Healthcare Management Test Bank
Course Introduction
Healthcare Management is a comprehensive course designed to introduce students to the foundational principles and practices of managing healthcare organizations. The course explores key topics such as healthcare systems and policies, organizational structure, leadership and decision-making, quality improvement, financial management, human resources, and the impact of technology in healthcare settings. Through case studies and real-world scenarios, students will gain insights into the unique challenges faced by healthcare managers and develop practical skills for effective leadership, strategic planning, and operational efficiency in diverse healthcare environments.
Recommended Textbook
Leadership and Nursing Care Management 6th Edition by Diane Huber
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27 Chapters
689 Verified Questions
689 Flashcards
Source URL: https://quizplus.com/study-set/1201
Page 2
Chapter 1: Leadership and Management Principles
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/23750
Sample Questions
Q1) The personal leadership skill for nurses that consists of self-awareness, discipline, motivation, social awareness, and relationship management is known as what?
A) Leadership.
B) Management.
C) Emotional intelligence
D) Vision
Answer: C
Q2) Which of the following is true of management activities?
A) Inspiring a vision is a management function.
B) Management is focused on task accomplishment.
C) Management is more focused on human relationships.
D) Management is more important than leadership.
Answer: B
Q3) The best leadership style for unfavorable conditions is:
A) leader-member relations.
B) task-oriented structure.
C) position power.
D) laissez-faire.
Answer: B
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Page 3
Chapter 2: Change and Innovation
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which of the following factors is used to describe the degree to which successful planned change is thought to be better than the status quo?
A) Complexity
B) Compatibility
C) Trialability
D) Relative advantage
Answer: D
Q2) A hospital system is implementing an electronic health record. The facility conducts education and training for nursing staff, medical staff, and ancillary staff over a period of 6 months. This is an example of:
A) emergent change.
B) planned change.
C) transformation.
D) innovation.
Answer: B
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Chapter 3: Organizational Climate and Culture
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nursing manager of a telemetry unit has developed a policy in which all nurses automatically are scheduled to have a day off from work on their birthday unless they request to work on that day. He also gives a small gift to each nurse who becomes certified in his or her specialty area. This manager's actions are positively affecting the _____ of the unit.
A) climate
B) culture
C) interactions
D) operation
Answer: B
Q2) What is the purpose of a mission statement?
A) To provide a method of achieving success and a competitive advantage
B) To aid recruitment
C) To guide members on problem solving and relationship management
D) To offer a snapshot of strategic priorities
Answer: D
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Chapter 4: Managerial Decision Making
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Sample Questions
Q1) A patient has arrived at the critical care unit with a head injury. On admission, the patient is talking and is a little drowsy but oriented. Two hours later, the nurse discovers that the patient is talking at a rapid pace and keeps repeating his words. When the nurse recognizes the change and deploys the rapid response team and physician, which skill is being demonstrated?
A) Leadership
B) Clinical judgment
C) Clinical decision making
D) Management
Q2) A staff RN is leading a quality improvement team on the care of the total hip replacement patient. The issue is an increased length of stay from 1 year ago. The nurse asks team members to reframe the problem statement from their perspective. Twenty different problem statements were developed. The team is focusing on four of the problem statements. This is an example of which of the following techniques?
A) Decision making
B) Evaluating the consequences
C) Inclusive judgment
D) Problem processing
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Chapter 5: Managing Time and Stress
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Sample Questions
Q1) Creating a safe, empowering, and satisfying work environment can be accomplished through implementation of:
A) Institute of Medicine Coalitions.
B) health care reform.
C) the Troubled Asset Relief Program.
D) Healthy Work Environment (HWE) standards.
Q2) An internal obstacle that may contribute to moral distress is:
A) lack of resources.
B) lack of confidence.
C) lack of structure.
D) lack of processes.
Q3) Job stress can accumulate into: (Select all that apply.)
A) better time management skills.
B) feelings of elation.
C) burnout.
D) physical exhaustion.
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Page 7
Chapter 6: Legal and Ethical Issues
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Sample Questions
Q1) The nurse on a medical unit is caring for a 19-year-old with complications from a congenital heart defect. The client's mother is consistently at the bedside asking questions and attempting to direct the treatment plan. Which of the following shows how the nurse should communicate with the mother?
