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1.

Question1 point(s) Option D: Team management is the ability of


Ms. Caputo is newly promoted to a patient an individual or an organization to administer
care manager position. She updates her and coordinate a group of individuals to
knowledge on the theories in management perform a task. Team management involves
and leadership in order to become effective in teamwork, communication, objective setting,
her new role. She learns that some managers and performance appraisals.
have low concern for services and high
concern for staff. Which style of management 2. Question1 point(s)
refers to this? Her former manager demonstrated passion
for serving her staff rather than being served.
A. Organization Management She takes time to listen, prefers to be a
B. Impoverished Management teacher first before being a leader, which is
C. Country Club Management characteristic of:
D. Team Management
A. Transformational leader
B. Transactional leader
Correct Answer: C. Country Club C. Servant leader
Management D. Charismatic leader

Country club management style puts concern


for the staff as the number one priority at the Correct Answer: C. Servant leader
expense of the delivery of services. He/she
runs the department just like a country club Servant leaders are open-minded, listen
where everyone is happy including the deeply, try to fully understand others, and not
manager. This leadership style assumes that being judgmental. Servant leadership is a
if people are happy in their job, they will leadership philosophy in which the goal of the
naturally work harder. leader is to serve. A servant leader shares
power puts the needs of the employees first
Option A: Organization management binds and helps people develop and perform as
the employees together and gives them a highly as possible. Servant leadership inverts
sense of loyalty towards the organization. the norm, which puts the customer service
Organization management enables the associates as the main priority.
optimum use of resources through meticulous
planning and control at the workplace. Option A: Transformational leadership is a
Organization management gives a sense of leadership style that can inspire positive
direction to the employees. The individuals changes in those who follow.
are well aware of their roles and Transformational leaders are generally
responsibilities and know what they are energetic, enthusiastic, and passionate. Not
supposed to do in the organization. only are these leaders concerned and
Option B: The impoverished leader has the involved in the process; they are also focused
least concern for people and for production. on helping every member of the group
This leader has no system of getting work succeed as well.
done, nor is the work environment satisfying Option B: A transactional leader is someone
or motivating for employees. This leader’s low who values order and structure. They are
interest in the work and the work environment likely to command military operations,
results in disorganized work, dissatisfied manage large corporations, or lead
employees, and a lack of harmony. international projects that require rules and
regulations to complete objectives on time or Option B: The impoverished leader has the
move people and supplies in an organized least concern for people and for production.
way. Transactional leaders are not a good fit This leader has no system of getting work
for places where creativity and innovative done, nor is the work environment satisfying
ideas are valued. or motivating for employees. This leader’s low
Option D: The charismatic leadership style interest in the work and the work environment
relies on the charm and persuasiveness of results in disorganized work, dissatisfied
the leader. Charismatic leaders are driven by employees, and a lack of harmony.
their convictions and commitment to their Option C: In the transformational leadership
cause. Charismatic leaders also are style, the leader inspires his or her followers
sometimes called transformational leaders with a vision and then encourages and
because they share multiple similarities. Their empowers them to achieve it. The leader also
main difference is focus and audience. serves as a role model for the vision.
Charismatic leaders often try to make the Option D: With situational leadership, it is up
status quo better, while transformational to the leader to change his style, not the
leaders focus on transforming organizations follower to adapt to the leader’s style. In
into the leader’s vision. situational leadership, the style may change
continually to meet the needs of others in the
3. Question1 point(s) organization based on the situation.
On the other hand, Ms. Caputo notices that
the Chief Nurse Executive has a charismatic 4. Question1 point(s)
leadership style. Which of the following Which of the following conclusions of Ms.
behaviors best describes this style? Caputo about leadership characteristics is
true?
A. Possesses inspirational quality that makes
followers get attracted to him and regard him A. There is a high correlation between the
with reverence. communication skills of a leader and the
B. Acts as he does because he expects that ability to get the job done.
his behavior will yield positive results. B. A manager is effective when he has the
C. Uses visioning as the core of his ability to plan well.
leadership. C. Assessment of personality traits is a
D. Matches his leadership style to the reliable tool for predicting a manager’s
situation at hand. potential.
D. There is good evidence that certain
Correct Answer: A. Possesses inspirational personal qualities favor success in a
quality that makes followers gets attracted to managerial role.
him and regards him with reverence.
Correct Answer: C. Assessment of
Charismatic leaders make the followers feel personality traits is a reliable tool for
at ease in their presence. They feel that they predicting a manager’s potential.
are in good hands whenever the leader is
around. The charismatic leadership style It is not conclusive that certain qualities of a
relies on the charm and persuasiveness of person would make him become a good
the leader. Charismatic leaders are driven by manager. It can only predict a manager’s
their convictions and commitment to their potential of becoming a good one. Successful
cause. leaders tend to have certain traits. Two keys
areas of personal growth and development
are fundamental to leadership success: to choose the best paths to reach both their
self-confidence and a positive attitude. goals as well as the corporation’s goals.

Option A: A true leader communicates with Option B: It is the leader’s job to assist
their team to keep them updated and show followers in attaining goals and to provide the
that they are valued. They will be the ones direction and support needed to ensure that
intentionally learning more, challenging their goals are compatible with the
themselves and others, improving the organization’s goals. Path–goal theory
workplace environment and work ethics, and assumes that leaders are flexible and that
encouraging teams to achieve goals. they can change their style, as situations
Option B: True leaders seek to improve require.
themselves and their work ethics. They Option C: The fourth theory is the
accept challenges as opportunities to grow, transformational leadership theory, which
and they’re eager to learn new skills. Leaders suggests that good leaders are those able to
are responsible for ensuring the organization stimulate, transform, and use the values,
gets value from the time allocated to beliefs, and needs of their followers to
accomplish business tasks. accomplish tasks.
Option D: Assessment tools vary in what they Option D: Providing employees with the
examine and the depth of the questions. necessary tools to resolve issues in the
There are personality, leadership skills, and workplace will ensure organizational success
behavioral assessments. Before choosing a is not hindered. Effective leadership not only
tool, one should make sure that it will test for guides employees in the right direction
the specific skills one wants in a leader. towards their goals but also requires leaders
to assist in the identification of goals and
5. Question1 point(s) objectives from the get-go.
She reads about Path-Goal theory. Which of 6. Question1 point(s)
the following behaviors is manifested by the One leadership theory states that “leaders
leader who uses this theory? are born and not made,” which refers to
which of the following theories?
A. Recognizes staff for going beyond
expectations by giving them citations. A. Trait
B. Challenges the staff to take individual B. Charismatic
accountability for their own practice. C. Great Man
C. Admonishes staff for being laggards. D. Situational
D. Reminds staff about the sanctions for
non-performance. Correct Answer: C. Great Man

