methodologies. Decentralization occurs when a. equipment is being purchased from approved vendors. b. hiring decisions are made at the executive level. c. power is distributed to those closest to the work of caregiving. d supplies are distributed from one central supply area in the hospital.

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

Which of the following statements best describes an organizational chart? a. All job positions are displayed clearly in a two-dimensional drawing. b. All outside organizations with relationships to the hospital are depicted. . Informal and formal structures within the organization are outlined. d. It shows organizational positions and relationships in a visual representation. Nurses” involvement in shared governance is an important component of a. practice models. b. Magnet recognition. c. increased reimbursement. d. physician satisfaction. . A nurse works in the critical care unit (CCU). She enjoys being on the unit charge nurse team. the recruitment and retention team, and the peer evaluation team. The recruitment and retention team is responsible for hiring new employees into the CCU. The five-member team, consisting of three registered nurses (RNs). a unit clerk, and a nurse’s aide. conduct the interviewing process with key questions that were developed by the team. This is an example of a. centralized power. b. shared governance. <. span of control. d. vertical authority. . Which of the following leadership styles is best suited for implementation of a shared governance structure? a. Authoritarian b. Autocratic c. Participative d. Laissez-faire One obstacle in the implementation of a shared governance model is that nurses have a. empowered participation in committee meetings. b. limited time to work on projects. c. the same basic educational foundation. d. traditionally worked in decentralized structures. . The nurse manager should use which of the following behaviors when implementing a shared governance structure? a. Autocratic decision making of the manager Coaching the staff to be successful Harboring the vision within the team Reimbursing the staff for overtime [

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

9. Research about shared governance suggests that it is 10. 11. 12. 13. 14. a. enhancing the role of the nurse’s aide within the organization. b. improving organizational and patient outcomes. c. not a cost-effective program when examining all areas of care. d. too much additional work for the already overwhelmed RN. Shared governance is a vehicle for engaging organizations and creating the necessary forums and intersections that assure the decisions and actions remain dynamic and as close to the point of service as possible. Shared governance promotes a. dependence. b. non-punitive culture. c. collaboration. d. executive decision making. Traditionally. nurses have worked in strong. hierarchical institutions with centralized decision ‘making and clear authority structures, rigid approval mechanisms, and extensive policies and procedures that have resulted in barriers to creating a shared governance system. One such barriers is a. lack of role clarity. b. lack of time management. c. poor time management skills. d. that development takes a long time. In organizations that practice shared governance, the responsibility for unit outcomes rests with the a. nursing team. b. nurse manager. c. individual nurse. d. chief nursing officer (CNO). The local hospital has a new specialty unit for women and children. The nursing staff has created a family advisory council to assist in reviewing educational materials used at discharge. This shared governance structure is an example of a. interprofessional education. b. whole-system integration. ¢. engagement. d. collaboration. The purpose of an organization’s philosophy is to a. influence the goals and objectives of an organization. b. display how the parts of an organization are connected. c. be an instrument that gives voice to the organization s mission. d serve as the institutional framework that shapes the direction of knowledge and skill acquisition.

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

15. In Magnet organizations. shared governance needs to be manifested through what mechanisms for nurses” decision making? a. Unit practice councils b. Democratic leaders . Authoritarian leaders d. System-wide practice councils 16. An employee satisfaction survey is conducted annually and shows that nurses in a particular unit are committed to their jobs and feel that they make positive contributions. These nurses are ® s b. disengaged. c. unproductive. d. at retirement age. 17. Participative leadership was first introduced in the late 1970s. It was adapted by health care organizations to form the basis of shared governance and has evolved to define the roles of nurses and resolve issues related to a. patient care. b. nursing liability. c. nursing salaries. d. nursing turnover. 18. In organizations that practice shared governance, staff, managers. and leaders are responsible for a. technology. b. budgeting. c. education. d. innovation. 19. Institutions organize and structure themselves by defining departmental function and authority to achieve a more coordinated effort. In institutions where the executive leader retains more decision-making authority. the operation takes on a more philosophy. a. centralized b. decentralized . autocratic d. democratic 20. The of an organization is the formulation of ideas. plans, or dreams that help shape the future and ability to persuade colleagues and associates to share those dreams. a. mission b. core values c. vision d. organizational chart

