Deck 5: The World of Healthcare Employment

Question 1

The nursing student is studying about mission and vision statements in the organization. Which of the following best identifies these statements? Select all that apply.

A) Standards against which organizational performance is judged
B) Research, teaching, and care of clients with complex problems
C) Meeting the healthcare needs of citizens of the community
D) Yearly goals for individual nursing units
E) Financial information for a specified time period

Answer 1

Standards against which organizational performance is judged
Research, teaching, and care of clients with complex problems
Meeting the healthcare needs of citizens of the community

Question 2

The nursing student is studying organizational structure. Which element is most likely included? Select all that apply.

A) Goal is efficiency and cost-effectiveness
B) Identifies accountability
C) How communication occurs
D) Determines who is hired in each department
E) Defines the informal culture

Answer 2

Goal is efficiency and cost-effectiveness
Identifies accountability
How communication occurs

Question 3

The nurse is studying about organizational systems. Which of the following best describes the characteristics of Max Weber's organizational system?

A) Discipline
B) Employment
C) Unstable
D) Informal

Answer 3

Discipline

Question 4

The nursing student is reading about organizational structure. Which is a key factor in the structure and function of the organization?

A) Power to make decisions
B) Informal culture
C) Individuals
D) Groups

Question 5

The nurse is considering employment in an organization with a decentralized organizational structure. Select all that apply.

A) Simplified communication
B) May utilize shared governance
C) Open communication
D) Hierarchal administration
E) Decisions made by top administration

Question 6

The nursing student is reviewing the organizational chart in an acute care setting. Which of the following best illustrates components of the organizational chart? Select all that apply.

A) Formal chains of command
B) Span of control
C) Communication
D) Informal culture
E) Financial information

Question 7

The wound care nurse is making rounds throughout the hospital. Which of the following best describes the type of relationship the wound care nurse shares with other nurses in the hospital?

A) Collaborative
B) Authoritative
C) Narrow span of control
D) Relational

Question 8

The nursing student is learning about organizational policy. Which of the following best describes looping the system?

A) Pharmacy technician bypasses the unit manager with a problem and tells the administrator.
B) A clinical nurse specialist suggests cardiac rehabilitation for unit clients.
C) Informal leaders use communication channels to organize an organizational fair.
D) Emergency department nurse manager is promoted to nursing supervisor.

Question 9

The nurse is being cross-trained as part of organizational restructuring. Which best describes the concept of cross-training? Select all that apply.

A) Learning skills needed to perform other positions
B) Helps manage during peak times
C) Provides greater flexibility in scheduling
D) Gives employees less control
E) Increased costs to organization

Question 10

The nursing student is learning about the clinical ladder during orientation. Which of the following best describes the clinical ladder? Select all that apply.

A) Describes performance expected in advancing levels
B) Salary increases typically accompany movement
C) Serves as a reward mechanism for nurses
D) Adherence to clinical standards of care
E) Open to administrative level positions only

Question 11

The nursing student is completing orientation paperwork. Which is the most effective method of distributing current policies to the nursing staff?

A) Institution's computer network
B) Internet cloud
C) Intuitional mail system
D) Policy manuals in each department

Question 12

The nursing graduate just accepted a position on a unit that utilizes the shared governance model. Which concepts are most distinct in this model? Select all that apply.

A) Equalitarianism
B) Collegiality
C) Shared accountability
D) Bureaucratic structure
E) Centralized governance

Question 13

The nursing student is touring a Magnet hospital. Which characteristic is the student most likely to identify in this hospital? Select all that apply.

A) Excellent client outcomes
B) Job satisfaction
C) High turnover rate among nursing staff
D) Lack of grievance resolution
E) Problem solving at administrative level

Question 14

The nursing student is reading about Magnet hospitals. Which of the following identifies the strongest aspect of Magnet hospitals?

A) High staff satisfaction rates
B) Decreased nurse autonomy
C) Centralized organizational structure
D) High level of administrative control

Question 15

The nurse is reading about collective bargaining. What is the most significant effect that shared governance has on collective bargaining?

A) Nurses are involved with decision-making.
B) Collective bargaining represents more nurses.
C) Shared governance is practiced in all facilities.
D) Nurses belong to both groups in the same facility.

Question 16

The nurse is reviewing types of patient care delivery methods. Which is the most prevalent in modern nursing?

A) Team nursing
B) Functional nursing
C) Total patient care
D) Primary nursing

Question 17

A grievance has been filed against the nurse manager. Which are the most likely reasons for filing this grievance? Select all that apply.

A) Result of a misunderstanding
B) Difference of opinion about a contract
C) Result of direct violation of a policy
D) Employer usually initiates the case
E) Formal complaint requiring mediation

Question 18

A nursing student is reading about negotiations. Which of the following best describes the goal of negotiation?

A) Obtain a signed agreement
B) Interest-based bargaining
C) Meet at regular times to discuss issues
D) Employ a mediator

Question 19

Nurses have traditionally been reluctant to participate in collective bargaining. Which of the following reasons most likely changed this thinking? Select all that apply.

A) Client rights
B) Comparable worth
C) Staffing ratios
D) Centralized organization
E) Health insurance

Question 20

The nursing students are reading about change theory. Which of the following best describes the components of change? Select all that apply.

A) Driving forces
B) Restraining forces
C) Equilibrium
D) Unfreezing
E) Agree on criteria