Question 1

Which of the following is not a part of the formal framework in the management processes?&#10;A) Provision of chain of command&#10;B) System of communication&#10;C) Method for organizational work completion&#10;D) Identification of specific dates for progression in management

Accepted Answer

The identification of specific dates for progression in management is more related to planning and scheduling rather than being a part of the formal framework of management processes.

Question 2

A nurse working in the role of a cardiac clinical nurse specialist (CNS) is an example of what element of organizational design and structure?&#10;A) Work specialization&#10;B) Chain of command&#10;C) Span of control&#10;D) Authority and responsibility

Accepted Answer

Work specialization refers to the degree to which organizational tasks are divided into separate jobs; a cardiac clinical nurse specialist (CNS) role is a specialized job focusing on cardiac care, illustrating work specialization within the healthcare organization.

Question 3

An RN working in the ICU is responsible to report to the charge nurse for the shift. The charge nurse is responsible to report to the nurse manager of the ICU. This is an example of what element of organizational design?

A) Work specialization
B) Chain of command
C) Span of control
D) Authority and responsibility

Chain of command

Accepted Answer

This scenario exemplifies the "chain of command," which refers to the clear line of authority within an organization, from top management to the lowest ranks. It shows who reports to whom, with the RN reporting to the charge nurse, who in turn reports to the nurse manager.

Question 4

A hospital with unit based decision making by a committee of staff nurses describes what element of organizational design?&#10;A) Departmentalization&#10;B) Centralization versus decentralization&#10;C) Authority and responsibility&#10;D) Chain of command

Accepted Answer

Unit-based decision making by a committee of staff nurses is an example of decentralization, where decision-making authority is distributed closer to the operational level of the organization, rather than being concentrated at the top.

Question 5

In shared governance, which model is based on utilization of councils and subcommittees?&#10;A) Administrative model&#10;B) Congressional model&#10;C) Councilor model&#10;D) Shared model

Accepted Answer

The Councilor model in shared governance is based on the utilization of councils and subcommittees to facilitate decision-making and ensure representation from various stakeholders within an organization.

Question 6

Which of the following is not considered one of the strategies of transformational leadership?&#10;A) Developed vision by leadership through hierarchy&#10;B) Building a social architecture for organizational identity&#10;C) Developing and sustaining organizational trust&#10;D) Attending to self-esteem of other

Accepted Answer

Transformational leadership focuses on inspiring and motivating followers, building trust, and attending to their needs and self-esteem. Developing vision through hierarchy is more characteristic of traditional, top-down leadership approaches rather than the collaborative and empowering approach of transformational leadership.

Question 7

Which of the following is the patient care delivery model that emphasizes care at the bedside and is derived from total quality management/continuous quality improvement?&#10;A) Patient-focused/Patient-centered care&#10;B) Primary nursing&#10;C) Team nursing&#10;D) Total patient care

Accepted Answer

Patient-focused or patient-centered care is a model that emphasizes care at the bedside and is derived from principles of total quality management and continuous quality improvement, focusing on providing care that is respectful of, and responsive to, individual patient preferences, needs, and values.

Question 8

Which of the following nursing organizations was responsible for development of The Magnet Recognition Program?&#10;A) National League of Nursing&#10;B) American Academy of Nursing&#10;C) American Nurses Credentialing Center&#10;D) American Nurses Association

Accepted Answer

The Magnet Recognition Program was developed by the American Nurses Credentialing Center (ANCC), which is a subsidiary of the American Nurses Association. This program recognizes healthcare organizations for quality patient care, nursing excellence, and innovations in professional nursing practice.

Question 9

Which degree is the recommended minimal educational requirement for a case manager?&#10;A) Associate degree nurse&#10;B) Baccalaureate degree nurse&#10;C) Master degree nurse&#10;D) Doctorate in nursing practice

Accepted Answer

Baccalaureate degree nurse is generally considered the minimal educational requirement for a case manager. This level of education provides a broad foundation in nursing theory and practice, critical thinking, and decision-making skills necessary for effective case management.

Question 10

Which of the following is not one of the core components to a clinical pathway?&#10;A) Care focused on an acute event&#10;B) Time management&#10;C) Interdisciplinary interventions&#10;D) Expected patient outcomes

Accepted Answer

Clinical pathways are structured multidisciplinary care plans which detail essential steps in the care of patients with a specific clinical problem. They focus on improving the quality of care across the continuum by improving risk management, enhancing patient satisfaction, and optimizing outcomes. The core components typically include time management, interdisciplinary interventions, and expected patient outcomes. Care focused on an acute event is not a core component of a clinical pathway, as these pathways can apply to both acute and chronic conditions, aiming for comprehensive management rather than focusing solely on acute events.

Question 11

Which of the following is not one of the key elements in quality management?&#10;A) Focus is on the system&#10;B) Process improvement&#10;C) Variance analysis&#10;D) Employee involvement

Accepted Answer

The answer of Which of the following is not one...

Deck 19: Application of Theory in Nursing Practice