Ch 7: Nursing Leadership Strategic and Operational Planning

What is represented in a document entitled Fourteen Specific Steps to Successful Intravenous Catheterization at Hospital XYZ? A) Philosophy B) Mission statement C) Policy D) Procedure

Procedure

Which statement regarding rules is true? Select all that apply. A) Rules should be flexible B) There should be as few rules as possible C) Rules should be changed on a regular basis D) Enforcement of the rules supports staff morale

Rules should be flexible, there should be as few rules as possible, enforcement of the rules supports staff morale.

What is required in a health-care organization philosophy statement? A) Should be evident in a nursing department's decisions, priorities, and behavior B) Has value, even if not implemented, because it provides a picture of what the organization would like to accomplish C) Should reflect the values and priorities of each specific unit manager D) Should be consistent with that of other health care agencies in the area to avoid competition

Should be evident in a nursing department's decisions, priorities, and behavior.

Which statement concerning the role of the leader-manager in organizational planning is true? Select all that apply. A) They need to be future oriented B) They must be willing to take risks C) They must possess human resource management skills D) They need to be prepared to appraise the social climate that affects the organization

The need to be furture oriented. hey must be willing to take risks, they must possess human resource management skills, they need to be prepared to appraise the social climate that affects the organization.

At the unit level, what time frame may be considered long-range planning? A) 3 months B) 4 months C) 5 months D) 6 months

6 months

Which statement describes an emerging paradigm that is likely to influence strategic planning for health care in the twenty-first century? A) Reduced emphasis on cost containment B) Reduced regulatory oversight of health-care organizations C) A shift from interdependence of health-care professionals to greater autonomy D) A movement from client-as-customer to population-as-customer

A movement from client-as-customer to population-as-customer.

During the process of acquiring values, criteria should be used to assist in clarifying the chosen value. Which is a criterion for a true value? Select all that apply. A) It is freely chosen from among alternatives B) It is prized and cherished C) It is positively affirmed D) It is acted upon

A, B, C, D

Which factor contributes to the difficulty health-care organizations are having in planning for identified long-term needs? Select all that apply. A) Government regulations B) Rapidly changing technologies C) Decreased provider autonomy D) Changing population demographics

All of the above

Which is a true statement about planning? A) All plans should be defined well so that changes aren't necessary B) Long- and short-range plans should be kept separate so priorities do not become confused C) Objectives and goals must be established before the philosophy is written D) All plans should include reasonable time limits

All plans should include reasonable time limits.

Which statement regarding nursing policies and procedures is most important to their successful role in achieving goals? A) The policies and procedures are created by staff representatives B) All policies and practices are based on current evidence related to practice C) Policy or procedure adoption is dependent upon effective utilization of resources D) 100% of the staff adheres to established policies and procedures 100% of the time

All policies and practices are based on current evidence related to practice

What is a characteristic of strategic planning? Select all that apply. A) Requires managerial expertise in health-care economics B) Should reflect political issues related to health care C) Human resource expertise is required D) Should be based on a planning theory

All the above.

A good plan incorporates which characteristic? A) A midterm evaluation B) Built-in evaluation checkpoints C) The rejection of plans that originally failed D) Over-planning to arrange required details

Built in evaluation checkpoints

What is the best definition for the process of planning? A) Problem oriented B) Short-term goal setting C) Continuous with cyclic evaluation checkpoints D) A long-range needs assessment

Continuous with cyclic checkpoints.

How is the leadership role and management function associated with operational and strategic planning? A) Articulating the unit philosophy in writing B) Assessing unit resources available for planning C) Developing unit policies and procedures that operationalized unit objectives D) Encouraging subordinates to be involved in policy formation

Encouraging subordinates to be involved in policy formation.

One of the most commonly used tools in health-care organizations is SWOT analysis. What is the definition for opportunities? A) Internal attributes that help an organization achieve its objectives B) Internal attributes that challenge an organization in achieving its objectives C) External conditions that promote achievement of organizational objectives D) External conditions that challenge or threaten the achievement of organizational objectives

External conditions that promote achievement of organizational objectives

Which term is used for strategies that are neither written nor stated verbally and that have developed over time called? A) Implied policies B) Expressed policies C) Understood precedents D) The organizational culture

Implied policies

One of the most commonly used tools in health-care organizations is SWOT analysis. What is the definition for S? A) Internal attributes that help an organization achieve its objectives B) Internal attributes that challenge an organization in achieving its objectives C) External conditions that promote achievement of organizational objectives D) External conditions that challenge or threaten the achievement of organizational objectives

Internal attributes that help an organization achieve its objectives

Which statement identifies a characteristic of a planning objective? A) It has a specific time frame for completion B) It is subjectively evaluated on a periodic basis C) It has a100% compliance as a minimum criterion D) It is broad and inclusive in its nature

It has a specific time frame for completion

Which element influences the nurse executive most heavily when assessing the organization's philosophy for nursing services for possible revision? A) Consumer surveys B) Financial resources C) Mission statement D) Policy statements

Mission Statement

Benefits of effective planning include timely accomplishment of higher quality work and the best possible use of capital and human resources. Because planning is essential, managers must be able to overcome barriers that impede planning. What is an important point for successful organizational planning? A) The organization can be more effective if movement within it is directed at specified goals and objectives B) Plans to reach a goal must be rigid and not be distracted by current events C) The manager should include in the planning process the leadership people of units that could be affected by the plan D) A global plan and outline is sufficient to encourage and motivate employees

The organization can be more effective if movement within it is directed at specified goals and objectives

What determines the functions and priorities of an organization? A) The organization's mission statement B) The organization's budget C) Consumer satisfaction surveys D) The organization's policy and procedure statements

The organization's missions statement

Place the planning hierarchy in its proper order from top (being 1) to bottom (being 7) represent. A) Philosophy B) Goals C) Mission statement D) Objectives E) Policies F) Procedures G) Rules

The planning hierarchy follows this order: Mission statement Philosophy Goals Objectives Policies Procedures Rules

Which statement is true regarding individual values? A) They are often modified by parents, peers, and role models throughout life B) They seldom change as a result of life's experiences C) They have little influence on decision making once employed because organizational values eliminate personal values D) They show little variation between nursing managers once they have achieved some level of authority

They are often modified by parents, peers, and role models throughout life

How are preactive planners described? A) They consider and value the past, the present, and future B) They use evolving technologies to accelerate change C) They consider the status quo as a stable environment D) They direct planning in response to a crisis

They use evolving technologies to accelerate change

What makes an organizational philosophy useless? A) Being expensive to implement B) Viewed as being impossible to implement C) Not having the support of all the involved parties D) Involving a change in the organizational point of view

viewed as being impossible to implement