Nursing Administration
Final Exam
Course Introduction
Nursing Administration is a comprehensive course designed to equip students with the essential knowledge and skills required for effective leadership and management within healthcare organizations. Covering topics such as organizational structure, human resource management, health policy, budgeting, and quality improvement, the course explores the key roles and responsibilities of nurse administrators in promoting optimal patient care and efficient health services. Students will learn about strategic planning, ethical decision-making, legal considerations, and the use of technology in administration, preparing them to meet the dynamic challenges of modern healthcare environments and to lead interdisciplinary teams with professionalism and efficiency.
Recommended Textbook
Nursing Leadership and Management 2nd Canadian Edition by Patricia Kelly
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22 Chapters
442 Verified Questions
442 Flashcards
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Page 2
Chapter 1: Canadas Health Care Environment
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which one of the following population groups in Canada is recognized as most at risk for serious health disparities compared to the general population?
A) recent immigrants
B) First Nations adults
C) adult males
D) elderly women
Answer: B
Q2) Total health care spending estimates include both public and private payment sources.Approximately what percentage of total health spending in Canada for 2010 was paid for from tax dollars?
A) 100 percent
B) 70 percent
C) 50 percent
D) 25 percent
Answer: B
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Page 3
Chapter 2: Basic Clinical Health Care Economics
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which of these member countries of the Organization for Economic Cooperation and Development (OECD)is ranked number two in terms of overall performance while being relatively low in cost?
A) Canada
B) United Kingdom
C) Japan
D) France
Answer: C
Q2) Which of the following factors is NOT expected to contribute to the growing cost of health care?
A) increasing rates of debilitating diseases associated with aging
B) increased use of expensive technology
C) emergence of new infectious diseases
D) expanded roles for nurses
Answer: D
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Chapter 3: Evidence-Based Practice
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18 Flashcards
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Sample Questions
Q1) 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
Q2) 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
Q3) Which of the following defines the term meta-analysis?
A) a statistical technique to compare results of different studies
B) an evaluation of a large number of similar studies
C) an overview of related research studies
D) a statistical technique for pooling results of multiple studies measuring the same outcome
Answer: D
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Chapter 4: Nursing and Health Care Informatics
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20 Flashcards
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Sample Questions
Q1) Which of these areas is included with the theory and application of science and technology in the field of informatics?
A) conducting research
B) learning how to use new tools and maximize their capabilities
C) creating innovations in nursing education
D) collecting nursing data
Q2) In web addresses,what do the terms .com and .org refer to?
A) databases
B) domains
C) uniform resource locaters
D) websites
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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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) 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
Q2) 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
Q3) Which of the following terms refers to the variables that increase or decrease the probability of illness or death?
A) health determinants
B) health disparities
C) vulnerable population groups
D) health risk factors
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Chapter 6: Personal and Interprofessional Communication
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20 Flashcards
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Sample Questions
Q1) Which of the following,in addition to visual and auditory sensory stimuli,is involved in almost every nursing interaction?
A) feeling
B) assessment
C) kinesthetic input
D) body language
Q2) On which of the following does level of communication depend?
A) the receiver
B) the context
C) the content
D) the audience
Q3) To what does the highest level of information processing lead?
A) observation
B) listening
C) interpretation
D) feeling
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Page 8
Chapter 7: Politics and Consumer Partnerships
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20 Flashcards
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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 these groups defines and controls health policy decisions?
A) those with the most political influence
B) researchers
C) professional associations
D) consumer groups
Q3) 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
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Chapter 8: Nursing Leadership and Management
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20 Flashcards
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Sample Questions
Q1) Which of the following are the desirable leadership characteristics identified by Kirkpatrick and Locke?
A) respectability,trustworthiness,flexibility
B) self-confidence,innate qualities,progression of experiences,influence of significant others,personal life factors
C) intelligence,self-confidence,determination,integrity,sociability
D) drive,desire to lead,honesty,self-confidence,cognitive ability,knowledge of business
Q2) In contingency theory,what is the term for the feelings and attitudes of followers regarding acceptance,trust,and credibility of the leader?
A) task structure
B) position power
C) low task structure
D) leader-member relations
Q3) Which of the following phrases best describes motivation?
