Test Bank Leading and Managing in
Nursing 6th Edition Yoder-Wise
Chapters 16 – 20
Yoder-Wise: Leading and Managing in Nursing, 6th Edition
1. Planning is a process designed to achieve goals in dynamic, competitive environments.
As a new manager, what is the first step you will undertake to develop a strategic plan
of action for a congestive heart failure program?
a. Search the environment to determine changes that may affect the organization.
b. Appraise the organization’s strengths and weaknesses.
c. Identify the major opportunities for and threats to the organization.
d. Identify and evaluate the various strategies available to the organization.
ANS: A
Assessment of the external environment is the first step in the strategic planning
process.
REF: Page 293 TOP: AONE competency: Business Skills
2. A community-based pain management program is being planned for your region. As a
coordinator of a home care agency, you have been requested to develop a conceptual
framework, mission statement, philosophy, and objectives for the program. In what
order will you pursue this endeavor?
a. Objectives, philosophy, and mission statement
b. Philosophy, objectives, and mission statement
c. Philosophy, mission statement, and objectives
d. Mission statement, philosophy, and objectives
ANS: D
The development of the mission statement is the first step in defining the purpose and
direction of the organization after an assessment has been completed.
REF: Page 294 TOP: AONE competency: Business Skills
3. Northwestern Hospital has decided to implement peer review. As a clinical leader in
the Emergency Department, you have overall responsibility for ensuring that this is in
place by next month. The most important step in this process is to:
a. Provide an educational session for staff on peer review.
, b. Revise the mission statement, objectives, and performance standards.
c. Develop objectives and performance standards with employees.
d. Implement objectives and performance standards.
ANS: A
Once a strategic plan has been developed, the next step is open communication and
execution of the specific plan, which, in this instance, is peer review.
REF: Page 296 | Page 298 TOP: AONE competency: Leadership
4. The clinic nurse understands that the advantages of planning include:
a. Assisting staff in critical thinking and improving decisions.
b. Orienting people to react instead of act.
c. Forcing managers to be cost-efficient and effective.
d. Focusing on activities, not results.
ANS: A
Effective planning means that everyone in the organization manages his own work
and sees how it relates to organizational goals. Being proactive means “aggressive
planning” that ensures that decisions are improved and are oriented toward
organizational goals.
REF: Page 292 TOP: AONE competency: Leadership
5. As a nursing leadership student, you have had the opportunity to develop a palliative
care manual that will be utilized by the palliative care network (PCN) in your region
for teaching healthcare professionals. The PCN has requested that you provide a
prioritized plan of action for marketing the manual on a regional and state basis. What
is the first priority?
a. Motivate the target market.
b. Research the target market.
c. Communicate benefits to the target group.
d. Package the product.
ANS: B
To put a strategic plan into place for marketing, it is necessary to conduct an external
assessment.
REF: Page 299 TOP: AONE competency: Business Skills
6. The chief nursing officer has to write a strategic plan. The most difficult stage in the
strategic planning process is:
a. Assessment of the external and internal environment.
b. Review of mission statement, goals, and objectives.
c. Identification of strategies.
d. Implementation of strategies.
ANS: A
Determination of strengths, weaknesses, opportunities, and threats requires openness
to what is being said and observed and is critical to setting the stage for relevant
, responses in the latter phases of strategic planning.
REF: Page 293 TOP: AONE competency: Business Skills
7. The reasons cited by nursing administrators for not planning in a systematic manner
include:
a. Lack of understanding of the planning process.
b. Lack of knowledge regarding the internal and external operations of the
organization.
c. Not enough hours in the day for both day-to-day operations and planning.
d. Delegation of the task to subordinates.
ANS: A
The nurse manager should participate in strategic planning and quality initiatives with
the governing body. Lack of knowledge is a common reason for nonparticipation in
planning initiatives.
REF: Page 293
TOP: AONE competency: Knowledge of the Health Care Environment
8. From your observation of planning activities in the organization, you have noticed that
planning and decision making occur at various levels of the organization. The nurse
manager has overall responsibility for which of the following?
a. Sending out postcards
b. Organizing a telephone follow-up
c. Monitoring ongoing activities and projects
d. Listing the patient population
ANS: C
The nurse manager should articulate organizational decision making for the criteria
model adopted by the organization and monitor ongoing implementation of the plan.
REF: Page 295
TOP: AONE competency: Knowledge of the Health Care Environment
9. Which of the following represents a well-written objective?
a. Hospital-acquired infections are reduced, and procedures to reduce infections
are implemented.
b. To increase staff satisfaction and to decrease burnout
c. To increase the health of the community
d. To implement evidence-based practice on nursing units, as evidenced by
adoption of evidence-based processes, by June 1, 2015
ANS: D
Objectives are specific (begin with word to followed by an action word; specify single
result to be achieved; and specify a target date for attainment) and measurable
(provide level of accomplishment at the end).
