Healthcare Administration
Midterm Exam
Course Introduction
Healthcare Administration is a comprehensive course that explores the core principles, structures, and operational strategies essential to managing healthcare organizations effectively. The course covers topics such as healthcare systems, policy development, organizational leadership, strategic planning, human resource management, financial oversight, and regulatory compliance. Students gain insight into the complexities of delivering quality healthcare services within ethical, legal, and economic frameworks, preparing them for leadership roles in hospitals, clinics, public health agencies, and other healthcare settings.
Recommended Textbook
Leading and Managing in Nursing 7th Edition by Patricia S. Yoder
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31 Chapters
757 Verified Questions
757 Flashcards
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Page 2
Chapter 1: Leading, Managing, and Following
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Sample Questions
Q1) The chief nursing officer has asked the staff development coordinator to facilitate the development of a clinical competency program for the facility.While making rounds on the units, the staff development coordinator overhears RN staff complaining that they feel it is insulting to be required to participate in a competency program.What behavior by the staff development coordinator is most appropriate in this situation?
A)Disregard staff concerns and continue with development of the program.
B)Inform the nurses that this program is a requirement for JCAHO accreditation.
C)Schedule a meeting with the chief nurse executive to apprise her of the situation.
D)Facilitate a meeting so nurses can articulate their values and concerns about a competency program.
Answer: D
Q2) According to the complexity theory, what would be the focus of measurement?
A)Cost per hospital day
B)Bed utilization
C)Infection rates
D)Staff morale and budgets
Answer: D
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Chapter 2: Clinical Safety: The Core of Leading, Managing, and Following
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Q1) What facilitate the development of decision-making skills related to safe patient care for a nurse manager?
A)Regular reflection on decisions
B)A culture of perfectionism
C)Recognition of who should be held responsible for individual errors
D)A culture of trust between the staff and you
Answer: A
Q2) The nurse is educating older adult patients on staying safe in the healthcare system.What information does the nurse include in the teaching?
A)The need to understand and record all medications being taken.
B)Bringing their own linens and other personal items to the hospital.
C)Washing hands frequently while in a healthcare environment and using a hand sanitizer.
D)Following closely the directions and orders of healthcare providers.
Answer: A
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Chapter 3: Legal and Ethical Issues
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Q1) You volunteer at a free community clinic.A 13-year-old girl presents with chlamydia.The team leader at the clinic advises that:
A)the state-defined age of legal consent is 18; therefore, no treatment can be delivered.
B)the teen is underage and should be referred to the family general practitioner.
C)care can be provided as long as consent is voluntary and information about treatment and options is provided.
D)treatment is provided as long as telephone consent is obtained from a parent or legal guardian.
Answer: C
Q2) Which ethical principle is primarily involved in informed consent?
A)Veracity
B)Autonomy
C)Beneficence
D)Nonmaleficence
Answer: B
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5
Chapter 4: Cultural Diversity and Inclusion in Health Care
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Q1) In designing programs through your institution to address the health needs of Hispanics in your community, you most likely would develop programs related to:
A)diabetes.
B)cardiovascular disease.
C)cancer.
D)asthma.
Q2) Sarah, RN, complains to you that a male nurse from a different culture sits very close during charting and leans toward her when speaking.In responding to Sarah, you consider that differences across cultures that are relevant to this situation include:
A)eye contact.
B)personal space.
C)harassment.
D)expressions of feeling.
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6
Chapter 5: Gaining Personal Insight: The Beginning of Being a Leader
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Q1) The core of leadership is awareness.The text by Don Miguel, The Four Agreements, presents a set of agreements to enhance personal growth and awareness.What is not one of the four agreements?
A)Be impeccable with your word.
B)Take things personally.
C)Do not make assumptions.
D)Always do your best.
Q2) The chief nursing officer (CNO) is appointed for the local hospital in a rural area.The nursing committee agreed with the appointment of the new CNO offered the position.What is this type of leadership position considered?