Correct Answer: A. Recognizes staff for going Leaders become leaders because of their
beyond expectations by giving them citations birthright. This is also called Genetic theory or
the Aristotelian theory. This quote sums up
The path-Goal theory according to House and the basic tenet of the Great Man theory of
associates rewards good performance so that leadership, which suggests that the capacity
others would do the same. The path-goal for leadership is innate. According to this
theory states that a leader’s behavior is theory, you’re either a natural-born leader or
contingent on the satisfaction, motivation, and you’re not. The term “Great Man” was used
performance of their employees. The because, at the time, ?leadership was
manager’s job is viewed as guiding workers
thought of primarily as a male quality, task-centered. This kind of leadership is very
especially in terms of military leadership. hands-off—managers trust their employees
and are confident in their abilities. They give
Option A: According to trait leadership theory, guidance and take responsibility where
effective leaders have in common a pattern of needed, but this leadership style means that
personal characteristics that support their subordinates and team members have the
ability to mobilize others toward a shared real lead.
vision. These traits include dimensions of
personality and motives, sets of skills and Option A: Democratic leadership, also known
capabilities, and behavior in social as participative leadership or shared
relationships. leadership, is a type of leadership style in
Option B: Charismatic leadership is a which members of the group take a more
trait-based leadership theory where the participative role in the decision-making
leaders act as visionary driven by their process. This type of leadership can apply to
convictions and motivate their followers to any organization, from private businesses to
work towards a common vision using their schools to the government.
charm and persuasiveness. Leaders are able Option B: Authoritarian leadership, also
to cultivate a profound sense of trust with the known as autocratic leadership, is a
group of followers. management style in which an individual has
Option D: The situational theory of leadership total decision-making power and absolute
refers to those leaders who adopt different control over his subordinates. Leaders make
leadership styles according to the situation decisions with little or no participation or
and the development level of their team creative input from their followers or team
members. It is an effective way of leadership members.
because it adapts to the team’s needs and Option D: Bureaucratic leadership refers to
sets a beneficial balance for the whole organizational leadership through a highly
organization. formalized set of processes, procedures, and
structures. Here, rules, policies, and
7. Question1 point(s) hierarchies form a clear set of expectations
She came across a theory which states that as well as an explicit chain of command.
the leadership style is effective depends on
the situation. Which of the following styles 8. Question1 point(s)
best fits a situation when the followers are She surfs the internet for more information
self-directed, experts, and are matured A. about leadership styles. She reads about
Democraticindividuals? shared leadership as a practice in some
magnet hospitals. Which of the following
A. Democratic describes this style of leadership?
B. Authoritarian
C. Laissez-faire A. Leadership behavior is generally
D. Bureaucratic determined by the relationship between the
leader’s personality and the specific situation.
Correct Answer: C. Laissez faire B. Leaders believe that people are basically
good and need not be closely controlled.
Laissez-faire leadership is preferred when the C. Leaders rely heavily on visioning and
followers know what to do and are experts in inspire members to achieve results.
the field. This leadership style is D. Leadership is shared at the point of care.
relationship-oriented rather than
Correct Answer: D. Leadership is shared at
the point of care. Correct Answer: D. Inspires others with
vision.
Shared governance allows the staff nurses to
have the authority, responsibility, and Inspires others with a vision is characteristic
accountability for their own practice. Shared of a transformational leader. He is focused
leadership is the practice of governing a more on the day-to-day operations of the
school by expanding the number of people department/unit. Transactional leadership
involved in making important decisions depends on self-motivated people who work
related to the school’s organization, well in a structured, directed environment. By
operation, and academics. In practice, shared contrast, transformational leadership seeks to
leadership may be defined differently from motivate and inspire workers, choosing to
school to school, and it may take a wide influence rather than direct others.
variety of forms.
Option A: A transactional leader is someone
Option A: The situational theory of leadership who values order and structure. They are
refers to those leaders who adopt different likely to command military operations,
leadership styles according to the situation manage large corporations, or lead
and the development level of their team international projects that require rules and
members. It is an effective way of leadership regulations to complete objectives on time or
because it adapts to the team’s needs and move people and supplies in an organized
sets a beneficial balance for the whole way.
organization. Option B: Transactional leadership focuses
Option B: The laissez-faire leadership style is on results, conforms to the existing structure
at the opposite end of the autocratic style. Of of an organization, and measures success
all the leadership styles, this one involves the according to that organization’s system of
least amount of oversight. While it’s beneficial rewards and penalties. Transactional leaders
to give people opportunities to spread their have formal authority and positions of
wings, with a total lack of direction, people responsibility in an organization.
may unwittingly drift in the wrong Option C: This type of leader sets the criteria
direction—away from the critical goals of the for their workers according to previously
organization. defined requirements. Performance reviews
Option C: In the transformational leadership are the most common way to judge employee
style, the leader inspires his or her followers performance. Transactional, or managerial,
with a vision and then encourages and leaders work best with employees who know
empowers them to achieve it. The leader also their jobs and are motivated by the
serves as a role model for the vision. reward-penalty system. The status quo of an
organization is maintained through
9. Question1 point(s) transactional leadership.
Ms. Caputo learns that some leaders are
transactional leaders. Which of the following 10. Question1 point(s)
does not characterize a transactional leader? She finds out that some managers have a
benevolent-authoritative style of
A. Focuses on management tasks. management. Which of the following
B. Is a caretaker. behaviors will she exhibit most likely?
C. Uses trade-offs to meet goals.
D. Inspires others with vision.
A. Have condescending trust and confidence turnaround in the condition of the unit. Which
in their subordinates. of the following actions is a priority for Henry?
B. Gives economic or ego awards.
C. Communicates downward to the staff. A. Call for a staff meeting and take this up in
D. Allows decision-making among the agenda.
subordinates. B. Seek help from her manager.
Correct C. Develop a strategic action on how to deal
Correct Answer: A. Have condescending trust with these concerns.
and confidence in their subordinates. D. Ignore the issues since these will be
resolved naturally.
Benevolent-authoritative managers Incorrect
pretentiously show their trust and confidence Correct Answer: A. Call for a staff meeting
to their followers. In Benevolent-Autocratic and take this up on the agenda.
Leadership Style, the manager has