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

. In organizations that practice shared governance, the nurse manager’s role is to (Select all that apply.) . hire new employees. mentor the nursing staff. train new nurses in patient care. support the decisions of the nursing team. . enable the staff to become effective leaders. . Shared governance has far-reaching implications for today’s health care environment. Patients benefit due to (Select all that apply.) quicker responses at the point of service. more committed health care professionals. a more stringent model of health care service. better decisions being made by upper management. nurses being more assured. confident patient advocates. Organizational benefits of a culture of shared governance include (Select all that apply.) improved financial outcomes. interdependence among staff nurses. increased commitment of staff to the organization. more senior leadership involvement at the point of service. a more efficient model for point-of-service decision making. . The primary purpose of unit practice committees in a health care organization is to improve (Select all that apply.) » [ N oan o a. practice. . processes. c. outcomes. d. reimbursement. e turnover. The instruments that give voice to the organization’s philosophy include which of the following? (Select all that apply.) a. Goals b. Focus e Vision d. Mission e. Core values In an organization that has a decentralized organizational philosophy. decision-making authority rests in levels closer to the point of service rather than in the executive levels. Benefits of a decentralized organizational philosophy include (Select all that apply.) encouraging more input. supporting greater innovation. facilitating faster response times. permitting a narrower span of control. allowing for more levels of management. L

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

. At its start, shared governance requires the education and support of organizational executives, managers, and point-of-care staff. Organizational benefits include (Select all that applv.) a. accountability of the nurse. b. reduction in liability claims. c. reduction in workers’ compensation claims. d. improved financial outcomes. €. more expert involvement at the point of care. . The concept of strategic management includes strategic planning and the implementation of a. core values. b. strategy. c. tactics. d. objectives. The guiding framework that describes the organization’s purpose and future direction is the a. futuristic guidelines. b. mission and vision. c. strategic plan. d. core purpose. . Objectives are a. bylaws used to govern the organization. b. financial minimums needed to operate. . performance-based criteria for accreditation. d. targets that the organization wants to achieve. . A new cancer center is being built in the local hospital. A patient survey has revealed that patients are not certain which caregiver is the registered nurse (RN) during their hospital stay. A group is formed to recommend methods to help patients identify which caregiver is their RN for the new cancer center. Which of the following groups best represents those who should be involved in forming recommendations? a. Chief medical officer, public relations vice president. and human resources b. Oncology clinical nurse specialist. nurse’s aides, and RNs c. Physicians, unit secretaries, and vice president of finance d. Vice president of nursing, decentralized pharmacist, and licensed practical/vocational (LPN/LVN) nurses . A highly respected staff RN on the medical-surgical unit has volunteered to be the champion for the implementation of a new nursing protocol. What does champion mean in this situation? The staff nurse will a. accept an award on behalf of her unit regarding this protocol. b. display a winning attitude in support of the new protocol. c. educate others in continuous quality improvement protocols. d. passionately commit to the implementation of the process and inspire others. SWOT is an acronym for a. stability. wealth. opportunistic. and timeliness. b. strategies. work ethic, oppositions, and team. c. strengths, weaknesses, opportunities, and threats. d. strong, worthy. oppositional, and tactical.

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

7. Anaction plan a. breaks a strategic plan into manageable parts. b. details a futuristic view of the institution. c. outlines the steps in performing a procedure. d. provides a strategic plan for actualizing the mission. 8. A nurse manager enjoys implementing new programs and beginning new projects. She is beginning to find herself overwhelmed and needs to decrease her workload. Which of the following ideas might best help decrease her workload? a. Comparing her vision with that of the institution b. Following the strategic objectives and mission of the hospital ¢ Reviewing the action plan and vision of the hospital system d. Using her intuition to determine which project should continue 9. Part of the evaluation design process when developing a strategic plan includes a. delineation of measures of success. b. designing a form to critique the guidelines. c. formulating an implementation outline. d. writing the vision and mission statement. 10. A hospital with a large surgery department is concerned about surgeons starting their own surgical centers. In relation to the environmental assessment process, this is an example of a. an economic monopoly. b. an external threat. c. marketplace competition. d. political strength. 11. Operational choices for action that are made to implement a strategy are called a. tactics. b. objectives. c. core values. d. strategic plans. 12. The first step of the strategic planning process is to develop strategic goals. survey the environment. implement the action plan. formulate the organization’s mission and vision. a0 o