A) Discuss personal information that the client shared with the nurse in confidence.
B) Provide the mother with any information required for continuity of care.
C) Explain that client confidentiality prevents the nurse from disclosing information.
D) Ask the client if he gives permission for the nurse to share information with the mother.
Q2) One mechanism that ensures autonomy in the nursing profession is the:
A) American Nurses Association (ANA).
B) Department of Health Professionals.
C) Nursing Code of Ethics.
D) Professional Regulatory Board.
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8
Chapter 7: Communication Leadership
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Sample Questions
Q1) Which communication format was developed to address the communication arm of the TeamSTEPPS model?
A) NVC (nonviolent communication)
B) SBAR (situation, background, assessment, and recommendation)
C) VERA (validation, emotion, reassurance, activity)
D) MI (motivational interviewing)
Q2) A communication model that focuses on compassion, expression of emotion, and providing validation via support is the:
A) validation, emotion, reassurance, activity (VERA) framework.
B) situation, background, assessment, and recommendation (SBAR) Communication Theory.
C) nonviolent communication (NVC) model.
D) Human Relationship Model.
Q3) Over lunch in the cafeteria, student nurses are sharing educational information about the patients for whom they are caring. This is a(n):
A) breach of beneficence.
B) example of maleficence.
C) potential assault and battery charge.
D) violation of the Health Insurance Portability and Accountability Act (HIPAA).
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Page 9
Chapter 8: Team Building and Working With Effective Groups
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Sample Questions
Q1) When teams are assigned, but not designed, dysfunction can occur. What are some characteristics of a dysfunctional team? (Select all that apply.)
A) Confusion over the purpose of the team
B) Lacks real authority
C) Effective interpersonal communication patterns
D) Team needs placed above individual needs
E) Lack of evaluation criteria
Q2) Group interactions are composed of which of the following elements? (Select all that apply.)
A) The unique way the group interrelates and begins to work together
B) The values and norms of each individual
C) The process of problem solving
D) The communication that occurs among group members
E) The roles played by each member
Q3) Group as well as individual accountability exists within a:
A) work group.
B) true team.
C) pseudoteam.
D) committee.
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Chapter 9: Delegation in Nursing
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Sample Questions
Q1) When determining that delegation of an element of patient care needs to occur, the nurse delegates with a clear, concise description of the task, including its objectives, limits, and expectations. The nurse allows the delegate to clarify without fear of repercussion. Which of the following five rights of delegation is being demonstrated?
A) Right task
B) Right circumstance
C) Right person
D) Right direction/communication
E) Right supervision/evaluation
Q2) When the licensed nurse makes a determination to delegate a task, which of the following occurs in the process? (Select all that apply.)
A) The nurse assesses the situation and need for delegation.
B) A plan for specific task delegation is established.
C) The needs of the nurse are considered.
D) The nurse determines the available resources and patient safety.
E) Accountability is transferred to the manager.
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Chapter 10: Power and Conflict
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Sample Questions
Q1) What are the consequences or outcomes of nurse empowerment? (Select all that apply.)
A) Increased compensation and benefits
B) Decreased burnout
C) Decreased job strain
D) Increased job satisfaction and work effectiveness
E) Increased trust in the workplace
Q2) The nursing supervisor informs the staff that if they refuse to stay on the nursing unit and work an additional 8-hour shift, they will be reported to the state for patient abandonment. This type of power is known as:
A) coercive.
B) expert.
C) legitimate.
D) reward.
Q3) Subunit or _____ power refers to relationships across departments.
A) vertical
B) organizational
C) horizontal
D) exertional
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Page 12
Chapter 11: Workplace Diversity
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Sample Questions
Q1) The variation among groups of people with respect to habits, values, preferences, beliefs, taboos, and rules for behavior determined to be appropriate for individual and societal interaction is known as:
A) bias.
B) diversity.
C) culture
D) stereotyping.
Q2) A nurse believes that she should provide optimal care to all clients, regardless of their cultural background. She is struggling with her emotions when caring for a client with a violent criminal background. What would be the best course of action for this nurse?
