Healthcare Management
Chapter Exam Questions
Course Introduction
Healthcare Management is an interdisciplinary course that explores the structure, function, and processes of healthcare organizations, focusing on principles and practices essential for effective leadership within the healthcare sector. The course covers key topics such as healthcare policy, strategic planning, financial and human resource management, quality improvement, regulatory compliance, and ethical considerations in healthcare settings. Students will gain insights into the challenges and opportunities faced by healthcare administrators, and develop the skills needed to manage healthcare teams, optimize resources, and enhance patient outcomes in a rapidly evolving industry.
Recommended Textbook
Nursing Leadership and Management 2nd Canadian Edition by Patricia Kelly
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Page 2
Chapter 1: Canadas Health Care Environment
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Q1) Which of these national bodies is responsible for the accreditation of health service organizations in Canada?
A) Canadian Nurse Accreditation Association
B) Accreditation Canada
C) 3 M Accreditation Awards Committee
D) Canadian College of Health Services Executives
Answer: B
Q2) The Canada Health Act,passed in 1984,defines five principles for health care in Canada: universality,comprehensiveness,accessibility,portability,and public administration.Which of the following funding provisions is also specified in this Act?
A) Clients may be charged for non-emergency care.
B) Doctors within the public insurance plan cannot extra bill for their services and no user fees can be charged for insured services.
C) Doctors may "extra bill" if they so choose.
D) Private clinics may charge user fees for some insured services.
Answer: B
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Chapter 2: Basic Clinical Health Care Economics
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Q1) Through what mechanism do most regions receive funding from their provincial government?
A) a needs-based funding formula
B) a program budgeting and marginal analysis (PBMA)
C) a global budget
D) program budgets
Answer: C
Q2) The purpose of analyzing records of what transpires in hospitals is to practice financial stewardship and determine whether it is,in fact,doing good or producing "mischievous outcomes." Which of these authors made this comment?
A) Laura Nosek
B) Ida Androwich
C) Pat Kelly-Heidenthal
D) Florence Nightingale
Answer: D
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Chapter 3: Evidence-Based Practice
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Sample Questions
Q1) What does the term EPC stand for in relation to health care research?
A) evidence-based care
B) evidence-based practice and collaboration
C) evidence-based practice centres
D) evidence-based consultations
Answer: C
Q2) Which of these factors does evidence-based medicine and practice integrate with the best external evidence and individual clinical expertise?
A) RTCs
B) current practice
C) client choice
D) physician preferences
Answer: C
Q3) What is the purpose of the nursing research chairs established across Canada?
A) to promote evidence-based practice
B) to promote the nursing profession
C) to examine nursing practice and resources,and develop knowledge transfer strategies
D) to fund nursing research
Answer: C
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Chapter 4: Nursing and Health Care Informatics
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Q1) Basic computer literacy in nursing requires which of these skills?
A) integrating programs
B) accessing information from a variety of electronic resources
C) installing upgrades
D) developing software
Q2) Nursing Informatics has been formally recognized as an area for speciality certification in nursing by which of the following groups?
A) International Medical Informatics Association
B) Canadian Association of Schools of Nursing
C) American Nurses Association
D) Canadian Nurses Association
Q3) What was the original purpose of the World Wide Web (WWW)when it was first designed?
A) communication of health information
B) a method of advertising
C) a communication aid for physicists
D) communication between governments
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6
Chapter 5: Population-Based Health Care Practice
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Q1) What is the model developed by Lawrence Green for planning and evaluating population-based health programs?
A) Community Planning Model
B) the Population Health Model
C) the Precede-Proceed Model
D) the Nursing Process
Q2) Which of the following is considered the most serious threat to health?
A) lack of adequate food
B) violence
C) contaminated water supply
D) poverty
Q3) Which of the following is used in population-based nursing practice to assess,diagnose,plan,implement,and evaluate nursing practice?
A) NANDA
B) comorbidities nursing assessment
C) nursing process
D) population assessment
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Page 7
Chapter 6: Personal and Interprofessional Communication
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Q1) Which of the following elements is most important in nonverbal,face-to-face communication?
A) tone
B) facial expression
C) posture
D) content
Q2) The traditional modes of communication are verbal and nonverbal.Which of the following is considered a third communication mode?
A) writing
B) touch
C) electronic methods
D) face to face
Q3) What is the term for a conflict resolution that results in neither party getting all they wanted?
A) avoidance
B) accommodating
C) compromising
D) collaborating
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Chapter 7: Politics and Consumer Partnerships
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Q1) Who will make the decisions that affect nursing practice if nurses do NOT participate in systems level decisions?