condescending confidence and trust in This will allow for the participation of every
subordinates, motivates with rewards and staff in the unit. If they contribute to the
some punishments, permits some upward solutions of the problem, they will own the
communication, solicits some ideas and solutions; hence the chance for compliance
opinions from subordinates, and allows some would be greater. It’s one thing to articulate
delegation of decision making but with close the change required and entirely another to
policy control. conduct a critical review against
organizational objectives and performance
Option B: The benevolent authoritative goals to ensure the change will carry the unit
system uses less control over employees in the right direction strategically, financially,
than the exploitative authoritative system, and ethically.
however, this system motivates employees
through potential punishment and rewards. Option B: Determine the most effective
Option C: The responsibility lies at the means of communication for the group or
managerial levels but not at the lower levels individual that will bring them on board. The
of the organizational hierarchy. The superior communication strategy should include a
has condescending confidence and trust in timeline for how the change will be
subordinates (master-servant relationship). incrementally communicated, key messages,
Option D: In participative leadership, the and the communication channels and
responsibility for achieving the organizational mediums that is planned to use.
goals is widespread throughout the Option C: Providing a support structure is
organizational hierarchy. There is a high level essential to assist employees to emotionally
of confidence that the superior has in his and practically adjust to the change and to
subordinates. There is a high level of build the proficiency of behaviors and
teamwork, communication, and participation. technical skills needed to achieve desired
results.
11. Question1 point(s) Option D: Review the effect on the unit and
Henry is a Unit Manager I the Medical Unit. how it cascades through the organizational
He is not satisfied with the way things are structure to the individual. This information
going in his unit. The patient satisfaction rate will start to form the blueprint for where
is 60% for two consecutive months and staff training and support are needed the most to
morale is at its lowest. He decides to plan mitigate the impacts.
and initiate changes that will push for a
12. Question1 point(s) problems head-on. Should they decide to
He knows that there are external forces that vote on the best change strategy, which of
influence changes in his unit. Which of the the following strategies is referred to this?
following is not an external force?
A. Collaboration
A. Memo from the CEO to cut down on B. Majority rule
electrical consumption. C. Dominance
B. Demands of the labor sector to increase D. Compromise
wages. Incorrect
C. Low morale of staff in his unit. Correct Answer: B. Majority rule
D. Exacting regulatory and accreditation
standards. The majority rule involves dividing the house
Incorrect and the highest vote wins. 1/2 + 1 is a
Correct Answer: C. Low morale of staff in his majority. The majority rule is a decision rule
unit. that selects alternatives that have a majority,
that is, more than half the votes. It is the
Low morale of staff is an internal factor that binary decision rule used most often in
affects only the unit. External forces are those influential decision-making bodies, including
changes that are part of an organization’s all the legislatures of democratic nations.
general and business environment. All the
rest of the options emanate from the top Option A: Collaboration in the workplace
executive or from outside the institution. takes into account employees’ ideas, skills,
experiences, and opinions. When individuals
Option A: During the 2008 recession, work together openly, processes and goals
consumers lost their jobs and cut back on become more aligned, leading the group
their spending. These economic downturns towards a higher success rate of achieving a
had a major impact on businesses. Banks common goal.
failed. General Motors and Chrysler filed for Option C: Accordingly, a strategy is dominant
bankruptcy. Survival meant adapting to if it leads a player to better outcomes than
change. alternative strategies (i.e., it dominates the
Option B: Government restrictions often force alternative strategies). Conversely, a strategy
change onto organizations. This can be is dominated if it leads a player to worse
something as simple as a change in the outcomes than alternative strategies.
minimum wage for employees, or as complex Option D: A person who typically uses a
as rules and restrictions governing fair compromising conflict style attempts to
competition in business. balance the needs of both or all sides in a
Option D: For instance, when the Affordable conflict by encouraging everyone to give in on
Health Care Act was put into place, at least some points. This style of conflict can
businesses had to change their operations be more time-consuming and require more
and put steps into place to confirm that all “people skills” than other conflict resolution
employees had healthcare coverage to techniques.
comply with the new law. 14. Question1 point(s)
One staff suggests that they review the
13. Question1 point(s) pattern of nursing care that they are using,
After discussing the possible effects of the which is described as a:
low patient satisfaction rate, the staff started
to list down possible strategies to solve the A. Job description
B. System used to deliver care B. Emphasizes the use of group
C. Manual of procedure collaboration.
D. Rules to be followed C. One-to-one nurse-patient ratio.
Correct D. Provides continuous, coordinated, and
Correct Answer: B. System used to deliver comprehensive nursing services.
care Incorrect
Correct Answer: A. Concentrates on tasks
A system used to deliver care. In the 70’s it and activities.
was termed as methods of patient
assignment; in the early 80’s it was called Functional nursing is focused on tasks and
modalities of patient care then patterns of activities and not on the holistic care of the
nursing care in the ’90s until recently authors patients. Functional nursing is task-oriented
called it nursing care systems. Ideally, in scope. Instead of one nurse performing
nursing care delivery models match the many functions, several nurses are given one
number and type of caregivers to patient care or two assignments. Functional nursing was
needs determine who is going to perform designed around an efficacy model that
what tasks, who is responsible, and who seeks to get many tasks accomplished in a
makes decisions and detail assignments, short period of time.
responsibilities, and authority to accomplish
patient care. Option B: Team nursing involves the use of a
team leader and team members to provide
Option A: A job description or JD lists the various aspects of nursing care to a group of
main features of a specific job. The patients. In team nursing, medications might
description typically includes the person’s be given by one nurse while baths and
main duties, responsibilities, and working physical care are given by a nursing assistant
conditions. It also includes the job title and to under the supervision of a nurse team leader.
whom the person holding that job has to Option C: Primary care nursing is when a
report. single nurse is identified as the point of
Option C: A procedure manual contains the contact and primary caregiver for a patient
institution’s best practices that define the during his or her particular hospital stay or
systematic approach to implementing policy another episode of care.
expectations, plans, and work routines — Option D: Primary care nursing includes a set
also known as procedures. of attributes, as in the 1978 IOM
Option D: Rules can be described as the definition—care that is accessible,
guidelines or instructions for doing something comprehensive, coordinated, continuous, and
correctly. these are the principles that govern accountable—or as defined by Starfield
