Healthcare Administration
Midterm Exam
Course Introduction
Healthcare Administration is a comprehensive course that explores the fundamental principles and practices required to effectively manage healthcare organizations. Covering topics such as healthcare policy, organizational structure, human resource management, financial operations, and the legal and ethical aspects of healthcare, this course equips students with the leadership and decision-making skills necessary to navigate the complexities of modern healthcare systems. Students will also analyze real-world case studies to better understand challenges in healthcare delivery and develop strategies for improving efficiency, quality of care, and patient satisfaction within various healthcare settings.
Recommended Textbook
Leading and Managing in Canadian Nursing 1st Canadian Edition by Patricia S. Yoder - Copy
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30 Chapters
745 Verified Questions
745 Flashcards
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Page 2
Chapter 1: Leading, Managing, and Following
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) After a meeting with members of the family of a dying patient,the nursing manager discusses with you the family's desired approach to care,and you support the manager's decision.Your actions indicate that you are acting in what role?
A) Leadership
B) Management
C) Followership
D) Evidence-informed Answer: C
Q2) Which category is unique to leadership but is not part of management?
A) Initiating change
B) Personal qualities
C) Developing people
D) Information management Answer: C
Q3) Which category is unique to management but is not part of leadership?
A) Initiating change
B) Personal qualities
C) Developing people
D) Information management Answer: D
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Chapter 2: Patient Focus
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22 Flashcards
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Sample Questions
Q1) In an effort to control costs and maximize revenues,the Rehabilitation Unit at Cross Hospital reduces the number of its nursing managers.Within a year,the number of adverse events on the units has doubled.This may be attributable to
A) the overload of work for staff nurses.
B) inability of staff at the bedside to make good choices.
C) a change in reporting systems.
D) fewer clinical leaders and advocates for necessary resources.
Answer: D
Q2) As the nurse was about to administer an oral mediation,the patient states,"That pill is the wrong colour." The nurse goes back to the medication administration area to check the medication and realizes that it is indeed the wrong pill.Does this situation require the completion of an adverse event report?
A) No; there was no actual error.
B) No; it was the patient who stopped an error from occurring.
C) Yes; an error almost occurred, and close calls are to be reported.
D) It is up to the nurse to decide whether to complete an adverse event report.
Answer: C
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Page 4
Chapter 3: Developing the Role of Leader
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25 Flashcards
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Sample Questions
Q1) After a newly hired director of nursing has reviewed the unit's strategic plans,she develops a timeline for achieving those plans.The new leader is
A) not expecting that novice leaders would have a vision.
B) inviting a seasoned leader to come and share a vision with the group.
C) getting to know staff members so they can work together for a few months.
D) translating a global document into achievable goals for implementation.
Answer: D
Q2) The nurse manager in the emergency department needs to implement new staffing patterns.As a transformational leader,the nurse manager should
A) explain in detail how well the new idea will work.
B) make staff members think the idea was theirs in the first place.
C) reason with staff members that the new idea will save money and allow more free time.
D) imply that raises will be smaller than anticipated if the new idea is not accepted.
Answer: B
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Chapter 4: Developing the Role of Manager
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24 Flashcards
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Sample Questions
Q1) Budgeting and protection of revenues is a function of A) leadership.
B) management.
C) team leadership.
D) followers.
Q2) The nurse manager plays a unique role in institutional management in that the nurse manager
A) encourages shared decision-making.
B) models professional nursing behaviour.
C) interprets health care trends and their effect on revenues.
D) coordinates care and allocates resources.
Q3) A nurse manager has worked rapidly to persuade the staff to accept changes in the unit's mission,so that downsizing can be avoided,through innovative use of technology.This nurse manager is displaying
A) a focus on past concerns related to the mission.
B) how to teach staff members about self-management.
C) facilitation of goal accomplishment.
D) a requirement that all staff members need to review and reinforce their technologic skills.
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Page 6
Chapter 5: Legal Issues
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23 Flashcards
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Sample Questions
Q1) Which of the following is the least restrictive in governing health care occupations?