A) is demonstrated by people
B) occurs externally to influence behaviour
C) is determined by others' choices
D) occurs internally to influence behaviour
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10
Chapter 9: Effective Team Building
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20 Flashcards
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Sample Questions
Q1) Which dysfunctional group member tends to monopolize the group discussion?
A) detailer
B) controller
C) pleaser
D) antagonist
Q2) Which of these terms best describes a small number of people who are accountable and committed to a common purpose and are dependent on each other's contributions?
A) a board
B) a committee
C) a working group
D) a team
Q3) 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.
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11
Chapter 10: Budget Concepts for Client Care
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Sample Questions
Q1) Which of these terms refers to a budget that indicates designated funds for the purchase of major new equipment?
A) unit budget
B) construction budget
C) capital budget
D) equipment budget
Q2) What are the resources used to deliver services collectively referred to as?
A) expenditures
B) labour costs
C) supplies
D) payments
Q3) In relation to budget preparation,which of these terms refers to the units or subsections within a facility?
A) financial unit
B) cost sections
C) compartments
D) cost centres
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Page 12
Chapter 11: Effective Staffing
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Sample Questions
Q1) Which of these standard measures quantifies the nursing time available to each client by available nursing staff?
A) FTE
B) NHPPD
C) productive time
D) non-productive time
Q2) Which of these terms refers to the time spent on activities that are client related but are NOT done directly to the client?
A) direct care
B) productive time
C) indirect care
D) non-productive time
Q3) How many FTEs per day would you need if your target NHPPD was 4,and you expected to have 22 clients on your 24-bed unit?
A) 8
B) 11
C) 15
D) 20
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Page 13
Chapter 12: Delegation of Nursing Care
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20 Flashcards
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Sample Questions
Q1) The beginning of delegation in nursing is associated with which of the following?
A) team nursing
B) primary nursing
C) nursing shortages
D) Florence Nightingale
Q2) According to most definitions of the term delegation,which of these elements is always involved in delegation?
A) at least two individuals and instructions
B) tasks and the time frame for accomplishing them
C) at least two individuals and a transfer of authority for specific duties
D) tasks and directions for reporting back
Q3) Which of these situations may result from inability to delegate?
A) control
B) high self-esteem
C) feelings of frustration
D) higher energy levels
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Page 14
Chapter 13: Strategic Planning and Organizing Client Care
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which of the following is a characteristic of accountability-based care delivery?
A) Accountability is process based.
B) Accountability is delegated based.
C) Accountability is group defined.
D) Accountability is evaluation based.
Q2) What is the term for a statement of beliefs based on core values?
A) unit vision
B) philosophy
C) mission
D) goals
Q3) You have observed a senior nurse planning her client care assignment taking into account the whole of her responsibilities and her client's needs,not just a series of tasks.Which level of Benner's clinical practice promotion ladder is demonstrated by this behaviour?
A) novice level
B) advanced beginner level
C) competent level
D) proficient level
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Chapter 14: Change and Conflict Resolution
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which of the following is a change strategy that focuses on teaching workers about a new technology?
A) provide information
B) training
C) power coercive
D) normative-reeducative
Q2) Which model emphasizes the participation of key personnel and the change agent in designing and planning the intended change project?
A) Force-Field Model
B) Phases of Change Model
C) Six-Step Change Model
D) Diffusion of Innovations Theory of Change Model
Q3) Which of these is a characteristic of an effective change agent?
A) restrained
B) manages change
C) objective
D) trustworthy
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Chapter 15: Power
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) 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
Q2) Which of the following can result when workers circumvent levels of power?
A) respect
B) tension and conflict
C) knowledge
D) positive image
Q3) Which type of power does critical thinking lead to?
A) information power
B) expert power
C) connection power
D) legitimate power
Q4) What is the process that transforms information into power?
A) commitment
B) relationships
C) critical thinking
D) choice and control
Page 17
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Chapter 16: Managing Performance and Outcomes Using an Organizational Quality Improvement Model
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Sample Questions
Q1) Which of these terms could include the example of a client who is having a chest X-ray done?