the conduct or behavior of a person in an (1992)—care that is characterized by first
organization or country. On the other hand, contact, accessibility, longitudinally, and
regulations refer to the directives or statutes comprehensiveness
enforced by law, in a particular country.
16. Question1 point(s)
15. Question1 point(s) Functional nursing has some advantages,
Which of the following is true about functional which one is an exception?
nursing?
A. Psychological and sociological needs are
A. Concentrates on tasks and activities. emphasized.
B. Great control of work activities.
C. Most economical way of delivering
nursing services. A. Assessing nursing needs and problems.
D. Workers feel secure in a dependent role. B. Giving instructions on how nursing care
Incorrect needs are to be met.
Correct Answer: A. Psychological and C. Controlling and evaluating the delivery of
sociological needs are emphasized. nursing care.
D. Assigning a safe nurse: patient ratio.
When the functional method is used, the Incorrect
psychological and sociological needs of the Correct Answer: A. Assessing nursing needs
patients are neglected; the patients are and problems.
regarded as ‘tasks to be done ‘. Functional
nursing was designed around an efficacy This option follows the framework of the
model that seeks to get many tasks nursing process and at the same time applies
accomplished in a short period of time. the management process of planning,
organizing, directing, and controlling. At the
Option B: Modular Nursing is a modification basic level, management is a regimen that
of team nursing and focuses on the patient’s comprises five standard functions, namely,
geographic location for staff assignments; the planning, organizing, staffing, leading, and
unit is divided into groups referred to as controlling. These functions are part of a body
modules – also called districts or pods. of practices and theories that educate on
The same team of caregivers is assigned becoming an efficient manager.
consistently to the same geographic location.
Each location, or module, has an RN Option B: Leading is a function that involves
assigned as the team leader, and the other stating a vision, influencing, persuading,
team members may include LVNs/LPNs and motivating, and inspiring employees. An
Unlicensed Assistant Personnel. efficient and effective management process
Option C: Functional nursing revolves around aligns individual interests with the
team ethics, and it produces a catalog of organization’s goals and objectives as a
processes, which are undertaken by different whole.
individuals to ensure efficient patient care Option C: Evaluate the achievement of goals,
delivery. As well as taking advantage of the improvement in performance, and the ability
skills of nurses at different stages of their to take action. Put processes in place to help
careers, this model can also save healthcare you establish standards, so you can
providers and facilities money by increasing measure, compare, and make decisions.
efficiency and productivity. Option D: Enlisting and recruiting employees
Option D: Team nursing is a patient care for positions within the various teams and
delivery model, which was established in the departments in an organized manner. The
1950s. For healthcare providers, the team staffing process helps in getting the right
nursing model improves efficiency and people for the right job at right time. The
provides valuable training opportunities for function of staffing helps the management to
those keen to progress during the early decide the number of employees needed for
stages of their careers. the organization and with what qualifications
and experience.
17. Question1 point(s) 18. Question1 point(s)
He raised the issue of giving priority to patient Which of the following is the best guarantee
needs. Which of the following offers the best that the patient’s priority needs are met?
way for setting priority?
A. Checking with the relative of the patient. B. Patients who need the least care.
B. Preparing a nursing care plan in C. Medications and treatments required for
collaboration with the patient. all patients.
C. Consulting with the physician. D. Patients who need the most care.
D. Coordinating with other members of the Incorrect
team. Correct Answer: D. Patients who need the
Incorrect most care.
Correct Answer: B. Preparing a nursing care
plan in collaboration with the patient. In setting priorities for a group of patients,
those who need the most care should be the
The best source of information about the number-one priority to ensure that their
priority needs of the patient is the patient critical needs are met adequately. The needs
himself. Hence using a nursing care plan of other patients who need less care can be
based on his expressed priority needs would attended to later or even delegated to
ensure meeting his needs effectively. It is assistive personnel according to rules on
about understanding each patient’s health delegation. The ability to prioritize and
outcome goals and health care preferences manage time is vital for any successful nurse,
and ensuring that the care provided is in line whether a novice or expert.
with those goals.
Option A: Clinical judgment and prioritization
Option A: Checking with the relative of the of patient care are built on the nursing
patient would not yield actual needs for the process. Nurses learn the steps of the
patient. Asking the patient himself would be nursing process in their foundational nursing
an assurance that what he deems as the course and utilize it throughout their
priority would be addressed. academic and clinical careers to direct patient
Option C: Consulting or collaborating with the care and determine priorities.
physician should occur after the Option B: In unfamiliar situations, patient
implementation of independent nursing prioritization should be approached as a
interventions. A nursing care plan includes structured process, highlighting risk factors
independent, dependent, and collaborative that may contribute to a decline in the
nursing interventions specific to every client’s patient’s condition and potential interventions
needs. that can reduce the risk of adverse outcomes
Option D: Collaborating may come after (Jessee, 2019).
consultation with a physician. Collaboration Option C: Seasoned nurses are able to pull
may include teams from the laboratory from their depth of knowledge and experience
services, radiological department, and other that allows them to act deductively and
departments involved in the care of the intuitively when prioritizing patient care.
patient.
20. Question1 point(s)
19. Question1 point(s) He is hopeful that his unit will make a big
When Henry uses team nursing as a care turnaround in the succeeding months. Which
delivery system, he and his team need to of the following actions of Henry
assess the priority of care for a group of demonstrates that he has reached the third
patients, which of the following should be a stage of change?
priority?
A. Wonders why things are not what they
A. Each patient is listed on the worksheet. used to be.
B. Finds solutions to the problems. planning workshop with his staff in order to
C. Integrate the solutions to his day-to-day ensure effective and efficient management of
activities. the department. Should he decide to conduct
D. Selects the best change strategy. a strategic planning workshop, which of the
Incorrect following is not a characteristic of this
Correct Answer: C. Integrate the solutions to activity?
his day-to-day activities.
A. Long-term goal-setting.
Integrate the solutions to his day-to-day B. Extends to 3-5 years in the future.
activities is expected to happen during the C. Focuses on routine tasks.
third stage of change when the change agent D. Determines directions of the organization.
incorporates the selected solutions into his Incorrect
system and begins to create a change. In the Correct Answer: C. Focuses on routine tasks
third and final stage, freezing, the new
mindset of the change begins to become the Focusing on routine tasks is a characteristic
standard, and people’s comfort levels return of operational planning. Strategic planning is
to normal. an organizational management activity that is
