Deck 6: Acute Care Organizations: an Example of a Healthcare Organization

Question 1

The chief nurse executive (CNE) of a hospital frequently visits with on-staff physicians, both in a formal and informal manner. What is the primary purpose of this interaction?

A) This interaction is a job requirement of the CNE.
B) The CNE believes that socializing with physicians builds social status.
C) This interaction can help to build strong, positive work relationships with the medical staff.
D) Interacting with physicians helps to strengthen the image of nursing.

Answer 1

This interaction can help to build strong, positive work relationships with the medical staff.

Question 2

Which statement is true about hospital classification?

A) Hospital accreditation is voluntary.
B) Licensure of hospitals is provided by the Joint Commission.
C) To provide services, a hospital must be accredited, but not necessarily licensed.
D) For a hospital to receive Medicare and Medicaid reimbursement, it must be a not-for-profit hospital.

Answer 2

Hospital accreditation is voluntary.

Question 3

Select the conclusions from the Nurse Manager Engagement Project. Select all that apply.

A) Nurse managers' satisfaction and longevity are currently at an all-time low.
B) Staff nurses' satisfaction is linked to their relationship with their manager.
C) Future nursing leadership comes from development of middle managers.
D) There is a direct relationship with cost, quality, and nursing care.
E) A critical variable addressed by this project is adequacy of nursing staff.

Answer 3

Nurse managers' satisfaction and longevity are currently at an all-time low.
Staff nurses' satisfaction is linked to their relationship with their manager.
Future nursing leadership comes from development of middle managers.

Question 4

The nurse has taken an employment position in a healthcare facility that advertises itself as being part of a network. What can the nurse expect in this organization?

A) This hospital is part of a vertically integrated corporation that owns and manages a group of health facilities.
B) This hospital is an independent organization, but is in agreement with a number of other healthcare facilities that agree to deliver specific services.
C) This hospital has agreed to provide a continuum of services to a defined population and to be accountable for the outcomes and health status of that population.
D) This hospital has joined with another hospital to become one organization.

Question 5

What is the purpose of using a line of sight survey?

A) Provides data about how a nurse manager spends his or her time and how this contributes to the goals.
B) Provides information about the quality of care on a unit and the strategic plan.
C) Provides staff with information about the manager's performance.
D) Provides data for the hospital board to understand staff functions.

Question 6

A 43-year-old patient who has sustained an accidental laceration to the forearm is brought to the Emergency Department by family. It is determined that the laceration will need repair with sutures, but the patient refuses treatment saying, "I'll just pull it together with some tape when I get home." What action should be taken by the nurse?

A) Insist that the patient have the suture repair.
B) Tell the patient that the family will have to make that decision.
C) Have the patient sign a refusal of treatment form.
D) Tell the patient that it is a violation of the Emergency Medical Treatment and Active Labor Act of 1986 to allow a patient to leave without treatment.

Question 7

The nurse is looking for a formal, approved description of how a clinical care process is carried out in the facility. Where should this nurse look for this information?

A) Professional performance standards
B) Nurse Practice Act
C) Policy and procedure manual
D) Joint Commission manual

Question 8

A hospital is expanding its ambulatory surgery department. You are chair of the committee to plan this expansion? You want to ensure relevant departments are represented. Who might be represented other than nursing and physicians? Select all that apply.

A) Pharmacy
B) Pathology
C) Medical records
D) Patient transportation
E) Admissions

Question 9

Which statement about change in hospitals reflects the impact on nursing?

A) Nurses need to gather more data about the positive effects that nursing care has on patient outcomes in the acute care setting.
B) Nurses need to advocate for more unlicensed assistive personnel (UAP) to help nurses provide quality, low-cost care.
C) Nurses need to be more assertive in obtaining longer hospital stays for patients who have not reached their expected outcomes due to complications.
D) Nurses continue to provide patient education without difficulty despite changes occurring in hospitals.

Question 10

The nursing Policy and Procedure Committee has issued the procedure for implementing the use of a new type of equipment. What information should be included in this procedure? Select all that apply.

A) Effective date of the procedure
B) The date the procedure will be reviewed in the future
C) Who is responsible for the final review of the procedure
D) The date that policy was approved by the Joint Commission
E) The name and credentials of all members of the committee that approved the procedure

Question 11

What does the Nurse Engagement Project focus on primarily?

A) Staff engagement
B) Nurse manager retention
C) Nurse manager and staff retention and engagement
D) Nurse manager engagement

Question 12

The nursing student is preparing a presentation on hospital ownership. Which hospitals should the student include as generally being not-for-profit? Select all that apply.