A)Formal leadership
B)Informal leadership
C)Director leadership
D)Personal leadership
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Chapter 6: Being an Effective Follower
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Q1) As a new nurse manager, you are aware of leadership, management, and followership principles.The concept of followership is rather new as relating to leadership.What is the role of the follower in followership?
A)Leading the group in task
B)Submission position in organization
C)Person who may influence team
D)Negative meaning for worker
Q2) The manager of a nursing unit is having difficulty working with a new graduate nurse.The new graduate nurse is excited and full of ideas she wants to try keeps pushing the manager to make changes.The manager decides to provide the new nurse with an opportunity to present an idea to the staff at the next meeting.What is the manager providing the new nurse?
A)Leadership opportunity
B)Working to improve patient care
C)Input to the unit
D)All of the above
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Chapter 7: Managing Self: Stress and Time
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Q1) The chief nursing officer listens to nurse managers verbalize their feelings of internal stress.One common source of internal stress seems to be:
A)the death of a loved one.
B)perfectionism.
C)getting married.
D)losing a job.
Q2) The nurse manager is implementing a shared governance model to help with communication and decision making.Although staff members like the concept, change is difficult.Staff nurses feel:
A)more empowered.
B)more communicative.
C)less stressed.
D)more powerless and devalued.
Q3) Keep the meeting focused and directed toward accomplishing the set objectives.Select the correct order from the following options:
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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Page 9
Chapter 8: Communication and Conflict
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Q1) Kala, a unit manager, in discussing a role the CEO would like her to perform, makes the following statement, "I will sit on the hospital task force on improving morale if you send me to the hospital's leadership training classes next week, so I can further develop my skills and thus be more effective." Which of the following conflict management styles is Kala using?
A)Collaborating
B)Avoiding
C)Negotiating
D)Accommodating
Q2) Two nurses on a psychiatric unit come from different backgrounds and have graduated from different universities.They are given a set of new orders from the unit manager.Each nurse displays different emotions in response to the orders.Nurse A indicates that the new orders include too many changes; Nurse B disagrees and verbally indicates why.This step in the process is which of the following in Thomas' stages of conflict?
A)Frustration
B)Conceptualization
C)Action
D)Outcomes
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Page 10
Chapter 9: Power, Politics, and Influence
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Q1) A nurse is participating in a baccalaureate course.For the class, she has to attend the legislative session regarding the new role of medication assistants.Why is it important for nurses to be involved in shaping public policy?
A)Involvement will enable nurses to take over the healthcare system at some point in the future.
B)Other healthcare professions are less concerned about the essential needs of clients.
C)Such activities are important career builders for nurses who seek top-level executive positions.
D)They are closest to the front line of health care and see how it affects clients and families.
Q2) One day, at coffee, your co-worker suggests that you and she sit with unit members of the hospital research committee.She suggests that this would be an excellent way to get to know people who share her interest in research.Her actions are an example of:
A)mentorship.
B)politics.
C)networking.
D)empowerment.
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Page 11
Chapter 10: Health Care Organizations
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Q1) You are a nurse manager in a facility that is part of a national system of specialized hospitals that provide services to children and that is funded and managed through a religious charity organization.This system emphasizes compassionate, faith-based care.What level of consolidated system is represented in this example?
A)First level
B)Second level
C)Fourth level
D)Fifth level
Q2) What is an example of an HMO?
A)Nurse practitioners are paid promptly at discounted fees for each service rendered at a women's health clinic.
B)Physicians in a large urban center are reimbursed for visits made to their clients.
C)Physicians are paid for each service delivered to enrolled patients through a prepaid plan.
D)Patients pay fixed annual fees for ambulatory care services, regardless of actual utilization of health services.
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Chapter 11: Organizational Structures
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Q1) The facilities department is experiencing some challenges and is undergoing reorganization.Because of your familiarity with systems theory, you:
A)know that this challenge is their issue and that it has nothing to do with your unit.
B)understand that such events are localized and do not have an impact on the organizational culture.
C)know that the nature of challenges and reorganization in facilities will have an impact on other areas.
D)anticipate that your prior experiences with facilities have no effect on the current situation.
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 clients.
