Chapter 08: Understanding and Designing Organizational Structures

Chapter 08: Understanding and Designing Organizational Structures

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A hospital and a nursing education program form a partnership to recruit more nurses to the region. This organizational structure is:

a.	Being responsive to changes in the environment.
b.	Being bureaucratic.
c.	Creating permanent professional boundaries.
d.	Delineating structures for all decision making.

 

ANS:   A

Shared decision making across organizations can lead to growth and responsiveness in meeting emergent needs.

 

REF:    Pages 141, 142, 153

TOP:    AONE competency: Communication and Relationship-Building

 

2. A hospital is working toward becoming a Magnet™ hospital. The chief nursing officer is aware that professional nursing departments of the future will:

a.	Not be directed by nurses.
b.	Be virtual organizations.
c.	Be designed to maintain nursing standards of practice.
d.	Be entitled to have client care departments.

 

ANS:   C

Professional nursing departments of the future will be focused on patient care outcomes and delivery of services.

 

REF:    Pages 150, 151

TOP:    AONE competency: Knowledge of Healthcare Environment

 

3. The chief nursing officer and the dean of the School of Nursing believe that by establishing rules and regulations and controlling the environment, this partnership will:

a.	Promote professional medical authority, autonomy, and responsibility.
b.	Need a degree of flexibility to engender success.
c.	Be essential for self-governance.
d.	Provide for the establishment of medical committees.

 

ANS:   B

Centralized decision-making structures that emphasize high control and rules and regulations that lay out expectations can be slow to respond to emergent trends.

 

REF:    Page 144         TOP:    AONE competency: Leadership

 

4. In matrix organizational structures, a nurse manager understands that this type of structure:

a.	Is a simplified organizational structure.
b.	Has both a functional manager and a service or product-line manager.
c.	Arranges departments strictly according to function.
d.	Promotes harmony in organizational decision making.

 

ANS:   B

Matrix structures are complex, integrated organizational structures that involve both functional and service or product-line managers. In this structure, team members or teams from various functional departments may combine to complete a project or program, thereby becoming responsible to both their functional department manager and their product-line manager. Harmony or disharmony cannot be assumed.

 

REF:    Pages 147-149             TOP:    AONE competency: Business Skills

 

5. Collaborative partnerships between hospitals and schools of nursing are examples of hybrid organizational structures. A hybrid organizational structure:

a.	Has many divisions of labor.
b.	Best fits long-term care units.
c.	Has a mixture of the characteristics of various organizational types.
d.	Places the authority for decision making closest to the places where workers perform.

 

ANS:   C

Hybrid structures include characteristics of various organizational types and reflect the needs of the situation and the environment.

 

REF:    Page 150

TOP:    AONE competency: Communication and Relationship-Building