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Nursing Leadership and Management Exam Practice Tests - 689 Verified Questions

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Nursing Leadership and Management Exam Practice Tests

Course Introduction

Nursing Leadership and Management explores the essential roles and responsibilities of nurse leaders and managers within diverse healthcare environments. The course examines key leadership theories, management principles, and decision-making processes as they apply to nursing practice. Topics include team building, conflict resolution, effective communication, resource allocation, ethical and legal considerations, and strategies for quality improvement and patient safety. Through case studies and practical applications, students develop vital leadership skills to inspire, guide, and advocate for both patients and healthcare teams, preparing them for advanced roles in contemporary nursing settings.

Recommended Textbook Leadership and Nursing Care Management 6th Edition by Diane Huber

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27 Chapters

689 Verified Questions

689 Flashcards

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Page 2

Chapter 1: Leadership and Management Principles

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Sample Questions

Q1) A nurse manager at Morgan Hill Community Hospital is known to be an excellent nursing manager by the personnel working on her nursing unit. The nurse manager exhibits which of the following behaviors? (Select all that apply.)

A) Knows the personnel and addresses them by name.

B) Intervenes when she receives complaints.

C) Has a consistent style that never varies.

D) Is visible on the nursing unit by all shifts on a frequent basis.

E) Evaluates a number of aspects of problems prior to making decisions.

F) Uses decision by consensus to resolve conflicts.

G) Fosters collaboration.

Answer: A, D, E, G

Q2) Interpersonal communication and the ability to apply _____ are two critical skills every nurse needs to enhance professional practice.

A) vision

B) supervision

C) delegation

D) problem solving

Answer: D

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Chapter 2: Change and Innovation

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Sample Questions

Q1) The probability of effectiveness of the change process can be increased through several techniques. Which of the following actions will likely increase effectiveness?

(Select all that apply.)

A) Explain the rationale for a change so that individuals understand it.

B) Simply announce the change without laying a foundation.

C) Give participants all the information they need.

D) Rely only on formal authority in implementing change.

E) Help individuals cope with change.

Answer: A, C, E

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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Sample Questions

Q1) The Institute of Medicine (IOM) report, Crossing the Quality Chasm, was useful in describing the challenges related to moving from _____-centered to _____-centered care.

A) patient; provider

B) provider; patient

C) patient; facility

D) provider; financially

Answer: B

Q2) What is the purpose of culture in an organization?

A) To provide a perception of what it feels like to work in the organization

B) To provide an organization's response to economic, social, and financial challenges

C) To provide a common bond so that members know how to relate to one another and show others outside the organization what is valued

D) To provide a small geographic area within the organization where nurses provide care

Answer: C

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Chapter 4: Managerial Decision Making

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Sample Questions

Q1) A nurse manager has ordered equipment for a new unit. The company has sent two notices that the equipment is on back order. The nurse manager is debating whether to wait for the equipment on back order or to cancel the order and go with another company. She discusses this issue with another nurse manager and they determine that the equipment is urgent for patient safety in the new unit. The manager orders the necessary equipment from another company even though it is slightly more expensive. This is an example of:

A) clinical decision making

B) prioritization

C) triage decision

D) clinical reasoning

Q2) Effective managers utilize a wide array of data in making decision. Which of these techniques is used to build process improvement models?

A) Incrementalism

B) Scenario planning

C) Six Sigma

D) Budgetary model

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Chapter 5: Managing Time and Stress

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Sample Questions

Q1) Max is a nurse on the 7 PM to 7 AM shift on the orthopedic floor. He is the most experienced nurse on the unit during this shift, with 6 years of nursing experience. Max usually acts as charge nurse during his shift while caring for a group of patients. Recently there has been an influx of new graduates working on his shift. Some nights, he is expected to orient a new nurse, act as the charge nurse, and mentor other new nurses working on the floor. He is concerned that with all the new nurses, there are not enough mentors for all of them, resulting in less-than-optimal care delivery. Which factors have been shown to decrease stress for nurse leaders? (Select all that apply.)

A) Support from others

B) Autonomy

C) Predictability

D) Transparency

Q2) 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.

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Page 7

Chapter 6: Legal and Ethical Issues

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Sample Questions

Q1) Which ethical principle is violated when there are insufficient community resources to meet the needs of low-income families?

A) Nonmaleficence

B) Autonomy

C) Beneficence

D) Justice

Q2) A staff nurse is facing a dilemma between meeting clinical ethical standards and meeting organizational goals. The nurse manager understands that the best way to assist staff members in resolving ethical dilemmas effectively is to focus on:

A) doing the right thing and taking the right action.

B) meeting clinical standards before organizational goals.

C) meeting organizational goals before clinical standards.

D) referring indecisive staff members for additional training.