REF: Page 295 | Page 296 TOP: AONE competency: Business Skills
, 10. To conduct assessment of the internal environment, the strategic planning team for
Pacific Hospital:
a. Invites community members and staff of the hospital to an evening focus group
session.
b. Discusses what it sees as the primary threats and opportunities in demographic
shifts affecting the hospital.
c. Invites all levels of staff to focus groups on the effectiveness of the hospital
environment, including information systems and staffing.
d. Asks the board to provide a summary of major opportunities for the future.
ANS: C
Assessment of the internal environment should include all levels of staff and
facilitates feedback on effectiveness of strengths and weaknesses of systems and
processes within the institution.
REF: Page 294 TOP: AONE competency: Business Skills
11. In assessing the internal environment, the strategic planning team at Pacific Hospital
discovers that 90% of staff members have no idea what the current mission statement
means. This is most likely related to:
a. The level of abstraction inherent in mission statements.
b. Development of the statement by the administration team with no other staff
involvement.
c. Outdated goals and objectives contained in the mission statement.
d. Failure to provide action statements within the mission statement.
ANS: B
A mission statement reflects the beliefs of the organization in relation to those it
serves and services it provides, and it communicates the direction of an organization.
Covey (1990) believes that the process of developing the mission statement is vital to
an organization’s success and should involve everyone.
REF: Page 294 | Page 295 TOP: AONE competency: Business Skills
12. Pacific Hospital’s team develops a process to include staff in development of the
mission statement. Which of the following statements would indicate that the staff has
been able to develop an effective mission statement?
a. Pacific Hospital will increase its sustainability by increasing revenue streams
within the next three years. Revenue streams are important to our hospital and
are a driving force in our sustainability in the face of insurer and government
funding changes.
b. Pacific Hospital has a desire to relate to its community to enable appropriate
identification of programming needs by July 2012.
c. Pacific Hospital will provide family-centered care to the community of Pacific
Rim. It is committed to delivering a full spectrum of services that foster
collaborative partnerships among clients, families, and the hospital, and it
utilizes evidence-based practice to guide planning and interventions.
d. To provide health promotion programs for school-aged children
ANS: C
Nursing 6th Edition Yoder-Wise
Chapters 16 – 20
Yoder-Wise: Leading and Managing in Nursing, 6th Edition
1. Planning is a process designed to achieve goals in dynamic, competitive environments.
As a new manager, what is the first step you will undertake to develop a strategic plan
of action for a congestive heart failure program?
a. Search the environment to determine changes that may affect the organization.
b. Appraise the organization’s strengths and weaknesses.
c. Identify the major opportunities for and threats to the organization.
d. Identify and evaluate the various strategies available to the organization.
ANS: A
Assessment of the external environment is the first step in the strategic planning
process.
REF: Page 293 TOP: AONE competency: Business Skills
2. A community-based pain management program is being planned for your region. As a
coordinator of a home care agency, you have been requested to develop a conceptual
framework, mission statement, philosophy, and objectives for the program. In what
order will you pursue this endeavor?
a. Objectives, philosophy, and mission statement
b. Philosophy, objectives, and mission statement
c. Philosophy, mission statement, and objectives
d. Mission statement, philosophy, and objectives
ANS: D
The development of the mission statement is the first step in defining the purpose and
direction of the organization after an assessment has been completed.
REF: Page 294 TOP: AONE competency: Business Skills
3. Northwestern Hospital has decided to implement peer review. As a clinical leader in
the Emergency Department, you have overall responsibility for ensuring that this is in
place by next month. The most important step in this process is to:
a. Provide an educational session for staff on peer review.
, b. Revise the mission statement, objectives, and performance standards.
c. Develop objectives and performance standards with employees.
d. Implement objectives and performance standards.
ANS: A
Once a strategic plan has been developed, the next step is open communication and
execution of the specific plan, which, in this instance, is peer review.
REF: Page 296 | Page 298 TOP: AONE competency: Leadership
4. The clinic nurse understands that the advantages of planning include:
a. Assisting staff in critical thinking and improving decisions.
b. Orienting people to react instead of act.
c. Forcing managers to be cost-efficient and effective.
d. Focusing on activities, not results.
ANS: A
Effective planning means that everyone in the organization manages his own work
and sees how it relates to organizational goals. Being proactive means “aggressive
planning” that ensures that decisions are improved and are oriented toward
organizational goals.
