Organizational Behaviour in Nursing Exam Solutions
Course Introduction
Organizational Behaviour in Nursing explores the dynamics of human behavior within healthcare organizations, focusing on how individual, group, and organizational factors influence nursing practice. This course examines theories of motivation, communication, leadership, and team dynamics, emphasizing practical strategies for managing change, conflict resolution, and effective decision-making in diverse healthcare settings. Students will gain insights into the impact of organizational culture and structure on nurse roles, patient care delivery, and interprofessional collaboration, preparing them to contribute positively to organizational effectiveness and quality healthcare outcomes.
Recommended Textbook
Leading and Managing in Canadian Nursing 1st Canadian Edition by Patricia S. Yoder - Copy
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Page 2
Chapter 1: Leading, Managing, and Following
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26 Verified Questions
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Sample Questions
Q1) The chief nursing officer has asked the staff development coordinator to facilitate the development of a clinical competency program for the facility.While making rounds on the units,the staff development coordinator overhears RN staff complaining that they believe it is insulting to be required to participate in a competency program.Which behaviour by the staff development coordinator is most appropriate in this situation?
A) Disregard staff concerns and continue with development of the program.
B) Inform the nurses that this program is a requirement for accreditation by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).
C) Schedule a meeting with the chief nurse executive to apprise her of the situation.
D) Facilitate a meeting so nurses can articulate their values and concerns about a competency program.
Answer: D
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3
Chapter 2: Patient Focus
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Q1) As a patient care advocate,you regularly coach patients in how to stay safe in health care by educating them about
A) the need to understand and record all medications being taken.
B) bringing their own linens and other personal items to the hospital.
C) washing hands frequently while in a health care environment and using a hand sanitizer.
D) following closely the directions and orders of health care providers.
Answer: A
Q2) After consulting with practice environments about quality and safety concerns in health care,the Dean of Health Programs at a Canadian university develops
A) a nursing program that emphasizes the development of a strong disciplinary identity. B) programming that stresses discipline-based research.
C) partnerships with health care professionals to develop software for reporting of adverse events.
D) an interdisciplinary program for nurses, pharmacists, and medical practitioners that emphasizes collaborative learning teams.
Answer: D
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Chapter 3: Developing the Role of Leader
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Q1) To retain supervisory staff members,the director of nursing develops a mentoring program.The best person to be a mentor for a new supervisor in a leadership position is someone who has
A) been in exactly the same position and can relate to the new supervisor's problems.
B) had vast leadership opportunities and likes to talk about his or her past experiences.
C) leadership experience and time to spend communicating with the new supervisor about his or her experiences.
D) people who can help the new supervisor get what he or she needs to make the organization grow quickly and prosper in the process.
Answer: C
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Chapter 4: Developing the Role of Manager
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Q1) Which of the following is important in a positive work environment?
A) One-way communication
B) Accountability and clarity of roles and responsibilities
C) Hierarchical decision-making
D) Challenge and striving for excellence
Q2) Which represents one of the Canadian Nurses Association's top six competencies of a good nurse manager?
A) Political activism
B) Conflict resolution skills
C) Budgetary responsibility
D) Current clinical practice knowledge
Q3) A nurse manager has worked rapidly to persuade the staff to accept changes in the unit's mission,so that downsizing can be avoided,through innovative use of technology.This nurse manager is displaying
A) a focus on past concerns related to the mission.
B) how to teach staff members about self-management.
C) facilitation of goal accomplishment.
D) a requirement that all staff members need to review and reinforce their technologic skills.
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Page 6
Chapter 5: Legal Issues
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Q1) A colleague asks you to give her your password access so that she can view her partner's health care record.This request violates the patient's right to
A) privacy.
B) confidentiality.
C) undue authorization of treatment.
D) protection against slander.
Q2) To reduce the incidence of falls in a skilled nursing unit,the nurse manager contacts the risk manager.Risk management is a process in which people attempt to identify potential hazards and
A) compensate for previous injuries.
B) eliminate these risks before anyone else is harmed.
C) supersede the need for staff members to file incident reports.
D) discipline staff members who have been involved in previous incident reports.
Q3) Which of the following has the highest standard of proof associated with it?
