Leading and Managing in Canadian Nursing 1st Canadian Edition By Yoder-Wise – Test Bank

Leading and Managing in Canadian Nursing 1st Canadian Edition By Yoder-Wise – Test Bank

Chapter 09: Understanding and Designing Organizational Structures

MULTIPLE CHOICE

1. A hospital and a nursing education program form a partnership to recruit more nurses to the region. This organizational structure is
a. being responsive to changes in the environment.
b. being bureaucratic.
c. creating permanent professional boundaries.
d. delineating structures for all decision-making.

ANS: A
Shared decision-making across organizations can lead to growth and responsiveness in meeting emerging needs.

DIF: Cognitive Level: Understand REF: Page 154 | Page 163
TOP: Nursing Process: Assessment

2. A hospital is working toward becoming a Magnet™ hospital. The chief nursing officer is aware that professional nursing departments of the future will
a. not be directed by nurses.
b. be virtual organizations.
c. be designed to maintain nursing standards of practice.
d. be entitled to have patient care departments.

ANS: C
Professional nursing departments of the future will be focused on patient care outcomes and nursing satisfaction.

DIF: Cognitive Level: Understand REF: Page 163 TOP: Nursing Process: Planning

3. 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. promote professional medical authority, autonomy, and responsibility.
b. diminish quickly with no central figure.
c. be essential for self-governance.
d. provide for the establishment of medical committees.

ANS: B
Centralized decision-making structures that emphasize high control and rules and regulations that lay out expectations can be slow to respond to emerging trends. Organizations that are controlled in a heavily centralized way can diminish quickly without the strong central figure.

DIF: Cognitive Level: Analyze REF: Page 154
TOP: Nursing Process: Assessment

4. A nurse manager understands that a matrix organizational structure
a. is a simplified organizational structure.
b. has both a functional manager and a service or product-line manager.
c. arranges departments strictly according to function.
d. promotes harmony in organizational decision-making.

ANS: B
Matrix structures are complex, integrated organizational structures that involve both functional managers and service or product-line managers. In this structure, team members or teams from various functional departments may combine to complete a project or program, thereby becoming responsible to both their functional department manager and their product-line manager. Harmony or disharmony cannot be assumed.

DIF: Cognitive Level: Understand REF: Pages 161-162
TOP: Nursing Process: Assessment

5. Collaborative partnerships between hospitals and schools of nursing are examples of hybrid organizational structures. A hybrid organizational structure
a. has many divisions of labour.
b. best fits long-term care units.
c. has a mixture of the characteristics of various organizational types.
d. places the authority for decision-making closest to the places where workers perform.

ANS: C
Hybrid structures include characteristics of various organizational types and reflect the needs of the situation and the environment.

DIF: Cognitive Level: Understand REF: Page 163
TOP: Nursing Process: Assessment

6. In opening a new dialysis unit, the nurse manager has to develop a philosophy for the unit. This philosophy needs to
a. reflect the culture of the unit and its values.
b. be developed by the nursing manager on the unit.
c. identify the patients who will be served on the unit.
d. replicate the organization’s philosophy.

ANS: A
The philosophy needs to state what the nurse manager and staff believe is the vision for nursing management and practice and sets the stage for establishing goals to make the vision a reality. It is complementary to the organizational philosophy but reflects the values of nursing. Shared governance enables staff and management to develop a vision and is congruent with contemporary views of management. The identification of patients to be served reflects a mission statement.

DIF: Cognitive Level: Apply REF: Page 150 TOP: Nursing Process: Planning

7. 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
a. function through influence.
b. take complete responsibility for the care of patients.
c. interview and hire staff nurses for designated nursing units.
d. be granted functional authority to determine standards of nursing care and enforce them.

ANS: A
Staff positions provide support to line positions but have no direct accountability for staff or patient outcomes and therefore function through influence.

DIF: Cognitive Level: Apply REF: Pages 158-159
TOP: Nursing Process: Implementation

8. 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?
a. Bureaucratic
b. Decentralized
c. Delegated authority and responsibility
d. Delegated responsibility but no authority

ANS: D
In traditional structures, decision-making authority is held by a centralized decision-making body; thus staff members have responsibility for certain functions but do not participate in decisions related to those functions.

DIF: Cognitive Level: Analyze REF: Page 154 | Page 156
TOP: Nursing Process: Assessment

9. The chief nursing officer is given the task of reviewing and revising the organization’s mission, philosophy, and technology. In reviewing them, the chief nursing officer understands that they should be reflected in
a. the organizational structure.
b. line and staff responsibilities.
c. the policies and procedures.
d. government regulations.

ANS: A
The mission statement is an important foundation for the organizational structure and defines technology and human resources required for the organization.

DIF: Cognitive Level: Understand REF: Pages 150-151
TOP: Nursing Process: Assessment

10. The facilities department is experiencing some challenges and is undergoing reorganization. Because of your familiarity with systems theory, you
a. know that this challenge is their issue and that it has nothing to do with your unit.
b. understand that such events are localized and do not have an effect on the organizational culture.
c. know that the nature of challenges and reorganization in facilities will have an effect on other areas.
d. anticipate that your prior experiences with facilities have no effect on the current situation.

ANS: C