UNMC EXAM REVIEW QUESTIONS
WITH ACCURATE SOLUTIONS 2026
▶ 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
▶ Personal Plan. Answer: The part-What's my role
▶ Model Selection-considerations when selecting a model. Answer:
Mission & Purpose
Objectives
Patient population
Staff Availability
Economic Feasibility
▶ Care Models. Answer: Case Method
Functional Nursing
Team Nursing
Primary Nursing
Case Management
▶ Clinical Pathways. Answer: The tool that case managers use to achieve
patient outcomes is a critical pathway. Also referred to as a
multidisciplinary care pathway, integrated care pathway, critical path, or
collaborative care pathway, these patient-focused documents describe the
clinical standards, necessary interventions, and expected outcomes for the
patient throughout the treatment process or hospital stay. These pathways
facilitate coordinated and efficient plans to deliver patient care. However,
they are not appropriate for all patients and cannot replace professional
clinical judgment. If a patient's progress deviates from the normal path, a
variance is indicated. A variance is anything that occurs to alter the
patient's progress through the normal critical path. The reason(s) for the
variance should be analyzed and the care revised to meet the needs of the
patients. These reasons may be influenced by patient, provider, or care
issues. For example, if a given medication schedule is disrupted because
of the patient's absence from the unit, an untoward reaction to the
WITH ACCURATE SOLUTIONS 2026
▶ 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
▶ Personal Plan. Answer: The part-What's my role
▶ Model Selection-considerations when selecting a model. Answer:
Mission & Purpose
Objectives
Patient population
Staff Availability
Economic Feasibility
▶ Care Models. Answer: Case Method
Functional Nursing
Team Nursing
Primary Nursing
Case Management
▶ Clinical Pathways. Answer: The tool that case managers use to achieve
patient outcomes is a critical pathway. Also referred to as a
multidisciplinary care pathway, integrated care pathway, critical path, or
collaborative care pathway, these patient-focused documents describe the
clinical standards, necessary interventions, and expected outcomes for the
patient throughout the treatment process or hospital stay. These pathways
facilitate coordinated and efficient plans to deliver patient care. However,
they are not appropriate for all patients and cannot replace professional
clinical judgment. If a patient's progress deviates from the normal path, a
variance is indicated. A variance is anything that occurs to alter the
patient's progress through the normal critical path. The reason(s) for the
variance should be analyzed and the care revised to meet the needs of the
patients. These reasons may be influenced by patient, provider, or care
issues. For example, if a given medication schedule is disrupted because
of the patient's absence from the unit, an untoward reaction to the
