Advanced Nursing Administration
Final Exam
Course Introduction
Advanced Nursing Administration explores the principles and practices of effective leadership and management within healthcare organizations. The course delves into strategic planning, fiscal management, human resource development, quality improvement, and policy formulation as they pertain to nursing services. Emphasis is placed on evidence-based decision-making, legal and ethical considerations, and interdisciplinary collaboration. Through case studies and applied projects, students develop the skills required to lead diverse teams, manage complex clinical environments, and influence organizational change to improve patient outcomes.
Recommended Textbook Guide to Nursing Management and Leadership 8th Edition by Ann Marriner Tomey
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15 Chapters
375 Verified Questions
375 Flashcards
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Page 2
Chapter 1: Communications
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) For the nurse educator to prepare PowerPoint presentations,the nurse must be able to use which of the following?
A)Palm Pilot
B)Presentation software
C)Spreadsheet software
D)Handheld computers
Answer: B
Q2) In assessment of cross-cultural communication,which nonverbal behavior is the most important?
A)Placement of hands
B)Facial expression
C)Use of words
D)Eye contact
Answer: B
Q3) Which of the following cultures views eye contact as indicating trustworthiness?
A)Hispanic Americans
B)Asian Americans
C)White Americans of European origin
D)Native Americans
Answer: C
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Chapter 2: Stress Management
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse manager was orienting a new staff nurse to the unit.The nurse manager identified the staff nurse's stress level when the staff nurse said:
A)"I'm so excited about this new job!"
B)"Is my license on the line if the equipment malfunctions?"
C)"I realize I'm just out of school,but I'm willing to learn."
D)"How long is orientation?"
Answer: B
Q2) Which of the following indicates that the nurse is culturally sensitive?
A)Allowing a Hispanic-American client's extended family into the room
B)Talking loudly to an Asian-American staff nurse
C)Firmly shaking hands with a Native American client
D)Standing face to face with an African-American staff nurse
Answer: A
Q3) An important way for nurse managers to maximize organizational time is to:
A)Use passive-aggressive communication with others
B)Delegate all aspects of nursing care to nursing assistants
C)Teach others how to do the work instead of doing it themselves
D)Look the other way when conflict arises
Answer: C
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Page 4
Chapter 3: Decision-Making Process and Tools
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse manager formed a task force of orthopedic staff nurses to develop cost-saving standard practices for the care of clients undergoing total hip replacement.The staff nurses used which type of decision-making model to reduce costs for clients undergoing total hip replacement?
A)Program Evaluation and Review Technique (PERT)
B)Gantt chart
C)Decision trees
D)Critical path method (CPM)
Answer: D
Q2) A nurse manager asks the staff members,"What causes low morale?" This is an example of which of the following?
A)Meditation
B)Keeping an ideas diary
C)Reverse brainstorming
D)Brainstorming
Answer: C
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Chapter 4: Motivation and Morale
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Sample Questions
Q1) A nurse manager was having difficulty with the staff.Morale was low because of petty gossiping among the staff and intolerance of each other's behaviors.The nurse manager decided that the best way to handle this situation was to develop self-competence by:
A)Attending a conflict management course
B)Being politically aware
C)Being conscientious
D)Attending a service orientation program
Q2) The nurse manager recently embraced a participatory style of management.After doing so,the nurse manager found that morale and productivity were increased.Which of Douglas McGregor's theories best describe this situation?
A)Self-determination theory
B)Theory X
C)Theory Y
D)Theory W
Q3) Which of the following is an example of high organizational morale?
A)A staff nurse enjoys the quality of her work.
B)A staff nurse shows decreased quality of work.
C)A staff nurse is loyal to the profession.
D)A staff nurse has a high rate of absenteeism.
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Page 6
Chapter 5: Power, Politics, and Labor Relations
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which of the following statements about union labor practices is untrue?
A)Union representatives must be able to bargain with the employer.
B)The union may take a strike action without notifying the employer.
C)The union cannot boycott a hospital's vendors.
D)The union cannot cause the employer to pay for services not performed.
