Nursing Service Administration Practice Exam
Course Introduction
Nursing Service Administration focuses on the principles and practices involved in leading and managing nursing services in various healthcare settings. The course covers organizational structure, leadership theories, human resource management, budgeting, strategic planning, quality improvement, legal and ethical considerations, and effective communication within nursing teams. Students learn to apply evidence-based management techniques to enhance patient care, promote staff development, and optimize resource utilization. Emphasis is placed on developing decision-making, problem-solving, and critical thinking skills necessary for effective nursing administration and the delivery of high-quality healthcare services.
Recommended Textbook
Guide to Nursing Management and Leadership 8th Edition by Ann Marriner Tomey
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15 Chapters
375 Verified Questions
375 Flashcards
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Chapter 1: Communications
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A staff nurse complained to the nurse manager that she was too tired to continue a schedule that required her to double back to work.The nurse manager responded,"I understand that you get tired when you double back." The nurse manager was demonstrating which assertive technique?
A)Broken record
B)Fogging
C)Negative assertion
D)Negative inquiry
Answer: B
Q2) The staff nurse was providing discharge instructions to the client.After the nurse discussed the importance of making an appointment the following week for a follow-up visit with the physician,the client said,"I wonder if I can go visit my daughter who lives out of town next week." The nurse determined that the client:
A)Used selective perception to hear what she wanted to hear
B)Decided not to see the physician for a follow-up
C)Had poor cognitive abilities
D)Mistrusted the nurse's instructions
Answer: A
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3
Chapter 2: Stress Management
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25 Flashcards
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Sample Questions
Q1) A physician referred a client to the pain management clinic for biofeedback treatments to help with migraine headaches.The nurse teaches the client that biofeedback:
A)Helps to get rid of negative thinking
B)Is the process of shouting "I feel " inside one's head
C)Is a method of changing jobs
D)Is a method of gaining self-regulation to control autonomic responses
Answer: D
Q2) The nurse manager delegated the task of making client assignments to the staff nurse.How would the nurse manager evaluate the results of the delegation?
A)Ask other staff to supervise the nurse manager's work
B)Ask personnel if they are happy about the assignments
C)Correct the staff nurse's work
D)Use performance standards to evaluate
Answer: D
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4
Chapter 3: Decision-Making Process and Tools
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A staff nurse was asked by the nurse manager to be the charge nurse because of the staff nurse's long history of effective decision making.The staff nurse attributed her effective decision making to:
A)Minimal knowledge
B)The nurse manager's modeling of effective decision making
C)Good decision making by the physician
D)Supportive hospital personnel
Answer: B
Q2) For nurses to function in a multicultural environment,they must be aware of global ethics.Which of the following is an example of global ethics?
A)An African-American woman wants a midwife to deliver her baby.
B)The nurse treats the clients on the unit impartially.
C)Nurses and clients work interdependently to plan care.
D)Clients depend on the nurses for all of their needs.
Answer: C
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Chapter 4: Motivation and Morale
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Sample Questions
Q1) Nursing administrators were concerned about the cost of replacing staff members.The reason for an increase of cost is:
A)The work itself
B)The expense of the orientation period
C)Limited advancement potential
D)Increased recognition for achievement
Q2) A staff nurse made a medication error.The nurse immediately filled out an incident report,called the doctor,and notified the nurse manager.The staff nurse's self-awareness and the ability to function responsibly is an example of:
A)Productivity
B)Emotional intelligence
C)Empathy
D)High morale
Q3) Which of the following is an example of a hygiene factor in Herzberg's two-factor theory?
A)Staff members' concern that the hospital will lay off workers
B)Hospital's sponsoring of an awards banquet for all personnel
C)Performance evaluations that provide positive feedback
D)Staff nurses' attendance at workshops to increase knowledge
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Page 6
Chapter 5: Power, Politics, and Labor Relations
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25 Flashcards
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Sample Questions
Q1) Certification of the employees' bargaining unit was denied because of insufficient votes.The labor organization's next step is to:
A)Begin the decertification process
B)Seek certification among the same employees
C)Allow a 12-month moratorium and then seek certification again
D)Begin negotiations with the hospital's management
Q2) A new staff member decided he wanted to work in an institution where he could have a voice in policy formation.What type of institution would be the best fit for the staff nurse?
