Chapter 9

A new registered nurse (RN) with an organization is learning the layout of patient rooms. Which of the following organizational levels does this best describe? A. Artifact level B. Espoused beliefs C. Underlying assumptions D. Organizational culture

A

An organization focuses on improving interdisciplinary collaboration. Which of the following most likely is the focus of the organization? A. Culture of safety B. Care environment C. Excellence D. Meaningfulness

A

In which of the following types of networks is the main focus of supervisors on planning and providing resources? A. Organic B. Bureaucratic C. Traditional D. Innovative

A

Which of the following is true regarding nursing practice councils? A. Practice councils are a form of shared governance, giving nurses the ability to participate in levels of decision making for the unit. B. Practice councils give nurses the authority to control all aspects of their practice. C. Genuine sharing of decision making occurs when managers retain control. D. A nursing practice council works best for an organization when it is the only practice council in place.

A

A new RN asks a peer how the peer always seems to get timely responses from the laboratory department. The experienced RN explains the process she uses. This is most likely an example of which of the following? A. Formal processes B. Informal processes C. Authority D. Reward

B

For nurses to participate in decision making, they need to have the authority to make decisions without asking permission. Which source of power does this best describe? A. Resources B. Support C. Information D. Opportunity

B

In a health-care organization, all employees are ranked according to their level of authority. Which characteristic of a bureaucracy does this best describe? A. Division of labor B. Hierarchy C. Rules and regulations D. Technical competence

B

The ability of an RN to conduct research, collect data, interpret it, and utilize it best describes which source of power? A. Authority B. Reward C. Control of information D. Coercion

C

Which of the following best describes the main purpose of collective bargaining? A. To provide protection to employers B. To promote cooperation C. To equalize power between employees and employers D. To promote a clinical ladder for staff

C

Which of the following components of the care environment involves understanding and valuing the work individuals do? A. Excellence B. Meaningfulness C. Regard D. Learning and growth

C

A new RN in the critical care unit joined the professional organization for critical care nurses. The new RN took advantage of webinars and journal articles that offered continuing education credits. The new RN attended the national conference and began studying for the certification examination. Which benefit of professional organizations does this scenario best describe? A. Collegiality B. Commitment to improved patient outcomes C. Recognition of achievement D. Enhancement of nursing competence

D

An RN has joined the practice council at the hospital network. The RN is able to have some say regarding nursing practice in the network and now feels as if network administration is listening to the RN's recommendations. Which of the following components of empowerment does this scenario best describe? A. Meaning and decision making B. Self-determination and autonomy C. Impact and autonomy D. Impact and decision making

D

An organization works hard to be the best in the market and drive out competition. This describes which of the following organizational goals? A. Growth B. Profit C. Status D. Dominance

D

Which of the following best describes power? A. Power increases with each step up in hierarchy. B. Power is directly related to the amount of authority one has in an organization. C. Those at the bottom of the hierarchy have no sources of power. D. Sources of power exist at all levels of the hierarchy.

D

Which of the following is the best way a nurse manager can work with leaders of collective bargaining units? A. Focus on staffing goals B. Focus on a clinical ladder to support staff expertise C. Focus on patient outcomes D. Focus on shared goals

D

Several of your colleagues are going to join the American Nurses Association (ANA). You know the annual dues are a little more than you can afford right now, but you want to learn more. Your friends think that joining the ANA will help empower them. How do professional organizations empower nurses? 1. They represent nurses in the political arena. 2. They equalize power between employees and staff. 3. They provide opportunities for promotion. 4. They provide health insurance.

1

There are numerous sources of power in an organization. Several are available to nurses. Which one is not? 1. Authority 2. Reward 3. Control of information 4. Coercion

1

What is the best explanation of authority? 1. It is position dependent. 2. It is based upon the ability to lead others. 3. It is expertise-driven. 4. It resides primarily in the clients served.

1

Nurses who feel empowered can make significant contributions to a health-care organization. Feeling empowered includes feeling as if you make a difference, that colleagues value your opinion, and that your voice is important. What is essential to nurse empowerment? 1. Belonging to a professional organization 2. Participating on a unit practice council 3. Reasonable work assignments 4. A rewards and recognition program

2

Creating a culture of safety requires organizational commitment to preventing harm. Which of the following is not a key feature of a culture of safety? 1. Provision of adequate resources to provide care and service 2. Use of interprofessional collaboration to solve problems and assess risk 3. Adherence to staffing ratios 4. Encourages the reporting of errors and near misses

3

If you are employed at a hospital owned by a corporation listed on the stock market, in which category does your facility belong? 1. Publicly (government) supported 2. Voluntary, not-for-profit 3. For-profit 4. All of the above

3

Which of the following is a characteristic of a bureaucratic organization? 1. Organic structure 2. Flexible teams 3. Rigid unit structures 4. Self-correction and self-control

3

You have been asked to serve on your unit practice council. This is an important role and one that you are excited to perform. What should you know about professional governance so that you are prepared for this work? Professional governance in nursing involves: 1. Working longer hours 2. Attending a lot of meetings 3. Nurses setting nursing standards for daily practice 4. Changing the organization's culture

3

Communities and regulatory agencies continually challenge hospitals, skilled nursing facilities, and home health companies to enhance, improve, or change care delivery and the care environment to ensure safe, high-quality care. Which factors are important in improving a hospital's care environment? 1. Adequate staffing 2. Collegial relationships among staff 3. Emphasis on staff development 4. All of the above

4

Organizational culture is best defined as: 1. The stated vision and mission of an organization 2. Policies and procedures 3. The type of décor that was chosen for the facility 4. An enduring set of shared values and beliefs

4