Leadership Quiz

The instruments that give voice to the organization's philosophy include which of the following? select all A. Goals B. Focus C. Vision D. Mission E. Core Values

Vision Mission Core Values

A staff registered nurse (RN) is leading a multidisciplinary clinical pathway team in the development of care for patients with total knee replacement. Which of the following statements would exemplify leadership behaviors in a clinical pathway team meeting? Answers: A. "Nursing is responsible for pain control of the total knee replacement patient." B."Our pharmacist has provided some excellent pain control literature." C."Physical therapy's expertise is in rehabilitation, not pain control." D. " Total knee replacement patients require optimal pain control."

"Our pharmacist has provided some excellent pain control literature."

Culture is a concept that is best portrayed in nursing with which of the following statements? A. Culture provides a common bond so members know how to relate to one another and what is valued. B. A relationship-based nursing care model is used, which represents a belief in patient-centered care. C. Culture is a multi-faceted phenomenon, difficult to comprehend. D. Culture is a set of values, beliefs, and assumptions that are shared by members of an organization

A relationship-based nursing care model is used, which represents a belief in patient-centered care.

The health care system environment where a proposed EBP is to be implement is the Organizational context . A. True B. False

True

What do you believe is your role in preventing workplace violence.

Answer it

The nurse manager on a medical-surgical unit wants to change to "walking rounds" in the patients' rooms for change of shift report. In the past, it has been "face to face" at the nurses' station. The nurse manager is meeting resistance from the staff, because they think that it will take longer, and the nurses will not finish their shift on time. What could the manager do to increase the nurses' acceptance of this change? A. Inform all shifts that there have been some lapses in communication regarding patient needs and including the patient in change of shift will help alleviate this. B. Inform all nurses that to reach Magnet status, this type of change of shift reports is required. C. Ask the nurses to participate in the planning and implementation of the change D. Ask the nurses to try this type of change of shift report for 1 week and then have them evaluate it.

Ask the nurses to participate in the planning and implementation of the change Wrong

A statement designed to assist providers and clients in making decisions about appropriate health care for specific clinical circumstances is referred to as? A. Implementation Science B. Sustainability. C. Best Practice D. Clinical Practice Guideline

Clinical Practice Guideline

Family members of a dying patient are arguing about terminating life support. The nurse educates the two opposing groups individually about terminating life support and discusses the dying process. This is an example of: A. Delegation B. Negotiation C. Clinical Judgment D. Purposeful Inaction

Clinical judgment

The 14 Forces of Magnetism has directed research on Hospital Magnet Standards which measure certain characteristics. Select the answers that best reflect those measures of Magnet standards (select all that apply). A. Clinically competent peers, education support, adequate staffing, and nurse manager support B. Perception of work environment, nursing hours per patient day, and medication errors and near misses C. Customer satisfaction, patient discharge disposition, and patient complaints D. Clinical autonomy, control of nursing practice, and collaborative nurse-physician relationships

Clinically competent peers, education support, adequate staffing, and nurse manager support Clinical autonomy, control of nursing practice, and collaborative nurse-physician relationships

A staff registered nurse (RN) has been struggling with the delivery system from central supply. He documents a delay of 1 to 3 hours from the time that the order is sent to central supply to the time that the requested equipment is sent to the floor. The RN asks, "Why does a central supply unit need to service the entire hospital? Why not consider a decentralized central supply established for each floor?" This is an example of what type of thinking? A. Amiable Thinker B. Critical Thinker C. Traditional Thinker D. Unrealistic Thinker

Critical Thinker

Which of the following problem definitions is matched with an accurate example? A. Problem solving: A nurse ignores a client's requests to stop his dialysis B. Dilemma: A nurse is scheduled to work over the weekend, and she has a family outing to attend. C. Critical thinking: A nurse is counseling a woman with breast cancer about terminating her pregnancy and receiving chemotherapy or completing the pregnancy and possibly not surviving D. Purposeful action: A nurse has been offered an exciting new position with a dramatic increase in salary, but she would have to move out of state, away from her ailing parent

Critical thinking: A nurse is counseling a woman with breast cancer about terminating her pregnancy and receiving chemotherapy or completing the pregnancy and possibly not surviving

Climate is often confused with culture. Which statement best describes aspects of climate? A. Culture is the perceptions of the work environment, and climate is the personality of the organization. B. Climate is the shared beliefs, values, and assumptions that exist in an organization. C. Climate enhances the stability of a social system, and culture is the voice of the organization. D. Culture and climate can both be measured.