A) Community hospitals
B) Faith-based hospitals
C) Veteran's Administration hospitals
D) Bureau of Indian Affairs hospitals
E) Rural hospitals

Question 13

New public relations materials are being developed for the hospital. Each department has been asked to submit a short description of its key activities. Which information should be used in the PR materials?

A) Administration is responsible primarily for ensuring quality and safety of care.
B) Respiratory Care Services provide goal-directed, purposeful activity to patients with disorders of the cardiopulmonary system.
C) Information Management is focused on services that provide organized education designed to enhance skills of staff members or teach new skills.
D) Social Work Services assists individuals and their families in addressing social, emotional, and economic stresses associated wit illness or injury.

Question 14

The hospital is considering contracting with an outside company for clinical laboratory services and closing its in-house lab. What concerns should be considered prior to making this decision? Select all that apply.

A) This in not legal.
B) Outside laboratories often do not provide quality services.
C) The Joint Commission will not accredit hospitals without their own clinical laboratory.
D) The hospital is still responsible for the quality of laboratory services provided.
E) It may be most cost-efficient to contract out for laboratory services.

Question 15

University medical centers, pediatric hospitals, and burn centers are examples of what level of vertical integration?

A) Primary care hospital
B) Secondary care hospital
C) Tertiary care hospital
D) Specialty care hospital

Question 16

The chief nurse executive of a hospital is often responsible for supervising nurses that do not work only in nursing services. In which other departments might these nurses work? Select all that apply.

A) Diagnostic procedures
B) Finance and budget
C) Material and resource management
D) Infection control
E) Infusion therapy

Question 17

A committee has been formed to organize the celebration of the hospital's 50th anniversary. The committee will meet for one year. What type of committee is this? Select all that apply.

A) Focus
B) Task force
C) Ad hoc
D) Service
E) Standing

Question 18

Choose the typical reporting matrix for the fastest growing type of hospital in the United States.

A) Middle managers report to the administration who reports to the Governing Board.
B) Middle managers report to the Governing Board who reports to the chief operating officer.
C) The administration reports to the Governing Board who reports to the shareholders.
D) The administration reports to the shareholders who report to the Governing Board.

Question 19

A physician has just purchased a medical practice from a physician who is retiring. One of the patients seen today requires hospitalization. Can the new physician admit this patient to the local hospital?

A) If the retiring physician admitted patients to the hospital, the new physician is also allowed to admit patients.
B) Only after the new physician is credentialed and privileged to admit patients.
C) If the patient has been hospitalized before in this hospital, the physician can readmit the patient.
D) It depends on whether the new physician also purchased rights of admission.

Question 20

The staff nurse has been invited to become a member of the hospital policy and procedure committee. What should the nurse expect in regard to this committee?

A) The committee will meet on an ad hoc basis but will have designated meeting times, will keep minutes, make decisions, and develop reports.
B) The decisions that the committee makes will be the final authority for policy and procedures in the facility.
C) The first step the committee will take to develop policies and procedures is to ask the administration to identify the overall objectives for the committee.
D) The committee will be comprised of 10 or more members, with a chairperson.

Question 21

You are on the Policy and Procedure Committee, and today the committee is beginning work on a new policy related to the use of restraints. What would be the key question the committee should ask first?

A) Who should make the decision and when?
B) What are the state and federal laws related to restraints?
C) What is the decision to be made and why?
D) What data do we have about use of restraints in last year?

Question 22

Which options reflect key factors affecting healthcare delivery? Select all that apply.

A) Problems with patient access
B) The aging population
C) A decrease in new drug therapies
D) An increase in specialty usage
E) An increase in the number of single parent families

Question 23

Which options can be used to describe U.S. hospitals? Select all that apply.

A) An organization with a purpose
B) Provides continuous nursing services under the supervision of registered nurses
C) Delivers predominantly primary care but also can provide secondary and tertiary care
D) Follows standards established by laws, regulations, and accreditation
E) Must be accredited by the Joint Commission

Question 24

Which options reflect the core concepts from the Institute of Medicine's Initiative on the Future of Nursing? Select all that apply.

A) The electronic health record should be eliminated.
B) A balance among technologies, disruptive business models, and human needs should be achieved.
C) Rapid translational teams should be implemented.
D) Healthcare design should be focused on provision of nursing care.
E) Create an infrastructure for rapid network exchange of successful system design innovations.

Question 25

The hospital has purchased software that prints patient education material for numerous situations. What is the nurse's responsibility regarding these materials? Select all that apply.

A) The nurse should read the material and assess it carefully for accuracy.
B) If possible, nursing should participate in the development of these materials.
C) The nurse has no responsibility outside distributing the material to the correct patient.
D) The nurse should carefully document that these materials were given to the patient.
E) The nurse should adapt the material to the individual patient.