used to set priorities, focus energy and
Option A: The first stage (unfreezing) involves resources, strengthen operations, ensure that
overcoming inertia and dismantling the employees and other stakeholders are
existing mindset. It involves getting over the working toward common goals, establish
initial defense mechanisms that people agreement around intended
exhibit to avoid making a change. People outcomes/results, and assess and adjust the
eventually realize that change is necessary organization’s direction in response to a
and urgent, and this realization allows them changing environment.
to move on to the next stage.
Option B: In the second stage, the actual Option A: Long-term planning is about setting
change occurs. During this stage, an a process by which a particular strategic plan
organization’s leaders need to focus on will be achieved. This process focuses on
clearly communicating to employees the activities that start now and continue well into
reasons for change and the steps needed to the future.
achieve it. Option B: Effective strategic planning
Option D: The second stage is typically a articulates not only where an organization is
period of confusion and transition in which going and the actions needed to make
people are unsure about the change and progress, but also how it will know if it is
what may happen in the future. People are successful. A strategic plan is a document
aware that the old ways are being used to communicate with the organization
challenged, but they do not yet have a clear the organization’s goals, the actions needed
picture as to what these ways will be replaced to achieve those goals, and all of the other
with. critical elements developed during the
planning exercise.
21. Question1 point(s) Option D: Strategic planning is a disciplined
effort that produces fundamental decisions
Joey is a newly-appointed nurse manager of and actions that shape and guide what an
The Holy Spirit Medical Center, a tertiary organization is, who it serves, what it does,
hospital located within the heart of the and why it does it, with a focus on the future.
metropolis. He thinks of scheduling a
22. Question1 point(s) statement, financial objectives, corporate
Which of the following statements refer to the culture, and marketing strategy.
vision of the hospital?
23. Question1 point(s)
A. The Holy Spirit Medical Center is a The statement, “The Holy Spirit Medical
trendsetter in tertiary health care in the next Center aims to provide patient-centered care
five years. in a total healing environment” refers to which
B. The officers and staff of The Holy Spirit of the following?
Medical Center believe in the unique nature
of the human person. A. Vision
C. All the nurses shall undergo a continuing B. Goal
competency training program. C. Philosophy
D. The Holy Spirit Medical Center aims to D. Mission
provide patient-centered care in a total Incorrect
healing environment. Correct Answer: B. Goal
Incorrect
Correct Answer: A. The Holy Spirit Medical Goals define the general intentions and
Center is a trendsetter in tertiary health care ambitions of the business but can be difficult
in the next five years to measure. Setting goals is an important
step of business planning, as a well-defined
A vision refers to what the institution wants to broad primary outcome will have an impact
become within a particular period of time. A on areas including your mission statement,
vision statement looks forward and creates a financial objectives, corporate culture, and
mental image of the ideal state that the marketing strategy.
organization wishes to achieve. It is
inspirational and aspirational and should Option A: A vision refers to what the
challenge employees. institution wants to become within a particular
period of time. A vision statement looks
Option B: In a conventional sense, company forward and creates a mental image of the
philosophy stands for the basic beliefs that ideal state that the organization wishes to
people in the business are expected to hold achieve. It is inspirational and aspirational
and be guided by – informal unwritten and should challenge employees.
guidelines on how people should perform and Option C: In a conventional sense, company
conduct themselves. philosophy stands for the basic beliefs that
Option C: The main difference between people in the business are expected to hold
objectives and goals is that objectives are and be guided by – informal unwritten
precise actions or measurable steps guidelines on how people should perform and
individuals and groups take to move closer to conduct themselves.
the goal. They are specific targets that Option D: A mission statement is a concise
typically have a time-bound schedule or explanation of the organization’s reason for
timeline for completion. existence. It describes the organization’s
Option D: Goals define the general intentions purpose and its overall intention. The mission
and ambitions of the business but can be statement supports the vision and serves to
difficult to measure. Setting goals is an communicate purpose and direction to
important step of business planning, as a employees, customers, vendors, and other
well-defined broad primary outcome will have stakeholders.
an impact on areas including your mission
24. Question1 point(s)
Joey plans to revisit the organizational chart 25. Question1 point(s)
of the department. He plans to create a new He likewise stresses the need for all the
position of a Patient Educator who has a employees to follow orders and instructions
coordinating relationship with the head nurse from him and not from anyone else. Which of
in the unit. Which of the following will likely the following principles does he refer to?
depict this organizational relationship?
A. Scalar chain
A. Box B. Discipline
B. Solid line C. Unity of command
C. Broken line D. Order
D. Dotted line Incorrect
Incorrect Correct Answer: C. Unity of command
Correct Answer: C. Broken line
Henry Fayol, a famous industrialist of France,
This is a staff relationship hence it is depicted has described fourteen principles of
by a broken line in the organizational management in his book General and
structure. The broken line’s meaning in an Industrial Management. According to the
organizational chart is a less formal reporting principle of unity of command, an individual
relationship. The person at the end of that employee should receive orders from only
line isn’t the immediate and permanent one superior at a time and that employee
manager, but someone else. In theory, it should be answerable only to that superior. If
means that these reporting relationships are there are many superiors giving orders to the
secondary, but in practice, that’s not always same employee, he will not be able to decide
the case. as to which order is to be given priority. He
thus finds himself in a confusing situation.
Option A: The boxes on an organizational
chart might represent individual employees, Option A: Scalar chain is the formal line of
ad-hoc working groups, or formal teams or authority that moves from highest to lowest
departments. Employee names and titles rank in a straight line. This chain specifies the
and/or job positions are generally depicted in route through which the information is to be
boxes or circles with lines linking them to communicated to the desired location/person.
other employees and departments. Option B: Discipline is essential for any
Option B: The lines always represent the successful work performance. Fayol
reporting path for anyone in a given box. In a considers discipline to mean obedience,
simple hierarchy, the lines run vertically from respect for authority, and observance of
employees to managers and ultimately the established rules. Discipline can be
CEO or proprietor. established by providing good supervision at
Option D: For example, the department or a all levels, clearly explaining the rules, and
member might be assigned to do some work implementing a system of reward and
for a team or a manager in some other part of punishment. A manager can present a good
the company. This member will still have a example to his subordinates by disciplining