Q3) 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 of the following are examples of patient privacy or security breaches? (Select all that apply.)

A) Encrypted e-mail communications

B) Fax transmission sent to incorrect physician office

C) Prescription given to patient with wrong label attached

D) Case management coordinator obtaining information about a patient's diagnosis

E) Discharge summary given to patient's spouse

Q2) Effectiveness and sustainability of change is based on the skilled communication of leadership and stakeholders endorsing the change process. What are some barriers that can interfere with change? (Select all that apply.)

A) Inwardly focused cultures

B) Transformational leadership

C) Fear of the unknown

D) Arrogant attitudes

E) Safety culture

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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) A type of group that is stable, meets periodically, has an identified purpose, and is part of the organizational structure is called a:

A) club.

B) committee.

C) group.

D) meeting.

Q3) A temporary group of individuals formed to carry out a specific mission or project is known as a:

A) club.

B) group.

C) meeting.

D) task force.

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Chapter 9: Delegation in Nursing

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Sample Questions

Q1) The process of delegation may be undermined in the health care setting as one member of the team moves work in a downward direction. What are some of the reasons for delegatees to resist responsibility? (Select all that apply.)

A) Lack of ability to direct

B) Fear of criticism for mistakes

C) Overwhelming workload

D) Lack of confidence

E) Lack of resources

Q2) With regard to delegation, what organizational principles are considered? (Select all that apply.)

A) Legal guidelines and policies

B) Patient safety and accountability

C) Relationship management and patient support

D) Cost containment

E) Knowledge and education

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11

Chapter 10: Power and Conflict

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Sample Questions

Q1) The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine have assessed progress made on recommendations for the future of nursing. What are the recommendations for nurses? (Select all that apply.)

A) Remove barriers to practice and care.

B) Maintain current leadership roles.

C) Promote diversity.

D) Transform education.

E) Improve data.

Q2) A nursing manager is leading a recruitment and retention committee. She manages in a laissez-faire style. Her co-leader is a staff nurse who is very detail oriented. The nurse manager usually leads the meetings. During the meeting, the staff nurse frequently needs to interject information that has not been presented. She also creates the agenda and communicates information with other team members. This scenario depicts which type of conflict?

A) Competitive

B) Disruptive

C) Organizational

D) Task

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Chapter 11: Workplace Diversity

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Sample Questions

Q1) There are three major issues in cross-cultural communication. They are: (Select all that apply.)

A) ambiguity.

B) ethnocentrism.

C) inflexible attitude.

D) collectivism.

E) negotiation.

Q2) A 17-year-old male has presented to the emergency department with appendicitis. He speaks English, but his mother speaks Spanish. The mother needs to consent for the surgery since the patient is a minor. The doctor determines that the consent is not needed due to the emergent nature of the case. If the doctor proceeds without obtaining consent, he may face:

A) cultural competence.

B) linguistic competence.

C) miscommunication concerns.

D) liability claims.

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Chapter 12: Organizational Structure

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Sample Questions

Q1) Patient surveys convey that they are uncertain about who is the registered nurse (RN). The CEO makes a decision that mandates that white nursing caps will be worn by all RNs and blue nursing caps by all licensed practical nurses to differentiate professional nurses and occupational nurses from nurses' aides and other ancillary staff. Which type of structure does this represent?

A) Centralized

B) Decentralized

C) Nonparticipative

D) Participative

Q2) A staff nurse has been working in the neonatal critical care unit for 10 years. She believes that a professional nurse is a lifelong learner. Many staff members come to her for clinical problem solving and advice. This nurse has:

A) decisional authority.

B) formal power.

C) informal power.

D) quantum authority.

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Chapter 13: Decentralization and Shared Governance

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Sample Questions

Q1) In Magnet organizations, shared governance needs to be manifested through what mechanisms for nurses' decision making?

A) Unit practice councils

B) Democratic leaders

C) Authoritarian leaders

D) System-wide practice councils

Q2) In organizations that practice shared governance, staff, managers, and leaders are responsible for:

A) technology.

B) budgeting.

C) education.

D) innovation.

Q3) The instruments that give voice to the organization's philosophy include which of the following? (Select all that apply.)

A) Goals

B) Focus

C) Vision

D) Mission

E) Core values

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Page 15

Chapter 14: Strategic Management

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Sample Questions

Q1) In a written strategic plan, the _______ contains all the documentation related to the strategic planning process so that the reader obtains a sense of the background information used by the strategic planners in order to arrive at the strategic plan.

Q2) A new cancer center is being built in the local hospital. A patient survey has revealed that patients are not certain which caregiver is the registered nurse (RN) during their hospital stay. A group is formed to recommend methods to help patients identify which caregiver is their RN for the new cancer center. Which of the following groups best represents those who should be involved in forming recommendations?

