Question 1

The theory that focuses on how values and norms affect organizational activity is:
A) Structural contingency theory
B) Institutional theory
C) Resource dependence theory
D) Systems theory

Accepted Answer

Institutional theory examines how organizations conform to external values and norms in order to gain legitimacy and legitimacy is important for organizations because it gives them the right to exist in society. This theory emphasizes that formal and informal rules and regulations guide organizational behavior, and that organizations mimic other successful organizations to achieve legitimacy.

Question 2

According to structural contingency theory, agencies should have more formal structures:
A) When employees perform varying tasks
B) When employees have high levels of professional education
C) When the industry or environment in which the agency operates is changing
D) As the agency grows larger

Accepted Answer

According to structural contingency theory, agencies should have more formal structures as they grow larger to cope with the complexity and coordination challenges that arise with increasing size. This allows for greater efficiency and decentralized decision-making, providing a more stable and predictable environment for employees. While the other options may also require formal structures in some cases, they are not as directly related to the size of the agency as option D.

Question 3

An example of a micro-level theory is:
A) Leadership theory
B) Structural contingency
C) Resource dependence
D) Institutional theory

Accepted Answer

Leadership theory focuses on the behaviors and traits of individual leaders, making it a micro-level theory that is concerned with understanding individual behavior and decision making. The other options listed are macro-level theories that examine broader patterns and systems within organizations and society as a whole.

Question 4

An example of a macro-level theory is:
A) Leadership theory
B) Communication theory
C) Resource dependence
D) Motivation theories

Accepted Answer

Resource dependence theory is a macro-level theory that explains how organizations rely on external resources to achieve their goals and how they must manage their relationships with these resources to maintain survival and success. Leadership theory, communication theory, and motivation theory are more focused on individual behavior within organizations and are considered micro-level theories.

Question 5

Older adults in the community are at high risk for medication errors. This may occur because older adults:
A) Are not competent to take their own medications and need supervision
B) Are often taking high-risk medications
C) Are not motivated to take medications correctly
D) Need community health nurses to sort and organize their medications

Accepted Answer

Older adults are often taking multiple medications, including high-risk medications for chronic conditions. This can increase the risk of medication errors, such as drug interactions or adverse reactions. Therefore, healthcare providers need to closely monitor and manage medication regimens for older adults in the community.

Question 6

A goal of community-oriented nursing management is:
A) Help personnel perform their responsibilities effectively and efficiently
B) Work with others to ensure a healthy community
C) Serve as an advocate for vulnerable and high-risk populations
D) Participate in establishing public and organizational policies that promote a healthy living and working environment

Accepted Answer

The answer of A goal of community-oriented nursing management is:
A)...

Question 7

Health systems are reorganizing to provide seamless systems of care in which all services to meet client needs are owned by the system. A system organized like this is an example of:
A) Horizontal integration
B) Vertical integration
C) Managed care
D) Alliances

Accepted Answer

Vertical integration involves the ownership of services along the continuum of care, allowing for seamless delivery and coordination of services. Horizontal integration involves the consolidation of services within a specific level of care, while managed care refers to a method of financing and coordinating healthcare services. Alliances refer to partnerships or agreements between organizations but do not necessarily involve ownership of services.

Question 8

Community-oriented nurses need effective leadership, interpersonal, political, organizational, fiscal, analytical, and information competencies. Working in the community involves:
A) Highly technical skills in acute care as a background
B) Great political savvy to deal with local officials
C) Computer and word-processing skills
D) Being able to work with populations and groups to build coalitions and work with partnerships

Accepted Answer

Working in the community as a nurse requires the ability to work with populations and groups to build coalitions and work with partnerships, which requires strong leadership, interpersonal, political, organizational, fiscal, analytical, and information competencies. Technical skills in acute care may be helpful, but they are not the primary focus in community-oriented nursing. Computer and word-processing skills may be useful, but they are not directly related to working with communities. Political savvy may be important, but it is not the only or most important competency needed for community-oriented nursing.