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 12: Care Delivery Strategies
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Sample Questions
Q1) The relief charge nurse has assigned a newly licensed baccalaureate-prepared nurse to be one of the team leaders for the 3-11 shift.In making this decision, the charge nurse has overlooked this nurse's:
A)clinical expertise.
B)leadership ability.
C)communication style.
D)conflict-resolution skills.
Q2) In an acute care unit, the nurse manager utilizes the functional nursing method as the care delivery model.The nurse manager's main responsibility is the needs of the:
A)department.
B)unit.
C)staff.
D)patient.
Q3) Case managed care may enhance profit in a for-profit health organization by: A)minimizing costs in high resource consumption areas.
B)combining licensed and non-licensed care providers in delivering patient care.
C)increasing reimbursement from third-party payers.
D)reducing the amount of technology used to support clinical decision making.
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Chapter 13: Staffing and Scheduling
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Q1) A particular classification system assigns revenue according to the functional capacity of patients and the progression of patients during their stay in rehabilitation units.More independent patient activities, such as prompted voiding, require higher staff utilization than dependent activities but do not result in increased staff resources.This is an example of:
A)bureaucracy.
B)concern related to the validity of classification systems.
C)inadequate reliability of classification systems.
D)inappropriate subjectivity in making judgments about staffing.
Q2) The American Nurses Association has advocated for the Registered Nurse Safe Staffing Act.This legislation is based on ANA Safe Staffing Principles and takes what factors into consideration for planning staffing on a nursing unit?
A)Patient acuity and complexity
B)Education and training of the nurses
C)Technology available and use on the unit
D)All factors listed are to be considered
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15
Chapter 14: Work Force Engagement Through Collective
Action and Governance
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Q1) Senior executives at Hospital A determine that the hospital will engage in a strategic planning process after changes in healthcare funding and concerns expressed in the community about care that is being delivered at the hospital.The senior executives decide on a participatory process in which staff are widely consulted regarding input about the organization and the external environment and are actively invited to be part of decisions related to the mission statement, goals, and objectives.For true shared governance to be seen as part of this approach:
A)it must be evident in the outcomes of the process that staff and senior executives have partnered on the decisions.
B)stakeholders must be assured of the value of their input even though final decisions rest with senior executives.
C)publications must clearly outline how staff input was solicited and obtained.
D)staff must be reassured that significant concerns will be kept in mind even if they have not been addressed in planning documents.
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16
Chapter 15: Making Decisions and Solving Problems
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Q1) Knowing when to have the entire team participate in the decision-making process or when to have only the team leader make the decisions depends on the situation and the desired outcomes.The autocratic process is used in which of the following situations?
A)The task and the outcome are relatively simple and defined.
B)It is unlikely that the group will reach a consensus.
C)A decision has to be discussed thoroughly.
D)A number of options need to be considered.
Q2) The risk manager wants to evaluate the reasons for an increased number of falls on the rehab unit.The risk manager devises a fishbone diagram.A fishbone diagram is a useful tool to:
A)identify the root causes of problems.
B)list possible solutions to problems.
C)help leaders select the best options.
D)evaluate the outcomes of decisions made.
Q3) Decision making is described by the nursing educator as the process one uses to:
A)solve a problem.
B)choose between alternatives.
C)reflect on a certain situation.
D)generate ideas.
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Page 17
Chapter 16: The Impact of Technology
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Sample Questions
Q1) A nurse manager is excited by the possible use of speech recognition (SR) systems for documentation of patient care, especially during crisis situations when staff members need to focus on performing rapid assessments and implementation of procedures.She learns, however, that SR systems would be impractical at this point.What would lead to this conclusion?
A)SR systems are not available outside pilot projects.
B)The type of speech required for voice recognition is unlikely to occur in a pressured situation.
C)The hands-free function has not been perfected in SR technology.
D)Wireless communications are prone to unreliability in transmission.
Q2) 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.
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18
Chapter 17: Delegating: Authority, Accountability,
Responsibility in Delegation Decisions
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Q1) Which of the following indicates safe delegation?