A) Association
B) College
C) Registration
D) Certification
Q2) One of your staff nurses asks for your advice because a patient refuses to sign a consent form for surgery.The patient says that he will not sign because he does not understand the nature of the surgery.You advise that
A) consent must not be coerced.
B) the patient has a right to choose not to consent.
C) the patient must sign the consent because the doctor wants him to sign.
D) witnessing the signing of a consent from is related only to the voluntary nature of the signature.
Q3) Which of the following has the highest standard of proof associated with it?
A) Common law
B) Criminal law
C) Negligence law
D) Malpractice law
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Chapter 6: Ethical Issues
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Sample Questions
Q1) The manager in the coronary care unit believes that the most important ethical considerations in performance evaluations are that they include the employee's good qualities and that they give positive direction for professional growth.This belief is an example of
A) justice.
B) fidelity.
C) beneficence.
D) nonmaleficence.
Q2) Which of the following is a key area of ethical nursing practice?
A) Nursing process
B) Therapeutic relationship
C) Decision-making model
D) Embodied knowledge
Q3) The nurse manager organizes interprofessional team meetings on a weekly basis.This action is demonstrating which aspect of relational ethics?
A) Embodied knowledge
B) Interdependent environment
C) Engaged interactions
D) Mutual respect
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Page 8
Chapter 7: Making Decisions and Solving Problems
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25 Flashcards
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Sample Questions
Q1) Which of the following is an intuitive decision-making model?
A) Fishbone model
B) SWOT model
C) Clinical judgement model
D) Bounded rationality model
Q2) Which statement best defines the difference between problem solving and decision making?
A) Decision making skills require critical thinking; problem-solving skills do not.
B) Problem-solving skills require critical thinking; decision-making skills do not.
C) Decision making is a goal-directed effort; problem solving is focused on solving an immediate problem.
D) Problem solving is a goal-directed effort; decision making is focused on solving an immediate problem.
Q3) The clinic nurse understands that problem solving is best defined as A) a higher order thinking process.
B) selecting the best option for reaching a predefined goal.
C) identifying "what is" and "what should be."
D) determining creative approaches to resolving a problem or issue.
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9
Chapter 8: Health Care Organizations
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26 Verified Questions
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Sample Questions
Q1) A social determinant of health
A) is predictable of acuity.
B) is biologic and genetic endowment.
C) is related mainly to the psychological environment.
D) has little impact on health status.
Q2) An academic teaching hospital that provides care for patients who require inpatient and ambulatory care for addictions,through a spectrum of wellness and illness services and providers,would be considered
A) a health care network.
B) a tertiary care institution.
C) rehabilitative.
D) long-term care.
Q3) Instituting similarities in services across health care regions among provinces and territories is considerably complex because of
A) a lack of knowledge and skill in their associated use.
B) the vast geographic areas present in the Canadian landscape.
C) minimal diversity in provincial health care needs.
D) an inability to accurately reflect exact cost per service provided.
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10
Chapter 9: Understanding and Designing Organizational Structures
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Sample Questions
Q1) With revenue reductions and cost saving measures,the number of managers has been reduced,which has increased the number of team leaders supervised by managers by as many as three.This change may result in
A) decreased patient satisfaction.
B) increased efficiency in costs.
C) a more positive perception of managers.
D) little change to manager-staff relationships.
Q2) The hospital administration gives approval to the chief nursing officer to hire clinical nurse specialists in staff positions rather than in administrative positions.A clinical specialist who has staff authority but no line authority typically is able to A) function through influence.
B) take complete responsibility for the care of patients.
C) interview and hire staff nurses for designated nursing units.
D) be granted functional authority to determine standards of nursing care and enforce them.
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Chapter 10: Cultural Diversity in Health Care
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Within the deaf community,there is considerable disagreement about the use of SEE (Signed Exact English)and ASL (American Sign Language).This is indicative of
A) dominant versus nondominant behaviours.
B) the need to recognize diversity within groups.
C) the effect of cross-culturalism.
D) how language separates subgroups.
Q2) Maintaining a culturally diverse staff is an important function of a nurse manager who works in the hospital of a large medical centre.According to Health Canada (2008),which cultural group represents about 2% of registered nurses employed in Canada?