A) Avoiding the client as much as possible but providing care
B) Identifying her biases but providing care
C) Requesting another patient assignment
D) Taking sick days while the patient is hospitalized
Q3) Which of these is the fastest growing minority group in the United States?
A) Asians
B) Caucasians
C) Blacks
D) Hispanics
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Chapter 12: Organizational Structure
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Sample Questions
Q1) An organizational chart is used to depict: (Select all that apply.)
A) a visual display of the organization s positions.
B) the intentional relationships among positions.
C) open positions within human resources.
D) flow of authority.
E) advisory committees.
Q2) According to the contingency theory of organizational performance, an organization must structure and adapt its nursing units to complement which two factors? (Select all that apply.)
A) Skill set
B) Patient population
C) Environment
D) Technology
E) Finances
Q3) The network or pattern of social relationships and friendship circles within an organization is known as the:
A) clique.
B) formal structure.
C) informal structure.
D) hierarchy.
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Chapter 13: Decentralization and Shared Governance
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Sample Questions
Q1) An employee satisfaction survey is conducted annually and shows that nurses in a particular unit are committed to their jobs and feel that they make positive contributions. These nurses are:
A) engaged.
B) disengaged.
C) unproductive.
D) at retirement age.
Q2) A nurse works in the critical care unit (CCU). She enjoys being on the unit charge nurse team, the recruitment and retention team, and the peer evaluation team. The recruitment and retention team is responsible for hiring new employees into the CCU. The five-member team, consisting of three registered nurses (RNs), a unit clerk, and a nurse's aide, conduct the interviewing process with key questions that were developed by the team. This is an example of:
A) centralized power.
B) shared governance.
C) span of control.
D) vertical authority.
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Chapter 14: Strategic Management
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Sample Questions
Q1) For organizational strategy to be implemented successfully it must be: (Select all that apply.)
A) specific and inflexible.
B) applied in a timely manner.
C) agreed upon by all stakeholders.
D) executed proficiently and efficiently.
E) aligned with the organizational culture.
Q2) Strategic management, long used in business to ensure a competitive advantage over similar enterprises, involves: (Select all that apply.)
A) setting targets.
B) establishing goals.
C) evaluating success.
D) developing an action plan.
E) defining the core purpose.
F) conducting an environmental scan.
Q3) SWOT is an acronym for:
A) stability, wealth, opportunistic, and timeliness.
B) strategies, work ethic, oppositions, and team.
C) strengths, weaknesses, opportunities, and threats.
D) strong, worthy, oppositional, and tactical.
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Chapter 15: Professional Practice Models
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Sample Questions
Q1) Janice is assigned to pass medications this shift. Mary is assigned to do wound care, Jennifer will give all the baths, and Jim will take all the vital signs. This model of nursing care is called _____ nursing.
A) team
B) primary
C) modular
D) functional
Q2) The determination of a care delivery model or system of care delivery depends on: (Select all that apply.)
A) fiscal responsibility.
B) accountability to the consumer.
C) government reimbursement.
D) the organization's philosophy.
E) quality and safety considerations.
Q3) Which nursing care model was prominent before the Great Depression?
A) Functional nursing
B) Group nursing
C) Hospital staffing
D) Private duty nursing
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Page 17
Chapter 16: Case and Population Health Management
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26 Verified Questions
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Sample Questions
Q1) The Collaborative Care Model of CM is best used for:
A) patients with co-occurring physical and mental health needs.
B) individuals and small systems.
C) hospital-based case management programs focusing on episodic care.
D) the transition of high-risk clients from acute care to community or long-term care settings.
Q2) Case management and disease management are similar because both are interventions designed to coordinate care for better outcomes and lowered costs. Which statements are true regarding the differences between the two terms? (Select all that apply.)
A) Disease management is client focused.
B) Case management focuses on coordinating care of individuals and families.
C) Disease management is more population-based than client-centered.
D) Disease management is more episodic in its approach.
E) Case management is more population-focused.
Q3) The first step in the development of a case management program is:
A) to identify high-volume or high-risk case types.
B) to develop a pilot program.
C) to assess the organization and the client population served.
D) to form an interdisciplinary care team.