solid line connecting to the full-time manager, himself.
but now he’ll also have a dotted line Option D: According to the principle of order,
connecting to whoever’s in charge of the the right person should be placed at the right
other project. This particular relationship is job and the right thing should be placed at the
often referred to as “dotted line reporting.” right place. According to Fayol, every
enterprise should have two different unified goal. This means all the people
orders-Material Order for Physical Resources working in a company should have one goal
and Social Order for Human Resources. and motive which will make the work easier
and achieve the set goal easily.
26. Question1 point(s)
Joey orients his staff on the patterns of 27. Question1 point(s)
reporting relationships throughout the He emphasizes to the team that they need to
organization. Which of the following principles put their efforts together towards the
refer to this? attainment of the goals of the program. Which
of the following principles refers to this?
A. Span of control
B. Hierarchy A. Span of control
C. Esprit de' corps B. Unity of direction
D. Unity of direction C. Unity of command
Incorrect D. Command responsibility
Correct Answer: B. Hierarchy Correct
Correct Answer: B. Unity of direction
Hierarchy refers to the pattern of reporting or
the formal line of authority in an Unity of direction means having one goal or
organizational structure. More bureaucratic one objective for the team to pursue; hence
and structured in nature, a hierarchical all members of the organization should put
organization generally follows a chain and their efforts together towards the attainment
command style of authority with employees of their common goal or objective. Whoever is
reporting to a manager above them. Slow to engaged in the same activity should have a
change, and the most traditional form of org unified goal. This means all the people
design, this structure is commonly found working in a company should have one goal
supporting growth through direct reporting to and motive which will make the work easier
a manager with formal policies and and achieve the set goal easily.
procedures.
Option A: Span of control refers to the
Option A: Span of control refers to the number of subordinates under a manager’s
number of subordinates under a manager’s direct control. As an example, a manager with
direct control. As an example, a manager with five direct reports has a span of control of
five direct reports has a span of control of five. The span of control is a good metric to
five. The span of control is a good metric to assess the efficiency of an organization, as
assess the efficiency of an organization, as long as it looked at in the context of the
long as it looked at in the context of the company’s organizational structure.
company’s organizational structure. Option C: Unity of command an employee
Option C: Esprit de corps means managers should have only one boss and follow his
should create and foster among their command. If an employee has to follow more
employees the morale, common spirit, sense than one boss, there begins a conflict of
of identification, feeling of pride, loyalty, interest and can create confusion.
devotion, honor, solidarity, unity, and Option D: Command responsibility is an
cohesiveness with respect to their omission mode of individual criminal liability:
organization or organizational department. the superior is responsible for crimes
Option D: In the unity of direction, whoever is committed by his subordinates and for failing
engaged in the same activity should have a
to prevent or punish (as opposed to crimes people working in a company should have
he ordered). one goal and motive which will make the work
easier and achieve the set goal easily.
28. Question1 point(s)
Joey stresses the importance of promoting 29. Question1 point(s)
‘esprit d corps’ among the members of the He discusses the goal of the department.
unit. Which of the following remarks of the Which of the following statements is a goal?
staff indicates that they understand what he
pointed out? A. Increase the patient satisfaction rate.
B. Eliminate the incidence of delayed
A. “Let’s work together in harmony; we need administration of medications.
to be supportive of one another” C. Establish rapport with patients.
B. “In order that we achieve the same D. Reduce response time to two minutes.
results; we must all follow the directives of Incorrect
Julius and not from other managers.” Correct Answer: A. Increase the patient
C. “We will ensure that all the resources we satisfaction rate.
need are available when needed.”
D. “We need to put our efforts together in A goal is a desired result towards which
order to raise the bar of excellence in the efforts are directed. A goal is a short
care we provide to all our patients.” statement of the desired outcome to be
Incorrect accomplished over a long time frame, usually
Correct Answer: A. “Let’s work together in three to five years. It is a broad statement
harmony; we need to be supportive of one that focuses on the desired results and does
another” not describe the methods used to get the
intended outcome.
Esprit de corps means managers should
create and foster among their employees the Option B: Objectives are specific, actionable
morale, common spirit, sense of identification, targets that need to be achieved within a
feeling of pride, loyalty, devotion, honor, smaller time frame, such as a year or less, to
solidarity, unity, and cohesiveness with reach a certain goal. Objectives describe the
respect to their organization or organizational actions or activities involved in achieving a
department. goal.
Option C: Goals are the outcomes you intend
Option B: In the principle of unity of to achieve, whereas objectives are the
command, an employee should have only specific actions and measurable steps that
one boss and follow his command. If an you need to take to achieve a goal. Goals
employee has to follow more than one boss, and objectives work in tandem to achieve
there begins a conflict of interest and can success.
create confusion. Option D: Goals are general statements of
Option C: A company should maintain a what is to be achieved. They do not specify
well-defined work order to have a favorable the tasks that need to be performed to
work culture. A positive atmosphere in the accomplish them. Objectives, on the other
workplace will boost more positive hand, are specific actions one takes within a
productivity. certain timeframe.
Option D: In the principle of unity of direction,
whoever is engaged in the same activity 30. Question1 point(s)
should have a unified goal. This means all the
He wants to influence the customary way of information flows between levels within the
thinking and behaving that is shared by the company.
members of the department. Which of the
following terms refer to this? 31. Question1 point(s)
He asserts the importance of promoting a
A. Organizational chart positive organizational culture in their unit.
B. Cultural network Which of the following behaviors indicate that
C. Organizational structure this is attained by the group?
D. Organizational culture
Correct A. Proactive and caring with one another
Correct Answer: D. Organizational culture B. Competitive and perfectionist
C. Powerful and oppositional
Organizational culture refers to the way the D. Obedient and uncomplaining
members of the organization think together Incorrect
and do things around them together. It’s their Correct Answer: A. Proactive and caring with
way of life in that organization. An one another
organization’s culture defines the proper way
to behave within the organization. This Without a positive corporate culture, many
culture consists of shared beliefs and values employees will struggle to find the real value
established by leaders and then in their work, and this leads to a variety of
communicated and reinforced through negative consequences for the bottom line.
various methods, ultimately shaping Employers who invest in the well-being of
employee perceptions, behaviors, and their employees will be rewarded with happy,
understanding. dedicated employees