Culture and climate can both be measured.

What is the definition of the process of making choices that will provide maximum benefit? A. Critical Thinking B. Problem Solving C. Decision Making D. Leading

Decision Making

A multidisciplinary team makes a decision to develop a plan for the use of thrombolytics in the emergency medical service system. Questions are asked such as, "Is the client a candidate for thrombolytic therapy? Does the client have a history of gastrointestinal bleeding? Has the client ever had a stroke? Does the client have any bleeding disorders?" Which of the following decision-making strategies would work best in this situation? A. Cost-benefit analysis B. Decision tree C. Problem critique D. Trial and error

Decision tree

A nationwide community health care nursing organization has formed a team to assist with disaster victim relocation and to plan for psychological, physical, and emotional needs that the victims may encounter. In which stage of decision making is this group? A. Deliberation B. Evaluation C. Judgment D. Selection

Deliberation

An intravenous infusion center is considering switching intravenous pumps to another vendor. A team of nurses is gathered to examine the benefits and uses and to conduct a cost analysis of various intravenous pumps. After thoroughly reviewing the data and piloting several intravenous pumps, the team and the nurse leader vote to determine which pumps to use. This example depicts which of the following decision styles? A. Autocratic B. Consultative C. Delegative D. Facilitative

Facilitative

Evidence based practice is the process that health care utilizes to ensure that untrained individuals do as instructed. A. True B. False

False

Most strategic plans result in a written document. Strategic plan documents generally contain which of the following sections? A. Forward B. Glossary C. Goals and Strategies D. Executive Summary E. Mission, Vision, and Values

Goals and Strategies Executive summary Mission, vision, and values

Which of the following statements best describes an organizational chart? A. All job positions are displayed clearly in a two-dimensional drawing. B. All outside organizations with relationships to the hospital are depicted. C. Informal and formal structures within the organization are outlined. D. It shows organizational positions and relationships in a visual representation.

It shows organizational positions and relationships in a visual representation.

The process of putting scientific knowledge into practice is: A. Reinfusion. B. Knowledge translation. C. translational research. D. scaling up.

Knowledge translation.

Nurses' involvement in shared governance is an important component of: A. Magnet recognition. B. practice models. C. CMS requirements. D. staff satisfaction.

Magnet recognition

What are two health care trends that can impact the use for measuring and managing outcomes would include (select all that apply)? A. The lack of documentation of effectiveness of client services and the variations in practice have triggered the demand for outcomes measurement B. Management decision making should be evidence-based wherever possible in order to optimize quality of care C. Pay-for-performance reimbursement systems provide for direct payment of services if within a medical home model D. Cost-containment strategies often involve a focus on decreasing staff coverage or reducing the proportions of registered nurses in staff mixes without forethought to the potential consequences

Management decision making should be evidence-based wherever possible in order to optimize quality of care Cost-containment strategies often involve a focus on decreasing staff coverage or reducing the proportions of registered nurses in staff mixes without forethought to the potential consequences

Which of the following is true of management activities? Answers: A. Inspiring a vision is a management function. B. Management is focused on task accomplishment. C. Management is more focused on human relationships. D. Management is more important than leadership.

Management is focused on task accomplishment.

A complex combination of a hierarchical structure with project teams is the definition of which type of organization structure? A. Decentralized B. Matrix C. Centralized D. Divisionalized

Matrix

A statement that defines the purpose and reflects the values of an organization is called? A. Mission B. Vision C. Precept D. Goal statement

Mission

A memo sent to the unit nurse manager reads that beginning next week; all nursing staff will be expected to conform to a new dress code selected by the hospital board of directors. The nurse manager understands that change will be more effective through which manner of communication? A. Storytelling B. Email C. Discussion D. Open-Communication

Open-Communication

Outcomes management is a process that can be described accurately by which of these statements? A. Outcomes management provides relatively little data for internal use in health care organizations. B. Effects of outcome management are used as measures of all three of Donabedian's aspects of quality: structure, process, and outcomes. C. Outcomes management is an interdisciplinary process designed to provide quality care, decrease fragmentation, and constrain costs. D. Variances with outcome management are complex, interactive, and only occur at a single level, such as that of organization level.