A) Men
B) Aboriginal
C) French Canadian
D) African Canadian
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12
Chapter 11: Power,Politics,and Influence
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A nurse manager must implement a 2% budget cut on the nursing unit.Which approach should the manager use to empower the staff of the unit most effectively?
A) Discuss the guidelines for the budget cuts with the staff, making the decisions with those who participate in the discussion.
B) Inform the staff of the budget cuts in a series of small group meetings, and accept their ideas in writing only.
C) Provide the staff with handouts about the budget cuts, and let them make recommendations in writing.
D) Hold a series of mandatory meetings on the budget cuts, asking staff for ideas on the cuts.
Q2) Tomas,a new RN,is finding it difficult to practice because he is encountering,on a daily basis,differences between his learned ideals and what he is witnessing as nursing practice on the unit.This situation is an example of
A) the theory-to-practice gap.
B) transition shock.
C) an inadequately prepared nurse.
D) ethical distress.
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Page 13
Chapter 12: Caring,Communicating and Managing With Technology
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) When assessing the appropriateness of adopting personal digital assistants (PDAs)for a nursing unit,you need to consider which of the following advantages?
A) Lower cost in relation to personal computers
B) Small display screen
C) Font size
D) Speed of operation
Q2) You are in the process of designing a patient education program that will provide education and monitoring for patients with hypertension.To support your planning,you obtain and present patient data from which of the following?
A) A clinical database
B) Biomedical technologies
C) E-mail
D) Internet sources
Q3) A necessary,basic condition for successful integration of clinical information systems is
A) Software
B) Standard medical nomenclature
C) Confirmatory evidence from nursing-led studies
D) Strong interdisciplinary cultures
Page 14
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Chapter 13: Managing Costs and Budgets
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Sample Questions
Q1) The chief nursing office of a Magnet hospital has conducted a study of ways to improve health care services.Health care services that add value for patients
A) accomplish health care goals.
B) minimize costs.
C) decrease the number of services used.
D) involve the use of high-technology treatments.
Q2) Choosing and purchasing new eye glasses,Mr.Jones sends the receipt in to his private health insurance provider for which of the following?
A) Cost-based reimbursement
B) Charges
C) Contractual allowance
D) Prospective reimbursement
Q3) A nurse manager gives approval for two staff nurses to attend a national conference.When reviewing the budget,the nurse manager looks at which line item?
A) Cash budget
B) Capital budget
C) Operating budget
D) Supply and expense budget
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15
Chapter 14: Care Delivery Strategies
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Sample Questions
Q1) A patient complains to you that she has no idea who "her nurse" is on any given day."I ask one nurse for my pills,and she says,'That is not my job.' I ask the pill nurse about my lab tests,and she says that I should ask another nurse." The nursing care delivery model most likely to be employed in this situation is
A) differentiated practice.
B) team nursing.
C) functional nursing.
D) case management.
Q2) In transitioning to a primary nursing model,it is important for a nurse manager who enjoys a high level of control over patient care to understand that his or her decision-making at the patient care level
A) is increased.
B) is decreased.
C) is relinquished.
D) remains the same.
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Chapter 15: Staffing and Scheduling
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Sample Questions
Q1) The number of adverse events such as falls and pressure ulcers on your unit is increasing.An ideal staffing plan to address this issue would include which of the following?
A) Increasing the total number of staff on the unit
B) Increasing the staff and registered nurse (RN) hours per patient
C) Increasing the total number of staff and implementing 12-hour shifts
D) Increasing the number of RNs and number of RNs with experience on the unit
Q2) A small rural hospital has been designated as a critical access hospital.It has 40 beds and an average occupancy rate of 34 beds.To prepare the staffing,the chief nursing officer computes the occupancy as being
A) 90%.
B) 85%.
C) 75%.
D) 60%.
Q3) A strategy to increase RN staff retention at Valley Hospital includes
A) better compensation and benefits.
B) clearer position descriptions.
C) layoffs of nursing assistants.
D) adequate staffing to care for increasing numbers of acutely ill patients.