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

13. 14. 15. 16. 17. The statement. “We will provide high-quality care and services to our patients. We are committed to maintaining excellence, respect. and integrity in all aspects of our operations and our professional and business conduct.” is an example of a. a mission statement. b. the core values of an organization. c. a strategic plan. d. the core purpose of an organization. Answering questions such as “What business are we in?” and “What business do we want to be in?” can lead the organization to define the a. mission. b. objectives. . core purpose. d. strategic plan. Addressing the strategic planning process questions involves considering environmental factors. An example of an external environmental factor to be considered is a. financial factors. b. human resources. c. political climate. d. organizational culture. The statement. “We will increase our profit by 8% each year.” is an example of a(n) a. strategic plan. b. mission statement. c. organization objective. d. implementation strategy. The 2011 Future of Nursing report published by the Institute of Medicine (IOM). calls for a. an improved educational system that promotes seamless academic progression. b. the baccalaureate in nursing to be established as the minimal educational level for entry into practice. c. the master’s degree to be established as the minimal requirement for a leadership position in nursing. d. increased participation in leadership among nurses. Strategic management, long used in business to ensure a competitive advantage over similar enterprises. involves (Select all that apply.) setting targets. establishing goals. evaluating success. developing an action plan. defining the core purpose. conducting an environmental scan. The purpose of strategic management is to (Select all that apply.) ensure customer satisfaction. establish a competitive position. reach strategic objectives or goals. develop the organizational mission. provide a blueprint for operating a business. Mo oao o o foos

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

3. Characteristics of strategic management include (Select all that apply.) a. alignment with the external environment. helps identify best practices on the nursing unit. future orientation. engagement of the entire workforce in organizational leadership. use of change management strategies to achieve performance goals. facilitation of decision making with well-communicated decisions. tho a0 o 4. For organizational strategy to be implemented successfully it must be (Select all that apply.) specific and inflexible. applied in a timely manner. agreed upon by all stakeholders. executed proficiently and efficiently. aligned with the organizational culture. 5. Most strategic plans result in a written document. Strategic plan documents generally contain ‘which of the following sections? (Select all that apply.) a. Forward b. Glossary c. Goals and strategies d. Executive summary e. Mission, vision, and values 6. Strategic management is useful for nursing leaders and managers because it (Select all that apply.) a. helps identify best practices on the nursing unit. b. rewards those who carry out strategy successfully. can be used to set measurable, achievable goals and plans. can be used to analyze the environment for opportunities and threats. e can help determine the future of the nursing area. such as a department or unit. L [ 1. A(n) is a two- to three-page synopsis of the strategic plan. written in language understandable by all potential readers. ANS: execufive summary 2. A competitive move or business approach designed to produce a successful outcome is called ANS: strategy 3. Ina written strategic plan, the contains all the documentation related to the strategic planning process so that the reader obtains a sense of the background information used by the strategic planners in order to arrive at the strategic plan. ANS: appendix

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

1. A key component of the strategic planning process is to assess the environment. Place the steps of the assessment process in order a. Identify strengths and weaknesses internal to the organization. First b. Shape strategies into a strategic plan on which strategic management is based. FIFTH c. Establish priorities for the critical issues so that strategies are based on the priority issues. FOURTH d. Analyze strengths, weaknesses. opportunities, and threats for their impact on the organization. THIRD e. Analyze internal components for the purpose of drafting a picture of the critical features of the organization. SECOND 1. A professional practice model is a a. b. c. conceptual framework and philosophy of nursing within an organization. staffing grid that outlines nursing unit work schedules. mechanism by which care is actually provided to patients and families. d. blueprint for developing specific measurable objectives and actions. a. Which nursing care model was prominent before the Great Depression? Functional nursing b. Group nursing c. Hospital staffing d. Private duty nursing 3. Anexample of a traditional nursing care delivery model is a. b. c. d. case management. patient- and family-centered care. transitional care. patient-centered medical home. 4. Functional nursing a. b. c. d. divided and distributed nursing tasks. enhanced client-oriented care. provided a smooth care delivery system. was expensive once implemented. 5. Primary nursing is a type of care delivery in which the nurse a. b. c. d cares for a patient 24 hours a day. is responsible for the client’s daily care. monitors care from admission to discharge. provides total care for the patient.