Question 9

The theory that states that the most effective leadership style depends on characteristics of the relationship between leaders and followers, the task, and the situation is:
A) Contingency theory
B) Path-goal theory
C) Social learning theory
D) Transformational leadership

Accepted Answer

The theory described aligns with contingency theory, which posits that there is no one-size-fits-all approach to leadership and that the most effective leadership style varies depending on the specific situation and context. Path-goal theory is more focused on the leader's role in facilitating followers' achievement of their goals, while social learning theory is focused on how individuals learn from observing others. Transformational leadership is a style that emphasizes inspiring and empowering followers to achieve a shared vision, but it is not specific to situational factors.

Question 10

There are levels of prevention for community-oriented nursing leadership and management. Which of the following is an example of secondary prevention?
A) Developing policies and procedures for referral programs
B) Designing protocols for lead screening
C) Serving as a chair to organize a smallpox vaccination program
D) Monitoring implementation of performance-improvement activities

Accepted Answer

Secondary prevention refers to activities designed to detect and treat disease in its early stages, before it becomes advanced and leads to complications. Designing protocols for lead screening is an example of secondary prevention as it involves detecting and treating lead poisoning early on to prevent long-term health effects. Developing policies and procedures for referral programs, serving as a chair to organize a smallpox vaccination program, and monitoring implementation of performance-improvement activities are all examples of primary prevention activities aimed at preventing the occurrence of disease or injury in the first place.

Question 11

Employee appraisal and coaching are closely linked to motivation and individual development. Creating a motivating workplace involves:
A) Discussing with employees their personal life and home commitments
B) Providing regular feedback to employees
C) Allowing employees to take off work whenever necessary
D) Doing spot checks of employee's work without notice

Accepted Answer

Providing regular feedback to employees is important for employee appraisal and coaching as it helps to improve performance and motivation. A and C are not related to performance appraisal and coaching. D can create a stressful work environment and does not promote trust between employee and manager.

Question 12

A written listing of how a health care agency compares with other agencies on certain key indicators of quality-such as morbidity and mortality measures, client satisfaction, and cost of care-is called a(n):
A) Agency report card
B) Alliance
C) Integrated system
D) Joint practice

Accepted Answer

A written listing of how a health care agency compares with other agencies on certain key indicators of quality-such as morbidity and mortality measures, client satisfaction, and cost of care-is called an Agency report card.

Question 13

The theory that says that people learn in part from role models and that confidence in one's ability to reach a goal is a key to motivation that sustains efforts to achieve goals is:
A) Contingency theory
B) Path-goal theory
C) Social learning theory
D) Transformational leadership

Accepted Answer

The theory that suggests people learn from role models is Social learning theory. This theory also highlights the importance of confidence and self-efficacy in motivating individuals to achieve goals. Contingency theory focuses on the relationship between the leader's style and the situation, while path-goal theory outlines different leadership behaviors to achieve specific goals. Transformational leadership theory highlights the leader's ability to inspire and motivate followers to achieve their best.

Question 14

Which of the following is nursing leadership?
A) Monitoring the budget for an immunization program
B) Influence of the nurse on improving client health
C) Coordinating an interdisciplinary team
D) Use of resources in providing clinical services

Accepted Answer

Influence of the nurse on improving client health is nursing leadership.

Question 15

The consultation process involves a written contract and the price for services. The consultation process involves seven phases. The first is:
A) Initial contact with the client
B) Negotiating for higher fees
C) Intervention
D) Collection of data

Accepted Answer

The first phase of the consultation process is initial contact with the client. This is where the consultant and the client establish communication and discuss the nature of the services needed. The other options are not appropriate as negotiating for higher fees would come later in the process, intervention would come after data collection and analysis, and collection of data comes later in the process after initial contact.

Question 16

Which of the following statements describes managed care organizations?
A) They actively recruit vulnerable populations.
B) Payment for services is integrated with delivery of services.
C) Reimbursement is usually based on fee-for-service.
D) Hospitals are the preferred setting for service delivery.

Accepted Answer

Managed care organizations integrate payment for services with delivery of services, meaning that they focus on managing costs while also ensuring quality care for their members. This is typically done through contracts with healthcare providers, negotiated fees, and utilization management strategies. The other options (A, C, and D) are not accurate statements about managed care organizations.

