lship exam 1

Which represents the management functions that are incorporated into the management process?

A) Planning, directing, organizing, staffing, and transforming

B) Planning, organizing, staffing, directing, and controlling

C) Inspiring, planning, staffing, directing, and evaluating

D) Organizing, staffing, planning, empowering, and controlling

Planning, organizing, staffing, directing, and controlling

The manager of a care facility advocates traditional management science. What is this manager most likely to prioritize?

A) Ensuring that workers are satisfied in their roles

B) Identifying and addressing barriers to efficiency

C) Empowering workers to make decisions independently

D) Providing rewards for exceptional caring

Identifying and addressing barriers to efficiency

Caregivers at a public health center believe that their manager adheres to Theory X. What action by the manager best confirms this suspicion?

A) The manager collaborates with senior staff to set quarterly goals for the center.

B) The manager insists on accompanying nurses to community events and

observes them closely.

C) The manager is difficult to access when there is a problem or crisis in the center.

D) The manager allocates rewards based on the outcomes of nurses’ work.

The manager insists on accompanying nurses to community events and

observes them closely.

Accreditors are scheduled to visit a hospital site, and staff members have been made aware of what they will be assessing. What staff behavior would most clearly suggest the presence of the Hawthorne effect?

A) The nurses consciously improve their performance because they know it is being scrutinized.

B) The nurses avoid contact with the accreditors because they fear criticism.

C) The manager blames individual nurses for deficits identified in the accreditation report.

D) The manager temporarily adopts a leadership role.

The nurses consciously improve their performance because they know it is being scrutinized.

hawthorne effect

people respond to the fact that they are being studied

The manager at a long-term care facility has intervened in a conflict between two staff members about the timing and length of lunch and coffee breaks. What management function is this manager demonstrating?

A) Planning

B) Organizing

C) Directing

D) Evaluating

Directing, Directing entails human resource management responsibilities, such as motivating, managing conflict, delegating, communicating, and facilitating collaboration

A manager demonstrates one of the four principles of scientific management when he or she:

A) shows an interest in employees’ personal lives and emotional health.

B) engages in lifelong learning and expects employees to do the same.

C) allows employees to do their jobs independently, with minimal oversight.

D) hires and promotes employees on the basis of their competence and skills.

hires and promotes employees on the basis of their competence and skills.

What aspect of the way that work is organized on a nursing unit best reflects the management theories of Max Weber?

A) A committee that includes employees and managers has been established to plan the work on the unit.

B) The hierarchy of authority and the policies and procedures on the unit are clearly posted.

C) Quarterly awards are granted to employees who have demonstrated exceptional service.

D) Employees are allowed to self-schedule their vacation time and must work out any conflicts on their own.

The hierarchy of authority and the policies and procedures on the unit are clearly posted.

Max Weber Bureaucracy

Clear expectations around authority and processes

need for legalized, formal authority and consistent rules and regulations for personnel in different positions

The clinic leader tends to make decisions independently and closely supervises and controls the practice of the nurses at the clinic. What type of leadership is being exemplified?

A) Authoritarian

B) Democratic

C) Laissez-faire

D) A contingency approach

authoritarian

How can a manager best implement the principles of situational or contingency leadership theory?
A) By establishing rules and norms that can be applied in all conditions in the organization
B) By avoiding punitive consequences when addressing workers’ lack of performance
C) By deferring to employees for day-to-day management decisions
D) By adapting his or her leadership style to a particular circumstance

By adapting his or her leadership style to a particular circumstance

situational/contingency

vary according to the situation or the individuals involved was

10. Which statement best depicts leadership?

A) Strong leaders can coerce people into following them.

B) A leadership position has a narrower scope than a management position.

C) People will follow a person in a leadership position only by choice.

D) Leadership requires meeting organizational goals.

People will follow a person in a leadership position only by choice.

What characteristic of a nurse-manager suggests that he or she is acting in the role of a traditional manager rather than an integrated leader-manager?

A) The manager is conscious of the important role of politics and is politically astute.

B) The manager has an outward view, extending to the larger organization.

C) The manager’s influence is limited to his or her group.

D) The manager emphasizes the importance of vision and values.