Q2) A staff member has the authority to:
A)Delegate to administrative staff
B)Implement ideas without approval from administration
C)Assist managers in the performance of their duties
D)Enjoy command privileges
Q3) A staff nurse admires the nurse manager's leadership style.What type of power does the nurse manager have in this situation?
A)Informal power
B)Coercive power
C)Referent power
D)Information power
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Chapter 6: Conflict Management and Negotiation
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Sample Questions
Q1) After a physician reprimanded a staff nurse for not reporting the patient's vital signs,the staff nurse began experiencing a severe migraine headache.The staff nurse then asked the nurse manager if he could take a sick day and leave the unit.The staff nurse was coping with the physician's reprimand by:
A)Displacement
B)Denial
C)Somatization
D)Regression
Q2) The nurse manager of a long-term care facility was mediating an interpersonal conflict between a staff nurse and a nurse's aide who worked together on the night shift.One strategy that the nurse manager used was to:
A)Allow each staff member to blame the other
B)Encourage the staff nurse to tell her side of the story
C)Allow the nurse's aide to tell the staff nurse which of her personality traits bothered him
D)Encourage each staff member to listen to the other's point of view
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Chapter 7: Theories of Leadership and Management Development
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25 Flashcards
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Sample Questions
Q1) A school nurse planned a health promotion program on character development for a group of seventh-graders.Which behavior most likely prompted the school nurse to develop the program?
A)Increased teacher involvement
B)Manifestations of students' trust of each other
C)Students' increasing use of sexual language while walking down the halls
D)Decrease in sexual activity among teens
Q2) Transactional leadership focuses on management tasks and trade-offs in exchange for expected performance.In transformational leadership,the nurse manager:
A)Sets goals for the employees
B)Uses management by exception
C)Focuses on day-to-day operations
D)Encourages self-management
Q3) Which kind of followers believe they must please the boss?
A)Effective followers
B)Conformist followers
C)Alienated followers
D)Ineffective followers
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Chapter 8: Strategic and Operational Planning
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25 Flashcards
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Sample Questions
Q1) Which of the following contributed to increased health care spending?
A)Aging of the population
B)Increased numbers of people with private insurance
C)Decreased incidence of violence
D)Decreased use of technology
Q2) A hospital was conducting an external assessment to ascertain whether it could set up a satellite clinic within a 75-mile radius of the larger hospital.An example of a threat to the hospital's proposal is:
A)New programs
B)Diversification
C)Decrease in the number of insured patients
D)Population growth
Q3) When developing or reevaluating a philosophy,the manager should consider theory,education,practice,research,and the role of nursing in the total organization.Which nursing theorist provided the most useful model for an acute care setting?
A)Rogers
B)Roy
C)Widenbach
D)Levine
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Chapter 9: Financial Management, Cost Containment, and Marketing
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The chief nursing officer needed to make changes in the staffing budget because the hospital was opening an additional 10 beds to the emergency department.The nursing administrator had to look at what type of costs?
A)Variable costs
B)Sunk costs
C)Semivariable costs
D)Marginal costs
Q2) A system in which a fixed payment is given to a care provider per health plan participant per month for delivery of a specified amount of health care services is known as:
A)Managed care
B)Health maintenance organization
C)Individual provider arrangements
D)Capitation
Q3) A nurse manager uses what technique to help control costs?
A)Delegating appropriate tasks to unlicensed personnel
B)Comparing costs with those of other departments
C)Calculating the break-even points on an item
D)Conducting comparisons in monetary units
Page 11
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Chapter 10: Organizational Concepts and Structure
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25 Flashcards
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Sample Questions
Q1) In response to managed care,many hospitals have set up disease management programs.One benefit of such programs is:
A)The focus primarily on acute illnesses
B)The focus primarily on the elderly with acute illnesses
C)The focus on coordination of care of people at risk
D)The focus on tertiary prevention for all persons
Q2) To survive the changes in the health care field,many nurses have become entrepreneurial and have established their own programs or agencies to hire others to provide care to the community.What type of organizational model would best fit this approach?