A)Home health agency
B)Magnet institution
C)Elementary school
D)Community-based clinic
Q3) Which of the following statements about union labor practices is untrue?
A)Union representatives must be able to bargain with the employer.
B)The union may take a strike action without notifying the employer.
C)The union cannot boycott a hospital's vendors.
D)The union cannot cause the employer to pay for services not performed.
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Chapter 6: Conflict Management and Negotiation
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Sample Questions
Q1) Because of an increased risk of workplace violence,an urban medical center instituted a workplace violence prevention training program.All of the following are topics that need to be included except:
A)Risk factors that contribute to assault
B)Information on multicultural diversity
C)Approaches to dealing with individuals who have a stressful life
D)Ways of dealing with hostile persons
Q2) Although the house supervisor demanded a high quality of care,the nurse manager's request for more staffing because of increased patient acuity levels was denied.This action by the house supervisor produced what type of conflict?
A)Intrasender conflict
B)Person-role conflict
C)Intragroup conflict
D)Intergroup conflict
Q3) The hospital hired a consultant in the hopes of developing:
A)An adversary
B)An opponent
C)An ally
D)A bedfellow
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Page 8
Chapter 7: Theories of Leadership and Management Development
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25 Flashcards
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Sample Questions
Q1) According to Peter Senge's theory,all of the following are disciplines for building a learning organization except:
A)Systems thinking
B)Personal mastery
C)Mental models
D)Emotional competence
Q2) Which professional statement makes it clear that a nurse's responsibility is first to the patient and second to the institution?
A)Nursing's Social Policy
B)Nursing's Social Justice Policy
C)The Code of Ethics
D)The bylaws of the American Organization of Nurse Executives
Q3) Part of the performance evaluation for a staff nurse focused on ethics and character development.What kind of activity demonstrates to the nurse manager that a staff nurse has a healthy character?
A)Declining civic responsibility
B)Attempt to create a caring workplace
C)Promotion of exterior motivation
D)Excessive drinking leading to increased absenteeism
Page 9
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Chapter 8: Strategic and Operational Planning
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25 Flashcards
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Sample Questions
Q1) While writing a procedure for the administration of chemotherapy,the staff nurse included all of the following except:
A)Materials needed and how to locate them
B)Methods for recycling the materials used
C)The physician's responsibilities
D)Appropriate charting
Q2) A staff nurse participates in the determination of goals by establishing:
A)Institutional goals and objectives
B)Goals and objectives for the nursing service
C)Unit goals and objectives
D)Outpatient service goals and objectives
Q3) How does an institution organize to meet the institution's goals?
A)By defining the goals
B)By staffing to accomplish the goals
C)By stimulating personnel toward accomplishment of the objectives
D)By comparing the results with the objectives to evaluate accomplishments
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10
Chapter 9: Financial Management, Cost Containment, and Marketing
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Sample Questions
Q1) The chief nursing officer needed to make changes in the staffing budget because the hospital was opening an additional 10 beds to the emergency department.The nursing administrator had to look at what type of costs?
A)Variable costs
B)Sunk costs
C)Semivariable costs
D)Marginal costs
Q2) The nurse manager reviews the unit's budget quarterly.One advantage of such a budget review is that:
A)It is time consuming and expensive
B)Corrective measures can be taken
C)The budget converts organizational performance into monetary values
D)The budget supersedes the agency goals
Q3) Which of the following reimburses according to the cost of treatment of specific diagnosis-related groups (DRGs)?
