Healthcare Management for Nurses
Exam Questions
Course Introduction
Healthcare Management for Nurses is a comprehensive course designed to equip nursing professionals with the foundational principles and practical skills necessary for effective management within healthcare settings. The course covers key topics such as leadership strategies, team coordination, healthcare policies, quality improvement, resource allocation, and ethical decision-making. By exploring case studies and real-world scenarios, nurses will develop enhanced communication, problem-solving, and organizational abilities, preparing them to take on leadership roles and contribute to the efficient delivery of patient care. This course emphasizes the integration of clinical expertise with management acumen, enabling nurses to navigate and influence the complexities of modern healthcare environments.
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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Sample Questions
Q1) In which year did all provinces and territories expand their public insurance plans to include both physician and hospital services?
A) 1962
B) 1972
C) 1977
D) 1984
Answer: B
Q2) Which of the following statements best describes the overall goal of health care delivery in Canada?
A) to provide Canadians with requested health service,without the need to pay
B) to provide Canadians with reasonable access to medically necessary insured services,without the need to pay directly
C) to provide all Canadians with free health care
D) to provide health services through increased access to employer-sponsored health insurance
Answer: B
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3
Chapter 2: Basic Clinical Health Care Economics
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Sample Questions
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) What is the term for unselfish concern for the welfare of others?
A) ethics
B) altruism
C) egoism
D) paternalism
Answer: B
Q3) Which of these systems has replaced in-house costing in many Canadian hospitals?
A) case-costing
B) resource benchmarking
C) resource intensity weights (RIWs)
D) activity-based costing (ABC)
Answer: C
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Page 4
Chapter 3: Evidence-Based Practice
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Sample Questions
Q1) Which of the following is referred to by the acronym KTE?
A) Knowledge Transfer and Exchange
B) Knowledge Terms and Education
C) Knowledge Technology and Education
D) Knowledge Transfer and Effect
Answer: A
Q2) Which of these information sources provides nurses with up-to-the-moment clinical information that warrants immediate attention?
A) Evidenced-Based Nursing
B) Clinical Nursing Research
C) Canadian Journal of Nursing Leadership
D) Worldwide Nursing
Answer: A
Q3) What is the purpose of the Canadian Health Services Research Foundation (CHSRF)?
A) to promote the development of evidence-based care
B) to bridge the gap between research and health care management and policy
C) to conduct primary research
D) to provide funding for research
Answer: B
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Page 5
Chapter 4: Nursing and Health Care Informatics
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Sample Questions
Q1) 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
Q2) In what year was the modern Internet developed?
A) 1969
B) 1989
C) 1995
D) 1998
Q3) 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
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Chapter 5: Population-Based Health Care Practice
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Sample Questions
Q1) Which of the following states that the prerequisites for health include peace,food,social relations,and empowerment of women?
A) Alma-Ata Declaration
B) Declaration of Montevideo
C) the Jakarta Declaration
D) the Ottawa Charter
Q2) Which of the following do community health nurses consider to be a fundamental aspect of public health practice?
A) wound care
B) prenatal care and postnatal home visits
C) social activism and community collaboration
D) STD follow-up
Q3) Approximately what percentage of the nursing workforce in Canada is involved in community health?
A) 25 percent
B) 13 percent
C) 10 percent
D) 4 percent
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Chapter 6: Personal and Interprofessional Communication
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Sample Questions
Q1) Which of the following can be considered a barrier to communication?
A) congruent responses
B) sadness
C) agreement
D) gender
Q2) Which of the following elements is most important in nonverbal,face-to-face communication?
A) tone
B) facial expression
C) posture
D) content
Q3) Which type of organizational communication occurs among people with similar status?
A) downward
B) upward
C) lateral
D) diagonal
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Chapter 7: Politics and Consumer Partnerships
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Sample Questions
Q1) Which of these client groups most benefits when nurses participate in public policy?
A) those living in poverty
B) those knowledgeable about health care
C) vocal consumers
D) those marginalized with little or no voice
Q2) Which of the following refers to participating in public policy-making efforts that support consumer-professional association partnerships and their political agenda?