The manager’s influence is limited to his or her group.

What statement by a leader most clearly demonstrates the Great Man theory of leadership?

A) “Leadership is grounded in close, supportive relationships.”

B) “Leadership and management are two different manifestations of one skill set.”

C) “Some people are born to lead, and some are born to be led.”

D) “Leadership can’t exist without earning people’s respect.”

Some people are born to lead, and some are born to be led

A nurse-manager has recently been accused of assigning work unequally. The manager has recognized the need to revise the process for assigning work to nurses. How can the manager best apply the principles of Theory Z?

A) Making a decision independently and imposing it on the nurses

B) Gathering input from employees in order to reach a consensus

C) Making a decision based on the pros and cons of each option

D) Identifying as many different alternatives as possible

Gathering input from employees in order to reach a consensus

theory z includes consensus decision making

The nurse who manages an ambulatory clinic is well known as being a visionary leader who is skilled at empowering others with this vision. What type of leader is this nurse?

A) Transactional

B) Transformational

C) Interactional

D) Bureaucratic

Transformational

A nurse-leader has set a goal of becoming a more transformational leader. What outcome will best indicate progress toward achieving this goal?

A) The nurse maximizes efficiency when allocating scarce resources.

B) The nurse’s subordinates demonstrate respect and loyalty.

C) The nurse empowers others to reach their full potential.

D) The nurse provides praise for good work performances.

The nurse empowers others to reach their full potential.

What management activity characterizes the priorities that existed during the human relations era of management?

A) Collaborative decision making

B) Punishing workers who were unproductive

C) Granting equal rights to men and women

D) Application of laissez-faire leadership

Collaborative decision making

A nurse oversees the care on a hospital unit in the role of an integrated leader-manager. What characteristics should this nurse exhibit? Select all that apply.

A) The nurse describes herself has an “inward thinker.”

B) The nurse’s thinking includes long-term issues.

C) The nurse consciously attempts to motivate the employees.

D) The nurse has influence that goes beyond her own group.

E) The nurse is always conscious of political realities.

The nurse’s thinking includes long-term issues.

The nurse consciously attempts to motivate the employees.

The nurse has influence that goes beyond her own group

The nurse is always conscious of political realities.

The nurse-manager of a community clinic is applying the principles of interactional leadership when addressing a challenging situation. What variables should the nurse prioritize when applying this model of leadership? Select all that apply.

the characteristics of the nurse’s personality

the financial resources available to the nurse

the consequences of failure

the factors that motivate the employees of the clinic

the specifics of the clinical challenge that the nurse is addressing

the characteristics of the nurse’s personality

the specifics of the clinical challenge that the nurse is addressing

interactional theory: relationship between leader’s personality and specific situation

The nurse-manager of the perioperative department is attempting to apply the full-range leadership model (FRLM) when overseeing the department. The nurse should attempt to integrate what types of leadership? Select all that apply.

A) Laissez-faire

B) Scientific

C) Autocratic

D) Transactional

E) Transformational

Laissez-faire

Transactional

Transformational

The manager of a busy emergency department is primarily concerned with the practical, day-to-day operations of the department. This manager is most clearly demonstrating what type of leadership?

A) Transactional

B) Transformational

C) Interactional

D) Bureaucratic

Transactional

What statement by a manager best reflects the principles of interactional leadership?

A) “People’s motives are important, and motives change over time.”

B) “People perform to their fullest potential and then they’re under pressure.”

C) “A person can’t simultaneously act as a manager and a leader.”

D) “Organizations run best when there is no formal, centralized authority.”

People’s motives are important, and motives change over time

interactional lship emphasizes the fact that people’s motives are very important

Which activities are associated with a leadership role? Select all that apply.

A) Mentoring two new managers

B) Establishing goals for the coming year

C) Advocating for nurses to receive more professional development opportunities

D) Providing a motivational speech at the new employee orientation

E) Finding a nurse to cover another nurse’s shift

Mentoring two new managers

Establishing goals for the coming year

Advocating for nurses to receive more professional development opportunities

Providing a motivational speech at the new employee orientation

The failure to engage in which activities are considered a fatal flaw of leadership? Select all that apply.

