Leadership and Management for Nurses, 3e (Finkelman)
Chapter 4 Organizational Structure for Effective Care Delivery
1) The organizational analysis documentation describes the organization as one with centralized
leadership with a clearly defined organization chart hierarchy. The organization is divided into
departments and follows detailed rules and regulation. This organization follows which theories?
Select all that apply.
1. Classical
2. Systems
3. Integrated delivery system
4. Vertical integration theory
5. Bureaucratic
2) The healthcare organization is undergoing reorganization to a service-line structure. What are
the benefits of this structure? Select all that apply.
1. There is a clear delineation of the organization’s rules.
2. Each staff member reports to only one supervisor.
3. Staff members are not encouraged to use creative problem solving.
4. Departments are less likely to place blame on one another.
5. The nursing presence is strong and unified.
3) The director of nursing education for a hospital has been asked to provide continuing
education on safety precautions to physicians, nurses, and all other disciplines providing patient
care. Although the director is responsible for providing this education, the director is not
responsible for assuring that physicians and healthcare managers adhere to the procedures. What
type of healthcare organizational structure is present in this hospital?
1. Vertical structure
2. Staff authority
3. Span of control
4. Horizontal structure
4) The obstetrics department, which is composed of labor and delivery, postpartum, nurseries,
and the neonatal intensive care unit, operates under what organizational structure?
1. Decentralized structure
2. Matrix organizational structure
3. Departmentalization
4. Line authority
5) Which statement should be included in a classroom discussion about organizational process?
1. It is a philosophy that becomes the basis for operationalizing the mission of the institution.
2. It answers the questions of “what does the organization look like.”
3. It directs staff as to whom they report.
4. It is a graphical representation of an organization’s flow of responsibility.
6) Choose the statements that are correct about not-for-profit healthcare organizations. Select all
that apply.
1. There are stockholders who own stock in the organization.
2. These organizations do not have to make a profit to survive.
3. Typically, these organizations are funded by charitable institutions, the government, or
churches, as well as by the typical reimbursement sources.
4. These organizations experience more ethical and legal problems.
7) What has caused some of the concern about the use of unlicensed assistive personnel (UAP)?
1. Supervision is provided by the registered nurse.
2. UAPs do not provide quality care.
3. Home health aides are not supervised.
4. There is variability of education and training of all types of UAPs.
8) The nursing student clinical group is attending the first clinical session of the semester. What
nursing care delivery model do students usually expect to follow?
1. Total patient care model
2. Functional nursing model
3. Primary nursing model
4. Care management model
9) This morning, the RN is assigned to administer medications to all of the patients on the
medical-surgical unit. From this assignment, the RN knows that this organization adheres to
which type of patient care delivery model?
1. Total patient care model
2. Functional nursing model
3. Primary nursing model
4. Care management model
10) What is a disadvantage of using the team approach for care delivery?
1. The team leader might not have the necessary leadership skills required to successfully lead
the team.
2. There is a risk that care will be fragmented.
3. This approach often leads to greater staff dissatisfaction, with staff members feeling they are
just grinding out tasks.
11) The nurse is interviewing for a position in a newly opened hospital. Which observation
would best indicate to this nurse that the organization follows a shared governance model?
1. Among the documents provided by the human resources department is an organizational chart
of the nursing department, indicating that the director is the highest-ranking member.
2. Conversation with a staff nurse reveals that the nurse feels empowered in making patient care
decisions.
3. The mission statement of the hospital describes centralized power.
4. A staff nurse mentions that each individual staff member has complete autonomy.
12) The patient is being discharged from the hospital after having a coronary artery bypass graft
(CABG). Which level of the healthcare system will best serve the needs of this patient at this
point?
1. Primary care
2. Secondary care
3. Tertiary care
4. Public healthcare
13) The nurse is organizing a smoking cessation group for the residents of a retirement center.
8What level of healthcare services does this represent?
1. Primary care
2. Secondary care
3. Tertiary care
4. Rehabilitation care
14) Which factor would least likely be included in the analysis of an organization?
1. Whether the organization’s mission and vision match staff performance
2. Results from a staff opinion survey regarding the organization’s decision-making processes
3. How the organization’s communication patterns have affected the change process
15) The nurse manager supervises the neurologic intensive care unit, surgical intensive care unit,
and cardiac intensive care unit. Each unit employs 35 nurses and 15 support staff. The span of
control for this manager is ________. Record your answer rounding to the nearest whole
number.