Deck 10: Organizational Concepts and Structure

Question 1

The nurse manager of the unit is responsible for:

A)Encouraging downward communication
B)Establishing a chain of command
C)Facilitating the formal group
D)Modeling the use of centralized power

Answer 1

Establishing a chain of command

Question 2

As a leader in the organization,the chief nursing officer should:

A)Model the use of decentralized power
B)Model the use of centralized power
C)Follow the chain of command
D)Create a bureaucratic environment

Answer 2

Model the use of decentralized power

Question 3

A staff nurse was recently promoted to a case manager position.With this promotion,the staff nurse's responsibilities now include:

A)Making decisions for the organization as a whole
B)Long-term planning and policy making
C)Involvement in the specific unit's workflow
D)More bedside nursing involvement

Answer 3

Involvement in the specific unit's workflow

Question 4

A staff nurse who recently graduated from a health systems management graduate program was relieved of her duties on the unit and given a temporary assignment along with other staff members who were working on their certifications.The staff members were participating in:

A)Bureaucratic management
B)A task force
C)A line and staff model
D)An adhocracy

Question 5

The roles of the nurse manager throughout organizational redesign,restructuring,and reengineering include all of the following except:

A)Team building
B)Change initiation
C)Case management
D)Cost reduction

Question 6

The nurse manager resigned from an organization that had formal channels of communication to begin working at an organization with a flat structure.The nurse manager can expect to find which of the following?

A)Division of labor with simplification of work
B)Delimitation of responsibilities
C)Performance of multiple work tasks
D)Focus on product centricity

Question 7

In what is called a "new" organizational structure,versus a traditional structure,what is true of the chain of command?

A)Communication flows from the top down.
B)Authority and responsibility are aligned.
C)Informal communication prevails.
D)Authority and responsibility are delegated to the lowest operational level.

Question 8

In response to the rising costs of health care,hospitals have developed population-based health programs that focus on a given disease or health condition and provide care to groups needing specialized health services.These programs,developed as managed care health plans,are termed:

A)Disease management programs
B)Coordination of care
C)Modular care
D)Consolidation of health plans

Question 9

A hospital recently hired a quality improvement director whose position can be viewed on the organizational chart.The function of this position in the chain of command is to:

A)Offer counsel on managerial problems
B)Restrain line authority
C)Perform the routine work
D)Serve in an advisory capacity

Question 10

An advanced practice nurse was hired to help establish a trauma unit.While working on the project,he found that he had to report to the chief nursing officer and the newly hired medical director of the trauma unit.This organizational design is known as:

A)A functional line
B)A matrix
C)A project line
D)An adhocracy

Question 11

The dean of the school of nursing decided to implement a shared governance model.The principal foundation of this model is:

A)Self-governance
B)Autocratic leadership
C)Participatory management
D)European-style management

Question 12

The nurse manager develops an organizational chart that includes all of the following except:

A)Formal organizational relationships
B)Informal organizational relationships
C)Areas of responsibility
D)Channels of communication

Question 13

On the unit,the nurse manager assigned one staff member to pass medications and give treatments.In this case,span of control is defined in terms of:

A)Function
B)Product
C)Service
D)Region

Question 14

In a large medical center,the chief nursing officer met with the vice president of information systems to schedule training for the nursing staff on the new information systems that were to be installed.What type of organizational structure does this medical center have?

A)Shared governance structure
B)Line and staff structure
C)Dual management system
D)Organic structure

Question 15

An urban hospital decided to sponsor a school-based clinic in a nearby ghetto area as part of the services of the hospital.The service is viewed as:

A)Departmentalization by specialty
B)Departmentalization by function
C)Departmentalization by territories
D)Departmentalization by client

Question 16

To increase performance effectiveness,the nurse manager must:

A)Ensure increased production
B)Give employees informal authority
C)Decrease delegation of tasks
D)Provide general supervision

Question 17

A nurse manager has begun working in an organization with decentralized decision making.Decentralized decision making allows the nurse manager to:

A)Make decisions effectively
B)Make long-range plans
C)Develop organizational goals
D)Initiate policy development

Question 18

Which of the following is an important principle that maximizes the efficiency of the bureaucratic structure in an organization?

A)Each staff member may have more than one boss.
B)Verbal descriptions of the roles of staff members are sufficient.
C)Authority and responsibilities of staff members should be defined in writing.
D)Role clarity guarantees effective delegation.

Question 19

To survive the changes in the health care field,many nurses have become entrepreneurial and have established their own programs or agencies to hire others to provide care to the community.What type of organizational model would best fit this approach?

A)Self-governance
B)Shared governance
C)Corporate model
D)Mixed model

Question 20

A hospital decided to restructure the organization by changing from a bureaucratic model to European-style management.The primary difference between these two styles is that European-style management:

A)Has a rigid line of authority
B)Uses a board to make policy decisions
C)Has inflexible boundaries separating jobs and divisions
D)Shifts personnel and disrupts training

Question 21

One way that nurse leaders who are employed by an organization can best fit into a corporate model instead of a traditional bureaucratic model is to:

A)Meet every 3 months to approve by-laws
B)Increase autocratic leadership
C)Create a network instead of preserving a pyramid
D)Establish vertical communications

Question 22

A hospital established a professional partnership with a local nursing program.A joint practice agreement was signed between the two agencies.This is an example of what type of multiorganizational arrangement?

A)Informal affiliations
B)Formal affiliations
C)Shared or cooperative services
D)Consortia

Question 23

In response to managed care,many hospitals have set up disease management programs.One benefit of such programs is:

A)The focus primarily on acute illnesses
B)The focus primarily on the elderly with acute illnesses
C)The focus on coordination of care of people at risk
D)The focus on tertiary prevention for all persons

Question 24

Nurses need to be prepared for globalization and its implications for health care.Nurses would be most likely to focus on which of the following as the groundwork for the management of outcomes in global health care?

A)Information technology
B)Case management and clinical pathways
C)Complexity of connections leading to globalization
D)Amount of medicine required to treat diseases

Question 25

A nurse manager was concerned about the employees of her unit when the hospital for which she was working merged with another health care system.She explained to her staff what was not going to change,what changes would take place,and the importance of the changes.The nurse manager was participating in what phase of this new integration of health care systems?

A)Assessment phase
B)Planning and design phase
C)Implementation phase
D)Development phase