Exam 10: Understanding and Designing Organizational Structures

In Valley Hospital,there is a great deal of discussion about the balance between hospital-wide budget decision making and unit-based budget decision making.This discussion represents:

The facilities department is experiencing some challenges and is undergoing reorganization.Because of your familiarity with systems theory,you:

A nurse manager understands that a matrix organizational structure:

A statement such as "We believe in the right of patients to make choices and to have care that is sensitive to their preferences and needs" is a _____ statement.

The hospital administration gives approval to the chief nursing officer to hire clinical nurse specialists in staff positions rather than in administrative positions.A clinical specialist who has staff authority but no line authority typically is able to:

At Limeville Hospital,the nursing department is developing a mission statement for nursing.Which of the following would be a suitable mission statement?

Which of the following is the most appropriate mission statement for a nursing centre?

In the Unity Health Care organization,decisions,including those at the unit level,are made by a group of senior executives.Rules for employees are clear,and nursing care is delineated by procedures and protocols.This exemplifies:

In a health care agency that has a bureaucratic organization,communication flows:

With revenue reductions and cost saving measures,the number of managers has been reduced,which has increased the number of team leaders,supervised by managers,by as many as three.This change may result in:

A new director of nursing in a small rural hospital wants to make changes from the traditional model of governance to a shared-governance model.Of the following characteristics,which best describes the traditional organizational structure in which a staff nurse is assigned to carry out nursing tasks for patients but is not given the chance to provide input into forming the policies and procedures by which care is delivered or the standards by which care is evaluated?

Collaborative partnerships between hospitals and schools of nursing are examples of hybrid organizational structures.A hybrid organizational structure:

Saskia is a clinical nurse educator in the dialysis unit at Pineview Health Centre and provides education,consultation,and training support.Saskia has:

The chief nursing officer and the dean of the school of nursing believe that by establishing rules and regulations and controlling the environment,this partnership will:

In which of the following situations would you expect low morale and frustration?

In opening a new dialysis unit,the nurse manager has to develop a philosophy for the unit.This philosophy needs to:

A nurse manager working in a hospital-based matrix structure understands that: (Select all that apply.)

A hospital and a nursing education program form a partnership to recruit more nurses to the region.This organizational structure is:

At Hospital XYZ,the current head nurse on unit Y3 is the third in 3 years.Donna,the current head nurse,lacks confidence in patient-nurse relationships,and scheduling and other processes are routinely left to the last minute.Staff members approached Donna first and then administration with their concerns about Donna's effectiveness as a leader.They were told that the problem is probably staff related,that it is simply an unhappy group,and that nothing further will be done about their concerns.The philosophy of the organization indicates that "open,transparent communication between staff and management is desired and supported" and that "innovation and creative thinking are the foundation of the organization's progress." In assessing this situation as a newly hired senior executive,you anticipate that:

Which of the following most influences the organizational structure of the organization?