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

6. Critical paths a. are designed only for critical care or trauma patients. b. determine lifesaving interventions for a specific population. c. outline optimal care and time milestones for the routine patient. d. provide a list of supplies and equipment needed for care. 7. A patient is admitted with congestive heart failure, diabetes mellitus, and dementia. He has a new dark spot on the top of his toes on his right foot. The nurse contacts the primary care physician, consults with the wound care specialist nurse, writes a nursing order for a referral to the diabetic educator, and contacts the discharge planner to facilitate future discharge plans. ‘Which of the following care delivery models best describes how the nurse is providing care? Case management Group nursing Functional nursing Private duty nursing 8. Which of the following is true about team nursing? a. It includes only registered nurses (RNs) and licensed practical/vocational nurses (LPN/LVNE). b. Each team member has his or her own patient assignments. ¢. Team members must have dual degrees. d. The nurse with a bachelor’s of science in nursing degree is the leader of the team. 9. The conceptual framework and philosophy under which the method of delivery of nursing care is a component is known as a. core values. b. mission statement. ¢ care delivery model. d. professional practice model (PPM). 10. The responsibility for making decisions about and designing strategies to create a climate and environmental context around the provision of nursing and health care services lies with a. staff nurses. b. care councils. c. the nurse manager. d. executive leadership. 11. Stakeholders are informed of an organization’s key goals through its a. vision. b. values statement. c. mission statement. d. organizational philosophy. o o

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

12. Lilly. an RN, works full time in her client’s home providing total care for him. She bathes and dresses him, provides tracheostomy care and wound care, and feeds him. She is paid directly by her client. This type of nursing care is commonly known as a. primary nursing. b. functional nursing. c. case management. d. private duty nursing. 13. Mary Lou is a nurse in the critical care unit. She works 12-hour shifts. Each shift she is assigned to one or two critical care patients. She is responsible for planning and delivering the care and treatment for each one of the patients she is assigned to. This is an example of which nursing model? a. Team nursing b. Managed care c. Total patient care d. Functional nursing 14. Janice is assigned to pass medications this shift. Mary is assigned to do wound care, Jennifer will give all the baths, and Jim will take all the vital signs. This model of nursing care is called nursing. a. team b, primary c. modular d. functional 1. The presence of a nurse professional practice model (PPM) is the nurse’s (Select all that apply.) a. control over practice. b. career focus. c. job satisfaction. d. psychological needs. 2. Which of the following nursing care models are hospital based? (Select all that applv.) a. Case management b, Functional c. Private duty d. Team 3. The determination of a care delivery model or system of care delivery depends on (Select all that apply.) fiscal responsibility. accountability to the consumer. government reimbursement. the organization’s philosophy. quality and safety considerations. LA O

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

4. Positive work environments are often found in Magnet-designated organizations. Organizational structures associated with Magnet-like healthy work environments are (Select all that apply.) a. professional development opportunities. b. interdisciplinary collaboration. ¢ top-down approach to governance. d. decreased workloads. e culture of safety. 5. Professional practice models (PPMs) refer to the conceptual framework and philosophy of nursing within an organization. The core elements of a PPM include (Select all that apply.) a. goals. b. values. c. leadership. d. collaborative relationships. e. care delivery model. 6. A well-known conceptual framework by Donabedian (1988) is used to promote positive outcomes in an organization. The framework is composed of concepts related to (Select all that apply.) a. structure. b. outcomes. . processes. d. values. e quality. 7. Policies and procedures are two functional elements of an organization that are extensions of the mission statements. The similarities between policies and procedures include (Select all that apply.) aneed for regular, periodic reviews. a means for accomplishing goals and objectives. general guidelines for decision making about actions. aneed for the smooth functioning of any work group or organization. a need to be very detailed as to how to perform a specific procedure on a specific unit. 8. Nurses still struggle to create a healthy work environment. The standards of a healthy work environment include (Select all that apply.) paoos a. staffing ratios. b. true collaboration. c. powerful leadership. d. meaningful recognition. . skilled communication.

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

9. Disadvantages of private duty nursing include (Select all that applv.) private duty nurses have a great degree of autonomy. private duty being a costly model. job security being tenuous and irregular. the nurse’s focus being entirely on one client’s needs. e. nurses maintaining close relationships with colleagues. ao oo 1. A@m) is the operational mechanism by which care is actually provided to patients and families. ANS: care delivery model 2. Organizations need to integrate the behaviors of employees to avoid random chaos and maintain some order, function, and structure. A(n) is a guideline that has been formalized. It directs the action for thinking about and solving recurring problems related to the objectives of the organization. ANS: policy 3. A(m) is a written plan that identifies key. critical, or predictable incidents that mmst oceur at set times to achieve client outcomes within an appropriate length of stay in a hospital setting. ANS: critical path

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

Leadership Exam #2 Review

Related Documents