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Nursing 9th Edition Sullivan
Effective Leadership & Management in Nursing, 9e (Sullivan)
Chapter 2 Designing Organizations
1) The nurse manager has established a program that recognizes a different staff member each
month for contributions to client care. As a result, overall staff productivity and the number of
client compliments have increased. This is an example of which concept of organizational
theory?
1. Span of control
2. Line authority
3. Hawthorne effect
4. Adhocracy
Answer: 3
Explanation: 1. Span of control is the number of individuals a manager can effectively
supervise.
2. Line authority is a linear hierarchy through which activity is directed.
3. The Hawthorne effect is the tendency of people to perform as expected because of special
attention.
4. Adhocracy is a fluid structure in which management, staff, and experts work together on
teams.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Quality of Practice
Learning Outcome: 2-5: Discuss how the organizational environment and culture affect
workplace conditions.
1
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,DOWNLOAD THE Test Bank for Effective Leadership and Management in
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2) A community-owned hospital has been purchased by a healthcare conglomerate. The staff is
aware that the organizational theory governing the hospital is likely to change. Which statement
indicates a lack of understanding of organizational theory on the part of a staff nurse?
1. "If our new bosses want a classical organization, we can expect a strong hierarchy."
2. "If we don't want to see lots of changes, we should hope our new bosses don't like chaos
theory."
3. "If this new company is based on systems theory, there will be a lot of focus on how much
work we can produce."
4. "If this new company is based on contingency theory, we will see lots of focus on how our
environment impacts our work."
Answer: 3
Explanation: 1. Classical organizational theory focuses on structure with a strong hierarchy.
2. Those who support chaos theory believe that organizational function and integrity must be
guided by flexibility, fluidity, speedy adaptability, and cultural sensitivity. Change is inevitable
and embraced.
3. Systems theory focuses on "input" or resources, "throughput" or the work done, and "output"
or the product of the work.
4. Contingency theory posits that organization performance can be enhanced by matching an
organization's structure to its environment.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Implementation/Leadership
Learning Outcome: 2-1: Differentiate between reductive and adaptive organizational theories.
3) During a performance evaluation the nurse manager states, "My span of control is just too
large." How should the unit supervisor interpret this statement?
1. The nurse manager is not capable of performing all the duties expected of the role.
2. The nurse manager may have too many staff members to manage.
3. The nurse manager is burned out and needs time away from the unit.
4. The nurse manager is not educationally prepared for the role.
Answer: 2
Explanation: 1. Span of control is not directly related to the number of duties expected.
2. Span of control addresses the number of employees a manager can effectively supervise.
3. Span of control issues may result in burnout, but there is no indication from this scenario that
this is the case.
4. There is no indication that the nurse manager's level of education is insufficient for the role.
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Professional Practice
Learning Outcome: 2-5: Discuss how the organizational environment and culture affect
workplace conditions.
2
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mynursytest.store
, DOWNLOAD THE Test Bank for Effective Leadership and Management in
Nursing 9th Edition Sullivan
4) During a nurse's interview for a new job, the health benefits are described as being provided
by a health maintenance organization (HMO). What should the nurse expect from this coverage?
1. The nurse will have to choose a provider from within the HMO.
2. The nurse can obtain services from a nonparticipating provider and the HMO will pay for a
portion of the charges.
3. For an additional premium, the nurse can choose any provider.
4. By joining this HMO, the nurse is entitled to unlimited treatment and services.
Answer: 1
Explanation: 1. An HMO is a geographically organized system that provides an agreed-upon
package of health maintenance and treatment services. Providers must be chosen from those in
the HMO.
2. The HMO system will not pay for services provided "out of network."
3. The ability to choose a provider who is "out of network" for an additional premium is a feature
of point-of-service plans.
4. The HMO provides an agreed-upon package of health maintenance and treatment services.
Treatment and services are not unlimited.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Planning/Resource Utilization
Learning Outcome: 2-2: Describe traditional and emerging structures in healthcare
organizations.