Outcomes management is an interdisciplinary process designed to provide quality care, decrease fragmentation, and constrain costs.

Which of the following leadership styles is best suited for implementation of a shared governance structure? A. Autocratic B. Participative C. Laissaz-faire D. Authoratarian

Participative

When making a decision to delegate a nursing task, which of the following factors are assessed (select all that apply)? A. Potential for harm B. Complexity of the task C. Amount of problem solving required D. Predictability of the outcome

Potential for harm Complexity of the task Amount of problem solving required

Outcome indicators such as nurse burnout, turnover, and job satisfaction are examples of which type of indicator? A. Patient-focused B. Provider-focused C. Organizational-focused D. Nursing-focused

Provider-focused

A medical-surgical unit utilizes a group of nurses and patient care assistants to determine ways to reduce the number of falls in the unit. They conduct Internet research to locate best practice interventions. They create fall risk alerts in the unit, and they implement hourly rounding to assess the need for toileting. After putting these small changes into place, they will evaluate the data to determine effectiveness. This project is an example of: A. FMEA B. Rapid Cycle Change C. Root Cause Analysis D. Fish Bone Process

Rapid Cycle Change

Almost all changes encounter A. Joy B. Resistance. C. knowledge. D. communication.

Resistance

A staff nurse's accurate recording of all services and supplies used to provide care to each client in her assignment is necessary for determining calculations used in which of the following budgets? A. Expense B. Gross C. Inpatient D. Revenue

Revenue

What is the administrative, systematic, environment-related, future-oriented, and sensitive to the correct positioning of the organization known as? A. Strategic Management B. Tactics C. Strategy D. Operational effectiveness

Strategic Management

A business approach that ensures a competitive advantage over similar enterprises involves conducting an environmental scan, knowing the competition, establishing goals, setting targets, developing an action plan, implementing the plan, and evaluating success. Which of the following statements is correct? A. The best strategic planning is from the top down. B. The strategic planning process is threatening to employees and creates decreased job satisfaction. C. A basic form of strategic planning is a detailed written business plan with a comprehensive market analysis. D. Strategic management involves strategic planning and implementation.

Strategic management involves strategic planning and implementation.

SWOT is an acronym for what: A. Strong, worthy, oppositional, and tactical B. Strategies, Work Ethic, Opposition, and Team. C. Stability, Wealth, Options, Trust D. Strength, weakness, opportunities, and threats

Strength, weakness, opportunities, and threats

The culture of patient care must transition from care that is driven by providers to care that is patient-centered and family-centered in which patient and family norms, values, and preferences are respected. This direction in health care services has been sited within (select all that apply): A. The Affordable Care Act (2009) B. The Future of Nursing: Leading Change, Advancing Health (2011) C. The Institute of Medicine's Crossing the Quality Chasm (2001). D. National Healthcare Quality Report from the Agency for Healthcare Research and Quality (2002).

The Affordable Care Act (2009) The Future of Nursing: Leading Change, Advancing Health (2011) The Institute of Medicine's Crossing the Quality Chasm (2001). National Healthcare Quality Report from the Agency for Healthcare Research and Quality (2002).

When the licensed nurse makes a determination to delegate a task, which of the following occurs in the process (select all that apply)? A. The nurse assesses the situation and need for delegation B. A plan for specific task delegation is established C. The needs of the nurse are considered. D. The nurse determines the available resources and patient safety.

The nurse assesses the situation and need for delegation A plan for specific task delegation is established The nurse determines the available resources and patient safety.

