Deck 40: The Nurse Leader in the Community

Question 1

The theory that focuses on how values and norms affect organizational activity is:

A) Structural contingency theory
B) Institutional theory
C) Resource dependence theory
D) Systems theory

Answer 1

Institutional theory

Question 2

According to structural contingency theory, agencies should have more formal structures:

A) When employees perform varying tasks
B) When employees have high levels of professional education
C) When the industry or environment in which the agency operates is changing
D) As the agency grows larger

Answer 2

As the agency grows larger

Question 3

An example of a micro-level theory is:

A) Leadership theory
B) Structural contingency
C) Resource dependence
D) Institutional theory

Answer 3

Leadership theory

Question 4

An example of a macro-level theory is:

A) Leadership theory
B) Communication theory
C) Resource dependence
D) Motivation theories

Question 5

Older adults in the community are at high risk for medication errors. This may occur because older adults:

A) Are not competent to take their own medications and need supervision
B) Are often taking high-risk medications
C) Are not motivated to take medications correctly
D) Need community health nurses to sort and organize their medications

Question 6

A goal of community-oriented nursing management is:

A) Help personnel perform their responsibilities effectively and efficiently
B) Work with others to ensure a healthy community
C) Serve as an advocate for vulnerable and high-risk populations
D) Participate in establishing public and organizational policies that promote a healthy living and working environment

Question 7

Health systems are reorganizing to provide seamless systems of care in which all services to meet client needs are owned by the system. A system organized like this is an example of:

A) Horizontal integration
B) Vertical integration
C) Managed care
D) Alliances

Question 8

Community-oriented nurses need effective leadership, interpersonal, political, organizational, fiscal, analytical, and information competencies. Working in the community involves:

A) Highly technical skills in acute care as a background
B) Great political savvy to deal with local officials
C) Computer and word-processing skills
D) Being able to work with populations and groups to build coalitions and work with partnerships

Question 9

The theory that states that the most effective leadership style depends on characteristics of the relationship between leaders and followers, the task, and the situation is:

A) Contingency theory
B) Path-goal theory
C) Social learning theory
D) Transformational leadership

Question 10

There are levels of prevention for community-oriented nursing leadership and management. Which of the following is an example of secondary prevention?

A) Developing policies and procedures for referral programs
B) Designing protocols for lead screening
C) Serving as a chair to organize a smallpox vaccination program
D) Monitoring implementation of performance-improvement activities

Question 11

Employee appraisal and coaching are closely linked to motivation and individual development. Creating a motivating workplace involves:

A) Discussing with employees their personal life and home commitments
B) Providing regular feedback to employees
C) Allowing employees to take off work whenever necessary
D) Doing spot checks of employee's work without notice

Question 12

A written listing of how a health care agency compares with other agencies on certain key indicators of quality-such as morbidity and mortality measures, client satisfaction, and cost of care-is called a(n):

A) Agency report card
B) Alliance
C) Integrated system
D) Joint practice

Question 13

The theory that says that people learn in part from role models and that confidence in one's ability to reach a goal is a key to motivation that sustains efforts to achieve goals is:

A) Contingency theory
B) Path-goal theory
C) Social learning theory
D) Transformational leadership

Question 14

Which of the following is nursing leadership?

A) Monitoring the budget for an immunization program
B) Influence of the nurse on improving client health
C) Coordinating an interdisciplinary team
D) Use of resources in providing clinical services

Question 15

The consultation process involves a written contract and the price for services. The consultation process involves seven phases. The first is:

A) Initial contact with the client
B) Negotiating for higher fees
C) Intervention
D) Collection of data

Question 16

Which of the following statements describes managed care organizations?

A) They actively recruit vulnerable populations.
B) Payment for services is integrated with delivery of services.
C) Reimbursement is usually based on fee-for-service.
D) Hospitals are the preferred setting for service delivery.

Question 17

Time management is important for community leaders. Which of the following is an important element of time management?

A) Prioritization of goals
B) Arriving at the site early in the morning
C) Being at the site; available to others at all times
D) Completing all tasks

Question 18

Integrating micro and macro systems-level organizational theories helps nurses create professional working environments that promote patient safety. There are five management practices that are essential for patient safety. These include:

A) Creating an autocratic environment in the work place
B) Requiring employees to use strict procedures in all aspects of patient care
C) Involving workers in decision making pertaining to work design and flow
D) Working with acute care facilities for continuance of care

Question 19

When a manager pays attention to group dynamics and fosters cooperation to increase productivity, the approach is based on:

A) Classical management
B) Scientific management
C) Expectancy theory
D) Reinforcement theory

Question 20

The theory that emphasizes the interdependence of organizational players is:

A) Structural contingency theory
B) Institutional theory
C) Resource dependence theory
D) Systems theory

Question 21

Which of the following are goals of community-oriented nursing leadership? Select all that apply.

A) To work with others to ensure a healthy community
B) To serve as an advocate for vulnerable and high-risk populations
C) To work with interprofessional teams to design ways to coordinate care
D) To make policies for the public good

Question 22

The consultation model that emphasizes collaboration between the consultant and the consultee is the:

A) Content model
B) Doctor-patient model
C) Process model
D) Purchase of expertise model

Question 23

Communication must be culturally competent to be effective. Which of the following are effective communication skills? Select all that apply.

A) Listening actively
B) Restating the main points
C) Using simple, direct words
D) Finishing sentences for people having problems articulating their view

Question 24

The model of consultation that is likely to be effective when problems are simple and the client needs specific expert information is the:

A) Doctor-patient model
B) Process model
C) Purchase of expertise model
D) Content model

Question 25

A consultation relationship is built on expectations. Discussing the terms of a consultation contract makes expectations explicit, reduces the likelihood of violations of contract terms, and reduces the risk of additional demands being made on either party. Areas to include in a written contract include which of the following? Select all that apply.

A) Number of students involved in the project
B) Client and consultant goals
C) Time commitments
D) Intervention strategies suggested