3. The nurse-to-client ratio is 4 to 1.
4. The primary nursing model is used for care.
Correct Answer: 2
Rationale 1: Organizational climate is based on physical attributes and policy and procedure. Private rooms are
an example of organizational climate.
Rationale 2: Organizational culture is based on norms and traditions such as nurses wearing colorful attire.
Rationale 3: Organizational climate is based on physical attributes and policy and procedure. The nurse-to-client
ratio is an example of organizational climate.
Rationale 4: Organizational climate is based on physical attributes and policy and procedure. Using primary
nursing models is an example of organizational climate.
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: 2-6: Discuss how the organizational environment and culture affect workplace conditions.
Question 15
Type: MCMA
The nurse applying for a position is told, “This hospital has a very traditional organizational structure.” The nurse
would expect the organization to use which structure?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Functional
2. Shared governance
3. Service-line
4. Parallel
5. Matrix
Sullivan, Effective Leadership and Management, 8/e Test Bank
Rationale 2: Because so many day-to-day operation decisions are made by senior managers in this structure,
these people may become overloaded and unable to be efficient in their work.
Rationale 3: Typically, in a functional structure, promotion occurs from within.
Rationale 4: Typically, response to changes in the external environment is very slow in organizations with
functional structure.
Rationale 5: Many managers in functionally structured organizations rise “up the ranks” to their position; there is
often very little formal management training.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 2-3: Explain how health care organizations are structured.
Question 17
Type: MCSA
The nurse’s friend says, “I’ve been thinking about going to that health care clinic in the grocery store so someone
can look at my daughter’s rash. What do you think?” Which response by the nurse is appropriate?
1. “Most of those retail clinics are not very good. I’d go somewhere else.”
2. “That would be okay, but you have to pay extra for the convenience.”
3. “If the nurse practitioner at the clinic thinks the rash is significant, you will be referred for additional care.”
4. “I would use the clinic for myself, but not for my children.”
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2-4: Discuss various ways that health care is provided.
Question 18
Type: MCSA
A hospitalized client is complaining of abdominal pain that has developed since admission. The nurse says, “I am
going to call the hospitalist.” How should the client interpret this statement?
1. The nurse is going to call the medical intern to assess the client.
2. The nurse is going to call the client’s physician’s on-call group.
3. The nurse is going to call a physician who cares for inpatients.
4. The nurse is going to call the emergency department and request that a physician see this client.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2-4: Discuss various ways that health care is provided.
Question 19
Type: MCSA
The health care institution has organized a committee to review and revise the strategic plan. As part of this work,
committee members have been asked to submit a philosophy statement for consideration. Which statement meets
the requirements of a philosophy?
1. “We will increase client satisfaction by 15 percent.”
Sullivan, Effective Leadership and Management, 8/e Test Bank
2. “We will increase productivity by 10 percent on the surgical floor.”
3. “We believe in honest communication.”
4. “We believe clients are most important.”
Rationale 4: The goal of an integrated health care system is to keep clients healthy so that more expensive
options, like home care, are not needed.
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: 2-4: Discuss various ways that health care is provided.
Question 21
Type: MCMA
A nurse practitioner and a physician are considering establishing a medical home. For this venture to be
successful, these health care providers should ensure which resources are available?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Electronic medical records (EMR) technology
2. A sufficient number of older adults who require long-term care
3. An understanding of the complexity of multiple-need clients
4. A robust marketing plan that describes the home’s physical environment
5. A plan for compensation for the primary care provided
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2-4: Discuss various ways that health care is provided.
Question 22
Type: MCSA
Which situation is an example of organizational culture?
1. Every Friday the administrator allows everyone to wear crazy hats while on the units.
2. The cafeteria opens at 7:00 a.m. for breakfast, 11:00 a.m. for lunch, and 5:00 p.m. for dinner.
3. The administration has set the time clock to count staff late if clocking in 7 minutes after the shift starts.
4. ICU nurses know to take turns covering each other’s clients to facilitate eating breakfast and lunch on the day
shift.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 2-6: Discuss how the organizational environment and culture affect workplace conditions.
Question 23
Type: MCMA
Sullivan, Effective Leadership and Management, 8/e Test Bank