How is leadership at the staff nurse level exemplified? A. The staff nurse adapts to a challenging patient assignment B. The staff nurse refers issues to the performance improvement committee. C. The staff nurse accepts the status quo. D. The staff nurse questions current practice and refers to unit leadership for change

The staff nurse adapts to a challenging patient assignment

An organization has encountered a serious patient safety event that was reported to the state, The Joint Commission, and the Centers for Medicare & Medicaid Services (CMS). An extensive plan of correction was received, and the organization had to make some immediate changes in practice. Additionally the organization anticipates a costly lawsuit. What is the best method of educating staff about the practice changes that were issued? A. These changes need to be made because CMS and the State require it. B. We understand this is a knee jerk reaction, but please change your behavior while the surveyors are here. C. We need to make these changes to help our lawsuit. D. This change is being made to ensure that there is no further harm to another patient.

This change is being made to ensure that there is no further harm to another patient.

Evidence shows that planned change is best carried out with the input of: A. Top leaders and managers only. B. Those affected by the change. C. Outside consultants. D. Anyone interested.

Those affected by the change.

The charge nurse of a small nursing unit would like to gain staff acceptance of a time-intensive, budget-imposed change required by the hospital administration. She plans to emphasize several evidence-based research projects that have shown improved patient health outcomes as a result of implementing this change. This is an example of which of the following organizational change concepts? A. Budget Oriented B. Transformative C. Emergent D. Passive

Transformative

Which of the following are examples of formal decision-making strategies (select all that apply)? A. Trial and Error B. Anchoring C. Pilot Project D. Creativity Technique

Trial and error, pilot project, creativity technique

The statement, "We will provide high-quality care and services to our patients. We are committed to maintaining excellence, respect, and integrity in all aspects of our operations and our professional and business conduct," is an example of: A. the core purpose of an organization B. a mission statement C. core values of an organization D. a strategic plan

a mission statement

Organizational benefits of a culture of shared governance include: a more efficient model for point-of-service decision making. A. Interdependence among staff nurses. B. increased commitment of staff to the organization. C. increased senior leadership involvement at point of service. D. improved financial outcomes.

a more efficient model for point-of-service decision making. increased commitment of staff to the organization. improved financial outcomes.

Organizational benefits of a culture of shared governance include: A. improved financial outcomes. B. interdependence among staff nurses. C. increased commitment of staff to the organization. D. more senior leadership involvement at the point of service. E. a more efficient model for point-of-service decision making.

a. improved financial outcomes.c. increased commitment of staff to the organization.e. a more efficient model for point-of-service decision making.

The first stage of planned change involves. A. cognitive redefinition. B. accepting the need for change. C. problem solving. D. integration and stabilization.

accepting the need for change.

At its start, shared governance requires the education and support of organizational executives, managers, and point-of-care staff. Organizational benefits include: A. reduction of liability claims. B. accountability of the nurse. C. increased cost of care. D. decreased work burden of the nurse.

accountability of the nurse. d. improved financial outcomes. e. more expert involvement at the point of care.

In organizations that practice shared governance, the nurse manager's role is to: A. hire new employees. B. mentor the nursing staff. C. train the new nurses in patient care. D. support the decisions of the nursing team. E. enable the staff to become effective leaders.

b. mentor the nursing staff. d. support the decisions of the nursing team. e. enable the staff to become effective leaders.

Strategic management is useful for nursing leaders and managers because it: A. helps identify best practices on the nursing unit. B. rewards those who carry out strategy successfully. C. can be used to set measurable, achievable goals, and plans. D. can be used to analyze the environment for opportunities and threats. E. can help determine the future of the nursing area, such as a department or unit.

can be used to set measurable, achievable goals and plans. can be used to analyze the environment for opportunities and threats. can help determine the future of the nursing area, such as a department or unit.

Institutions organize and structure themselves by defining departmental function and authority to achieve a more coordinated effort. In institutions where the executive leader retains more decision-making authority, the operation takes on a more __ philosophy.

centralized

Shared governance is a vehicle for engaging organizations and creating the necessary forums and intersections that assure the decisions and actions remain dynamic and as close to the point of service as possible. Shared governance promotes: A. dependence. B. non-punitive culture. C. collaboration. D. executive decision making.

