Governance Exam #1 questions with
verified answers graded A+ passed
What is the primary driving force in strategic planning in all hospitals? - correct answer
✔✔Money! There is a limited amount of healthcare dollars available in each country so
strategic planning depend on money and the healthcare budget.
Describe the opportunity for staff involvement on brainstorming concerning possible causes of
rise in infections - correct answer ✔✔Identify issues and educate, you can provide education,
check of lists, etc.
How is Leapfrog used in hospitals for quality management - correct answer ✔✔Look at how
well hospitals are doing and compare. The Leapfrog group compares hospitals performance on
preventing errors, accidents, injuries, and infection. The quality indicators the group focuses on
include ICU staffing, electronic medication ordering systems, and the use of higher performing
hospitals for high risk procedures.
What is the first step in evidence based practice? Why is research important? - correct answer
✔✔The first step in EBP is identifying the clinical question (PICOT); research is important
because it improves quality by using the best available knowledge integrated with clinical
experience and the patient's values and preferences to provide care.
How are magnet hospitals good for quality improvement? - correct answer ✔✔The Magnet
recognition program was designed to recognize the excellence in nursing. The purpose was to
improve patient care by focusing on nurses qualifications, work life, and participation within the
organization. Institutions that met the stringent guidelines for nurses were credentialed by the
American Nurses Credentialing Center as Magnet certified hospitals. Magnet hospitals are
organizations that have been recognized for "quality patient care, nursing excellence and
innovations in professional nursing practice." Nurses had a greater say and are more
empowered.
,What is the advantage for nurses of Magnet accreditation? - correct answer ✔✔Better pay,
better recognition, nurses are more empowered.
Why robots are used in hospitals, advantages, etc. - correct answer ✔✔Robots are used to
decrease cost, improve quality, and improve time frame.
Who would be responsible for patient satisfaction on the unit? - correct answer ✔✔EVERYBODY
(dietary, nurses, housekeeping, etc.) Especially the nurse manager.
Classical Theory - correct answer ✔✔reductive theory (aka classical theory), focuses heavily on
the nature of work to be accomplished creating structures to achieve the work and dissecting
the work into component parts. It is the premise to enhance people
s efficiency through thoughtfully designed tasks. Leders who use this mode to subdivide work,
specify tasks to be done, and fit people into the plan.
Four elements of the reductive/classical theory - correct answer ✔✔division and specialization
of labor, organizational structure, chain of command, and span on control.
Span of control - correct answer ✔✔addresses the pragmatic concern of how may employees a
manager can effectively supervise. It addresses the issue of effective supervision expressed by
the number of direct reports to someone with line authority. Area of activity or number of
functions, people, or things for which an individual or organization is responsible.
Span of control is also known as management ratio, refers to the number of subordinates
controlled directly by a supervisor.
How does systems theory help in the foundation of the hospital - correct answer ✔✔Input
(resources) and outputs (product of the work), throughout access to care/how pts enter and
leave healthcare system. From admission, to the floor to discharge. Output is the product of the
work (alleviate pain control, improve quality of life, or whatever happened to the patient.)
, Humanistic Theory - correct answer ✔✔a major premise of the humanistic theory is that people
desire social relationships, respond to group pressure, and search for fulfillment in work
settings. It focuses on social aspects of organizational design and views social relationships,
group pressure, and search for personal fulfillment as motivators.
Hawthorne Effect - correct answer ✔✔the tendency for people to perform in an expected
manner because of special attention and focused, unintentional interactions (ex. someone is
paying attention to you and giving you positive feedback which causes you to perform better.)
Contigency Theory - correct answer ✔✔was developed to explain that organizational
performance is enhanced when leaders attend to and interact with the unique characteristics
occurring in a changing environment. Performance is enhance by matching the organization's
structure to its environment. The environment includes people, objects, and ideas outside the
organization that influence or threaten to destabilize the organization.
Contigency - correct answer ✔✔the organization is contingent with its environment.
How are Health Maintenance Organizations (HMO) used in the hospital for patient care?
(Choice of Provider) - correct answer ✔✔a HMO is a geographically organized system that
provides agree-on package of health maintenance and treatment services provided to enrollees
at a fixed monthly fee per enrollee, called capitation. Patients are required to choose providers
within the network.
Home Health Care- (level of Care) why would the patient go home with home health vs skilled
nursing? - correct answer ✔✔Home healthcare is the intermittent, temporary delivery of
healthcare in the home by skilled nurses or unskilled providers (home health aides), Home
heath care is much more comfortable for the patient and can help the patient save money.