A) Chief medical officer, public relations vice president, and human resources

B) Oncology clinical nurse specialist, nurse's aides, and RNs

C) Physicians, unit secretaries, and vice president of finance

D) Vice president of nursing, decentralized pharmacist, and licensed practical/vocational (LPN/LVN) nurses

Q3) Objectives are:

A) bylaws used to govern the organization.

B) financial minimums needed to operate.

C) performance-based criteria for accreditation.

D) targets that the organization wants to achieve.

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Page 16

Chapter 15: Professional Practice Models

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Sample Questions

Q1) The responsibility for making decisions about and designing strategies to create a climate and environmental context around the provision of nursing and health care services lies with:

A) staff nurses.

B) care councils.

C) the nurse manager.

D) executive leadership.

Q2) Critical paths:

A) are designed only for critical care or trauma patients.

B) determine lifesaving interventions for a specific population.

C) outline optimal care and time milestones for the routine patient.

D) provide a list of supplies and equipment needed for care.

Q3) Which of the following is true about team nursing?

A) It includes only registered nurses (RNs) and licensed practical/vocational nurses (LPN/LVNs).

B) Each team member has his or her own patient assignments.

C) Team members must have dual degrees.

D) The nurse with a bachelor's of science in nursing degree is the leader of the team.

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Chapter 16: Case and Population Health Management

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Sample Questions

Q1) The nurse who uses collaboration to coordinate care for an individual's and family's comprehensive health needs through communication and available resources to promote patient safety and quality, cost-effective outcomes is performing:

A) population health management.

B) managed care.

C) disease management.

D) case management.

Q2) According to the Centers for Disease Control (CDC), chronic diseases account for _____% of deaths in the United States.

A) 20

B) 40

C) 50

D) 70

Q3) The brokerage model and the comprehensive service center model are examples of which type of care model?

A) Collaborate

B) Inter-professional

C) Interdisciplinary

D) Social work

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Page 18

Chapter 17: Evidence-Based Practice: Strategies for Nursing Leaders

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Sample Questions

Q1) The responsibility to articulate the business case for evidence-based practice to senior leadership lies with:

A) the staff nurse.

B) nursing leadership.

C) the governing board.

D) the quality improvement committee.

Q2) To promote an organizational culture that embraces evidence-based practice, an organization must: (Select all that apply.)

A) recognize and reward the work.

B) adopt an evidence-based practice model.

C) provide education about evidence-based practice.

D) discourage nurses from questioning their practice.

E) recruit nurses with interest in evidence-based practice.

Q3) Opinion leaders are:

A) formal leaders who lead evidence-based practice development teams.

B) formal leaders who write new evidence-based practice guidelines.

C) informal leaders who influence peers by evaluating innovations for use in certain settings and promoting clinicians use of evidence in clinical decision making.

D) informal leaders who gather data about nursing practice changes.

Page 19

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Chapter 18: Quality and Safety

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Sample Questions

Q1) Sentinel Event Alerts are published by TJC to do which of the following?

A) Allow facilities to learn from sentinel events that have occurred in other facilities and incorporate recommendations for prevention into their policies.

B) Notify hospitals that if a sentinel event occurs during an alert, the hospital will be subject to withdrawal of Medicare and Medicaid certification and reimbursement.

C) Prevent a near-miss from occurring.

D) Assist hospitals to find national standardized performance measures to benchmark themselves against other similar hospitals.

Q2) The risk manager wants to illustrate the causes that have been leading to an increase in patient misidentification. The most appropriate tool to use is a:

A) pareto chart.

B) control chart.

C) fishbone diagram.

D) detailed flowchart.

Q3) _____ is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.

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Chapter 19: Measuring and Managing Outcomes

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Sample Questions

Q1) The results people care about most when seeking treatment is known as a(n):

A) achieved benefit.

B) benchmark.

C) expected response.

D) outcome.

Q2) A(n) _____ is the result or results obtained from the efforts to accomplish a goal.

Q3) _____ involves accounting for patient factors, the intrinsic risks that a patient brings to the health care encounter in the form of clinical and/or demographic factors, before drawing conclusions about the meaning of different values for indicators.

Q4) The specific tools used to make quality visible to stakeholders in health care are called:

A) indicators.

B) outcomes.

C) variable selections.

D) quality measures.

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Chapter 20: Prevention of Workplace Violence

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Sample Questions

Q1) Examples of environmental designs that can improve worker safety include: (Select all that apply.)

A) well-lit parking lots.

B) critical incident debriefing.

C) de-escalation training for all staff.

D) metal detectors at hospital entrances.

E) posting security guards in the main lobby.