collaboration

A type of group that is stable, meets periodically, has an identified purpose, and is part of the organizational structure is called a: A. club B. committee C. group D. meeting

commitee

A nursing executive is leading a multidisciplinary team of professionals who have worked well together on prior initiatives. Which of the following leadership styles might work best in this situation? Answers: A. authoritarian B. democratic C. transformational D. transactional

democratic

Similarities between the nursing process and the strategic planning process allow nurses to shortcut the learning curve and begin to move forward with the implementation phase. Strategic management involves: A. assessing the nursing mission, diagnosing outcomes for needed services, developing a plan to achieve the outcomes, implementing the strategies, and evaluating the changes toward the outcome. B. identifying the organization's needs, establishing the purpose for new services, planning the action steps, and evaluating the outcomes for the new services C. developing a strategic mission or vision, setting objectives, developing strategies to achieve the objectives, implementing the strategies, and evaluating the results D. assessing the service needs, planning goals and objectives, implementing the action plan, and evaluating the goals and objectives.

developing a strategic mission or vision, setting objectives, developing strategies to achieve the objectives, implementing the strategies, and evaluating the results

The stage of group development where control issues arise and disputes or disagreements begin to emerge is the _____ stage. A. orientation B. adaptation C. emergence D. working

emergence

Shared governance is a model of organizational structure in which staff nurses are: A. empowered through autonomy and accountability. B. employed to establish mutual goals with clients. C. equipped with evaluative thinking methodologies. D. engaged in problem-solving strategies and techniques.

empowered through autonomy and accountability.

During a staff meeting, a group of RNs has complained that medications are not arriving to the unit in a timely manner. The nurse manager suggests that the group resolve this issue through the development and work of a multidisciplinary team led by one of these RNs. This scenario demonstrates: Answers: A. adaptation. B. empowerment. C. flexibility. D. relationship management.

empowerment.

In an organization that has a decentralized organizational philosophy, decision-making authority rests in levels closer to the point of service rather than in the executive levels. Benefits of a decentralized organizational philosophy include: A. encouraging more input. B. supporting greater innovation. C. facilitating faster response times. D. permitting a narrower span of control. E. allowing for more levels of management.

encouraging more input. supporting greater innovation. facilitating faster response times.

Valid, reliable, and operationally defined measures that are important, feasible, and have clinical logic and measurement properties are known as: A. end results B. indicators C. outcomes D. findings

end results wrong

An employee satisfaction survey is conducted annually and shows that nurses in a particular unit are committed to their jobs and feel that they make positive contributions. These nurses are: A. engaged. B. disengaged. C. unproductive. D. at retirement age.

engaged

The Agency for Healthcare Research and Quality (AHRQ) developed a set of categories of desirable attributes of a quality indicator. The categories include (select all that apply): A. feasiblilty B. efficiency C. importance D. cost effectiveness

feasibility and importance

A nurse manager at Great Lakes Hospital is meeting with the dean of a well-recognized university who is the keynote speaker today at the nursing conference. He remembers that one of the RNs is interested in attending a well-known university to obtain a doctorate. The nurse manager arranges for the RN to meet with this dean. The nurse manager is exhibiting leadership behaviors consistent with (select all that apply): Answers: A. feminist perspective. B. servant leadership. C. transactional leadership. D. transformational leadership.

feminist perspective. servant leadership. transformational leadership.

The identification of forces that drive and restrain change is called a(n): A. Status quo analysis. B. refreezing system. C. force field analysis. D. equilibrium evaluation.

force field analysis.

Which of the following factors are central to successful nursing leadership (select all that apply)? Answers: A. access to information and resources. B. respectful and collaborative teamwork. C. vertical compensation. D. formal and informal power.

formal and informal power. access to information and resources. respectful and collaborative teamwork.

Staff nurses involvement in budgeting is essential because they: A. have the final authority on the annual budget. B. have the ability to contain costs at the unit level. C. have a unique perspective on the budgetary process. D. are the largest user of the budgeted funds for the unit.

have the ability to contain costs at the unit level.