Hybrid Structure - correct answer ✔✔hybrid structure contains both self contained and
functional units.
verified answers graded A+ passed
What is the primary driving force in strategic planning in all hospitals? - correct answer
✔✔Money! There is a limited amount of healthcare dollars available in each country so
strategic planning depend on money and the healthcare budget.
Describe the opportunity for staff involvement on brainstorming concerning possible causes of
rise in infections - correct answer ✔✔Identify issues and educate, you can provide education,
check of lists, etc.
How is Leapfrog used in hospitals for quality management - correct answer ✔✔Look at how
well hospitals are doing and compare. The Leapfrog group compares hospitals performance on
preventing errors, accidents, injuries, and infection. The quality indicators the group focuses on
include ICU staffing, electronic medication ordering systems, and the use of higher performing
hospitals for high risk procedures.
What is the first step in evidence based practice? Why is research important? - correct answer
✔✔The first step in EBP is identifying the clinical question (PICOT); research is important
because it improves quality by using the best available knowledge integrated with clinical
experience and the patient's values and preferences to provide care.
How are magnet hospitals good for quality improvement? - correct answer ✔✔The Magnet
recognition program was designed to recognize the excellence in nursing. The purpose was to
improve patient care by focusing on nurses qualifications, work life, and participation within the
organization. Institutions that met the stringent guidelines for nurses were credentialed by the
American Nurses Credentialing Center as Magnet certified hospitals. Magnet hospitals are
organizations that have been recognized for "quality patient care, nursing excellence and
innovations in professional nursing practice." Nurses had a greater say and are more
empowered.
,What is the advantage for nurses of Magnet accreditation? - correct answer ✔✔Better pay,
better recognition, nurses are more empowered.
Why robots are used in hospitals, advantages, etc. - correct answer ✔✔Robots are used to
decrease cost, improve quality, and improve time frame.
Who would be responsible for patient satisfaction on the unit? - correct answer ✔✔EVERYBODY
(dietary, nurses, housekeeping, etc.) Especially the nurse manager.
Classical Theory - correct answer ✔✔reductive theory (aka classical theory), focuses heavily on
the nature of work to be accomplished creating structures to achieve the work and dissecting
the work into component parts. It is the premise to enhance people
s efficiency through thoughtfully designed tasks. Leders who use this mode to subdivide work,
specify tasks to be done, and fit people into the plan.
Four elements of the reductive/classical theory - correct answer ✔✔division and specialization
of labor, organizational structure, chain of command, and span on control.
Span of control - correct answer ✔✔addresses the pragmatic concern of how may employees a
manager can effectively supervise. It addresses the issue of effective supervision expressed by
the number of direct reports to someone with line authority. Area of activity or number of
functions, people, or things for which an individual or organization is responsible.
Span of control is also known as management ratio, refers to the number of subordinates
controlled directly by a supervisor.
How does systems theory help in the foundation of the hospital - correct answer ✔✔Input
(resources) and outputs (product of the work), throughout access to care/how pts enter and
leave healthcare system. From admission, to the floor to discharge. Output is the product of the
work (alleviate pain control, improve quality of life, or whatever happened to the patient.)
, Humanistic Theory - correct answer ✔✔a major premise of the humanistic theory is that people
desire social relationships, respond to group pressure, and search for fulfillment in work
settings. It focuses on social aspects of organizational design and views social relationships,
group pressure, and search for personal fulfillment as motivators.
Hawthorne Effect - correct answer ✔✔the tendency for people to perform in an expected
manner because of special attention and focused, unintentional interactions (ex. someone is
paying attention to you and giving you positive feedback which causes you to perform better.)
Contigency Theory - correct answer ✔✔was developed to explain that organizational
performance is enhanced when leaders attend to and interact with the unique characteristics
occurring in a changing environment. Performance is enhance by matching the organization's
structure to its environment. The environment includes people, objects, and ideas outside the
organization that influence or threaten to destabilize the organization.
Contigency - correct answer ✔✔the organization is contingent with its environment.
How are Health Maintenance Organizations (HMO) used in the hospital for patient care?
(Choice of Provider) - correct answer ✔✔a HMO is a geographically organized system that
provides agree-on package of health maintenance and treatment services provided to enrollees
at a fixed monthly fee per enrollee, called capitation. Patients are required to choose providers
within the network.
Home Health Care- (level of Care) why would the patient go home with home health vs skilled
nursing? - correct answer ✔✔Home healthcare is the intermittent, temporary delivery of
healthcare in the home by skilled nurses or unskilled providers (home health aides), Home
heath care is much more comfortable for the patient and can help the patient save money.
Hybrid Structure - correct answer ✔✔hybrid structure contains both self contained and
functional units.