Question 17

Time management is important for community leaders. Which of the following is an important element of time management?
A) Prioritization of goals
B) Arriving at the site early in the morning
C) Being at the site; available to others at all times
D) Completing all tasks

Accepted Answer

Prioritization of goals is an important element of time management because it allows community leaders to focus on accomplishing the most important tasks first and allocate their time and resources effectively. Simply completing all tasks or being available at all times may not result in the most productive use of time. Arriving early in the morning may also be helpful, but it is not the only or most important element of time management.

Question 18

Integrating micro and macro systems-level organizational theories helps nurses create professional working environments that promote patient safety. There are five management practices that are essential for patient safety. These include:
A) Creating an autocratic environment in the work place
B) Requiring employees to use strict procedures in all aspects of patient care
C) Involving workers in decision making pertaining to work design and flow
D) Working with acute care facilities for continuance of care

Accepted Answer

Involving workers in decision making pertaining to work design and flow is essential for creating a professional working environment that promotes patient safety. This management practice aligns with macro-level organizational theory by recognizing the importance of organizational culture and how it can impact outcomes. It also aligns with micro-level organizational theory by empowering and engaging employees in decision-making processes, which can promote job satisfaction and motivation. Autocratic environments and strict procedures may result in a lack of employee engagement and hinder the development of a positive organizational culture. Working with acute care facilities for continuance of care is important for patient safety, but it is not a management practice that directly impacts the working environment for nurses.

Question 19

When a manager pays attention to group dynamics and fosters cooperation to increase productivity, the approach is based on:
A) Classical management
B) Scientific management
C) Expectancy theory
D) Reinforcement theory

Accepted Answer

The approach described in the question is based on classical management principles, specifically on the idea of "human relations" advocated by theorists like Elton Mayo. This approach emphasizes the importance of group dynamics and interpersonal relationships in the workplace, and encourages managers to foster cooperation and collaboration among employees to increase productivity. Scientific management, on the other hand, is more concerned with optimizing individual tasks and processes for maximum efficiency, and may not place as much emphasis on group dynamics. Expectancy theory and reinforcement theory are motivational theories that relate to employee behavior and performance, and are not directly related to the management approach described in the question.

Question 20

The theory that emphasizes the interdependence of organizational players is:
A) Structural contingency theory
B) Institutional theory
C) Resource dependence theory
D) Systems theory

Accepted Answer

Systems theory emphasizes the interdependence of organizational players and how they interact with each other as part of a larger system. This theory highlights the importance of understanding the relationships among various parts of an organization and their effect on the organization as a whole.

Quiz 40: The Nurse Leader in the Community

The theory that focuses on how values and norms affect organizational activity is:

According to structural contingency theory, agencies should have more formal structures:

An example of a micro-level theory is:

An example of a macro-level theory is:

Older adults in the community are at high risk for medication errors. This may occur because older adults:

A goal of community-oriented nursing management is:

Health systems are reorganizing to provide seamless systems of care in which all services to meet client needs are owned by the system. A system organized like this is an example of:

Community-oriented nurses need effective leadership, interpersonal, political, organizational, fiscal, analytical, and information competencies. Working in the community involves:

The theory that states that the most effective leadership style depends on characteristics of the relationship between leaders and followers, the task, and the situation is:

There are levels of prevention for community-oriented nursing leadership and management. Which of the following is an example of secondary prevention?

Employee appraisal and coaching are closely linked to motivation and individual development. Creating a motivating workplace involves:

A written listing of how a health care agency compares with other agencies on certain key indicators of quality-such as morbidity and mortality measures, client satisfaction, and cost of care-is called a(n) :

The theory that says that people learn in part from role models and that confidence in one's ability to reach a goal is a key to motivation that sustains efforts to achieve goals is:

Which of the following is nursing leadership?

The consultation process involves a written contract and the price for services. The consultation process involves seven phases. The first is:

Which of the following statements describes managed care organizations?

Time management is important for community leaders. Which of the following is an important element of time management?

Integrating micro and macro systems-level organizational theories helps nurses create professional working environments that promote patient safety. There are five management practices that are essential for patient safety. These include:

When a manager pays attention to group dynamics and fosters cooperation to increase productivity, the approach is based on:

The theory that emphasizes the interdependence of organizational players is: