Leadership and Management for Nurses, 3e (Finkelman)
Chapter 6 Acute Care Organizations: An Example of a Healthcare Organization
1) The nurse has taken an employment position in a healthcare facility that advertises itself as
being part of a network. What can the nurse expect in this organization?
1. This hospital is part of a vertically integrated corporation that owns and manages a group of
health facilities.
2. This hospital is an independent organization, but is in agreement with a number of other
healthcare facilities that agree to deliver specific services.
3. This hospital has agreed to provide a continuum of services to a defined population and to be
accountable for the outcomes and health status of that population.
4. This hospital has joined with another hospital to become one organization.
2) Which statement is true about hospital classification?
1. Hospital accreditation is voluntary.
2. Licensure of hospitals is provided by the Joint Commission.
3. To provide services, a hospital must be accredited, but not necessarily licensed.
4. For a hospital to receive Medicare and Medicaid reimbursement, it must be a not-for-profit
hospital.
3) University medical centers, pediatric hospitals, and burn centers are examples of what level of
vertical integration?
1. Primary care hospital
2. Secondary care hospital
3. Tertiary care hospital
4. Specialty care hospital
4) New public relations materials are being developed for the hospital. Each department has been
asked to submit a short description of its key activities. Which information should be used in the
PR materials?
1. Administration is responsible primarily for ensuring quality and safety of care.
2. Respiratory Care Services provide goal-directed, purposeful activity to patients with disorders
of the cardiopulmonary system.
3. Information Management is focused on services that provide organized education designed to
enhance skills of staff members or teach new skills.
4. Social Work Services assists individuals and their families in addressing social, emotional, and
economic stresses associated wit illness or injury.
5) The staff nurse has been invited to become a member of the hospital policy and procedure
committee. What should the nurse expect in regard to this committee?
1. The committee will meet on an ad hoc basis but will have designated meeting times, will keep
minutes, make decisions, and develop reports.
2. The decisions that the committee makes will be the final authority for policy and procedures in
the facility.
3. The first step the committee will take to develop policies and procedures is to ask the
administration to identify the overall objectives for the committee.
4. The committee will be comprised of 10 or more members, with a chairperson.
6) Which statement about change in hospitals reflects the impact on nursing?
1. Nurses need to gather more data about the positive effects that nursing care has on patient
outcomes in the acute care setting.
2. Nurses need to advocate for more unlicensed assistive personnel (UAP) to help nurses provide
quality, low-cost care.
3. Nurses need to be more assertive in obtaining longer hospital stays for patients who have not
reached their expected outcomes due to complications.
4. Nurses continue to provide patient education without difficulty despite changes occurring in
7) What does the Nurse Engagement Project focus on primarily?
1. Staff engagement
2. Nurse manager retention
3. Nurse manager and staff retention and engagement
4. Nurse manager engagement
8) The nurse is looking for a formal, approved description of how a clinical care process is
carried out in the facility. Where should this nurse look for this information?
1. Professional performance standards
2. Nurse Practice Act
3. Policy and procedure manual
4. Joint Commission manual
9) A physician has just purchased a medical practice from a physician who is retiring. One of the
patients seen today requires hospitalization. Can the new physician admit this patient to the local
hospital?
1. If the retiring physician admitted patients to the hospital, the new physician is also allowed to
admit patients.
2. Only after the new physician is credentialed and privileged to admit patients.
3. If the patient has been hospitalized before in this hospital, the physician can readmit the
patient.
4. It depends on whether the new physician also purchased rights of admission.
10) The chief nurse executive (CNE) of a hospital frequently visits with on-staff physicians, both
in a formal and informal manner. What is the primary purpose of this interaction?
1. This interaction is a job requirement of the CNE.
2. The CNE believes that socializing with physicians builds social status.
3. This interaction can help to build strong, positive work relationships with the medical staff.
11) The nursing student is preparing a presentation on hospital ownership. Which hospitals
should the student include as generally being not-for-profit? Select all that apply.
1. Community hospitals
2. Faith-based hospitals
3. Veteran’s Administration hospitals
4. Bureau of Indian Affairs hospitals
5. Rural hospitals
12) Choose the typical reporting matrix for the fastest growing type of hospital in the United
States.
1. Middle managers report to the administration who reports to the Governing Board.
2. Middle managers report to the Governing Board who reports to the chief operating officer.
3. The administration reports to the Governing Board who reports to the shareholders.
4. The administration reports to the shareholders who report to the Governing Board.
13) The hospital is considering contracting with an outside company for clinical laboratory
services and closing its in-house lab. What concerns should be considered prior to making this
decision? Select all that apply.
1. This in not legal.
2. Outside laboratories often do not provide quality services.
3. The Joint Commission will not accredit hospitals without their own clinical laboratory.
4. The hospital is still responsible for the quality of laboratory services provided.
5. It may be most cost-efficient to contract out for laboratory services.