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Page 17
Chapter 16: Selecting, developing, and Evaluating Staff
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Sample Questions
Q1) Nora,a new nurse manager,writes certain assumptions regarding the organization's objectives into her budget.Her supervisor tells her that the objectives implied in her assumptions are not entirely consistent with the organization and that she needs to clarify these objectives with her supervisor.Nora apologizes and says she had more latitude with the budget where she previously worked.This is an example of A) role complexity.
B) role ambiguity.
C) role conflict.
D) time-dependent roles.
Q2) Yasmine is a likable and popular staff member.Despite occasional complaints from patients about inappropriate comments and rough handling of patients,Yasmine continues to receive positive performance appraisals.This is an example of A) a halo effect.
B) rare conflict.
C) role ambiguity.
D) evaluator bias.
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18
Chapter 17: Strategic Planning and Goal Setting
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Sample Questions
Q1) The executive team at Hospital XYZ develops a polished strategic plan that includes a mission statement,goals,objectives,and a business plan for various initiatives in the plan.The executive team ensured that the plan was communicated internally and externally.After 2 years,no significant progress has been made toward any of the goals.What has been omitted in the plan?
A) Consumer input planning
B) Clear communication
C) Integrated financial planning
D) Consideration of customer input
Q2) After a year,staff members at Pacific Hospital are frustrated,and the implementation of evidence-informed practice has gone poorly.In responding to this situation,the strategic planning team at Pacific Hospital
A) recommends that the mission, objectives, and goals of the hospital be reassessed.
B) revises the goal statements in the strategic plan.
C) consults an external team on preparation of materials on evidence-informed practice.
D) holds focus groups with staff to determine what kinds of issues, challenges, and obstacles have occurred in implementation.
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Chapter 18: Leading Change
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Sample Questions
Q1) Complex change situations require that the change leader promote ongoing envisioning among staff members.One strategy is to
A) consciously evaluate invisible mental models.
B) allow for individual outcomes.
C) encourage cooperative activities.
D) operate between order and disorder.
Q2) On the basis of Elizabeth's insights and suggestions,you involve pharmacy staff,only to discover that the change in practice involves practice committees,a medical practice committee,and concerns from administration about potential costs and safety of the proposed change to the intravenous protocols.The change process at this point is A) linear.
B) nonlinear.
C) sabotaged.
D) neutralized.
Q3) The situation in Question 22 is best captured in which theory of change?
A) Chaos
B) Planned change
C) Cybernetics
D) Innovation-decision process
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Page 20
Chapter 19: Building Teams Through Communication and Partnerships
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Sample Questions
Q1) After staff meetings lately,Sharon,the head nurse,observes her staff in small groups,having animated discussions that end abruptly when she approaches.Sharon reflects on this observation and realizes that
A) two very outspoken members tend to dominate discussions in meetings.
B) this behaviour is indicative of a high level of communication among her staff.
C) staff members are uncomfortable openly discussing their feelings in front of the head nurse.
D) ongoing discussion outside of meetings is conducive to creativity.
Q2) The nurse manager was upset with the staff nurse and said,"You did not understand what I said." Which element in the communication process was she referring to?
A) Feedback between receiver and sender
B) A message channel
C) A receiver who decodes the message
D) A set of barriers that may occur between sender and receiver
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21
Chapter 20: Collective Nursing Advocacy
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Sample Questions
Q1) Evidence-informed practices (EIPs)are a key strategy for enhancing learning and increasing nurse capacity,as well as for contributing to
A) morale on the unit.
B) a decline in participatory decision-making.
C) professional autonomy.
D) ethical practice.
Q2) You are a new nurse manager who has "inherited" a unit with high nurse turnover and complaints of patient dissatisfaction.What would be your first course of action?
A) Conduct an assessment of the unit resources and nursing practice.
B) Review the personnel files of nurses who have resigned.
C) Interview upper management about their vision for the unit.
D) Meet with your staff to clarify your vision for the unit.
Q3) A group of staff nurses and a nurse manager represent a subculture in their facility.Subcultures differ in regard to A) organizational mission.
B) approaches to conflict.