Option A: An organizational chart is a Option B: A positive culture gives an


diagram that visually conveys a company’s organization a competitive advantage. People
internal structure by detailing the roles, want to work for companies with a good
responsibilities, and relationships between reputation from previous and current
individuals within an entity. Organizational employees. A company with a positive culture
charts are alternatively referred to as “org will attract the type of talent that is willing to
charts” or “organization charts.” make their next workplace a home, rather
Option B: A cultural network hierarchy is than just a stepping-stone.
presented which classifies these tools Option C: Maintaining positive company
according to the CEO?s personal culture is a guaranteed way to boost
involvement with each element. Guidelines employee morale. Employees will naturally
are presented for using the tools of cultural feel happier and enjoy their work more when
communication to change or maintain the they work in a positive environment.
culture at both the managerial level and the Option D: Employees are much more likely to
operational level of the organization. come together as a team at companies with a
Option C: An organizational structure is a strong culture. A positive culture facilitates
system that outlines how certain activities are social interaction, teamwork, and open
directed in order to achieve the goals of an communication. This collaboration can lead to
organization. These activities can include some amazing results.
rules, roles, and responsibilities. The
organizational structure also determines how 32. Question1 point(s)
Stephanie is a new Staff Educator of a private duty hours. What type of organizational
tertiary hospital. She conducts orientation structure is this?
among new staff nurses in her department.
Joseph, one of the new staff nurses, wants to A. Formal
understand the channel of communication, a B. Informal
span of control, and lines of communication. C. Staff
Which of the following will provide this D. Line
information? Incorrect
Correct Answer: B. Informal
A. Organizational structure
B. Policy This is usually not published and oftentimes
C. Job description concealed. The informal organization is the
D. Manual of procedures interlocking social structure that governs how
Correct people work together in practice. It is the
Correct Answer: A. Organizational structure aggregate of behaviors, interactions, norms,
and personal/professional connections
Organizational structure provides information through which work gets done and
on the channel of authority, (i.e., who reports relationships are built among people. It
to whom and with what authority) the number consists of a dynamic set of personal
of people who directly report to the various relationships, social networks, communities of
levels of hierarchy, and the lines of common interest, and emotional sources of
communication whether line or staff. motivation.

Option B: Policy is a law, regulation, Option A: The formal structure of a group or