A) build political credibility
B) soothe and bargain
C) report,publicize,and lobby
D) reaffirm,redefine,or discontinue
Q3) Which of the following groups is important for supporting nursing advocacy in collaboration with nursing organizations?
A) hospital administrators
B) consumer groups
C) insurance companies
D) physician associations
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Chapter 8: Nursing Leadership and Management
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Q1) What is the leadership theory that considers follower readiness as a factor in determining leadership style?
A) contingency theory
B) path-goal theory
C) situational theory
D) charismatic theory
Q2) According to Bennis,which of these is the primary quality of an effective leader?
A) vision
B) passion
C) integrity
D) honesty
Q3) Which of these is a characteristic of the consideration dimension of leadership behaviour?
A) focus on the work to be done
B) focus on the task
C) focus on production
D) focus on the employee
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Chapter 9: Effective Team Building
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Sample Questions
Q1) Which combination of factors is critical for successful teamwork?
A) clinical expertise,education,leadership style
B) personality,experience,temperament
C) temperament,experience,clinical expertise
D) education,personality,leadership style
Q2) In comparing the essential differences for leadership in a team and a group,which of the following best describes how leadership is established in a group setting?
A) Highest ranking member is the leader.
B) Leadership is shared.
C) The leader is voted in by the majority.
D) The leader is appointed.
Q3) Which of these functions is a key role of the leader of an interdisciplinary team?
A) set meeting times
B) ensure that every member has an opportunity to participate
C) plan a meeting schedule
D) arrange meeting facilities
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11
Chapter 10: Budget Concepts for Client Care
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Sample Questions
Q1) What type of budget includes building permits,materials,and labour costs?
A) capital budget
B) construction budget
C) balanced budget
D) operating 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 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
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Chapter 11: Effective Staffing
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Q1) 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
Q2) Which of the following is a disadvantage of applying the clinical pathways concept?
A) ability to manage care
B) shortened length of stay
C) ability to collect variances
D) standardized care
Q3) What is an advantage of the factor-type client classification system?
A) ongoing workload for nurses to classify clients
B) captures holistic client needs
C) data readily available
D) captures typical nursing time
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13
Chapter 12: Delegation of Nursing Care
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Sample Questions
Q1) A nurse is legally liable for her actions and is answerable for the overall nursing care of clients.Which of these terms is defined by that statement?
A) responsibility
B) authority
C) delegation
D) accountability
Q2) How do health care organizations benefit by using unregulated care providers (UCPs)?
A) The UCP performs nursing duties.
B) The UCP completes assessments of clients.
C) The UCP evaluates responses to treatments.
D) The UCP helps to reduce health care costs.
Q3) Which of the following refers to verbal directions by the delegator?
A) appropriate delegation
B) direct delegation
C) timely delegation
D) indirect delegation
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14
Chapter 13: Strategic Planning and Organizing Client Care
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Sample Questions
Q1) 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
Q2) What is the term for the management process designed to achieve goals through the allocation of resources?
A) strategic planning
B) implementation
C) governance
D) a corporate plan
Q3) The Canadian Adverse Events Study estimates that 9,000 to 24,000 deaths occur each year as a result of which of the following?
A) staffing shortages
B) lack of knowledge
C) preventable adverse events
D) new infectious agents
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Chapter 14: Change and Conflict Resolution
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Q1) Which of the following is one "discipline" that Senge identified as necessary for an organization to achieve the "learning organization status"?
A) systems thinking
B) group mastery
C) self-learning
D) physical models
Q2) According to Silber (1993),which of the following is a factor that affects an individual's ability to cope with change?
A) individual perception of loss
B) anticipated group consequences
C) evaluation of previous situations
D) flexibility
Q3) What is the term for a source of disagreement between two people or groups?
A) intrapersonal conflict
B) interpersonal conflict
C) organizational conflict
D) conflict
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Chapter 15: Power
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Sample Questions
Q1) What is the process that transforms information into power?
A) commitment
B) relationships
C) critical thinking
D) choice and control
Q2) According to the text,which of these statements is a major concern about those who hold power?