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Chapter 17: Evidence-Based Practice: Strategies for Nursing Leaders
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/23766
Sample Questions
Q1) A clinical nurse specialist is meeting one on one with staff nurses while they are working to discuss data about the evidence-based practice. This is known as:
A) academic detailing.
B) champion coaching.
C) individual instruction.
D) professional mentoring.
Q2) A communication strategy used in the promotion of adopting evidence-based practice recommendations is:
A) best practice evaluation.
B) knowledge translation.
C) shared governance.
D) academic detailing.
Q3) Evidence-based practice includes:
A) collaborative practice dynamics between health care professionals.
B) documentation of patient care as evidence of nursing practice.
C) integration of research with clinical expertise and patient values.
D) mutual goal setting and application in the clinical setting.
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Page 19
Chapter 18: Quality and Safety
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Sample Questions
Q1) The industry-based model for quality management and measurement whose premise is that operational waste needs to be eliminated is:
A) Six Sigma.
B) ISO 9000.
C) Lean Enterprise.
D) Baldrige National Quality Award Program.
Q2) Responding to a code called in the psychiatric unit where she works, a staff nurse finds that a patient has committed suicide. The staff nurse correctly identifies this as a:
A) benchmark incident.
B) quality improvement issue.
C) performance breach.
D) sentinel event.
Q3) The purpose of a root cause analysis (RCA) is to:
A) discipline the staff involved in the patient safety event.
B) disclose the medical error to the patient/patient s family.
C) identify the person(s) responsible for committing the error.
D) identify the systems issues that led to a sentinel event.
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Chapter 19: Measuring and Managing Outcomes
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Sample Questions
Q1) Outcome indicators such as nurse burnout, turnover, and job satisfaction are examples of which type of indicator?
A) Patient-focused
B) Provider-focused
C) Organizational-focused
D) Nursing-focused
Q2) Outcomes measurement is complex because:
A) budgets are unable to allocate sufficient funds.
B) health care is multidimensional.
C) patients may not cooperate.
D) treatments are not always necessary.
Q3) The outcomes concept that emphasizes the multidisciplinary process of providing health care is known as outcomes:
A) maintenance.
B) management.
C) measurement.
D) monitoring.
Q4) A(n) _____ is the result or results obtained from the efforts to accomplish a goal.
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21
Chapter 20: Prevention of Workplace Violence
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Sample Questions
Q1) County Hospital has purchased a computerized reporting system for reporting incidents, including acts of violence. Violence reports are aggregated, trended, and used to mitigate future incidences of workplace violence. This type of management framework is _____ management.
A) risk
B) threat
C) total quality
D) human resources
Q2) _____ may be useful in preventing loss caused by domestic violence that extends to the workplace.
A) Employee assistance programs
B) Stress leave for up to 6 weeks
C) Termination of the perpetrator
D) Arrest and conviction of the perpetrator
Q3) An evaluation of a specific threat of violence and an evaluation of the person making the threat is conducted by ______.
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Chapter 21: Confronting the Nursing Shortage
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Sample Questions
Q1) A shortcoming that needs to be addressed related to the advertising of open nursing positions is:
A) inadequate use of Internet advertising.
B) insufficient funds allotted for advertising.
C) lack of follow-up with potential candidates.
D) short supply of advertising space in nursing journals.
Q2) The total number of nurses who left a unit in 1 year divided by the total number of nurses employed on that unit is the _____ rate.
A) actualized
B) employable
C) turnover
D) vacancy
Q3) Inappropriate or illegal questions that should be avoided during the interview include which of the following examples? (Select all that apply.)
A) What are your goals for the future?
B) Do you plan on having any more children?
C) How do you feel about taking call on weekends?
D) How does your husband feel about you working?
E) Will going to church interfere with Sunday shifts?
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Page 23
Chapter 22: Staffing and Scheduling
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Sample Questions
Q1) A forecasted workload and a recommended care standard determine the:
A) staffing pattern.
B) skill mix of the unit.
C) nurse-to-patient ratios.
D) staffing management plan.