C) quality patient care.
D) union membership.
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Chapter 21: Managing Quality and Risk
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Sample Questions
Q1) At Hospital Ajax,staff members are reluctant to admit to medication errors because of previous litigation and a culture that seeks to assign blame.This culture demonstrates
A) QM principles that emphasize customer safety.
B) a deep concern with improvement of quality and processes.
C) effective employee orientation and development in relation to QM.
D) goals that are inconsistent with QM.
Q2) A method commonly used in quality assurance to monitor adherence to established standards is
A) a Pareto chart.
B) brainstorming.
C) patient interviews.
D) chart audit.
Q3) The nurse manager is performing a root-cause analysis related to medication administration errors with insulin.A root-cause analysis is very similar to the QI process except that a root-cause analysis is A) retrospective.
B) prospective.
C) legislated for completion with all near-miss events.
D) conducted by only one person.
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Page 23
Chapter 22: Translating Research Into Practice
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Sample Questions
Q1) Within a multisite health care system,the most appropriate strategy for translation of research would be
A) widespread development of protocols in which EBP is used at unit levels.
B) dissemination of EBP recommendations to individuals, units, and the organization.
C) development of skills of individual managers on how to build guidelines that are based on EBP.
D) establishment of an interdisciplinary centre to guide and lead the translation of research findings into practice.
Q2) Which of the following has been identified as a significant factor in moving EBP into patient care?
A) Strong utilization models
B) Development of stronger opinion leaders
C) Technology
D) Support by other disciplines
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Chapter 23: Understanding and Resolving Conflict
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Sample Questions
Q1) Which of the following exemplifies the preferred conflict management style of nurse managers?
A) Elizabeth, the head nurse on neurology, finds that Tom, the RN on duty at night, is irritable in relation to any suggestions or new ideas, and so she comes in to work after Tom leaves the unit.
B) The technology committee has recommended a clinical system for implementation on the nursing unit. Staff members are anxious about the change. Stefano, the head nurse, asks staff for ideas on how to meet the technology goals and to meet staff needs.
C) During management meetings, George, the head nurse on the nephrology unit, dominates meetings and decisions. Lou, the head nurse on the cardiac stepdown unit, begins to miss the management meetings.
D) Ann, RN, asks her head nurse if she can go on the permanent evening shift. The head nurse, Rajib, agrees, as long as Ann agrees to be involved in assisting to mentor evening staff in the use of the new clinical information system.
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Chapter 24: Managing Personalpersonnel Problems
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Sample Questions
Q1) Susan,a new graduate,is upset that so many staff members have been absent lately from the unit.She declares to you that all absenteeism could be eliminated with proper management.Your response is based on understanding that
A) not all absenteeism is voluntary.
B) high personal control contributes to absenteeism.
C) direct discussions with employees who have high levels of absenteeism are not recommended.
D) all absenteeism is related to personal issues and needs.
Q2) A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident.Which of the following is best for documentation of personnel problems?
A) Use of the performance appraisal on an annual basis
B) Notes made immediately after an incident that include a description of the incident, actions taken, plans, and follow-up
C) A tally sheet of medication errors and other specific problems that will be used at annual review
D) Copies of reports, placed in the employee's file, of all unusual occurrences involving the employee
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Chapter 25: Workplace Violence and Incivility
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Sample Questions
Q1) Canadian knowledge of the scale of workplace violence in health care remains incomplete because
A) collected data are inflated.
B) no consistent system of data collection for workplace violence exists.
C) data is collected only in relation to physical injuries.
D) the classification of workplace violence is unclear.
Q2) You are part of a multidisciplinary team that is charged with designing a workplace safety plan for your health care organization.This team has been established in response to increases in reports of violence and aggression.You begin designing the safety plan by
A) surveying staff about levels of satisfaction with the workplace and management, collegial, and patient relations.
B) offering training sessions in self-defence.
C) developing a policy that outlines zero tolerance for bullying.
D) offering education sessions on recognizing behaviours with potential for violence.
