Chapter 04 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

Chapter 04 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Chapter 4

Question 1

Type: MCMA

The organizational analysis documentation describes the organization as one with centralized leadership with a clearly defined organization chart hierarchy. The organization is divided into departments and follows detailed rules and regulation. This organization follows which theories?

Standard Text: Select all that apply.

1. Classical
2. Systems
3. Integrated delivery system
4. Vertical integration theory
5. Bureaucratic

Correct Answer: 1,5

Rationale 1: The first principle of classical organization theory is division of labor, which is done in this organization through establishing departments. This theory is also demonstrated by the clear delineation of the policies and procedures and a defined hierarchy.

Rationale 2: In systems theory, there is one entity with multiple elements that interact independently.

Rationale 3: This system focuses on a continuum of care, using a decentralized leadership style. There is a merging (horizontal of vertical) of various components of the system.

Rationale 4: This is an organizational style that is part of an integrated delivery system.

Rationale 5: Bureaucratic organizations incorporate the key principles of classical theory with a division of labor, clearly defined hierarchy, and detailed rules and regulations.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 01. Compare and contrast the key organizational theories.

Page: p. 99

 

Question 2

Type: MCMA

The healthcare organization is undergoing reorganization to a service-line structure. What are the benefits of this structure?

Standard Text: Select all that apply.

1. There is a clear delineation of the organization’s rules.
2. Each staff member reports to only one supervisor.
3. Staff members are not encouraged to use creative problem solving.
4. Departments are less likely to place blame on one another.
5. The nursing presence is strong and unified.

Correct Answer: 4

Rationale 1: This is not true of a service-line organization, but of a classical or bureaucratic organization.

Rationale 2: This is not true of a service-line organization, but of a classical or bureaucratic organization.

Rationale 3: This is not true of a service-line organization, but of a classical or bureaucratic organization.

Rationale 4: A service-line organization groups activities according to product or service. Therefore, one department cannot place blame on another department, because all departments are a part of the same service line.

Rationale 5: This is not true of a service-line organization, but of a classical or bureaucratic organization.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 01. Compare and contrast the key organizational theories.

Page:  p. 98

 

Question 3

Type: MCSA

The director of nursing education for a hospital has been asked to provide continuing education on safety precautions to physicians, nurses, and all other disciplines providing patient care. Although the director is responsible for providing this education, the director is not responsible for assuring that physicians and healthcare managers adhere to the procedures. What type of healthcare organizational structure is present in this hospital?

1. Vertical structure
2. Staff authority
3. Span of control
4. Horizontal structure

Correct Answer: 2

Rationale 1: Vertical structure uses centralized decision-making.

Rationale 2: When staff members function in an advisory capacity and cannot force other staff to do something, they are operating under staff authority structure.

Rationale 3: Span of control describes the number of people supervised by one person or position.

Rationale 4: Horizontal structure uses decentralized decision-making, and is organized around customer-oriented processes.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 02. Distinguish between structure and process.

Page: p. 79