A) system
B) process
C) benchmarking
D) sentinel event
Q2) Which of these statements best describes the concept of "quality"?
A) being better,doing things right the first time,and being as good as the competition
B) seeing clients and others as customers
C) providing basics to the customers
D) achieving customer satisfaction and loyalty
Q3) Which of the following is an important feature of quality improvement (QI)efforts in today's highly complex and changeable health care organizations?
A) mission
B) vision statement
C) cost-effectiveness
D) flexibility
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Page 18
Chapter 17: Decision Making
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Sample Questions
Q1) Which is the correct order of the steps in the nominal group process?
A) present ideas;write ideas;discuss ideas and evaluate ideas;vote on ideas
B) write ideas;present ideas;discuss ideas and evaluate ideas;vote on ideas
C) present ideas;discuss ideas and evaluate ideas;write ideas;vote on ideas
D) discuss ideas and evaluate ideas;write ideas;present ideas;vote on ideas
Q2) Which of these outcomes is a pitfall identified by Hammond,Keeney,and Raiffa to effective decision making?
A) Decisions are based on large amounts of information.
B) Decisions are based on positive and negative evidence.
C) Decisions are made to effect change.
D) Decisions are made to justify previous decisions.
Q3) What is the term for the group decision-making strategy that involves distributing questionnaires to members asking for their opinions,then summarizing and disseminating the summaries to the group members?
A) consensus
B) group think
C) Delphi technique
D) nominal technique
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19
Chapter 18: Legal Aspects of Client Care
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Sample Questions
Q1) What is the highest law in Canada?
A) pubic law
B) provincial law
C) The Canadian Constitution
D) judicial action
Q2) Which of these is a set of basic laws that specify the powers of the various segments of the government and how they relate to each other?
A) a constitution
B) a legislative body
C) the judicial branch
D) an administrative agency
Q3) In health care,which of these methods may be considered false imprisonment?
A) use of bed rails
B) a written restraint order
C) chemical restraints
D) complete bed rest
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Chapter 19: Spirituality and the Profession of Nursing
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Sample Questions
Q1) How can nurses benefit from use of the ASSET model?
A) increases understanding about religion
B) promotes cultural sensitivity
C) increases nurses' self-awareness about spirituality
D) helps assess clients' spiritual needs
Q2) 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.
Q3) According to the analysts in the text,what elements are encompassed in spirituality?
A) creativity,rituals,wisdom
B) consciousness,beliefs,peace
C) happiness,wisdom,beliefs
D) inspiration,creativity,wisdom
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Chapter 20: Ethics and the Profession of Nursing
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Sample Questions
Q1) Which of the following is required for client consent to be considered valid?
A) Consent must be in writing.
B) Consent is informed and voluntary.
C) Consent is agreed to by the next of kin.
D) Consent has been explained to the client by a doctor.
Q2) Which principle is the basis of the duty to do no harm to clients?
A) pragmatism
B) nonmaleficence
C) justice
D) respect for clients
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
Q4) Which of the following may result from a client's end-of-life ethical dilemma?
A) withdrawal of fluids
B) resuscitation
C) hastening of death
D) refusal of treatment
Page 22
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Chapter 21: Collective Bargaining
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Sample Questions
Q1) What type of collective action can nurses use to address everyday problems in their workplace?
A) workplace bargaining
B) shared workplace leadership
C) workplace advocacy
D) workplace democratic
Q2) What length of time is usual for selecting a collective bargaining unit and negotiating a contract?
A) 1 month
B) 2 months
C) 1 year
D) 3 months to 3 years
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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23
Chapter 22: Career Planning and Development: Creating Your Path to the Future
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Sample Questions
Q1) Which of the following factors should you include when conducting your self-assessment?
A) your favourite courses
B) your parents' occupations
C) your high school grades
D) experiences you did not find fulfilling
Q2) What is the title of phase three of the Donner-Wheeler Model?
A) Determining Success Indictors
B) Scanning Your Environment
C) Creating Your Career Vision
D) Reality Check
Q3) What is the second phase in the Donner-Wheeler Model?
A) educational credentials
B) self-assessment
C) identifying your references
D) writing your résumé
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Page 24