Chapter 10 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

Chapter 10 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCMA

The Governing Board of the hospital has completed an assessment of the organization’s culture. Which findings would lead the Board to determine that the culture is healthy?

Standard Text: Select all that apply.

1. There is wide variation in the expectations of individual employees and departments.
2. The decisions made about care are staff-centered.
3. There is evidence that the values of the organization and the health professionals working there are similar.
4. The organization is designed to serve its health professionals.
5. New people who come into the organization learn about the culture by connecting behaviors and consequences.

Correct Answer: 3,5

Rationale 1: Separate approaches to expectations, caring, and values among departments would not be present.

Rationale 2: The decisions should be patient-centered.

Rationale 3: A hallmark of a healthy organization is a close match of values between the organization and its health professionals.

Rationale 4: The organization should be designed to serve the patients.

Rationale 5: This is the way new people learn the values of the 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: Evaluation

Learning Outcome: LO 07. Apply strategies that may be used to improve an organization’s culture.

Page: pp. 275-281

 

Question 2

Type: MCSA

A new nursing leader assesses that there is a low level of trust in the organization. Which staff report would indicate that this is beginning to be corrected?

1. Staff members feel safe to approach the leader and be heard.
2. Systems are in place for staff to have input in decisions.
3. They are expected to communicate clearly with each other.
4. They can expect to receive written notices of praise for work well done.

Correct Answer: 1

Rationale 1: Trust, a foundational element in a healthy organization, is interpersonal in nature, not built upon documents, systems, job expectations, or mechanical methods of feedback. Assurance that one is being heard by one’s leader is essential to trust.

Rationale 2: This is important, but not the best answer.

Rationale 3: This is important, but not the best answer.

Rationale 4: Written notices of praise are nice, but do not suggest that trust is building.

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: Evaluation

Learning Outcome: LO 07. Apply strategies that may be used to improve an organization’s culture.

Page: p. 281

 

Question 3

Type: MCMA

Which findings would indicate to the nurse executive that a dissonant culture exists in the healthcare agency?

Standard Text: Select all that apply.

1. Nurses frequently voice complaints to the administration about healthcare deficiencies when they emerge.
2. The facility has a high turnover rate among its registered nursing staff.
3. The organization focuses more on patient issues than on financial viability.
4. There is a means for providing care for those patients who lack health insurance coverage.
5. The education budget for the division of nursing has been cut by half.

Correct Answer: 2,5

Rationale 1: Having nurses who appropriately voice concerns indicates a working level of trust in administration.

Rationale 2: A high nurse turnover rate is likely to indicate a dissonant organizational culture.

Rationale 3: Agencies that focus more on finances than on patient issues often have nursing staff that are dissatisfied and alienated, which results in a dissonant culture.

Rationale 4: Agencies that lack means for indigent care often have nursing staff that are dissatisfied and alienated, which results in a dissonant culture.

Rationale 5: Limited educational/training programs for employees often results in a dissonant culture.

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: Assessment

Learning Outcome: LO 05. Explain how organizational culture impacts the healthcare organization, patient care, 
and professional competency.

Page: pp. 274-275

 

Question 4

Type: MCMA

What goals of HHS Disparities Action Plan focus on?

Standard Text: Select all that apply.

1. Strengthen the health and human services infrastructure and workforce
2. Increase efficiency, transparency, and accountability in HHS programs
3. Transfer HHS programs to the states
4. Advance scientific knowledge and innovation
5. Increase emergency preparedness

Correct Answer: 1, 2, 4

Rationale 1: This plan does include goal to strengthen the health and human services infrastructure and workforce.

Rationale 2: This plan does include goal to increase efficiency, transparency, and accountability.

Rationale 3: This plan does not include the goal transferring responsibility to the states.

Rationale 4: This plan does include the goal to advance scientific knowledge and innovation.

Rationale 5: This plan does not include emergency preparedness.

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: Assessment

Learning Outcome: LO 07. Apply the concept of organizational culture to a healthcare organization.

Page: p. 270