A)The nurse supervisor for a large urban acute care department asks the unit manager to accept two new acutely ill patients, which the manager does.The unit is short two staff, and the replacement is inexperienced.
B)A unit manager agrees to release a staff from her unit to Unit B.The staff member she agrees to release is experienced on Unit B and is agreeable to the change.The unit manager's unit is fully staffed and patients are stable.
C)The nurse supervisor asks the head nurse for Unit A to make do without a replacement for an ill staff member because Unit A was originally overstaffed anyway.Patient acuity levels are very high on Unit A and two staff are orientating.
D)The nurse supervisor asks the charge nurse on Unit B to cover Unit F, which is two floors up, because the charge nurse for Unit F is ill.The charge nurse for Unit B is an experienced manager but has no experience with the nursing care required on Unit F.
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Page 19
Chapter 18: Leading Change
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Q1) Based on Elizabeth's insights and suggestions, you involve pharmacy, 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 IV protocols.The change process at this point is:
A)linear.
B)nonlinear.
C)sabotaged.
D)neutralized.
Q2) An example of one strategy to improve participation in the change process by staff fitting the behavioral descriptions of laggards, early majority, late majority, and rejecters is to:
A)encourage teamwork.
B)transfer to a different unit.
C)require attendance at staff meetings.
D)delegate the roles and tasks of change.
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Chapter 19: Building Effective Teams
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Q1) From the information presented in this chapter, which of the following statements best defines an accomplished team? Effective teams:
A)can create a form of synergism in which the outcome is greater than the sum of the individual performances.
B)do not necessarily need goals, objectives, vision, and a clearly stated purpose.
C)do not always have effective communication patterns.
D)may or may not have a clear plan that is followed and revisited and has an ongoing evaluation scheme.
Q2) The SBAR system of communications is one of the most used communication systems in health care because:
A)it deals with all aspects of communications in patient care except communication with the physician.
B)the nurse is on the same communication level as administration.
C)it honors a familiar, structured transfer of information among health professionals.
D)it honors an unstructured transfer of information.
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21
Chapter 20: Managing Costs and Budgets
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Q1) An older adult couple with limited means and on Medicare is considering options after the hospitalization of Mrs.A.with a fractured hip.Mrs.A.is stable but requires assistance with bathing, transfer, and mobility, and this will present stress for Mr.A., who was hospitalized with a mild myocardial infarction last year.Considering their means and health concerns, which of the following might be the best option?
A)Hospice care
B)Custodial nursing home care
C)Home care
D)Hospital care
Q2) In a nurse managers' meeting, the chief nursing officer encourages the managers to brainstorm ways to reduce costs.Nurse managers have the greatest impact on reducing costs by managing:
A)supplies.
B)staffing.
C)fixed costs.
D)medication costs.
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22
Chapter 21: Selecting, Developing, and Evaluating Staff
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Q1) John, a new graduate, reviews the employee evaluation for his new position.The first section requires that he list his own specific objectives to be accomplished.This is an example of:
A)the traditional rating scale.
B)learning goals, or management by objectives.
C)a forced distribution scale.
D)a behavior-anchored rating scale.
Q2) The chief nursing officer establishes a shared governance model to help empower the nursing staff, thus empowering the organization.Common characteristics of empowered organizations are:
A)shared values, high salaries, and a human focus.
B)shared values, flexibility, and a human-capital focus.
C)commitment to communication, high salaries, and flexibility for evaluations.
D)creation of community and of effective stress management in the midst of divergent goals.
Q3) The validity of comments and ratings related to performance is enhanced by:
A)maintenance of anecdotal notes over the entire evaluation period.
B)quantity of information gathered for appraisal purposes.
C)agreement of the employee with the ratings and comments.
D)whether or not other individuals have contributed to the observations.
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Chapter 22: Person-Centered Care
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Q1) Which of the following actions best exemplifies advocacy?
A)Developing a list of agencies that will provide free services for the homeless
B)Working in a needle exchange program for individuals in an inner-city environment
C)Acting on behalf of a patient to promote end-of-life wishes to an ethics committee
D)Working in a free clinic for immigrant workers
Q2) The complexity of the healthcare environment for consumers is increased by:
A)falling levels of education among the public.
