Exam 2: Designing Organizations

A hospitalized client is complaining of abdominal pain that has developed since admission. The nurse says, "I am going to call the hospitalist." How should the client interpret this statement?

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Question 1

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What is the best example of a pediatric unit's organizational culture? 1) 1) All client rooms are private. 2) Nurses wear colorful scrubs. 3) The nurse-to-client ratio is 4 to 4) The primary nursing model is used for care.

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Question 2

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2
Explanation: 1. Organizational climate is based on physical attributes and policy and procedure. Private rooms are an example of organizational climate.
2. Organizational culture is based on norms and traditions such as nurses wearing colorful attire.
3. Organizational climate is based on physical attributes and policy and procedure. The nurse-to-client ratio is an example of organizational climate.
4. Organizational climate is based on physical attributes and policy and procedure. Using primary nursing models is an example of organizational climate.

A nurse practitioner and a physician have opened an office together. The nurse regularly collaborates with the physician in client care and is a general partner in the business of the office. This is an example of which diversification method?

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Question 3

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A long-term care facility's organization reflects a functional structure. Which facility practice reflects a basic weakness in this organizational strategy?

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Question 4

A nurse has accepted the position of vice-president in charge of nursing in an organization that has a functional structure. What issues should the nurse be alert for? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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Question 5

Which example of organizational structure depicts shared governance? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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Question 6

The hospital has a very formal organizational structure and culture. Which conditions or events would indicate that a counterculture is developing within this hospital? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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Question 7

A client who is being discharged from the hospital will need follow-up for wound care. The client's spouse is not capable of providing bed baths for the client. The nurse case manager who is planning care for this client should contact which agency?

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Question 8

During a performance evaluation the nurse manager states, "My span of control is just too large." How should the unit supervisor interpret this statement?

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Question 9

Which structure is reflected by the statement, "Nursing practice is best determined by nurses"?

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Question 10

A nurse manager encourages nursing staff members to assist in developing a new creative staffing pattern that can respond quickly when staff resign or go back to school. This is an example of the use of which organizational theory?

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Question 11

The administration of a healthcare system advertises that it promotes "a healthy work environment." Which events would cause a nurse working in this system to question this statement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

(Multiple Choice)

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Question 12

The community hospital is considering a redesign initiative. As part of a SWOT analysis, nurses on the strategic planning committee have been asked to distribute surveys to stakeholders. The nurses will contact which groups? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

(Multiple Choice)

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Question 13

The nurse works in a school clinic that is part of an integrated healthcare network. How would this nurse explain to parents and teachers the focus of care provided in the clinic?

(Multiple Choice)

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Question 14

Which situation is an example of a major weakness of service-integrated structure?

(Multiple Choice)

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Question 15

Which situation reflects the primary service provided by home healthcare?

(Multiple Choice)

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Question 16

Which situation is an example of organizational culture?

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Question 17

The nurse applying for a position is told, "This hospital has a very traditional organizational structure." The nurse would expect the organization to use which structure? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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Question 18

A healthcare organization is using the quality concepts of lean thinking and decentralization as part of their redesign efforts. Which initiatives would this organization undertake? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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Question 19

The nurse manager has established a program that recognizes a different staff member each month for contributions to client care. As a result, overall staff productivity and the number of client compliments have increased. This is an example of which concept of organizational theory?

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Question 20

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Exam 2: Designing Organizations

A hospitalized client is complaining of abdominal pain that has developed since admission. The nurse says, "I am going to call the hospitalist." How should the client interpret this statement?

What is the best example of a pediatric unit's organizational culture? 1) 1) All client rooms are private. 2) Nurses wear colorful scrubs. 3) The nurse-to-client ratio is 4 to 4) The primary nursing model is used for care.

A nurse practitioner and a physician have opened an office together. The nurse regularly collaborates with the physician in client care and is a general partner in the business of the office. This is an example of which diversification method?

A long-term care facility's organization reflects a functional structure. Which facility practice reflects a basic weakness in this organizational strategy?

A nurse has accepted the position of vice-president in charge of nursing in an organization that has a functional structure. What issues should the nurse be alert for? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Which example of organizational structure depicts shared governance? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

The hospital has a very formal organizational structure and culture. Which conditions or events would indicate that a counterculture is developing within this hospital? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A client who is being discharged from the hospital will need follow-up for wound care. The client's spouse is not capable of providing bed baths for the client. The nurse case manager who is planning care for this client should contact which agency?

During a performance evaluation the nurse manager states, "My span of control is just too large." How should the unit supervisor interpret this statement?

Which structure is reflected by the statement, "Nursing practice is best determined by nurses"?

A nurse manager encourages nursing staff members to assist in developing a new creative staffing pattern that can respond quickly when staff resign or go back to school. This is an example of the use of which organizational theory?

The nurse works in a school clinic that is part of an integrated healthcare network. How would this nurse explain to parents and teachers the focus of care provided in the clinic?

Which situation is an example of a major weakness of service-integrated structure?

Which situation reflects the primary service provided by home healthcare?

Which situation is an example of organizational culture?

The nurse applying for a position is told, "This hospital has a very traditional organizational structure." The nurse would expect the organization to use which structure? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A healthcare organization is using the quality concepts of lean thinking and decentralization as part of their redesign efforts. Which initiatives would this organization undertake? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

The nurse manager has established a program that recognizes a different staff member each month for contributions to client care. As a result, overall staff productivity and the number of client compliments have increased. This is an example of which concept of organizational theory?

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