Nursing Chapter 10 A new nursing leader assesses that there is a low level

subject Type Homework Help
subject Pages 9
subject Words 2831
subject Textbook Leadership and Management for Nurses: Core Competencies for Quality Care 3rd Edition
subject Authors Anita Finkelman

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Leadership and Management for Nurses, 3e (Finkelman)
Chapter 10 Diversity and Disparities in Health Care
1) The Governing Board of the hospital has completed an assessment of the organization's
culture. Which findings would lead the Board to determine that the culture is healthy? Select all
that apply.
1. There is wide variation in the expectations of individual employees and departments.
2. The decisions made about care are staff-centered.
3. There is evidence that the values of the organization and the health professionals working
there are similar.
4. The organization is designed to serve its health professionals.
5. New people who come into the organization learn about the culture by connecting behaviors
and consequences.
2) A new nursing leader assesses that there is a low level of trust in the organization. Which staff
report would indicate that this is beginning to be corrected?
1. Staff members feel safe to approach the leader and be heard.
2. Systems are in place for staff to have input in decisions.
3. They are expected to communicate clearly with each other.
4. They can expect to receive written notices of praise for work well done.
3) Which findings would indicate to the nurse executive that a dissonant culture exists in the
healthcare agency? Select all that apply.
1. Nurses frequently voice complaints to the administration about healthcare deficiencies when
they emerge.
2. The facility has a high turnover rate among its registered nursing staff.
3. The organization focuses more on patient issues than on financial viability.
4. There is a means for providing care for those patients who lack health insurance coverage.
5. The education budget for the division of nursing has been cut by half.
4) What goals of HHS Disparities Action Plan focus on? Select all that apply.
1. Strengthen the health and human services infrastructure and workforce
2. Increase efficiency, transparency, and accountability in HHS programs
3. Transfer HHS programs to the states
4. Advance scientific knowledge and innovation
5. Increase emergency preparedness
5) A nursing agency's managers are planning to make the organization more flexible and
internally focused. What should be included in these managers' strategies?
1. A halt to any changes in policy and procedure
2. Increased involvement of management in all aspects of clinical decision-making
3. Involving all staff in knowledge of and full participation in financial and market values of the
4. Rewarding innovation and involvement of staff in change
6) A health agency with a consonant culture will demonstrate which signs or symbols of its
culture? Select all that apply.
1. Each care unit has its own dress code, which is displayed prominently on its bulletin board.
2. Administrative offices are located in a separate building.
3. Employee articles about satisfying patient care experiences are included in the agency's
4. Separate snack areas are established on each unit, replacing the central cafeteria.
5. There is agency wide staff participation in the annual summer picnic.
7) The health facility serves a large minority population with its own particular language. How
would this population best be included in the agency's culture?
1. Use family members as interpreters.
2. Computer programs with common phrases available to patients and staff.
3. A list of interpreters available for calling in when needed.
4. Staff representative of the minority and other staff with bilingual skills.
8) The nurse manager identifies that many of the unit staff belong to Generation Y. How can the
manager most effectively motivate this group of employees?
1. Speak about goals in a general fashion, but use a serious tone in expression of the goals.
2. Emphasize long-term benefits of continued employment with this agency.
3. Demonstrate that all work systems are firmly in place and well-established.
4. Foster an atmosphere open to technology and intelligent creativity.
9) The nurse is in a position to provide input into the creation of a healing organization. This
nurse should advocate for which position?
1. Clear, honest, and open apologies from administration regarding prior barriers to staff job
2. Patient care environments that allow staff to complete their tasks efficiently.
3. Systems of admission and care that provide easy access to services, attention, and staff.
4. Patient care and staff work areas that are free from microbes, including those that might be
brought in by visitors.
10) Which situation must be avoided in order for the organization to be compliant with the
American Disabilities Act?
1. Failure to meet any request of need of a disabled employee.
2. Asking questions about the severity of the disability during the hiring process.
3. A focus, during the hiring process, on whether the job candidate can perform essential job
4. A specific definition of the functions of the position, including amount of time allowed for
11) Nurses in a hospital are asked to provide input on decisions regarding architectural changes
for their units. Based on research on private versus shared rooms, the nurses should opt for which
1. Wards of four patients in order to facilitate speed of care delivery.
2. Double rooms, which the patient prefers due to decreased expense.
3. Double rooms, which make the patient feel more secure.
4. Private rooms, to decrease nosocomial infection rates.
12) The healthcare organization has a long history of a dissonant culture. How can nurse leaders
in the facility promote change to a healing culture? Select all that apply.
1. Hire staff with strong clinical skills and then provide education on values consistent with those
of a healing culture.
2. Hire staff with similar cultural backgrounds to reduce differences.
3. Foster retention of administrators and staff with diverse backgrounds but with similar,
consistent thinking habits and ideas.
4. Assessing the mission statement of the organization for its stated values.
5. Appraise whether stated values are cherished and demonstrated.

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