3
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mynursytest.store
Nursing 9th Edition Sullivan
Effective Leadership & Management in Nursing, 9e (Sullivan)
Chapter 2 Designing Organizations
1) The nurse manager has established a program that recognizes a different staff member each
month for contributions to client care. As a result, overall staff productivity and the number of
client compliments have increased. This is an example of which concept of organizational
theory?
1. Span of control
2. Line authority
3. Hawthorne effect
4. Adhocracy
Answer: 3
Explanation: 1. Span of control is the number of individuals a manager can effectively
supervise.
2. Line authority is a linear hierarchy through which activity is directed.
3. The Hawthorne effect is the tendency of people to perform as expected because of special
attention.
4. Adhocracy is a fluid structure in which management, staff, and experts work together on
teams.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Quality of Practice
Learning Outcome: 2-5: Discuss how the organizational environment and culture affect
workplace conditions.
1
Copyright © 2018 Pearson Education, Inc.
mynursytest.store
,DOWNLOAD THE Test Bank for Effective Leadership and Management in
Nursing 9th Edition Sullivan
2) A community-owned hospital has been purchased by a healthcare conglomerate. The staff is
aware that the organizational theory governing the hospital is likely to change. Which statement
indicates a lack of understanding of organizational theory on the part of a staff nurse?
1. "If our new bosses want a classical organization, we can expect a strong hierarchy."
2. "If we don't want to see lots of changes, we should hope our new bosses don't like chaos
theory."
3. "If this new company is based on systems theory, there will be a lot of focus on how much
work we can produce."
4. "If this new company is based on contingency theory, we will see lots of focus on how our
environment impacts our work."
Answer: 3
Explanation: 1. Classical organizational theory focuses on structure with a strong hierarchy.
2. Those who support chaos theory believe that organizational function and integrity must be
guided by flexibility, fluidity, speedy adaptability, and cultural sensitivity. Change is inevitable
and embraced.
3. Systems theory focuses on "input" or resources, "throughput" or the work done, and "output"
or the product of the work.
4. Contingency theory posits that organization performance can be enhanced by matching an
organization's structure to its environment.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Implementation/Leadership
Learning Outcome: 2-1: Differentiate between reductive and adaptive organizational theories.
3) During a performance evaluation the nurse manager states, "My span of control is just too
large." How should the unit supervisor interpret this statement?
1. The nurse manager is not capable of performing all the duties expected of the role.
2. The nurse manager may have too many staff members to manage.
3. The nurse manager is burned out and needs time away from the unit.
4. The nurse manager is not educationally prepared for the role.
Answer: 2
Explanation: 1. Span of control is not directly related to the number of duties expected.
2. Span of control addresses the number of employees a manager can effectively supervise.
3. Span of control issues may result in burnout, but there is no indication from this scenario that
this is the case.
4. There is no indication that the nurse manager's level of education is insufficient for the role.
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Professional Practice
Learning Outcome: 2-5: Discuss how the organizational environment and culture affect
workplace conditions.
2
Copyright © 2018 Pearson Education, Inc.
mynursytest.store
, DOWNLOAD THE Test Bank for Effective Leadership and Management in
Nursing 9th Edition Sullivan
4) During a nurse's interview for a new job, the health benefits are described as being provided
by a health maintenance organization (HMO). What should the nurse expect from this coverage?
1. The nurse will have to choose a provider from within the HMO.
2. The nurse can obtain services from a nonparticipating provider and the HMO will pay for a
portion of the charges.
3. For an additional premium, the nurse can choose any provider.
4. By joining this HMO, the nurse is entitled to unlimited treatment and services.
Answer: 1
Explanation: 1. An HMO is a geographically organized system that provides an agreed-upon
package of health maintenance and treatment services. Providers must be chosen from those in
the HMO.
2. The HMO system will not pay for services provided "out of network."
3. The ability to choose a provider who is "out of network" for an additional premium is a feature
of point-of-service plans.
4. The HMO provides an agreed-upon package of health maintenance and treatment services.
Treatment and services are not unlimited.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Planning/Resource Utilization
Learning Outcome: 2-2: Describe traditional and emerging structures in healthcare
organizations.
3
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mynursytest.store
