Chapter 8 Practice (Leadership) Health-Care Organizations

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A nurse is considering employment at a for-profit health-care
organization and realizes what implication for patient care?

1)There are more services available for patients in for-profit agen-

cies.

2)Funds are not always available for every aspect of patient care 2
in for-profit agencies.

3)Patients usually receive better care in for-profit agencies.

4)Public-funded grants are the usual source of revenue at for-profit

agencies.
A nurse has plans to work in a health-care facility that specializes
in tertiary care and knows that the majority of the patients in this
facility are there for what type of services?

1)Hospice
1
2)County health department

3)Health-care provider's office

4)Urgent Care Center

A nurse is considered a management position in a health-care
facility that utilizes a centralized structure and is aware that what
issue related to this type of structure may cause problems for the
nurse leader?

1)There are many leaders with whom the nurse manager will have
to deal.
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2)The structure fosters autonomy at all levels.

3)Communication flows from the bottom to the top.

4)The nurse manager may have to wait long periods for decisions
to be made.
Nurse leaders in a decentralized organization are tasked with
what assignment related to the nursing staff?

1)Reporting nursing funding requests to the hospital administra-

tor

2)Ensuring that communication flows from hospital administration 3

to nurse leaders to nursing staff

3)Encouraging shared governance among nurse leaders and

nursing staff

4)Ensuring that all nursing units remain static

The nurse leader would like to begin strategic planning to assist
in developing a road map for caring for an influx of refugees to
the area and knows that what needs to be the first step in this
planning process?
4
1)Communicate with nurse leaders in other cities concerning care
of refugee populations.

2)Reassure the organization's administration that specific plans

are needed for care of future refugees.
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 Chapter 8 Practice (Leadership) Health-Care Organizations
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3)Develop strategies to meet the health-care needs of the refugee

population.

4)Ensure that the mission,vision,and philosophy of the organiza-

tion are up to date.
The nurse leaders are working to create an organizational vision
statement for nursing and understand that this vision is in direct
relation to what document?

1)The philosophy of the nursing staff

2
2)The organization's vision statement

3)The nursing unit's purpose statement

4)The nursing administration strategic plan

Nursing administration is conducting a strengths,weaknesses,op-
portunities,threats (SWOT)analysis to help determine areas with-
in the nursing organization that need changing.The area is cur-
rently dealing with the severe nursing shortage.The nurse leader
would place this issue within what category of SWOT?

1)Strength 4

2)Weakness

3)Opportunity

4)Threat
The nurse administrator prepares to use which planning technique
in developing futuristic relevant strategies required by the 2010
Patient Protection and Affordable Care Act?

1)Collaborating
3
2)Envisioning

3)Strategic foresight

4)Reflecting
Nurses at all levels of an acute care facility are preparing for a
Joint Commission accreditation visit and know that accreditation
is necessary for what reason?

1)It guarantees that there is a low nurse-to-patient ratio.

2)It guarantees that the organization has met Medicare certifica- 2

tion standards.

3)It guarantees higher insurance reimbursement.

4)It guarantees nurses have the highest level of education possi-

ble.
Nursing administration leaders are planning to use the complexity
theory because it assists nurses to do what?

1)Balance three areas of tension in nursing leadership roles. 1

2)Receive protection from bureaucracy against arbitrary organi-

zational decisions.
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 Chapter 8 Practice (Leadership) Health-Care Organizations
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3)Formulate a mathematical formula to determine what can be

accomplished in a specific amount of time.

4)Advocate for the principles of negotiation,conflict resolution,and

power sharing.
The nursing staff and administration at an acute-care facility are
seeking Magnet status and know that which models of care give
nurses responsibility and authority for that patient? Select all that
apply.

1)Team nursing
2, 3, 5
2)Family-centered nursing

3)District nursing

4)Functional nursing

5)Case management

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