Q2) A nurse executive is a member of a collaborative committee assigned to revise the violence prevention program. After reviewing the program, the committee has determined that the following components already were included in the existing program: a written plan available to all employees, a system for tracking work-related assaults, and specific strategies for reducing the severity of violent injuries. A primary revision recommended by the committee should be the inclusion of a:

A) detailed description of last year's injuries.

B) list of preferred work injury health care providers.

C) method for evaluating the effectiveness of the program.

D) way to determine whether an employee is at fault.

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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Page 22

Chapter 21: Confronting the Nursing Shortage

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Sample Questions

Q1) Nursing jobs need to be developed that increase nurses' professional:

A) autonomy.

B) behavior.

C) culture.

D) salaries.

Q2) Marcy, the medical surgical unit manager, has promised her staff a pizza party if they reduce their patient fall rates by 10%. Which factor does Marcy consider when developing staff rewards?

A) Staff mix

B) Budget

C) Generational diversity

D) Unit culture

Q3) The United States recruits more internationally educated nurses (IENs) than any other country. The largest group of IENs in the United States is from:

A) India.

B) Canada.

C) Great Britain.

D) the Philippines.

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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) When the needs and characteristics of the patient clinical unit, or system, are matched with a nurse's competencies, _____ results.

Q3) Evaluation of the effect of nurse staffing on quality patient, financial, and organizational outcomes is known as:

A) patient acuity.

B) staffing effectiveness.

C) nurse-to-patient ratio.

D) nursing workload.

Q4) A(n) ______ provides logic and order to complex processes for administrators and scientists to consider.

A) staffing plan

B) organizational chart

C) conceptual framework

D) nursing care delivery model

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Chapter 23: Budgeting, Productivity, and Costing Out Nursing

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Sample Questions

Q1) A budget functions as a:

A) capital constraint.

B) employee management tool.

C) human resource tool.

D) planning instrument.

Q2) The management team of a large hospital is attempting to identify the specific cost of providing nursing services. This process is known as:

A) costing out services.

B) fee-for-service care provision.

C) priority nursing management.

D) quality versus cost balance.

Q3) Mary is the manager of the critical care unit. She would like to hire a wound care nurse for the unit. The type of organizational budget Mary would use to ensure she can hire the new nurse is called the _____ budget.

A) capital

B) personnel

C) operating

D) expense

Q4) A(n) _____ is the difference between the budgeted and the actual amounts.

Page 25

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Chapter 24: Performance Appraisal

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Sample Questions

Q1) A successful performance review system must be: (Select all that apply.)

A) in line with the organization's strategic objectives.

B) fair and transparent.

C) free from bias.

D) administratively practical.

E) effectively administered.

Q2) A nursing manager is evaluating an employee's dependability, responsibility, and decision-making ability on a scale of 1 to 5. This is an example of what type of rating system?

A) Behaviors

B) Competencies

C) Results

D) Traits

Q3) A performance appraisal criterion that measures the ability to perform a skill successfully is:

A) attitudes.

B) behaviors.

C) competencies.

D) teamwork.

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Page 26

Chapter 25: Emergency Management and Preparedness

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Sample Questions

Q1) The Joint Commission's (TJC's) emergency management accreditation standards call for hospitals to sustain disaster operations for at least ______ hours.

A) 24

B) 48

C) 72

D) 96

Q2) Hospital leadership should consider which of the following ethical dilemmas prior to experiencing an actual disaster? (Select all that apply.)

A) Which clinical leader will make the decision about distribution of scarce resources

B) Criteria to determine which patients receive aggressive treatment and which will receive palliative care

C) Which nursing staff will be the first to report to the hospital in the event of a disaster

D) How prophylactic pharmaceuticals will be distributed to protect staff and their families

E) Who will be primarily responsible for external communication

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Chapter 26: Data Management and Clinical Informatics

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Sample Questions

Q1) Nursing data need to include which of the following domains?

A) Fiduciary data

B) Outcome data

C) Client data

D) Tertiary data

Q2) _____ was recognized by the American Nurses Association (ANA) as a nursing specialty in 1992 and is one of the fastest growing practice areas in health care.

A) Nurse anesthesia

B) Nursing informatics

C) Nurse-midwifery

D) Clinical nurse specialist

Q3) Successful implementation of a health information system requires a great deal of time, education, and support. The process will require which of the following expertise within the organization? (Select all that apply.)

A) Quality experts

B) Marketing specialists

C) Clinical nurse leaders

D) Nurse informaticians

E) Nurse managers

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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) What are the attributes of patient-centeredness in health care? (Select all that apply.)

A) Patient satisfaction

B) Cost and transparency of care

C) Patient engagement

D) Patient experience of care

E) Shared decision making

Q3) The marketing mix of an organization is:

A) an individualized blend of tactics used to achieve goals.

B) guidelines that outline plans to market specific services.

C) patient education materials that also highlight services.

D) various television commercials used to advertise goods.

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