A)Health promotion programs
B)Managed care systems
C)Prospective reimbursement system
D)Health maintenance organizations
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Chapter 10: Organizational Concepts and Structure
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Sample Questions
Q1) A hospital recently hired a quality improvement director whose position can be viewed on the organizational chart.The function of this position in the chain of command is to:
A)Offer counsel on managerial problems
B)Restrain line authority
C)Perform the routine work
D)Serve in an advisory capacity
Q2) A hospital decided to restructure the organization by changing from a bureaucratic model to European-style management.The primary difference between these two styles is that European-style management:
A)Has a rigid line of authority
B)Uses a board to make policy decisions
C)Has inflexible boundaries separating jobs and divisions
D)Shifts personnel and disrupts training
Q3) To increase performance effectiveness,the nurse manager must:
A)Ensure increased production
B)Give employees informal authority
C)Decrease delegation of tasks
D)Provide general supervision
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Page 12
Chapter 11: Organizational Culture, Change, and Innovation
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Sample Questions
Q1) One way that administration can handle incompetent executives is to:
A)Hire new managers
B)Move them from line to staff authority
C)Terminate their employment
D)Counsel them toward satisfactory performance
Q2) Student nurses joined a professional organization for student nurses while enrolled in a baccalaureate nursing program.This is an example of:
A)A macrosystem
B)A subculture
C)Social cohesiveness
D)A counterculture
Q3) When the hospital merged with another institution,many workers decided to retire instead of remaining to work for the new organization.These employees are said to be:
A)Disengaged
B)Disidentified
C)Disoriented
D)Disenchanted
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Chapter 12: Selection and Development of Personnel
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Sample Questions
Q1) Which generation would benefit from a mentoring program in the workplace?
A)The silent generation
B)The baby boomer generation
C)Generation X
D)The Internet generation
Q2) The director of nursing at a nursing home interviewed an applicant for the position of wound care nurse.This position is an example of:
A)Job simplification
B)Job rotation
C)Job enrichment
D)Job evaluation
Q3) The nurse manager will use which of the following groups as a major source for selection of personnel?
A)Dissatisfied employed individuals
B)Satisfied employed individuals
C)Persons who have had many jobs
D)Employees terminated due to absenteeism
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14
Chapter 13: Staffing and Scheduling
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Sample Questions
Q1) Centralized scheduling has many advantages,including which of the following?
A)Managers have authority.
B)Some managerial time is freed up for other activities.
C)Staffing is less complicated.
D)Employees can receive individualized treatment.
Q2) The nurse manager used variable staffing for a 25-bed postoperative unit at full capacity.On the unit,there were four patients who had undergone total knee replacement and four who had undergone total hip replacement who required blood transfusions.What kind of variable staffing mix would the nurse manager most likely use?
A)All-registered nurse (RN)staffing
B)One RN,two licensed practical nurses (LPNs),and four unlicensed personnel
C)One RN,one LPN,and five unlicensed personnel
D)One RN,four LPNs,and two unlicensed personnel
Q3) Clinical outcomes can be used to assess the adequacy of staffing.Which of the following indicates a need for better staffing?
A)Family falls
B)Short length of stay
C)Adverse drug reactions
D)Patient satisfaction
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Page 15
Chapter 14: Evaluation and Discipline of Personnel
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Sample Questions
Q1) Management by objectives (MBO)has advantages for both staff nurses and nurse managers.One advantage of MBO for staff nurses is that:
A)It is a better managerial plan
B)The standard of evaluation is based on job descriptions
C)It allows nurse managers to use human resources
D)Managers can set the goals
Q2) If the nurse manager rates the staff from the best performer to the weakest performer,the manager is using what method of performance management?
A)Anecdotal notes
B)Rating scales
C)Ranking
D)Forced distribution scale
Q3) Managers who are perfectionists may rate personnel lower than they should and may compare how a staff nurse previously performed with how the staff nurse presently performs.This is called:
A)The halo effect
B)The horns effect
C)The contrast effect
D)The proximity effect
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Page 16
Chapter 15: Continuous Quality Improvement, Risk Management, and Program Evaluation
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Sample Questions
Q1) Which of the following is a valuable tool that is used for planning and judging the progress of the program evaluation?
A)Conceptual framework
B)Review of the literature
C)Instrument development
D)Calendar of events
Q2) Which event during the 1940s helped the United States realize the need for a prepaid payment system that would relieve the burden on the sick person and ensure that the hospital and hospital expenses were paid?
A)Development of durable medical suppliers
B)Creation of disability insurance
C)Development of antibiotics
D)Formation of the American Medical Association
Q3) Both leaders and managers have a responsibility for quality improvement.A manager's function is to:
A)Build a culture of disparity
B)Determine discrepancies between care provided and standards
C)Be proactive rather than reactive
D)Encourage the use of electronic systems
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