Q2) The nursing manager of a general medical-surgical unit in a large hospital has gathered data reflecting the average length of time that it takes to provide nursing care to broad categories of client groups with typical characteristics. The nursing manager will most likely use the patient classification data he collected to:
A) avoid management layoffs.
B) change professional nursing roles.
C) obtain staffing reimbursement.
D) staff his nursing unit appropriately.
Q3) Betty is calculating the total patient days on her unit. Her average daily census is 35 and her average length of stay is 2.4 days. In numerals, the total patient days on Betty's unit is _____ days.
Q4) The amount of work performed by a unit is referred to as its _____.
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Chapter 23: Budgeting, Productivity, and Costing Out Nursing
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Sample Questions
Q1) A measure of the severity of illness of an individual patient or the aggregate patient population on a unit is called _____.
Q2) A(n) _____ is the difference between the budgeted and the actual amounts.
Q3) In the past, health care organizations viewed nursing services as primarily a(n): A) acute care asset.
B) expense.
C) reimbursement tool.
D) revenue generator.
Q4) Supply budgets are a major component of the operating budget. Items such as office supplies, intravenous solutions, instruments, linen, gloves, and other personal protective equipment are examples of _____ costs.
A) fixed
B) flexible
C) variable
D) resource
Q5) A(n) _____ is a written financial plan aimed at controlling the allocation of resources.
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Chapter 24: Performance Appraisal
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Sample Questions
Q1) A newer focus of performance appraisal that has the ability to engage high-performing nurses and motivate people toward even higher levels of performance is:
A) coaching.
B) remedial learning.
C) feedback.
D) peer review.
Q2) Stakeholders who might be represented within the employment review process of a CCU nurse include: (Select all that apply.)
A) patients/patient families.
B) physicians.
C) the chief financial officer.
D) organizational board members.
E) nurses in the CCU.
Q3) The ability to perform a skill successfully is:
A) competency.
B) acuity.
C) aptitude.
D) motivation.
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Page 26
Chapter 25: Emergency Management and Preparedness
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Sample Questions
Q1) A health care system's ability to rapidly expand beyond normal capacity to meet an increased demand for qualified personnel, beds, and medical care services in the event of a large-scale emergency or disaster is known as:
A) acuity.
B) surge capacity.
C) mass casualty.
D) natural disaster.
Q2) In a hospital's emergency operations plan, what would be the expected roles of the security department? (Select all that apply.)
A) Overseeing facility security
B) Lockdown of the facility as necessary
C) Managing people entering and leaving the hospital
D) Developing or refining the hospital's emergency operations plan
E) Being the primary source of communication to nursing staff
Q3) All-hazards disaster is best defined as:
A) all types of natural and human terrorist events.
B) an event involving floods, tornadoes, hurricanes, and earthquakes.
C) an unforeseen and often unplanned event causing great damage.
D) any type of biological, chemical, radiological, or nuclear event.
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Page 27
Chapter 26: Data Management and Clinical Informatics
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Sample Questions
Q1) The Office of National Coordinator for Health Information Technology (HIT) was created by:
A) President Barack Obama.
B) President George W. Bush.
C) Hillary Clinton.
D) President Bill Clinton.
Q2) According to the ANA, what elements are viewed as a relationship continuum as nurses apply them in decision making? (Select all that apply.)
A) Data
B) Technology
C) Information
D) Knowledge
E) Wisdom
Q3) The formal process of using patient data for providing evidence for the design of care protocols is termed:
A) evidence-based practice.
B) practice-based evidence.
C) data analysis.
D) effectiveness research.
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Page 28
Chapter 27: Marketing
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Sample Questions
Q1) Hospitals in recent years have become more motivated to focus their marketing strategies on patient care excellence. What are some of the drivers of this focus? (Select all that apply.)
A) Heightened patient scrutiny
B) Heightened media scrutiny
C) Organizational transparency about error reporting
D) Frequent media accounts of medical errors
E) Increased litigation
Q2) A hospital organizational culture that assumes customer needs and wants should determine the quality, price, and availability of a product. This type of orientation is:
A) product.
B) selling.
C) marketing.
D) holistic.
Q3) The primary hospital _____ is the care that is delivered by nursing staff.
A) product
B) price
C) place
D) promotion
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Page 29