The nurse's two main legal responsibilities in delegation are to assess the competency of the delegatee and to assess: A. how many nurses are available to supervise. B. how much supervision time is needed C. the client condition severity level of the patient population. D. the expiration date of the license.

how much supervision time is needed

Managers and executives in practice will struggle to make decisions regarding staffing and practice to achieve best outcomes. Staffing levels have often but not always been associated with a number of unfavorable outcomes, including increased surgical mortality, failure to rescue, and rates of complications due to errors in care such as urinary tract infections, intravenous line infections, decubitus ulcers, and patient falls. Managers and executives can take steps to: A. review the literature in nursing outcomes research to find a valuable point of reference for managers that lowering staffing levels and skill mix in hospitals associates with decreased risk of negative outcomes. B. identify data systems that are comprehensive for outcomes management in order to support the monitoring of nursing-sensitive outcomes and establish continuous monitoring of outcomes against internal and external benchmarks using a national database of quality indicators. C. use a wealth of information available to them and hire data analysts and others to determine what data indicate a need for action. D. contribute unit-specific data on nursing-sensitive indicators to a national nursing database registry and use balanced scorecard for administrative discharge data evaluation.

identify data systems that are comprehensive for outcomes management in order to support the monitoring of nursing-sensitive outcomes and establish continuous monitoring of outcomes against internal and external benchmarks using a national database of quality indicators.

Research about shared governance suggests that it is: A. enhancing the role of the nurse in the organization. B. improving organizational and patient outcomes. C. not a cost effective program when examining all patient care areas. D. too much to expect from the bedside nurse.

improving organizational and patient outcomes.

Group problem solving is known to be more effective over individual problem solving because of a larger knowledge and information base, increased acceptance of solutions, more approaches to a problem, lower economic costs, and the ability for: A. group development B. individual expression C. hierarchical bonding D. organizational team building

individual expression

In organizations that practice shared governance, staff, managers, and leaders are responsible for: A. technology. B. innovation. C. education. D. budgeting.

innovation.

Leadership is best defined as: Answers: A. an interpersonal process of participating by encouraging fellowship B. delegation of authority and responsibility and the coordination of activities C. inspiring people to accomplish goals through support and confidence building D. the integration of resources through planning, organizing, and directing

inspiring people to accomplish goals through support and confidence building

Implementation of a strategic plan can be accomplished when a priority order for achieving the strategic objectives or outcomes exists, responsibility for achieving these objectives has been determined, and some available financial support is provided within an expected timetable. The role of nurses would include: A. finding out who is responsible for the implementation. B. waiting to implement until administration develops an action plan that breaks the plan into manageable parts. C. integrating the strategy into daily activities and keeping the strategy a major agenda item for their nursing department or service D. waiting until the workable action plan is presented by nurse leaders.

integrating the strategy into daily activities and keeping the strategy a major agenda item for their nursing department or service

One obstacle in the implementation of a shared governance model is that nurses have: A. limited time to work on projects. B. the same basic educational foundation. C. traditionally worked in decentralized environments. D. empowered participation in committee meetings.

limited time to work on projects

The process for determining the effect of different conditions to nurses and nursing practice on the health status of patients is: A. research using risk adjustment. B. health services research. C. outcomes research. D. nursing effectiveness research.

nursing effectiveness research.

In organizations that practice shared governance, the responsibility for unit outcomes rests with the: A. nurse manager. B. individual nurse. C. nursing team. D. Chief Nursing Officer (CNO)

nursing team

A nurse manager has ordered equipment for a new unit. The company has sent two notices that the equipment is on back order. The nurse manager is debating whether to wait for the equipment on back order or to cancel the order and go with another company. She discusses this issue with another nurse manager. This is an example of: A. incrementalism. B. optimizing. C. mixed scanning. D. strategic planning.

optimizing.

The consequence of an intervention or treatment is known as a(n): A. achieved benefit. B. benchmark. C. expected response. D. outcome.

outcome

To determine whether her patient has responded favorably to a nursing intervention, a staff nurse should observe the client for: A. improved health. B. increased complaints. C. outcome indicators. D. signs and symptoms

outcome indicators

Addressing the strategic planning process questions involves considering environmental factors. An example of an external environmental factor to be considered is: A. financial factors. B. Human resources. C. political climate. D. organizational culture.

political climate.

Decentralization occurs when: A. equipment is being purchased from approved vendors. B. hiring decisions are made at the executive level. C. supplies are distributed from one central supply area in the hospital. D. power is distributed to those closest to the work of caregiving.

power is distributed to those closest to the work of caregiving.

The primary purpose of unit practice committees in a health care organization is to improve: select all A. practice B. processes. C. outcomes. D. reimbursement.

practice processes. outcomes.