A) Collaboration with colleagues

B) Communication with employees

C) Self-improvement

D) Staff development

E) Determining salary scales for employees

Collaboration with colleagues

Communication with employees

Self-improvement

Staff development

Which statement by a subordinate demonstrates the greatest challenge for the leader?

A) “Your plans for the change can’t realistically be implemented.”

B) “I don’t think you heard what the rest of us had to say.”

C) “Do you have an idea what direction we need to go?”

D) “Can you tell me why my suggestion will not work?”

Your plans for the change can’t realistically be implemented

Which function of the management process involves the performance evaluation of employees?

A) Planning

B) Organizing

C) Staffing

D) Controlling

controlling: performance appraisals, fiscal accountability, quality control, legal and ethical control, and professional and collegial control

A nurse has been hired to oversee the operations of a series of ambulatory clinics. The nurse can best promote the success of the organization by:

A) promoting management skills among all employees.

B) integrating leadership skills and management skills.

C) clearly communicating to employees that they will be required to follow.

D) advocating for the organization to hire a leader for each site.

integrating leadership skills and management skills.

What action by the nurse-manager in a health organization best demonstrates transformational leadership?

A) The manager readily takes responsibility after making a scheduling error.

B) The manager’s employees are reminded that they must submit evidence of

renewing their license.

C) The manager informs each employee about the new criteria that will be the basis of the performance reviews.

D) The manager holds a workshop to outline a new vision for patient-centered care.

The manager holds a workshop to outline a new vision for patient-centered care.

A nurse was 20 minutes late returning from a scheduled lunch break and a colleague’s break was consequently cut short. What response by the manager best demonstrates a laissez-faire leadership approach?

A) Ask each of the nurses to speak with the manager separately to discuss the implications of this event.

B) Ask the nurses to attend a short meeting together in the manager’s office.

C) Allow the two nurses to dialogue about this event and observe for evidence of

a satisfactory resolution.

D) Impose a meaningful consequence on the first nurse and have the nurse apologize to the colleague.

Allow the two nurses to dialogue about this event and observe for evidence of

a satisfactory resolution.

The nurse-manager is addressing a nurse’s suspected breach of client confidentiality in a social media posting. What function of the management process is this nurse-manager demonstrating?

A) Organizing

B) Staffing

C) Directing

D) Controlling

Controlling: Legal and ethical issues

The nurse-manager has been approached by three different families in recent weeks, all of whom have described a particular nurse as giving exceptional care. The manager has relayed this feedback to the nurse and nominated the nurse for an organization-wide award. How should the manager’s actions be best interpreted?
A) The manager is giving an example of democratic leadership.
B) The manager’s actions are likely to cause accusations of favoritism.
C) The manager is following the Great Man theory of leadership.
D) The manager’s actions may inadvertently discourage the other nurses.

The manager is giving an example of democratic leadership

What action by a nurse-manager best demonstrates servant leadership?

A) Prioritizing the interests of others over the manager’s own interests

B) Cultivating a personal relationship with each subordinate

C) Making decisions on the basis of customer service

D) Communicating a clear vision for the future and asking subordinates to share it

Prioritizing the interests of others over the manager’s own interests

servant leaders: put serving others as number one priority

The nurse-manager who seeks to exemplify emotional intelligence should:

A) attempt to remove emotion from decision making.

B) prioritize emotion over reason when making decisions.

C) regulate his or her own emotions and those of others.

D) effectively manipulate the emotions of others to achieve goals.

regulate his or her own emotions and those of others.

The leader-manager provides oversight on a busy medical–surgical unit. There has recently been an incident where two nurses were not honest about neglecting a controversial new protocol and misled the leader. How can the leader-manager best prevent similar episodes?

A) Support employees’ right to disagree with proposed changes.

B) Ensure that employees know the consequences of misleading the manager.

C) Avoid making decisions that displease large numbers of employees.

D) Identify allies who can be trusted to report employees who may mislead the

manager.

Support employees’ right to disagree with proposed changes

Which statement regarding the characteristics of a good leader is true?

A) They are brave in all situations.

B) They may have character flaws.