procedure, administrative action, incentive, or organization includes a fixed set of rules of
voluntary practice of governments and other procedures and structures, usually set out in
institutions. Policy decisions are frequently writing, with a language of rules that
reflected in resource allocations. Health can ostensibly leave little discretion for
be influenced by policies in many different interpretation. In some societies and
sectors. organizations, such rules may be strictly
Option C: Job description is a broad, general, followed; in others, they may be little more
and written statement of a specific job, based than an empty formalism.
on the findings of a job analysis. It generally Option C: In the staff organization structure,
includes duties, purpose, responsibilities, the employees follow the directives of the
scope, and working conditions of a job along managers. The line group as a whole is seen
with the job’s title, and the name or as a function that is essential to the business.
designation of the person to whom the Staff positions are those that indirectly
employee reports. support line functions in the organizations.
Option D: A procedures manual contains the Like line positions, staff positions also consist
policies, guidelines, and processes for the of managers and employees.
whole organization. It exists to help Option D: Line organization structure is the
employees do their jobs in an approved and oldest and simplest form of organization. In
consistent manner. these organizations, a supervisor exercises
direct supervision over a subordinate. Also,
33. Question1 point(s) authority flows from the top-most person in
Stephanie is often seen interacting with the the organization to the person in the lowest
medical intern during coffee breaks and after rung.
efficiency, increase nurse retention and
34. Question1 point(s) promote quality care, a study in The Journal
She takes pride in saying that the hospital of Nursing Administration found.
has a decentralized structure. Which of the
following is not compatible with this type of 35. Question1 point(s)
model? Centralized organizations have some
advantages. Which of the following
A. Flat organization statements is true? Select all that apply.
B. Participatory approach
C. Shared governance A. Highly cost-effective
D. Tall organization B. Makes management easier
Incorrect C. Reflects the interest of the worker
Correct Answer: D. Tall organization D. Allows quick decisions or actions.
Incorrect
Tall organizations are highly centralized Correct Answer: A & B
organizations where decision-making is
centered on one authority level. A tall Centralized organizations need only a few
organizational structure means that managers hence they are less expensive and
management is broken down into several easier to manage. In a centralized
layers, with executives on top and normal organization, the decision-making powers are
employees on the bottom. In a tall retained in the head office, and all other
organization, there will be a large number of offices receive commands from the main
managers, and each manager will usually be office. The executives and specialists who
responsible for a small group of employees. make critical decisions are based in the head
office.
Option A: Flat organizations have a structure
with few levels of middle management Option B: A centralized organization benefits
between leadership and employees—or, in from a clear chain of command because
some cases, no middle management at all. every person within the organization knows
Small organizations and startups often have who to report to. Junior employees know who
flat structures because they have fewer to approach whenever they have concerns
employees and less of a need for hierarchical about the organization.
management. Option C: When an organization follows a
Option B: A participatory approach means centralized management structure, it can
that the person in charge of solving a problem focus on the fulfillment of its vision with ease.
or designing an innovation involves people There are clear lines of communication and
who are directly concerned by the result of the senior executive can communicate the
his or their work. Problem solving and organization’s vision to employees and guide
innovation are thus conducted directly with them toward the achievement of the vision.
regards to the situation to be transformed. Option D: In a centralized organization,
Option C: In its simplest form, shared decisions are made by a small group of
governance is shared decision-making based people and then communicated to the
on the principles of partnership, equity, lower-level managers. The involvement of
accountability, and ownership at the point of only a few people makes the decision-making
service. Shared governance increases nurse process more efficient since they can discuss
engagement, improves patient outcomes, and the details of each decision in one meeting.
allows hospital administrators to optimize
36. Question1 point(s)
Stephanie delegates effectively if she has A. Meet the needs of patients.
authority to act, which is best defined as: B. Provide a pair of hands to other units as
needed.
A. Having a responsibility to direct others. C. Cover all time periods adequately.
B. Being accountable to the organization. D. Allow for growth and development of
C. Having a legitimate right to act. nursing staff.
D. Telling others what to do. Incorrect
Incorrect Correct Answer: B. Provide a pair of hands to
Correct Answer: C. Having legitimate right to other units as needed.
act.
Providing a pair of hands for other units is not
Authority is a legitimate or official right to give a purpose in doing an effective staffing
the command. This is an officially sanctioned process. This is a function of a staffing
responsibility. Managers must possess the coordinator at a centralized model. Staff
authority to give orders, and recognize that positions affect customers indirectly, only to
with authority comes responsibility. As well as the extent that the support they provide helps
rank, Fayol argues that a manager’s line employees improve quality and customer
intelligence, experience, and values should satisfaction.
command respect.
Option A: Staff structure allows to preserve
Option A: In order to get things done in an the principle of one-man management (every
organization, management has the authority worker has only one superior), but at the
to give orders to the employees. Of course same time provides greater flexibility in
with this authority comes responsibility. changing operating conditions. It also
According to Henri Fayol, the accompanying introduces an element of encouraging
power or authority gives the management the cooperation between all members of the
right to give orders to the subordinates. organization.
Option B: The responsibility can be traced Option C: Staff structure or linear-staff
back from performance and it is, therefore, organizational structure is one of the attempts
necessary to make agreements about this. In to solve the problem of linear structure
other words, authority and responsibility go constraints. Manager having too much
together and they are two sides of the same various tasks is not able to effectively
coin. manage its employees.
Option D: The right to give orders should not Option D: One of the key advantages is that
be considered without reference to this structure provides line personnel with
responsibility. If the authority is more than expertise from staff groups. As a result, the
responsibility then chances are that a key decision-makers in the organization are
manager may misuse it. If responsibility is well-informed and armed with specialized
more than authority then he may feel knowledge.
frustrated.
38. Question1 point(s)
37. Question1 point(s) Which of the following guidelines should be
Regardless of the size of a workgroup, least considered in formulating objectives for
enough staff must be available at all times to nursing care?
accomplish certain purposes. Which of these
purposes is not included? A. Written nursing care plan
B. Holistic approach A. Uses visioning as the essence of
C. Prescribed standards leadership.
D. Staff preferences B. Serves the followers rather than being
Incorrect served.
Correct Answer: D. Staff preferences C. Maintains full trust and confidence in the
subordinates.
Staff preferences should be the least priority D. Possesses innate charisma that makes
in formulating objectives of nursing care. others feel good in his presence.
Individual preferences should be subordinate Incorrect
to the interest of the patients. Along with Correct Answer: A. Uses visioning as the
clinical guidelines, patient preferences essence of leadership.
provide direction for selecting treatment
options and tailoring interventions. Patient Transformational leadership relies heavily on
preferences also help inform choice in clinical visioning as the core of leadership.
decisions where science has yet to provide Transformational leadership is a leadership
dominant solutions to health care problems. style that can inspire positive changes in
those who follow. Transformational leaders
Option A: Care plans help nurses focus on are generally energetic, enthusiastic, and
patients in a holistic, big-picture way so they passionate. Not only are these leaders
can deliver evidence-based, patient-centered concerned and involved in the process; they
care. Care plans also help hospitals ensure are also focused on helping every member of
continuity of care across nursing shifts, the group succeed as well.
promote inter-professional collaboration by
getting everyone on the same page, and Option B: Servant leadership is a leadership
meet documentation requirements for philosophy in which the goal of the leader is
insurers and governing bodies. to serve. This is different from traditional
Option B: A holistic approach means leadership where the leader’s main focus is
providing the support that looks at the whole the thriving of their company or organizations.
person, not just their mental health needs. Instead of the people working to serve the
The support should also consider their leader, the leader exists to serve the people.
physical, emotional, social, and spiritual Option C: Laissez-faire leadership is fairly
wellbeing. A holistic approach focuses on a self-explanatory. This kind of leadership is
person’s wellness and not just their illness or very hands-off—managers trust their
condition. employees and are confident in their abilities.
Option C: Standards of care in nursing are They give guidance and take responsibility
guidelines that provide a foundation as to where needed, but this leadership style
how a nurse should act, and what they should means that subordinates and team members
and should not do in their professional have the real lead.
capacity. These policies and procedures are Option D: Charismatic leadership is a
guidelines that all nurses must follow. trait-based leadership theory where the
leaders act as visionary driven by their
39. Question1 point(s) convictions and motivate their followers to
Stephanie considers shifting to work towards a common vision using their
transformational leadership. Which of the charm and persuasiveness. Leaders are able
following statements best describes this type to cultivate a profound sense of trust with the
of leadership? group of followers.
40. Question1 point(s)
As a manager, she focuses her energy on
both the quality of services rendered to the
patients as well as the welfare of the staff of
her unit. Which of the following management
styles does she adopt?

A. Country club management


B. Organization man management
C. Team management
D. Authority-obedience management
Correct
Correct Answer: C. Team management

Team management has a high concern for


services and high concern for staff. Team
management is the ability of an individual or
an organization to administer and coordinate
a group of individuals to perform a task. Team
management involves teamwork,
communication, objective setting, and
performance appraisals.

Option A: The country club leader has the


most concern for people. This leader
assumes that if employees are happy, they
will work hard. This leader’s high interest in
the needs and feelings of employees affects
productivity. With much of the focus on
employee comfort, this leader finds it difficult
to punish an employee. As a result, the
relationship between employee and leader is
very casual, like that of friends.
Option B: Management is the process of
guiding the development, maintenance, and
allocation of resources to attain
organizational goals. This process is based
on four key functional areas of the
organization: planning, organizing, leading,
and controlling.
Option D: Authority-obedience management
results from such a management style that is
task-oriented, or task-motivated. The
authority-obedience management style overly
emphasizes the value of completing tasks to
the extent that it risks human relationships.

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