B)increased levels of poverty.
C)complex compensatory systems and a variety of delivery systems.
D)increased numbers of uninsured or underinsured.
Q3) During review of a patient's progress, the healthcare team determines that a patient requires treatment that is generally accepted at that time in the usual illness trajectory of a patient.The patient is unable to pay.As the head nurse, you persist in ensuring that this patient receives the treatment.You are:
A)empowering the patient.
B)avoiding litigation.
C)advocating for the patient.
D)supporting the clinical pathway.
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Chapter 23: Managing Quality and Risk
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Q1) An example of an effective patient outcome statement is:
A)eighty percent of all patients admitted to the Emergency Department will be seen by a nurse practitioner within 3 hours of presentation in the Emergency Department.
B)patients with cardiac diagnoses will be referred to cardiac rehabilitation programs.
C)the hospital will reduce costs by 3% through the annual budget process.
D)quality is a desired element in patient transactions.
Q2) A nurse is explaining the pediatric unit's quality improvement (QI) program to a newly employed nurse.Which of the following would the nurse include as the primary purpose of QI programs?
A)Evaluation of staff members' performances
B)Determination of the appropriateness of standards
C)Improvement in patient outcomes
D)Preparation for accreditation of the organization by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
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Chapter 24: Translating Research Into Practice
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Q1) Within a multisite healthcare system, the most appropriate strategy for translation of research would be:
A)widespread development of protocols using EBP at unit levels.
B)dissemination of EBP and recommendations to individuals, units, and the organization.
C)development of the skills of individual managers on how to build guidelines based on EBP.
D)establishment of an interdisciplinary center to guide and lead the translation of research findings into practice.
Q2) The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia.What is the critical first step to effectively gather evidence for guiding practice?
A)Develop the clinical question.
B)Identify the databases to be used.
C)Appraise the evidence.
D)Integrate available evidence with unit expertise.
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Chapter 25: Managing Personal and Personnel Problems
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Q1) Nurse Stacey is a self-admitted drug addict and has been a heavy abuser of codeine.Stacey and the unit manager decide that changes have to occur.Stacey enrolls in an addiction program, and the manager has her transferred to a drug-free area.What other strategies might be appropriate?
A)The manager could refer Stacey to the human resources department.
B)The manager could assist in monitoring Stacey's progress.
C)The manager could counsel Stacey if Stacey has formed a trusting relationship with her.
D)Stacey needs to be asked not to involve her family in the recovery program because this is a work-related situation.
Q2) The chief nursing officer reviews the policy about "progressive discipline process." The progressive discipline process includes which of the following? The manager:
A)acts as a counselor and friend to the employee.
B)should reprimand and suspend the employee as a last resort.
C)should rehire the employee after a reasonable length of time.
D)should terminate the employee if the problem persists.
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Chapter 26: Role Transition
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Q1) A nurse is interviewing for a manager's position.Which of the following actions is considered a role preview?
A)Formal commitment of the employment contract
B)Improving role performance
C)Touring the unit
D)Disillusionment about the expectations of the job
Q2) Sarah is a nursing graduate of 5 years who is very confident in her clinical skills.She has taken some certificate courses in leadership and management and has considered beginning a graduate degree with this focus.She is excited about being able to use her knowledge and interest by being hired as a nurse manager.Before beginning her new position, Sarah spends time with her nurse executive to clarify the executive's expectations of her and of the unit that she has been hired to manage.Sarah finds that she has begun to think negatively about the way nursing care is delivered on her nursing unit.She often wishes that she was back on her old unit and in her familiar staff nurse role.This behavior:
A)is natural when assuming a new position.
B)diverts energy from internalization of Sarah's new role.
C)is justified if practices are deficient on the new unit.
D)reflects Sarah's astuteness as a clinician.
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Page 28
Chapter 27: Managing Your Career
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Q1) A well-written letter of resignation is critical to:
A)first announce your intent to resign.
B)formally signal discontent in your current position.