C) They are by nature good-intentioned.

D) Charisma is their strongest attribute.

They may have character flaws.

To decrease overtime, the manager of a surgical unit offers nurses who get their work finished on time for an entire 2-month period an extra day off with pay at regular time. The nurse is enacting what model of leadership?

A) Favoritism

B) Quantum leadership

C) Principal agent theory

D) Servant leadership

Principal agent theory

A nurse has been hired to oversee a day surgery clinic. What action will best ensure good outcomes for this nurse, the clients, and the employees of the clinic?

A) Implement the principles of authoritative leadership.

B) Teach all employees about the financial considerations at the clinic.

C) Consciously develop the ability to be charismatic.

D) Integrate nursing management and nursing leadership roles and practices.

Integrate nursing management and nursing leadership roles and practices

A new leader-manager is planning to implement the principles of strengths-based leadership after being hired for a new position. What action will best facilitate this plan?

A) Creating a team with diverse abilities and talents

B) Identifying his or her personal strengths and utilizing them

C) Appraising team members on a scale that runs from “weaker” to “stronger”

D) Organizing the flow of work to match his or her strengths

Creating a team with diverse abilities and talents

strengths based leadership: effective leaders surround themselves with people who have different strengths than they do

A leader is applying the principles of emotional intelligence? What outcome indicates successful application of these principles?

A) Emotions are held in check.

B) Emotions are used effectively.

C) Emotions dominate decision making.

D) Expression of emotion indicates success.

Emotions are used effectively.

A manager has proposed to the hospital board that it hire someone to teach management and leadership classes and that head nurses are paid to attend the classes. What is this an example of?

A) Using emotional intelligence

B) Transformational leadership

C) Building human capital

D) Using quantum leadership

Building human capital

An organization has hired six RNs who are recent immigrants. The manager has noticed they interact very little with other staff, often speaking in their own language during their breaks, although they speak English while on duty. Which intervention would be the most helpful action for the manager to help these new RNs better assimilate?

A) Explain to the new nurses the problem that their isolating is causing.

B) Arrange to send them to an English language course at the local adult school.

C) Ask the established RNs to make an effort to include the new nurses in after-work activities.

D) Hold a sharing session so all RNs can share information about their cultures and differences in client care.

Hold a sharing session so all RNs can share information about their cultures and differences in client care.

A nurse-manager will soon be introducing a significant change in the way that overtime shifts are allocated on a hospital floor. What action by the manager will best demonstrate the principles of thought leadership?

A) Convincing employees that the change will be beneficial and innovative

B) Relating the change to the fact that the floor has been required to cut costs

C) Delegating the implementation of the change to the nurses themselves

D) Describing clear expectations for nurses’ adherence to the new policy

Convincing employees that the change will be beneficial and innovative
thought lship: refers to any situation in which one individual convinces another to consider a new idea, product, or way of looking at things

12. When applying the principles of quantum leadership, the nurse-manager should prioritize:

A) careful management of emotions.

B) his or her own values, beliefs, and moral character.

C) the difference between personal goals and organizational goals.

D) the fact that workplaces are complex and dynamic.

the fact that workplaces are complex and dynamic

13. Twenty-first-century leadership models generally emphasize the importance of:

A) relationships.

B) incentives.

C) motivation.

D) consequences.

relationships

There are current and future paradigm shifts in health care that affect the leadership skills needed by nurses in the 21st century. What issue at the organizational and unit levels are nurse-leaders being directed to address?

A) Active involvement in greatly needed health-care reform

B) Persistent and growing international nursing shortage

C) Increasing disparities between health outcomes for wealthy clients and poorer

clients

D) High turnover rates by staff nurses

High turnover rates by staff nurses

15. A nurse-manager demonstrates Level 5 leadership by performing what action?

A) Keeping emotions in check

B) Accepting nothing less than perfection from subordinates

C) Taking responsibility for errors that he or she makes

D) Avoiding conflict unless absolutely necessary

Taking responsibility for errors that he or she makes

16. A subordinate has accused a manager of favoritism after the manager created the work assignment for the day. How should the manager best apply the principles of emotional intelligence?

A) Identify and reflect on the feelings that she experiences after being accused.

