NR 226 - Test Bank For Nursing Leadership And Management

NR 226 - Test Bank For Nursing Leadership And Management. Which statement indicates a nursing student is in need of more study time? 1. ʺChaos theorists believe change is inevitable.ʺ 2. ʺClassical theorists believe in organizational hierarchy.ʺ 3. ʺSystems theorists discuss outputs and inputs.ʺ 4. ʺContingency theorists believe the environment forces organizational change.ʺ Answer: 3 Explanation: 1. According to systems theory the ʺinputʺ or employees are imported from the environment. The work or ʺthroughputʺ is performed to produce a product. The ʺoutputʺ is then exported to the environment. The student neglected to include ʺthroughputʺ and the remaining choices are correct. Nursing Process: Implementation Category of Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension 2. According to systems theory the ʺinputʺ or employees are imported from the environment. The work or ʺthroughputʺ is performed to produce a product. The ʺoutputʺ is then exported to the environment. The student neglected to include ʺthroughputʺ and the remaining choices are correct. Nursing Process: Implementation Category of Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension 3. According to systems theory the ʺinputʺ or employees are imported from the environment. The work or ʺthroughputʺ is performed to produce a product. The ʺoutputʺ is then exported to the environment. The student neglected to include ʺthroughputʺ and the remaining choices are correct. Nursing Process: Implementation Category of Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension 4. According to systems theory the ʺinputʺ or employees are imported from the environment. The work or ʺthroughputʺ is performed to produce a product. The ʺoutputʺ is then exported to the environment. The student neglected to include ʺthroughputʺ and the remaining choices are correct. Nursing Process: Implementation Category of Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension Learning Outcome: 2-1: Explain how organizational theories differ. Test Taking Tip: Be prepared to apply theories in nursing situations and read the stem carefully. This question requires looking for the wrong choice. Effective Leadership and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 28 5) The nurse manager is determining placement for a client in need of medical and nursing care in an inpatient setting for less than 30 days. Which statement indicates the correct placement? 1. ʺThe client requires a long-term care facility.ʺ 2. ʺThis client requires a managed care organization.ʺ 3. ʺThis client needs an ambulatory care center.ʺ 4. ʺThis client needs a hospital.ʺ Answer: 4 Explanation: 1. The American Hospital Association defines an acute care hospital as a facility in which the average length of stay is less than 30 days. The other choices are not appropriate as they are either for different length of stays or related to how the overall care is organized. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension 2. The American Hospital Association defines an acute care hospital as a facility in which the average length of stay is less than 30 days. The other choices are not appropriate as they are either for different length of stays or related to how the overall care is organized. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension 3. The American Hospital Association defines an acute care hospital as a facility in which the average length of stay is less than 30 days. The other choices are not appropriate as they are either for different length of stays or related to how the overall care is organized. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension 4. The American Hospital Association defines an acute care hospital as a facility in which the average length of stay is less than 30 days. The other choices are not appropriate as they are either for different length of stays or related to how the overall care is organized. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension Learning Outcome: 2-2: Describe the different types of health care organizations. Test Taking Tip: Be familiar with terms and look for patterns. Effective Leadership and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 29 6) During the nurse s interview for a new job, the health benefits are described as a group of ʹ health care providers in the local town who have agreed to provide treatment and health services for the clinic employees. This is an example of a (an): 1. PPO. 2. HMO. 3. POS. 4. SSI. Answer: 2 Explanation: 1. An HMO is a geographically organized system that provides an agreed -upon package of health maintenance and treatment services. A PPO is a managed care organization that contracts with independent caregivers. A POS is a hybrid HMO/PPO. SSI is Social Security insurance. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension 2. An HMO is a geographically organized system that provides an agreed -upon package of health maintenance and treatment services. A PPO is a managed care organization that contracts with independent caregivers. A POS is a hybrid HMO/PPO. SSI is Social Security insurance. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension 3. An HMO is a geographically organized system that provides an agreed -upon package of health maintenance and treatment services. A PPO is a managed care organization that contracts with independent caregivers. A POS is a hybrid HMO/PPO. SSI is Social Security insurance. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension 4. An HMO is a geographically organized system that provides an agreed -upon package of health maintenance and treatment services. A PPO is a managed care organization that contracts with independent caregivers. A POS is a hybrid HMO/PPO. SSI is Social Security insurance. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension Learning Outcome: 2-2: Describe the different types of health care organizations. Test Taking Tip: Familiarize yourself with the ʺalphabet soupʺ and be prepared to answer questions about these basic types. Effective Leadership and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 30 7) Which indicates a weakness of a functional structure in a long-term care facility? 1. All nursing tasks fall under the nursing department. 2. The dietary department is responsible for nutritional assessment. 3. Physical and occupational therapy coordinate and evaluate activities of daily living. 4. The nursing department is responsible for writing the care plan. Answer: 4 Explanation: 1. Nursing tasks falling under the nursing department, the dietary department being responsible for nutritional assessment, and physical and occupational therapy coordinating and evaluating activities of daily living all reflect a functional structure in which individual departments are grouped and responsible for specific tasks. A weakness of the functional structure is that coordination of services across departments is poor. Nursing would find it difficult to write a care plan without input from other departments while the other options relay stand-alone tasks with little required input from other departments. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application 2. Nursing tasks falling under the nursing department, the dietary department being responsible for nutritional assessment, and physical and occupational therapy coordinating and evaluating activities of daily living all reflect a functional structure in which individual departments are grouped and responsible for specific tasks. A weakness of the functional structure is that coordination of services across departments is poor. Nursing would find it difficult to write a care plan without input from other departments while the other options relay stand-alone tasks with little required input from other departments. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application 3. Nursing tasks falling under the nursing department, the dietary department being responsible for nutritional assessment, and physical and occupational therapy coordinating and evaluating activities of daily living all reflect a functional structure in which individual departments are grouped and responsible for specific tasks. A weakness of the functional structure is that coordination of services across departments is poor. Nursing would find it difficult to write a care plan without input from other departments while the other options relay stand-alone tasks with little required input from other departments. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application 4. Nursing tasks falling under the nursing department, the dietary department being responsible for nutritional assessment, and physical and occupational therapy coordinating and evaluating activities of daily living all reflect a functional structure in which individual departments are grouped and responsible for specific tasks. A weakness of the functional structure is that coordination of services across departments is poor. Nursing would find it difficult to write a care plan without input from other departments while the other options relay stand-alone tasks with little required input from other departments. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application Learning Outcome: 2-3: Explain how health care organizations are structured. Test Taking Tip: Think about key words; the word ʺfunctionalʺ can give a hint about the correct answer. Effective Leadership and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 31 8) A nurse practitioner collaborating with physicians and as a general business partner to provide needed services is an example of which diversification method? 1. Joint venture 2. Conglomerate diversification 3. Concentric diversification 4. Capitation Answer: 1 Explanation: 1. A joint venture is a partnership in which each partner contributes different areas of expertise or resources to create a product or service. Conglomerate diversification is the expansion into areas that differ from the original service. Concentric diversification is expansion of services into new markets. Capitation is a fixed fee paid per enrollee for services in an HMO. Nursing Process: Implementation Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application 2. A joint venture is a partnership in which each partner contributes different areas of expertise or resources to create a product or service. Conglomerate diversification is the expansion into areas that differ from the original service. Concentric diversification is expansion of services into new markets. Capitation is a fixed fee paid per enrollee for services in an HMO. Nursing Process: Implementation Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application 3. A joint venture is a partnership in which each partner contributes different areas of expertise or resources to create a product or service. Conglomerate diversification is the expansion into areas that differ from the original service. Concentric diversification is expansion of services into new markets. Capitation is a fixed fee paid per enrollee for services in an HMO. Nursing Process: Implementation Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application 4. A joint venture is a partnership in which each partner contributes different areas of expertise or resources to create a product or service. Conglomerate diversification is the expansion into areas that differ from the original service. Concentric diversification is expansion of services into new markets. Capitation is a fixed fee paid per enrollee for services in an HMO. Nursing Process: Implementation Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application Learning Outcome: 2-3: Explain how health care organizations are structured. Test Taking Tip: Look for patterns in the options. The only option involving a partnership is the joint venture. Effective Leadership and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 32 9) In planning for discharge of a client needing follow-up for diabetic education, the nurse should contact a: 1. Long-term care facility. 