The management team of a large hospital is attempting to identify the specific cost of providing nursing services. This process is known as: A. costing out services. B. fee-for-service care provision. C. priority nursing management. D. quality versus cost balance.

priority nursing management. WRONG

Donabedian's aspects of quality include (select all that apply): A. goals B. process C. policy D. structure

process Structure

To reach Magnet status the nursing service in a hospital must attain competency in which of the following areas (select all that apply)? Answers: A. professionalism. B. use of critical thinking skills. C.leadership. D. communication and relationship management.

professionalism. leadership. communication and relationship management.

The purpose of an organization's philosophy is to: A. serve as the institutional framework that shapes the direction of knowledge and skill acquisition. B. be an instrument that gives voice to the organization's mission. C. display how the parts of an organization are connected. D. influence the goals and objectives of an organization.

serve as the institutional framework that shapes the direction of knowledge and skill acquisition.

A nurse works in the critical care unit (CCU). She enjoys being on the unit charge nurse team, the recruitment and retention team, and the peer evaluation team. The recruitment and retention team is responsible for hiring new employees into the CCU. The five-member team, consisting of three registered nurses (RNs), a unit clerk, and a nurse's aide, conduct the interviewing process with key questions that were developed by the team. This is an example of: A. shared governance. B. centralized power. C. span of control. D. vertical authoritary.

shared governance

Which of the following behaviors build trust between leaders and employees in an organization (select all that apply)? Answers: A. sharing relevant information. B. reducing controls. C. meeting expectations. D. avoiding discussion of sensitive issues.

sharing relevant information. reducing controls meeting expectations.

The five rights of delegation are right task, right circumstance, right person, right direction and communication, and right: A. interaction B. outcome C. supervision D. time

supervision

The provision of guidance or direction, evaluation, and follow-up by the licensed nurse for accomplishment of a nursing task delegated to unlicensed assistive personnel (UAP) is: A. authorization B. delegation C. supervision D. observation

supervision

In an organization that has a decentralized organizational philosophy, decision-making authority rests in levels closer to the point of service rather than in the executive levels. Benefits of a decentralized organizational philosophy include: A. allowing for more levels of management. B. supporting greater innovation. C. permitting a narrower span of control D. facilitating faster response times. E. encouraging more input.

supporting greater innovation. facilitating faster response times. encouraging more input.

A small number of people with complementary skills who are committed to a common purpose, performance goals, and approach for which they hold themselves mutually accountable and whose membership should be consistent is known as a: A. committee B. group C. team D. unit

team

The analysts who design, plan, change, or train individuals to do the work of the organization are known as holding the: A. technostructure position B. line position C. staff position D. support staff position

technostructure position

Traditionally, nurses have worked in strong, hierarchical institutions with centralized decision making and clear authority structures, rigid approval mechanisms, and extensive policies and procedures that have resulted in barriers to creating a shared governance system. One such barriers is: A. lack of role clarity. B. lack of time management. C. that development takes a long time. D. poor communication skills.

that development takes a long time

Nursing management is defined as: Answers: A. delegation of authority and responsibility and the coordination of tasks. B. the integration of resources through planning, organizing, and directing. C. the process of influencing patients to accomplish goals. D. the coordination and integration of nursing resources by applying the management process to accomplish nursing care and service goals and objectives.

the coordination and integration of nursing resources by applying the management process to accomplish nursing care and service goals and objectives.

The hospital's regulatory department is experiencing a Joint Commission survey. The surveyors want to review hospital policies for infection control before they leave for the evening. The regulatory team leader states that she can stay past her regular hours to wait for them and acknowledges that there will be a need for a policy change before the surveyors return the following day. All of the department managers stay to assist the regulatory team leader with the required documentation. This is an example of a: A. work group B. committee C. true team D. group

true team

In Magnet organizations, shared governance needs to be manifested through what mechanisms for nurses' decision making? A. Unit Practice Councils B. Democratic Leaders C. Authoritarian Leaders. D. System-wide practice councils.

unit practice councils

The __ of an organization is the formulation of ideas, plans, or dreams that help shape the future and ability to persuade colleagues and associates to share those dreams. A. mission B. vision C. philosophy D. goals

vision