A) employers
B) doctors
C) consumers
D) other stakeholders
Q2) Which one of these advantages does partnership between consumers and professional groups offer?
A) a larger voting block representing different political positions
B) a small funding base of financial support
C) increase in voices supporting or opposing an issue
D) maintenance of power base
Q3) Which step in establishing a partnership with a consumer group includes identifying the purpose?
A) listen
B) study
C) assess
D) focus
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9
Chapter 8: Nursing Leadership and Management
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Q1) Which of these theories includes maintenance and motivation factors?
A) hierarchy of needs theory
B) two-factor theory
C) Theory X and Y
D) Theory Z
Q2) Which of the following is a common title for a middle-level manager position?
A) first line manager
B) director
C) vice president of client care services
D) chief nurse executive
Q3) What is the systematic process aimed at achieving organizational goals?
A) management
B) management process
C) POSDCORB
D) taxonomy
Q4) Which of these theories is a process motivation theory?
A) equity theory
B) Maslow's theory
C) Alderfer's theory
D) Herzberg's theory
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Chapter 9: Effective Team Building
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Q1) What is the correct order of the five stages of group development?
A) forming,norming,storming,performing,adjourning
B) forming,norming,performing,storming,adjourning
C) forming,performing,norming,storming,adjourning
D) forming,storming,norming,performing,adjourning
Q2) In which stage of the group process is agreement most important?
A) storming
B) norming
C) performing
D) adjourning
Q3) Which of these is a key task performed by the leader in a team meeting?
A) recorder
B) antagonist
C) role model
D) controller
Q4) In which stage of group development is conflict most likely to first arise?
A) storming
B) performing
C) forming
D) norming
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Chapter 10: Budget Concepts for Client Care
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Q1) What is the process that details the cost of every supply item and the frequency of use?
A) accounting
B) zero-based budgeting
C) operating budget
D) capital budget
Q2) Which type of budget accounts for both revenue and expenditures associated with the day-to-day functions of a department or organization?
A) an operating budget
B) a capital budget
C) a construction budget
D) an accounting budget
Q3) What percent of operating costs is made up of salaries and benefits?
A) 90 percent
B) 80 percent
C) 50 percent
D) 30 percent
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Chapter 11: Effective Staffing
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Q1) What is an advantage of primary nursing?
A) accountability
B) cost
C) geographic boundaries
D) One person provides all care.
Q2) What is an advantage of the total client care and the case method models of care delivery?
A) cost
B) same clients
C) continuum of care
D) consistency of care
Q3) Which of the following must the nurse manager first take into account when scheduling staff?
A) staffing pattern
B) volume of staff
C) volume of clients
D) staff needs
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Page 13
Chapter 12: Delegation of Nursing Care
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Q1) Which of the following refers to verbal directions by the delegator?
A) appropriate delegation
B) direct delegation
C) timely delegation
D) indirect delegation
Q2) Which "right of delegation" focuses on the registered nurse describing the delegated task and the expected outcomes?
A) right person
B) right supervision
C) right direction
D) right circumstance
Q3) What is the most important consideration for nurses in any delegation situation?
A) client safety
B) accomplishing all necessary tasks
C) making clients receive treatments on time
D) support staff capabilities are carefully assessed
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Chapter 13: Strategic Planning and Organizing Client Care
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Q1) Which of the following is a characteristic of situational leadership?
A) uniformity to every group
B) leaders helping followers to grow
C) adjustment of leadership cognitive ability
D) leadership motivation
Q2) Which of the following is the main feature of primary care nursing?
A) It is an inexpensive system.
B) It requires less nursing staff.
C) One nurse is the primary caregiver.
D) It is dependent on associate nurses.
Q3) What does the concept of shared governance imply?
A) self-control
B) some individual's sharing power
C) vested parties sharing power
D) individual authority
Q4) Which of the following is a domain of the Bassett Quality Compass?
A) process outcomes
B) revenue
C) client satisfaction
D) operational status
Page 15
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Chapter 14: Change and Conflict Resolution
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Q1) Which of the following series of changes are included in Rogers' Diffusion of Innovations Theory of Change?
A) diagnose,assess,select progressive change objective,choose role of change agent,maintain change,and terminate helping relationship
B) unfreeze,move,refreeze
C) create awareness,encourage interest,evaluate,trial,adopt
D) build relationship,diagnose problem,acquire resources,choose,gain acceptance
Q2) Which type of organizational change alters authority relations or job redesign?
A) structural change
B) cultural change
C) human resources change
D) physical setting changes
Q3) Which is the conflict resolution technique in which each side gives up something and gains something?
