UNMC ACTUAL EXAM QUESTIONS
AND COMPLETE STUDY GUIDE 2026
▶ Teaching/Accreditation Status. Answer: -Academic health
centers/teaching hospitals
-Accreditation by an external body such as joint commission, and the
National committee for quality assurance
▶ Factors that Influence HC Organizations. Answer: Economics
Social
Demographics
▶ Economics. Answer: Financing health care
costs
resources
accessible care
▶ Social. Answer: Consumer Engagement
Prevention and health promotion
Providing personal, responsive, and coordinated care
▶ Demographic. Answer: Geographic concerns
Access to care
Income of population
Aging population
▶ Organizational Culture. Answer: Reflect norms or traditions of the
organization
Demonstrated by behaviors that show values and beliefs of the
organization
Formally expressed through:Mission, vision, philosophy, job descriptions,
policies and procedures
Beyond formal expression through lived experience of staff and patients
▶ Organizational Structure. Answer: Defines how work is organized
Defines where decisions are make
, Defines the authority & responsibility of workers
Hierarchy, chain of command, span of control
▶ Complexity-Chaos Theory. Answer: Scientific theories applied to
business management where organizations are looked at as dynamic,
complex adapting systems evolving to natural states of chaos and order.
Nurses need to be flexible and dynamic to these ever changing systems.
Need to be committed to learning and problem solving
▶ Functional Structure. Answer: organized into functional departments,
with departmental managers who report to the CEO and small corporate
staff. Department and services are arranged according to specialty
▶ Service Line Structure. Answer: all functions needed to produce a
product or service are grouped together in self-contained units under the
control of a single manager
▶ Matrix Structure. Answer: an organization combines functional and
service chains of command in a grid so that there are two command
structures-vertical and horizontal
▶ Flat Structure. Answer: A management structure characterized by an
overall broad span of control and relatively few hierarchical levels.
Delegation of decision making to the professionals doing the work
▶ Shared Governance. Answer: a flat type of organizational structure with
decision making decentralized
Shared decision making-empowerment of themselves and others
▶ The saying. Answer: Motto, what we believe
▶ Mission. Answer: The reason-why we exist
▶ Vision. Answer: The future-what we want to become
▶ Philosophy. Answer: Values and beliefs-whats important to us
▶ Strategy. Answer: The plan-how we will get there
▶ Implementation. Answer: The action-Whad do we need to do
AND COMPLETE STUDY GUIDE 2026
▶ Teaching/Accreditation Status. Answer: -Academic health
centers/teaching hospitals
-Accreditation by an external body such as joint commission, and the
National committee for quality assurance
▶ Factors that Influence HC Organizations. Answer: Economics
Social
Demographics
▶ Economics. Answer: Financing health care
costs
resources
accessible care
▶ Social. Answer: Consumer Engagement
Prevention and health promotion
Providing personal, responsive, and coordinated care
▶ Demographic. Answer: Geographic concerns
Access to care
Income of population
Aging population
▶ Organizational Culture. Answer: Reflect norms or traditions of the
organization
Demonstrated by behaviors that show values and beliefs of the
organization
Formally expressed through:Mission, vision, philosophy, job descriptions,
policies and procedures
Beyond formal expression through lived experience of staff and patients
▶ Organizational Structure. Answer: Defines how work is organized
Defines where decisions are make
, Defines the authority & responsibility of workers
Hierarchy, chain of command, span of control
▶ Complexity-Chaos Theory. Answer: Scientific theories applied to
business management where organizations are looked at as dynamic,
complex adapting systems evolving to natural states of chaos and order.
Nurses need to be flexible and dynamic to these ever changing systems.
Need to be committed to learning and problem solving
▶ Functional Structure. Answer: organized into functional departments,
with departmental managers who report to the CEO and small corporate
staff. Department and services are arranged according to specialty
▶ Service Line Structure. Answer: all functions needed to produce a
product or service are grouped together in self-contained units under the
control of a single manager
▶ Matrix Structure. Answer: an organization combines functional and
service chains of command in a grid so that there are two command
structures-vertical and horizontal
▶ Flat Structure. Answer: A management structure characterized by an
overall broad span of control and relatively few hierarchical levels.
Delegation of decision making to the professionals doing the work
▶ Shared Governance. Answer: a flat type of organizational structure with
decision making decentralized
Shared decision making-empowerment of themselves and others
▶ The saying. Answer: Motto, what we believe
▶ Mission. Answer: The reason-why we exist
▶ Vision. Answer: The future-what we want to become
▶ Philosophy. Answer: Values and beliefs-whats important to us
▶ Strategy. Answer: The plan-how we will get there
▶ Implementation. Answer: The action-Whad do we need to do