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Chapter 26: Practising and Leading in Interdisciplinary Settings
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Q1) The nurse manager is setting up the room assignments for the unit.One patient on the unit is in critical condition and is going to require more care than the others.Before delegating a task,a nurse manager should
A) delegate the admission assessment to the licenced practical nurse.
B) review the employee's performance assessment for the most recent period.
C) assess the amount of guidance and support needed in a particular situation.
D) create a task analysis of critical behaviours for the patient.
Q2) Which of the following is considered a system-relevant barrier to primary care and public health collaboration?
A) Lack of common agenda
B) Power and control issues
C) Resource limitations
D) Relationship challenges
Q3) Which of the following is a benefit of the controlled acts model over the licensure model?
A) Decreased flexibility in allowing patients choice in their care provider
B) Limited range of professional responsibility
C) No firm boundaries
D) Recognition that scope of practice is static
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Chapter 27: Role Transition
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Sample Questions
Q1) A nurse manager notices that Nathan,a registered nurse (RN)who has been on the unit for approximately 3 years,has a particular interest in technology and seems to be very enthusiastic about working with software and hardware at home.She speaks with Nathan and asks him if he would lead investigation of software applications on the unit.This is an example of A) opportunity.
B) delegation.
C) role negotiation.
D) role transition.
Q2) The nurse manager of a unit was demoted to staff nurse 6 months ago.Because of being near retirement,the former nurse manager wanted to be employed at the hospital and was offered a position on the same unit.The former nurse manager complains often about how infrequently the current nurse manager is available on the unit and argues with physicians and co-workers.Patients have complained about the attitude of the former nurse manager.The behaviour of the former nurse manager can be best explained as being caused by
A) overwork in the staff nurse position.
B) inadequate mentoring in the new role.
C) anger as a stage of the grieving process.
D) demotion as a threat to personal identity.
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Page 29
Chapter 28: Self-Management: Stress and Time
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Sample Questions
Q1) Sources of occupational stress in nursing include all except which of the following?
A) Authoritarian leadership
B) Concern about moral wrongdoing by colleagues
C) Multiple changes in a short time
D) Job insecurity
Q2) As a unit manager,you chair the unit meetings.For each meeting,you consider and establish the purpose of the meeting.Second,you prepare an agenda.The following steps would make the meetings productive and successful.
1)Distribute an agenda.
2)Control the flow of interactions.
3)Select team members.
4)Start on time.
5)Keep the meeting focused and directed toward accomplishing the set objectives. Arrange these five steps in the correct order:
A)1,2,4,5,3
B)4,1,2,5,3
C)3,1,4,5,2
D)3,4,2,1,5
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Chapter 29: Managing Your Career
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Sample Questions
Q1) Knowing your professional strengths is important to
A) find your fit in positions and a career path.
B) maintain a professional status.
C) act in a manner that is legal and ethical.
D) understand the role expectations of a position.
Q2) In preparing for a fair interview process as a hiring manager,you should
A) put water out for the candidates.
B) ensure that you know the names of all candidates.
C) dress comfortably and professionally.
D) prepare a schedule of questions to be asked of all candidates.
Q3) To develop a CV or résumé,a nurse should begin with
A) creating an opportunity to be interviewed.
B) listing facts about his or her professional life.
C) hiring someone to market himself or herself.
D) identifying his or her name and contact information.
Q4) A cover letter and a résumé together should be no longer than ________ page(s).
A) two
B) one
C) four
D) three
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Chapter 30: Thriving for the Future
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Sample Questions
Q1) Which of the following actions is most representative of how health care of the future might be delivered? As a nurse leader,you
A) refer families who require immediate help to a local food bank. You also work with local agencies and families to establish a mothers' collective in which mothers learn about nutrition and prepare low-cost, nutritious meals that are shared with the mothers in the collective.
B) work together with a local agency to set up a free clinic in which addicts and the homeless can receive free health care and prescriptions for immediate needs.
C) ensure that individuals who are admitted to your unit are asked about their smoking history and that preoperative and postoperative planning takes into account how smoking will affect status during and after surgery.
D) address the health of patients who are overweight and obese on your unit by ensuring that hospital meals offer nutritious, healthy food choices that are satisfying.
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