2. Home health agency. 3. Temporary service agency. 4. Public health department. Answer: 2 Explanation: 1. With shorter hospital stays, home health agencies are frequently used to provide clients with intermittent or temporary follow-up care such as diabetic teaching. Long-term care facilities are used for rehabilitation and care needed for extended periods of time. Temporary service agencies are used to provide health care agencies with professional and nonprofessional personnel when they are short staffed. The public health department focus is usually community health and not individual primary care. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application 2. With shorter hospital stays, home health agencies are frequently used to provide clients with intermittent or temporary follow-up care such as diabetic teaching. Long-term care facilities are used for rehabilitation and care needed for extended periods of time. Temporary service agencies are used to provide health care agencies with professional and nonprofessional personnel when they are short staffed. The public health department focus is usually community health and not individual primary care. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application 3. With shorter hospital stays, home health agencies are frequently used to provide clients with intermittent or temporary follow-up care such as diabetic teaching. Long-term care facilities are used for rehabilitation and care needed for extended periods of time. Temporary service agencies are used to provide health care agencies with professional and nonprofessional personnel when they are short staffed. The public health department focus is usually community health and not individual primary care. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application 4. With shorter hospital stays, home health agencies are frequently used to provide clients with intermittent or temporary follow-up care such as diabetic teaching. Long-term care facilities are used for rehabilitation and care needed for extended periods of time. Temporary service agencies are used to provide health care agencies with professional and nonprofessional personnel when they are short staffed. The public health department focus is usually community health and not individual primary care. Nursing Process: Planning Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application Learning Outcome: 2-2: Describe the different types of health care organizations. Test Taking Tip: Be familiar with terms and look for patterns. Follow-up education is indicative of a post-hospital client need appropriate for home health. Effective Leadership and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 33 10) A nurse manager who encourages the nursing staff members to assist in developing a new creative staffing pattern in response to recent resignations and people going back to school subscribes to what organizational theory? 1. Neoclassical theory 2. Systems theory 3. Chaos theory 4. Classical theory Answer: 3 Explanation: 1. Chaos theory proposes an organization is dependent on its adaptability and response to change in its environment. Nurse managers must create an environment that accepts change, tolerates conflict, and promotes creative solutions. Nursing Process: Implementation Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application 2. Chaos theory proposes an organization is dependent on its adaptability and response to change in its environment. Nurse managers must create an environment that accepts change, tolerates conflict, and promotes creative solutions. Nursing Process: Implementation Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application 3. Chaos theory proposes an organization is dependent on its adaptability and response to change in its environment. Nurse managers must create an environment that accepts change, tolerates conflict, and promotes creative solutions. Nursing Process: Implementation Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application 4. Chaos theory proposes an organization is dependent on its adaptability and response to change in its environment. Nurse managers must create an environment that accepts change, tolerates conflict, and promotes creative solutions. Nursing Process: Implementation Category of Client Need: Safe, Effective Care Environment Cognitive Level: Application Learning Outcome: 2-1: Explain how organizational theories differ. Test Taking Tip: Be prepared to apply organizational theory when taking nursing exams. Effective Leadership and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 34 11) Which statement indicates a reason why the parallel structure in hospitals is being used less frequently? 1. Parallel structure causes complex relationships. 2. Newer models of organizational structure exist. 3. Parallel structure creates two lines of authority. 4. Parallel structure calls for increased authority of medical staff. Answer: 3 Explanation: 1. Parallel structure exists when there are two lines of authority in an organization. Due to new models of organizational structure, medical staff may have less direct authority and may be included as staff members and adhere to hospital policy. The staff relationships are then less complex.