REF: Page 292 TOP: AONE competency: Leadership
5. As a nursing leadership student, you have had the opportunity to develop a palliative
care manual that will be utilized by the palliative care network (PCN) in your region
for teaching healthcare professionals. The PCN has requested that you provide a
prioritized plan of action for marketing the manual on a regional and state basis. What
is the first priority?
a. Motivate the target market.
b. Research the target market.
c. Communicate benefits to the target group.
d. Package the product.
ANS: B
To put a strategic plan into place for marketing, it is necessary to conduct an external
assessment.
REF: Page 299 TOP: AONE competency: Business Skills
6. The chief nursing officer has to write a strategic plan. The most difficult stage in the
strategic planning process is:
a. Assessment of the external and internal environment.
b. Review of mission statement, goals, and objectives.
c. Identification of strategies.
d. Implementation of strategies.
ANS: A
Determination of strengths, weaknesses, opportunities, and threats requires openness
to what is being said and observed and is critical to setting the stage for relevant
, responses in the latter phases of strategic planning.
REF: Page 293 TOP: AONE competency: Business Skills
7. The reasons cited by nursing administrators for not planning in a systematic manner
include:
a. Lack of understanding of the planning process.
b. Lack of knowledge regarding the internal and external operations of the
organization.
c. Not enough hours in the day for both day-to-day operations and planning.
d. Delegation of the task to subordinates.
ANS: A
The nurse manager should participate in strategic planning and quality initiatives with
the governing body. Lack of knowledge is a common reason for nonparticipation in
planning initiatives.
REF: Page 293
TOP: AONE competency: Knowledge of the Health Care Environment
8. From your observation of planning activities in the organization, you have noticed that
planning and decision making occur at various levels of the organization. The nurse
manager has overall responsibility for which of the following?
a. Sending out postcards
b. Organizing a telephone follow-up
c. Monitoring ongoing activities and projects
d. Listing the patient population
ANS: C
The nurse manager should articulate organizational decision making for the criteria
model adopted by the organization and monitor ongoing implementation of the plan.
REF: Page 295
TOP: AONE competency: Knowledge of the Health Care Environment
9. Which of the following represents a well-written objective?
a. Hospital-acquired infections are reduced, and procedures to reduce infections
are implemented.
b. To increase staff satisfaction and to decrease burnout
c. To increase the health of the community
d. To implement evidence-based practice on nursing units, as evidenced by
adoption of evidence-based processes, by June 1, 2015
ANS: D
Objectives are specific (begin with word to followed by an action word; specify single
result to be achieved; and specify a target date for attainment) and measurable
(provide level of accomplishment at the end).
REF: Page 295 | Page 296 TOP: AONE competency: Business Skills
, 10. To conduct assessment of the internal environment, the strategic planning team for
Pacific Hospital:
a. Invites community members and staff of the hospital to an evening focus group
session.
b. Discusses what it sees as the primary threats and opportunities in demographic
shifts affecting the hospital.
c. Invites all levels of staff to focus groups on the effectiveness of the hospital
environment, including information systems and staffing.
d. Asks the board to provide a summary of major opportunities for the future.
ANS: C
Assessment of the internal environment should include all levels of staff and
facilitates feedback on effectiveness of strengths and weaknesses of systems and
processes within the institution.
REF: Page 294 TOP: AONE competency: Business Skills
11. In assessing the internal environment, the strategic planning team at Pacific Hospital
discovers that 90% of staff members have no idea what the current mission statement
means. This is most likely related to:
a. The level of abstraction inherent in mission statements.
b. Development of the statement by the administration team with no other staff
involvement.
c. Outdated goals and objectives contained in the mission statement.
d. Failure to provide action statements within the mission statement.
ANS: B
A mission statement reflects the beliefs of the organization in relation to those it
serves and services it provides, and it communicates the direction of an organization.
Covey (1990) believes that the process of developing the mission statement is vital to
an organization’s success and should involve everyone.
REF: Page 294 | Page 295 TOP: AONE competency: Business Skills
12. Pacific Hospital’s team develops a process to include staff in development of the
mission statement. Which of the following statements would indicate that the staff has
been able to develop an effective mission statement?
a. Pacific Hospital will increase its sustainability by increasing revenue streams
within the next three years. Revenue streams are important to our hospital and
are a driving force in our sustainability in the face of insurer and government
funding changes.
b. Pacific Hospital has a desire to relate to its community to enable appropriate
identification of programming needs by July 2012.
c. Pacific Hospital will provide family-centered care to the community of Pacific
Rim. It is committed to delivering a full spectrum of services that foster
collaborative partnerships among clients, families, and the hospital, and it
utilizes evidence-based practice to guide planning and interventions.
d. To provide health promotion programs for school-aged children
ANS: C