B) Recognize that the subordinate’s statement was likely based on emotion rather

than evidence.

C) Involve a colleague in the situation who has no emotional investment in the situation.

D) Choose a response that will diffuse the subordinate’s emotions.

Identify and reflect on the feelings that she experiences after being accused.

A nurse-manager has been attending several conferences and workshops in order to network with colleagues and build relationships with people outside the organization. How should a nurse best interpret this manager’s actions?

A) The manager is building on his or her strengths.

B) The manager’s self-regulation is likely to grow because of this activity.

C) The manager is demonstrating servant leadership, which will ultimately benefit the whole organization.

D) The manager is applying the social skills necessary for emotional intelligence.

The manager is applying the social skills necessary for emotional intelligence.

Two nurses have approached the manager and have asked the manager to speak to a nurse on the unit who has a reputation for being difficult to get along with. How can the manager best implement authentic leadership?

A) Meet with the “difficult” nurse to assess emotions.

B) Analyze the facts of the situation before making a decision.

C) Encourage all three nurse to meet without the manager present.

D) Encourage all three nurses to disregard their emotions.

Analyze the facts of the situation before making a decision.

A new nurse-manager has set a goal of implementing authentic leadership. What is the manager’s best initial action?

A) Identify and reflect on her own principles.

B) Examine the source of her power in the organization.

C) Differentiate colleagues who are allies from those who are potential threats.

D) Delegate management activities so she can focus on leadership.

Identify and reflect on her own principles.

20. An organization is facing budget cuts and the manager has openly shared the details, rationale, and implications of the cuts with staff. The manager has also expressed feelings of disappointment about the cuts. What component of authentic leadership has the manager demonstrated?

A) Balanced processing

B) Internalized moral perspective

C) Relational transparency

D) Self-awareness

Relational transparency

What actions by the nurse-manager are consistent with relationship age leadership? Select all that apply.

A) Communicating regularly and openly with employees

B) Encouraging teamwork to solve problems and address issues

C) Including committee representatives from all areas that will be affected by a

change

D) Recognizing staff members who have contributed to the organization’s goals

E) Encouraging competition between staff members to increase overall efficiency

Communicating regularly and openly with employees

Encouraging teamwork to solve problems and address issues

Including committee representatives from all areas that will be affected by a

change

Recognizing staff members who have contributed to the organization’s goals

The leadership of a health-care organization has chosen to implement human capital theory. What actions should the organization promote in order to meet this goal? Select all that apply.

A) Giving subsidies to nurses who want to advance their education

B) Increasing the frequency of performance appraisals for managers

C) Providing in-services and workshops for nurses and other care providers

D) Increasing opportunities for families to participate in care planning

E) Providing salary increases of 2% for all nonmanagement staff

Giving subsidies to nurses who want to advance their education

Providing in-services and workshops for nurses and other care providers

Which activity best supports the principles of strengths-based leadership in a health-care organization?

A) Funding for staff to become educated in areas where they are naturally talented

B) Providing remedial services to staff who have committed a medication error

C) Mental health counseling for staff who have depression or anxiety

D) Smoking cessation support classes

Funding for staff to become educated in areas where they are naturally talented

Which response is most characteristic of a servant leader?

A) “I don’t think you have the skills necessary to be effective.”

B) “Let me think about that request for 24 hours and get back to you.”

C) “Do whatever it takes to get it done fast.”

D) “I’ll personally handle this situation.”

Let me think about that request for 24 hours and get back to you

servant leader: thinks before reacting

A nurse has recently begun a leadership–management role and is most likely to face challenges in:

A) resolving tensions between baccalaureate-educated nurses and nurses without a degree.

B) promoting best outcomes for clients while reducing costs.

C) educating nurses about their legal scope of practice.

D) marketing the organization to members of the community.

promoting best outcomes for clients while reducing costs.

The leaders of a health-care organization ascribe to human capital theory and are planning the budget for the next year. What activity should the team prioritize in the budget to promote the goals of this theory?

