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NUR4590 Exam 2 Excellence Edition – Full Answer Solutions

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Focuses on leadership and management concepts in nursing practice. Key areas commonly covered include organizational structure, communication, conflict resolution, change management, quality improvement, evidence-based practice, nursing informatics, delegation, teamwork, and decision-making in healthcare settings. The exam assesses a nurse leader’s ability to promote safe, effective, and patient-centered care while supporting staff and organizational goals.

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NUR4590 EXAM 2
1. What influences the structure of an organization?
- CORRECT ANSWER- Number of employees
2. What is the use of advanced practice roles?
- CORRECT ANSWER- Specialization
3. The span of control for a nursing chief executive officer (CEO) who works in a major
rehabilitation and subacute facility network includes whom?
- CORRECT ANSWER- Nurses and non-nurses reporting to her
4. Define the span of control?
- CORRECT ANSWER- The number of subordinates a manager can effectively and efficiently
direct
5. The subordinates reporting to a nurse manager for a unit consisting of 40 nurses who
report to two clinical supervisors are known as what dimension of organizational design?
- CORRECT ANSWER- Span of control
6. A staff nurse has been working in the neonatal critical care unit for 10 years. She believes
that a professional nurse is a lifelong learner. Many staff members come to her for
clinical problem solving and advice. What does this nurse have?
- CORRECT ANSWER- Informal power
7. What is informal power?
- CORRECT ANSWER- Relationships and alliances with people in the organization
8. An organizational chart with one line of management and one line of staff reflects what
type of organizational structure?
- CORRECT ANSWER- Flat structure
9. The term "the buck stops here" best describes what term?
- CORRECT ANSWER- Accountability
10. What is the difference between centralized and decentralized structure?
- CORRECT ANSWER- Centralized - By taught management (EX: The CEO makes a decision
that mandates that white nursing caps will be worn by all RNs and blue nursing caps by all LPNs
to differentiate professional nurses and occupational nurses from nurses' aides and other ancillary
staff)
Decentralized - Decisions at point of activity

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11. The patient is a 69-year-old woman who has a history of diabetes mellitus, PVD, and MI.
She was admitted to the hospital with a stroke and is being transferred to a subacute
facility and then to a rehabilitation facility. At every transfer she must review her entire
history, provide telephone numbers of family members, list all of her medications, and
list all home care. What process could improve the fragmentation in work flow?
- CORRECT ANSWER- Standardization
12. The ways in which work is divided and coordinated among members and the resulting
network of relationships, roles, and work groups is called what?
- CORRECT ANSWER- Organizational social structure
13. According to __________ organizational approach, organizations are logical and
predictable with identifiable and scientifically measurable characteristics that can be
predicted, observed, or manipulated
- CORRECT ANSWER- Objective
14. What organizational theory emphasized the informal aspects of organization social
structure and was influenced by the Hawthorn experiments?
- CORRECT ANSWER- Human relations school
15. The division of work by occupation or function is a form of what?
- CORRECT ANSWER- Specialization
16. Standardization of __________ provides a uniform structure for information delivery and
flow in order to facilitate exchange among those involved in common work processes
- CORRECT ANSWER- Communication
17. A rapid response team within an acute care hospital is comprised of critical care
physicians, nurses, and respiratory therapists. The team assists staff throughout the
hospital with detecting and managing imminent patient deterioration. This is an example
of _____________ organizational form - CORRECT ANSWER- Parallel
18. The structure of authority in an organization is known as what? - CORRECT ANSWER-
Hierarchy
19. The network or pattern of social relationships and friendship circles within an
organization is known as what? - CORRECT ANSWER- Informal structure
20. The nursing staff on a critical care unit thought that professional growth could be
enhanced. What interventions would support empowerment of the nursing staff? -
CORRECT ANSWER- Providing various methods for ongoing education and continuing
education units and working to make equipment and medications readily available
21. According to organization theories, there are three perspectives regarding the nature of
reality and knowledge within an organization. What are those perspectives?

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