Sullivan, Effective Leadership and Management, 8/e
Chapter 2
Question 1
Type: MCSA
Using the classical organizational theory model, what would be the most appropriate method for the nurse to
voice concern over unfair client workload assignments?
1. Circulate a petition to all staff seeking support for change in assignment policy and present the signed petition
to the nursing supervisor.
2. Discuss the problem with the nurse’s team leader and then the charge nurse if the problem remains unsolved.
3. Invite the vice president in charge of nursing to a unit meeting.
4. Organize a unit meeting to discuss the problem on all shifts.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 2-1: Discuss how organizational theories differ.
Question 2
Type: MCSA
Which relationship is an example of staff authority in classical theory?
Sullivan, Effective Leadership and Management, 8/e Test Bank
1. The shift supervisor directs the staff nurse to help another nurse admit two new clients.
2. The unit manager asks the staff nurse to participate in a unit conference.
3. The team leader asks the staff nurse to assume care of an extra client after another nurse goes home ill.
4. The staff nurse’s mentor calls to see how the nurse’s first day on a new unit progressed.
Rationale 1: Span of control is the number of persons a manager can effectively supervise.
Rationale 2: Line authority is a linear hierarchy through which activity is directed.
Rationale 3: The Hawthorne effect is the tendency of people to perform as expected because of special attention.
Rationale 4: Adhocracy is a fluid structure in which management, staff, and experts work together on teams.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 2-6: Discuss how the organizational environment and culture affect workplace conditions.
Question 4
Type: MCSA
A community-owned hospital has been purchased by a health care conglomerate. The staff is aware that the
organizational theory governing the hospital is likely to change. Which statement indicates a lack of
understanding of organizational theory on the part of a staff nurse?
1. “If our new bosses want a classical organization, we can expect a strong hierarchy.”
2. “If we don’t want to see lots of changes, we should hope our new bosses don’t like chaos theory.”
3. “If this new company is based on systems theory, there will be a lot of focus on how much work we can
produce.”
4. “If this new company is based on contingency theory, we will see lots of focus on how our environment impacts
our work.”
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2-1: Discuss how organizational theories differ.
Question 5
Type: MCSA
During a performance evaluation the nurse manager states, “My span of control is just too large.” How should the
unit supervisor interpret this statement?
1. The nurse manager is not capable of performing all the duties expected of the role.
2. The nurse manager may have too many staff members to manage.
3. The nurse manager is burned out and needs time away from the unit.
4. The nurse manager is not educationally prepared for the role.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 2-6: Discuss how the organizational environment and culture affect workplace conditions.
Question 6
Type: MCSA
During a nurse’s interview for a new job, the health benefits are described as being provided by a health
maintenance organization (HMO). What should the nurse expect from this coverage?
1. The nurse will have to choose a provider from within the HMO.
Sullivan, Effective Leadership and Management, 8/e Test Bank
2. The nurse can obtain services from a nonparticipating provider and the HMO will pay for a portion of the
charges.
3. For an additional premium, the nurse can choose any provider.
4. By joining this HMO, the nurse is entitled to unlimited treatment and services.
Rationale 2: In functional structure, individual departments are grouped and responsible for specific tasks. The
dietary department would be responsible for nutritional assessment in this structure, so this is not a weakness.
Rationale 3: In functional structure, individual departments are grouped and responsible for specific tasks. All
nursing tasks would be grouped under the nursing department, so this is not a weakness.
Rationale 4: In functional structure, individual departments are grouped and responsible for specific tasks.
Physical and occupational therapy would logically coordinate and evaluate activities of daily living, so this is not
a weakness.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 2-3: Explain how health care organizations are structured.
Question 8
Type: MCSA
A nurse practitioner and a physician have opened an office together. The nurse regularly collaborates with the
physician in client care and is a general partner in the business of the office. This is an example of which
diversification method?
1. Concentric diversification
2. Conglomerate diversification
3. Capitation
4. Joint venture
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2-3: Explain how health care organizations are structured.
Question 9
Type: MCSA
A client who is being discharged from the hospital will need follow-up for wound care. The client’s spouse is not
capable of providing bed baths for the client. The nurse case manager who is planning care for this client should
contact which agency?
1. Long-term-care facility
2. Public health department
3. Temporary service agency
4. Home health agency
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 2-2: Describe the different types of health care organizations.
Question 10
Type: MCSA
A nurse manager encourages nursing staff members to assist in developing a new creative staffing pattern that can
respond quickly when staff resign or go back to school. This is an example of the use of which organizational
theory?
Sullivan, Effective Leadership and Management, 8/e Test Bank
1. Contingency theory
2. Closed-systems theory
3. Classical theory
4. Chaos theory
Rationale 1: Service-line structure is appropriate when environmental uncertainty is high and the organization
requires frequent adaptation and innovation.
Rationale 2: The medical staff is autonomous from the organization in parallel structure. This autonomy is
reduced by service-line structure.
Rationale 3: Parallel structure exists when there are two lines of authority in an organization.
Rationale 4: Organizational structure is much clearer in a parallel structure.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2-3: Explain how health care organizations are structured.
Question 12
Type: MCSA
Which structure is reflected by the statement “Nursing practice is best determined by nurses”?
1. Hybrid
2. Shared governance
3. Matrix
4. Functional
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2-3: Explain how health care organizations are structured.
Question 13
Type: MCSA
“We want to be the hospital of choice in the Midwest” is which type of statement?
1. Value statement
2. Mission statement
3. Vision statement
4. Philosophy statement
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2-5: Demonstrate how strategic planning guides the organization’s future.
Question 14
Type: MCSA
What is the best example of a pediatric unit’s organizational culture?