A) Signing bonuses for nurses who are hired from outside the region

B) Incentives for staff members who provide exemplary care and who make no

errors

C) Community outreach activities that will increase engagement between staff and residents

D) Reimbursement of tuition to nurses who are upgrading their education

Reimbursement of tuition to nurses who are upgrading their education

The chief nursing officer is assembling a leadership team. The nurse is ensuring that the team is made up of people who have a diverse range of natural talents and skills. This leader is most clearly exemplifying what theory of leadership?

A) Level 5 Leadership

B) Emotional intelligence

C) Strengths-based leadership

D) Authentic leadership

Strengths-based leadership

A nurse manager-leader is experiencing many challenges overseeing the care in a health-care organization. What statement most clearly indicates a need to apply quantum leadership principles?

A) “There’s a lot of conflict, not just between nurses but also between members of other disciplines.”

B) “Our workplace is in a constant state of change. Each part of our work is unpredictable and always shifting.”

C) “Historically, many decisions seem to have been made on the basis of emotion, and I’d really like to change that.”

D) “There’s a rift between management and employees and it affects communication.”

Our workplace is in a constant state of change. Each part of our work is unpredictable and always shifting

A nurse-manager has proposed a change in the skills mix on a hospital unit, with fewer registered nurses and more nursing assistants. What outcome best demonstrates that the nurse is applying the principles of thought leadership?

A) Skeptics of the plan have begun to see it as innovative and beneficial.

B) Individuals who oppose the plan have become isolated by their peers.

C) Nurses and nursing assistants will both participate in the operations planning.

D) The ultimate decision on the matter will be based on rational ideas rather than

emotions.

Skeptics of the plan have begun to see it as innovative and beneficial.

A nurse is considering applying for employment at a new health-care facility. How should the nurse best identify the aims and priorities of the organization?

A) Review the organization’s mission statement.

B) Speak with as many front-line workers as possible.

C) Ask interviewers about recent responses to consumer satisfaction surveys.

D) Review the organization’s policy and procedures documents.

Review the organization’s mission statement.

The nurse is participating in a planning process in a large health-care organization. The nurse and the other members of the team should:

A) avoid specifics so that the plan can be applied in any health-care setting.

B) ensure that long-term priorities are always prioritized over short-term priorities.

C) ensure that evaluation occurs at several points during the process.

D) begin to engage employees in the process after the plan has been implemented.

ensure that evaluation occurs at several points during the process.

Which is a true statement about planning?

A) All plans should be defined at the outset so that changes are not necessary.

B) Long- and short-range plans should be kept separate so priorities do not

become confused.

C) Objectives and goals must be established before the philosophy is written.

D) All plans should be flexible to accommodate changing circumstances.

All plans should be flexible to accommodate changing circumstances.

A nurse is participating in the process of values clarification. What are the characteristics of a true value? Select all that apply.

A) It is freely chosen from among alternatives.

B) It aligns with the dominant values of society.

C) It is prized and cherished.

D) It is positively affirmed.

E) It is acted upon.

It is freely chosen from among alternatives.

It is prized and cherished.

It is positively affirmed.

It is acted upon.

Which statement is an example of a process objective?

A) “Every nurse will screen newly admitted clients for alcohol abuse.”

B) “The falls rate on the unit will decrease by 50% compared with 2016 rates.”

C) “The health-care facility will achieve accreditation within the next 24 months.”

D) “The new bowel care protocol will be fully implemented by the end of the

calendar year.”

Every nurse will screen newly admitted clients for alcohol abuse

A leader has launched an organizational planning process that requires the development of new policies. How should the leader utilize subordinates during this process?

A) Delegate the evaluation phase of organizational planning to subordinates.

B) Ask subordinates to brainstorm alternatives and then have industry experts

evaluate each alternative.

C) Limit the involvement of subordinates to developing unit-level policies and procedures.

D) Include subordinates early in the process and include them in all aspects of policy formation.

Include subordinates early in the process and include them in all aspects of policy formation.

The manager is leading a team to develop a unit-level philosophy statement. What guideline should the team use during this process?

A) The unit philosophy should align with the larger organization’s philosophy.

B) The unit’s philosophy should include a mission statement and vision statement.

C) The statement should reflect the values and priorities of the specific unit

manager.

D) The statement should be consistent with that of other similar health-care agencies.

The unit philosophy should align with the larger organization’s philosophy.

A new nurse on the unit has been criticized for deviated from the accepted model of end-of-shift report, even though there is no written policy about the content or format for report. Which term is used for this type of policy?

A) Implied policies

B) Expressed policies

C) Understood precedents

D) The organizational culture

Implied policies

A health-care organization has adopted a new philosophy statement. What observation best shows that the philosophy is being implemented?

A) The philosophy is displayed prominently in client care areas and staff areas.

B) The philosophy aligns with the organization’s vision and mission.

C) The philosophy is reflected in the care that clients and families receive.

D) The philosophy was created by an interdisciplinary group that included nurses.

The philosophy is reflected in the care that clients and families receive.

A recent nursing graduate has not performed a dressing change on a central catheter for several months and is unsure of how to correctly perform this. The nurse should refer to the:

A) documentation.

B) practice rules.

C) organization policy.

D) procedure manual.

procedure manual.

A nurse-manager recognizes the role that individual values play on decision making. How should the manager best address this fact during a period of organizational planning?

A) The manager should carefully reflect on his or her most important values.

B) The manager should make every attempt to set aside his or her values when

making decisions.

C) The manager should seek individuals who have similar values when creating a decision-making team.

D) The manager should seek individuals who claim to have flexible values when creating a decision-making team.

The manager should carefully reflect on his or her most important values.

A nurse has been asked to join the health-care organization’s strategic planning committee. What actions should the committee perform in order to create an efficient and evidence-based planning process? Select all that apply.

A) Enlist members with expertise in health-care economics.

B) Carefully consider political issues related to health care.

C) Prioritize the role of intuition in the planning process.

D) Identify and implement a planning theory.

E) Include as many stakeholders as possible in the planning process.

Enlist members with expertise in health-care economics.

Carefully consider political issues related to health care.

Identify and implement a planning theory.

Include as many stakeholders as possible in the planning process.

Which statement best describes an emerging paradigm that is likely to influence strategic planning for health care in the 21st century?

A) Reduced emphasis on cost containment

B) Reduced regulatory oversight of health-care organizations

C) A shift from interdependence of health-care professionals to greater autonomy

D) Continued increases in the cost of pharmaceuticals

Continued increases in the cost of pharmaceuticals

Which element should influence the nurse executive most heavily when assessing the organization’s philosophy of nursing services for possible revision?

A) Consumer surveys

B) Input from other health disciplines

C) The organization’s mission statement

D) Policy statements

The organization’s mission statement

A nurse-manager can implement the principles of preactive planning by:

A) responding quickly to emergent problems.

B) using new technologies to accelerate change.

C) preferring the status quo as a stable environment.

D) directing planning in response to a crisis.

using new technologies to accelerate change

A manager has been experiencing challenges during a planning process and must implement strategies to overcome barriers that impede planning. What is the manager’s best action?

A) Reevaluate whether the goals and objectives are appropriate and achievable.

B) Establish a fixed goal that is unaffected by changes in the organization.

C) Limit membership in the planning team to administrators, leaders, and

executives.

D) Make the goals of the plan more general so that they can be more easily achieved.

Reevaluate whether the goals and objectives are appropriate and achievable

A nurse-manager is creating an organizational plan. What characteristic of the plan is more likely to promote success?

A) A midterm evaluation of the planning process

B) Several predefined evaluation checkpoints

C) The rejection of any earlier plans that did not succeed

D) Overplanning to accommodate predicted lapses in the planning process

Several predefined evaluation checkpoints

At the unit level, what time frame may be considered long-range planning?

1. A)  3 months

2. B)  6 months

3. C)  12 months

4. D)  18 months

anything over 6 months

The nurse-manager is on a team that is performing a SWOT analysis of the staffing system at a community clinic. What should the manager do when addressing the “S” component of the SWOT analysis?

A) Identify stakeholders in the current staffing system.

B) Examine the factors indicating that a change in the staffing system is necessary.

C) Identify any characteristics of the staffing system that currently help the clinic meet its goals.

D) Strategize about ways that the staffing system could possibly be improved.

Identify any characteristics of the staffing system that currently help the clinic meet its goals.

One of the most commonly used tools in health-care organizations is SWOT analysis. What is the definition of the “O” component of this model?

A) Internal attributes that help an organization achieve its objectives

B) Internal attributes that challenge an organization in achieving its objectives

C) External conditions that promote achievement of organizational objectives

D) External conditions that challenge or threaten the achievement of

organizational objectives

External conditions that promote achievement of organizational objectives

The nurse-manager is participating in organizational planning. Which factors should the team consider when identifying variables that may complicate the planning process? Select all that apply.

A) Government regulations

B) Rapidly changing technologies

C) Decreased acknowledgement of the importance of planning

D) Changing population demographics

E) Public mistrust of the nursing profession

Government regulations

Rapidly changing technologies

Changing population demographics

An organization is considering a revision to its philosophy. What characteristic of the current philosophy would most clearly indicate a need for revision?

A) The philosophy is more than 5 years old.

B) Staff claim the stated unit philosophy is in contrast to the care that is being given.

C) The philosophy was appropriated from a different health-care facility.

D) The philosophy was created after the organization’s vision and mission were determined.

Staff claim the stated unit philosophy is in contrast to the care that is being given.

Which statement regarding nursing policies and procedures is most important to their successful application in achieving goals?

A) The policies and procedures are created by staff representatives.

B) All policies and practices are based on current evidence related to practice.

C) Policies and procedures are reviewed at fixed times, every 5 years.

D) One hundred percent of the staff adheres to established policies and

procedures 100% of the time

All policies and practices are based on current evidence related to practice.

The nurse-manager is reviewing the rules that the previous manager had put into place. When reviewing these rules, what principles should guide the manager’s actions? Select all that apply.

A) Rules should be flexible.

B) The number of rules should be kept to a minimum.

C) Rules should be changed on a regular basis.

D) Enforcement of the rules supports staff morale.

E) Consistent rule enforcement supports organizational structure.

Rules should be flexible.

The number of rules should be kept to a minimum.

Enforcement of the rules supports staff morale.

Consistent rule enforcement supports organizational structure

Which statements concerning the role of the leader-manager in organizational planning are true? Select all that apply.

A) The leader-manager must be future-oriented.

B) The leader-manager has to be willing to take risks.

C) The leader-manager should possess human resource management skills.

D) The leader-manager must evaluate the social climate that affects the

organization.

E) The leader-manager must be the most experienced clinician in the organization.

The leader-manager must be future-oriented.

The leader-manager has to be willing to take risks.

The leader-manager should possess human resource management skills.

The leader-manager must evaluate the social climate that affects the

organization.

The manager of a clinic is considering a change in the scheduling of vacation time in which nurses would self-schedule their vacation rather than having the manager respond to their submitted requests. A nurse has pointed out that it is possible that newer nurses may feel intimidated by more experienced nurses on the unit when scheduling their vacation. This observation constitutes what component of a SWOT analysis?

A) S

B) W

C) O

D) T

W

Strenghts, weaknesses, opportunities (external), threats (external)

A nurse-manager is on a strategic planning team that is applying the balanced scorecard while strategic planning. The team should specifically consider what variables when creating the scorecard? Select all that apply.

A) Legislation that governs the organization’s operations

B) The health-care organization’s budget

C) Goals identified by similar organizations

D) The existing processes that are in place

E) Opportunities for learning and growth

F) Feedback that clients and families have provided

The health-care organization’s budget

The existing processes that are in place

Opportunities for learning and growth

Feedback that clients and families have provided

A nurse-manager has been asked for the first time to join the health-care facility’s strategic planning committee. What action should the manager take first?

A) Approach potential mentors on the committee.

B) Perform a SWOT analysis of the issues facing the committee.

C) Identify and examine his or her own planning style.

D) Review the committee’s most recent Balanced Scorecard.

Identify and examine his or her own planning style.

A society that highly values social equity and equality is likely to support a health-care system which:

A) prioritizes the role of the free market in providing health-care services.

B) entitles all citizens to similar levels of health-care services.

C) relies on the private sector to organize and provide health care.

D) is cost-effective and efficient.