A) They may be overwhelmed.
B) They may be inexperienced.
C) They may make mistakes.
D) Power is corruptive.
Q3) What is an organizational outcome of recognizing the value of nurses' experience and knowledge?
A) motivation
B) self-help
C) empowerment
D) control
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Page 17
Chapter 16: Managing Performance and Outcomes Using an Organizational Quality Improvement Model
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Sample Questions
Q1) Which of these groups is an example of internal customers?
A) clients
B) nurses
C) private physicians
D) insurance payers
Q2) Which of these acronyms stands for a model that outlines a methodology for improvement?
A) ACDP
B) CDPA
C) DPAC
D) PDCA
Q3) If you were a manger planning to use the FOCUS method to examine a process in your agency,in which step would you find a flowchart most useful?
A) O
B) C
C) U
D) S
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Page 18
Chapter 17: Decision Making
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Sample Questions
Q1) From which three perspectives should critical thinking be viewed?
A) thinking ahead,thinking in action,and thinking back
B) thinking about clients,the physician,the nurse
C) thinking about management,cost,outcomes
D) thinking of client,nurse,or management
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 of these can the student best improve by "journaling" on a regular basis?
A) problem solving
B) critical thinking
C) reflective thinking
D) using nurse process
Q4) Which of these is another way of describing thinking ahead?
A) decision making
B) refection
C) planning
D) being proactive
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Chapter 18: Legal Aspects of Client Care
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Sample Questions
Q1) According to the International Nursing Review,how much more workplace violence do nurses experience compared to other professionals?
A) 3 times more
B) 10 times more
C) 16 times more
D) 20 times more
Q2) Which type of law may require a background check on an individual as part of pre-employment screening?
A) criminal law
B) civil law
C) common law
D) administrative law
Q3) Which of these is a written document representing the wishes and values of an adult in regard to life-sustaining treatments?
A) living will
B) power of attorney
C) personal health care directive
D) hybrid form
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Chapter 19: Spirituality and the Profession of Nursing
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Q1) What explanation helps nurses understand a connection between religion and spirituality?
A) Spirituality is always expressed through religion.
B) Religion is one expression of spirituality.
C) Religions discourage spirituality.
D) The two are not often connected.
Q2) You are caring for a terminally ill client.What are you proactively obtaining when you determine the clients wishes regarding care after death and who will speak for them when they are no longer able?
A) next of kin contact
B) a spiritual-cultural assessment
C) consent for treatment
D) nursing care plan
Q3) 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
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Chapter 20: Ethics and the Profession of Nursing
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Q1) What influences encouraged the emergence of nursing ethics?
A) some seeing nursing as a "moral practice"
B) the need for a contextual approach to nursing ethics
C) the need to respond to societal ethical issues
D) the need to examine the ethical norms,unique relationships,and sphere of nursing practice
Q2) What are the ethical theories that consider the most important moral obligation to be maximization of positive outcomes and minimization of negative outcomes?
A) deontological theories
B) consequentialist theories
C) utilitarian theories
D) classical theories
Q3) Which of the following statements best defines ethics?
A) a response to a situation or similar situations
B) a way of understanding moral issues,norms,and practices
C) the study of right and wrong behaviour
D) the study of problems associated with the practice of nursing
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Chapter 21: Collective Bargaining
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Q1) Which of the following statements best describes why nurses seek to unionize?
A) They feel powerless in their workplace.
B) They want to improve client care.
C) They want to alter a nursing procedure.
D) They want input into decisions.
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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Chapter 22: Career Planning and Development: Creating Your Path to the Future
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Q1) What is the best response to the interview question,"Why do you want to work here?"
A) "I am looking for good benefits."
B) "You are located close to my home."
C) "I admire the service your organization provides."
D) "Your organization can help my career."
Q2) Which of these factors is most important when sending an electronic résumé?
A) timing
B) spell-check
C) being concise
D) sending it in the requested format
Q3) Which of these people is a person whom you admire and who takes a personal interest in your career?
A) supervisor
B) mentor
C) career counsellor
D) manager
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