C)maintain a positive relationship with your former organization and colleagues.
D)fulfill your legal obligations as a departing employee.
Q2) Professional associations:
A)set regulatory requirements and establish entry requirements for nursing.
B)offer graduate programs for clinical and career advancement.
C)provide opportunities for career networking and support.
D)are open to all individuals who meet the criteria for membership.
Q3) Steady state styles would be most likely in which of the following situations?
A)Small hospital, in an isolated rural setting, with limited hierarchy
B)Large urban teaching hospital
C)Health network with several organizations
D)Travel nurse agency
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 28: Developing the Role of Leader
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Q1) Becky graduated 5 years ago and is keenly interested in pursuing leadership opportunities.She has been active in learning about leadership through workshops and Internet research and recently began a graduate degree program with a focus on nursing administration.She has excellent clinical skills and eagerly accepts responsibility for various projects on the unit.Her sarcastic and sometimes aggressive behavior tends to alienate other staff members on the unit.In coaching Becky, you:
A)suggest that she reflect on situations in which she has had a positive influence and consider how her interactions contributed to the situation.
B)suggest that she not consider leadership roles because her interaction skills are more suited to roles in which she has limited opportunities to work with others.
C)ask staff members on the unit with whom she works to provide her feedback about ways in which her behavior irritates or turns them away.
D)encourage her to continue her graduate courses, as information about strategies and technical aspects of the role will compensate for negative interactions.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: Developing the Role of Manager
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/44377
Sample Questions
Q1) The nurse manager, as the leader of the unit's "customer (client) first" initiative, has asked the staff nurses to develop and administer a survey to every client before discharge.In asking the staff nurses to accomplish this task, the nurse manager is demonstrating:
A)accountability.
B)shared leadership.
C)a common purpose.
D)independence in the nursing manager's role.
Q2) A manager who is concerned with ensuring that patients on her surgical unit have the necessary information to make informed choices is:
A)practicing legal nursing care.
B)demonstrating respect for patient rights.
C)avoiding risks.
D)likely experiencing staff issues with informed consent.
Q3) The successful integration of informatics into healthcare settings is key to:
A)quality decision making related to management of resources and patient care.
B)accessing current information about business practices.
C)meeting the modern-day expectations of staff regarding technology use.
D)speeding up calculations and decisions in budget development.
To view all questions and flashcards with answers, click on the resource link above.
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Chapter 30: The Strategic Planning Process
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/44378
Sample Questions
Q1) Shifts such as changes in the percentage of seniors in the population, governmental initiatives in health care, and the influence of income on health status are factors in the __________ environment.
A)public
B)macro
C)competitive
D)social
Q2) Which of the following represents an effective goal statement?
A)Involve patients and families in planning health care.
B)To revise clinical guidelines for incontinence care from evidence within 6 months.
C)Patients and families are partners first in care planning.
D)To acquire $4 million in additional funding within 12 months to support clinical education programs for dementia.
Q3) The clinic nurse understands that the advantages of planning include:
A)assisting staff in critical thinking and improving decisions.
B)orienting people to react instead of act.
C)forcing managers to be cost-efficient and cost-effective.
D)focusing on activities, not results.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 31: Thriving for the Future
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/44379
Sample Questions
Q1) Based on studies of workplace environments for nurses and future projections, the workplace of the future will be:
A)less intense because of more technology.
B)about the same as it is now.
C)more intense because of more technology.
D)fluctuating between intense periods and less intense periods.
Q2) Several changes are introduced to a unit, including changes to familiar clinical procedures and the use of WOWs to enable bedside documentation.You, as unit manager, anticipate which of the following will contribute most to complexity compression?
A)Meaning of the change
B)Pace of changes
C)Previous experiences with change
D)Confidence of the leader in the value of the change
Q3) Which of the following strategies is most important in developing a strong vision?
A)Seeking out evidence to support trends and out-of-the-box thinking
B)Spending time with others with whom we discuss ideas
C)Setting up focus groups to provide information on current realities
D)Being honest and open about what we think for the future
To view all questions and flashcards with answers, click on the resource link above.
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