A)Self-governance
B)Shared governance
C)Corporate model
D)Mixed model
Q3) The nurse manager of the unit is responsible for:
A)Encouraging downward communication
B)Establishing a chain of command
C)Facilitating the formal group
D)Modeling the use of centralized power
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Page 12
Chapter 11: Organizational Culture, Change, and Innovation
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Sample Questions
Q1) Two hospitals want to assess the organizational culture of each agency to predict the sources of resistance to change before they merge.What type of tool can they use?
A)Value compass
B)Organizational audit
C)Competing Values Framework
D)Organizational Culture Assessment Instrument
Q2) The nurse managers met with the chief nursing officer before the organization began downsizing.Some of the senior nurse managers complained about the downsizing after the meeting.In terms of their level of commitment to the change,these senior nurse managers could be categorized as:
A)Champions
B)Overt resisters
C)Covert resisters
D)Skeptics
Q3) One way that administration can handle incompetent executives is to:
A)Hire new managers
B)Move them from line to staff authority
C)Terminate their employment
D)Counsel them toward satisfactory performance
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Page 13
Chapter 12: Selection and Development of Personnel
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Sample Questions
Q1) The Americans with Disabilities Act of 1990 protects individuals with which of the following disorders?
A)Depression
B)Gender identity disorder
C)Dyslexia
D)Psychoactive substance abuse
Q2) One purpose of an interview is to:
A)Judge the applicant's appearance
B)Assess the applicant's managerial skills
C)Learn about the prospective employee
D)Have the interviewer ask all the questions
Q3) The director of nursing at a nursing home interviewed an applicant for the position of wound care nurse.This position is an example of:
A)Job simplification
B)Job rotation
C)Job enrichment
D)Job evaluation
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Chapter 13: Staffing and Scheduling
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Sample Questions
Q1) Organizations are creatively attempting to hire nurses,yet a nursing shortage has become an obstacle.All of the following factors contribute to the nursing shortage except:
A)Diversity training
B)Facility restructuring
C)Nurse-to-nurse hostility
D)Budget cuts
Q2) Hospitals use hours per patient-day as an indicator to measure productivity.Productivity is reported as outputs divided by inputs.Outputs may be measured by:
A)Clinical outcomes
B)Nurse-sensitive indicators
C)Average daily census
D)Number of staff members working
Q3) Clinical outcomes can be used to assess the adequacy of staffing.Which of the following indicates a need for better staffing?
A)Family falls
B)Short length of stay
C)Adverse drug reactions
D)Patient satisfaction
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Chapter 14: Evaluation and Discipline of Personnel
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Sample Questions
Q1) There are steps that nurse managers can take when dealing with problem employees.One of these steps is to:
A)Provide on-the-job training
B)Identify symptoms of the problem
C)Send the employee to the human resources department
D)Request a drug screen
Q2) The nurse manager is aware that decreased productivity is a side effect of:
A)Withdrawal
B)An appraisal report
C)Personnel problems
D)Conflict with physicians
Q3) Although leaders and managers both have responsibility for evaluating and disciplining personnel,they each have different functions.Leaders encourage peer review,whereas managers:
A)Use a formalized system
B)Use an informal system
C)Inspire high performance
D)Reduce the anxiety of the performance appraisal
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Chapter 15: Continuous Quality Improvement, Risk
Management, and Program
Evaluation
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Sample Questions
Q1) Deming,who revitalized the Japanese industry with his focus on total quality management (TQM)and continuous quality improvement (CQI),introduced what concept to TQM?
A)Trilogy concept
B)Zero defects concept
C)Plan-do-check-act cycle (PDCA)
D)Quality as conformance concept
Q2) Which quality management philosopher believed in a system that creates quality by prevention of errors instead of appraisal?
A)Deming
B)Juran
C)Donabedian
D)Crosby
Q3) Which organization developed standards for nursing practice that became the basis for quality assurance programs?
A)The Joint Commission on Accreditation of Hospitals (JCAH)
B)The American Nurses Association (ANA)
C)The Hospitals Association
D)Centers for Medicare & Medicaid Services
Page 17
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