Exam 8: Understanding and Designing Organizational Structures

"Georgia Hospital will provide care that is a national example of consumer service" is a:

In the Unity Healthcare organization,communication flows:

Sarah is a clinical nurse educator in the dialysis unit at Pines Health Center and provides education,consultation,and training support.Sarah has:

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.Select the characteristic below that best describes the traditional organizational structure in which a staff nurse is assigned to carry out nursing tasks for clients 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:

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

Which of the following would be the most appropriate mission statement for a nursing center?

"At Thoroughcare,we provide healthcare for women and children in transition" is an example of a:

In the Unity Healthcare 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:

Organizational culture includes

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:

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

At Hospital XYZ,staff members on Y3 have dealt with the third head nurse in three 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.The staff was told that the problem is likely staff related,that it is simply an unhappy group,and that there is nothing that will be done further 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:

Taylor Hospital has well-defined organizational units that provide maintenance,financial services,care for cardiac patients,care for surgical patients,and so on.The organizational chart indicates that surgical units report to a surgical manager,and that all nursing units report to a vice president of nursing; financial services to an accountant and then to a business executive; and so on.The primary disadvantage of this organizational structure is:

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

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:

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.

In matrix organizational structures,a nurse manager understands that this type of structure:

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

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

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