A) avoiding
B) accommodating
C) competing
D) compromising
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Chapter 15: Power
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Q1) Which type of power do nurse managers hold?
A) power of expertise
B) connection power
C) referent power
D) legitimate power
Q2) Which type of power does critical thinking lead to?
A) information power
B) expert power
C) connection power
D) legitimate power
Q3) Nurses empower themselves through which of the following factors?
A) media involvement
B) self-perception of power
C) gender
D) self-decision making
Q4) Which type of power do nurses exercise when they teach others in their practice?
A) expert power
B) connection power
C) information power
D) legitimate power
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Chapter 16: Managing Performance and Outcomes Using an Organizational Quality Improvement Model
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Q1) As a program manager which of the following visual aids might you choose to use to identify reasons for delays or problems in a process?
A) time series chart
B) fishbone diagram
C) balanced scorecard
D) flowchart
Q2) Which of the following is an example of a direct cost?
A) electricity
B) human resource staff
C) medications
D) secretaries
Q3) Which of these is a general principle of performance or quality improvement?
A) The priority is to benefit clients and internal customers.
B) Quality is achieved through the participation of everyone in the organization.
C) Improvement opportunities are focused on the work we do individually.
D) Decisions to change or improve a system or process are based on intuition.
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Chapter 17: Decision Making
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Sample Questions
Q1) According to the text,what is the best source of clinical decision making?
A) technology
B) professional practitioner
C) policies and procedures
D) client classification system
Q2) Which of these activities is a symptom of groupthink?
A) basing decisions on anecdotal evidence
B) developing an illusion of invulnerability
C) stereotyping insiders
D) discouraging questioning
Q3) Which factors influence decision making through organizational culture and legal frameworks?
A) organizational factors
B) extrinsic factors
C) personal factors
D) intrinsic factors
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Page 19
Chapter 18: Legal Aspects of Client Care
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Q1) What is the highest law in Canada?
A) pubic law
B) provincial law
C) The Canadian Constitution
D) judicial action
Q2) Which of the following is encompassed by civil law?
A) contract and tort law
B) contract and malpractice law
C) contract and negligence law
D) tort law and common law
Q3) What is the term for the touching of another individual without that person's consent?
A) assault
B) defamation
C) false imprisonment
D) battery
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Page 20
Chapter 19: Spirituality and the Profession of Nursing
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Q1) What is the relationship between nursing practice and spiritual care?
A) religious beliefs
B) nursing competencies
C) nursing theory identifies humans as spiritual beings
D) requirement of licensure
Q2) In the Canadian context,what does the term cultural care encompass?
A) nursing in another country
B) shared customs and traditions
C) recognizing new immigrants
D) understanding another language
Q3) Who is at the centre of the eight domains of palliative care?
A) the client
B) the family
C) both the client and their family
D) pastoral staff
Q4) Which of the following differentiates spirituality from religion?
A) Religion is characterized by boundaries.
B) Religion involves rituals.
C) Spirituality is defined by boundaries.
D) They involve different beliefs.
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Chapter 20: Ethics and the Profession of Nursing
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Q1) Which of these terms refers to our beliefs and traditions about right and wrong behaviour?
A) morality
B) ethics
C) professional behaviour
D) norms
Q2) Which of the following is an important fiduciary duty for nurses?
A) respecting the client's wishes
B) ensuring consent
C) being truthful
D) providing explanations to the family
Q3) Which principle is being reflected when a nurse is committed to promoting the welfare of the client?
A) practical wisdom
B) reflective intelligence
C) beneficence
D) humility
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Page 22
Chapter 21: Collective Bargaining
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Q1) What type of management style discourages workplace advocacy activities?
A) democratic
B) authoritarian
C) laissez-faire
D) shared governance
Q2) What is the term for withholding labour in order to force management to accept union terms?
A) bargaining
B) strike
C) lockout
D) work-to-rule
Q3) Which term refers to the act of an individual disclosing information regarding violation of a law,rule,or regulation or a substantial and specific danger to public health?
A) free speech
B) whistle-blowing
C) tattletale
D) gossip
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Page 23
Chapter 22: Career Planning and Development: Creating
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Q1) Who is/are the author(s)of the Career Planning and Development Model referred to in the text?
A) Gail Donner and Mary Wheeler
B) Janice Waddell
C) Heather Crawford
D) R.Bowles
Q2) Which type of résumé is best suited to students and new graduates?
A) adjustable
B) adaptable
C) functional
D) chronological
Q3) In which part of your self-assessment should you include feedback provided by faculty and peers?
A) reality check
B) career vision
C) résumé
D) self-knowledge
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Page 24