A) Common law
B) Criminal law
C) Negligence law
D) Malpractice law
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7
Chapter 6: Ethical Issues
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Q1) Which element of the Code of Ethics of the International Council of Nurses is reflected when the nurse manager establishes a system for performance appraisals?
A) People
B) Practice
C) Profession
D) Co-workers
Q2) Sue,a staff nurse,consistently arrives 15 minute late for her shift,and the nurse manager has talked to her about it several times.Sue does not take the comments seriously because there are two other nurses who also arrive late all the time,and the unit manager does not reprimand them.In this situation,the nurse manager is violating the ethical principle of
A) beneficence.
B) nonmaleficence.
C) justice.
D) autonomy.
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Chapter 7: Making Decisions and Solving Problems
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Q1) Silvana,a nurse manager,has a staff nurse who has been absent a great deal for the past 3 months.A co-worker gives some information to Silvana indicating that the staff nurse will be resigning and returning to school.Because of this,Silvana decides to do which of the following?
A) Immediately fire the staff nurse.
B) Speak to the co-worker and elicit more information.
C) Speak to the staff nurse and ask her to resign.
D) Do nothing.
Q2) A good nursing decision maker is one who
A) uses various models to guide the process on the basis of the circumstances of the situation.
B) adopts one model and uses it to guide all decision making.
C) decides not to use any models because they are all useless.
D) develops a new model each time a decision has to be made.
Q3) To solve a problem,the nurse manager understands that the most important problem-solving step is
A) the implementation phase.
B) identification of numerous solutions.
C) accurate identification of the problem.
D) evaluation of the effectiveness of problem resolution.
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Chapter 8: Health Care Organizations
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Q1) Which of the following is a key function associated with the Canadian health care system?
A) Financing
B) Accessibility
C) Implementation of insurance programs
D) Universality
Q2) Which three provinces/territories provide nurses with unrestricted access to seek work and enable nearly seamless nurse mobility between them?
A) Nova Scotia, New Brunswick, and Prince Edward Island
B) Northwest Territories, Yukon, and Nunavut
C) Ontario, Manitoba, and Saskatchewan
D) Alberta, British Columbia, and Saskatchewan
Q3) The largest percentage of health care costs is spent on A) hospitals.
B) medications.
C) physicians.
D) unregulated health care workers.
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Chapter 9: Understanding and Designing Organizational Structures
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Q1) In which of the following situations would you expect low morale and frustration?
A) Statement of philosophy indicates "We value our staff." When staff members resign, careful evaluation is done to determine whether staff should be replaced by full- or part-time employees.
B) Practices include annual staff recognition celebrations. During times of change, staff members are actively included in issue identification and solution finding.
C) Recruitment ads promise opportunities for advancement for everyone. Promotions are given only to individuals with long-standing service and entrenched relationships.
D) The vision indicates that there is strong commitment to lead in research. The organization has tried to implement a strong campaign to attract leading nurse researchers but has experienced difficulty in doing so.
Q2) A nurse manager understands that a matrix organizational structure
A) is a simplified organizational structure.
B) has both a functional manager and a service or product-line manager.
C) arranges departments strictly according to function.
D) promotes harmony in organizational decision-making.
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Chapter 10: Cultural Diversity in Health Care
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Sample Questions
Q1) A new graduate registered nurse joins your unit.After a few weeks,she complains about some of her peers on the unit and compares their practices negatively to what she learned in her nursing program.She also is vocal about how she has learned so much here that she did not in her program.She is best described as
A) having cultural sensitivity.
B) experiencing cultural diversity.
C) experiencing cultural marginality.
D) experiencing acculturation.
Q2) One of the staff nurses on your unit makes the comment,"All this time I thought Mary was Black.She says she is Jamaican." The best response would be
A) "Who cares what she is?"
B) "What did you think when you learned she was Jamaican?"
C) "Why did you assume she was Black?"
D) "We have never had a Jamaican on this unit before."
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12
Chapter 11: Power,Politics,and Influence
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Q1) A nurse manager must implement a 2% budget cut on the nursing unit.Which approach should the manager use to empower the staff of the unit most effectively?
A) Discuss the guidelines for the budget cuts with the staff, making the decisions with those who participate in the discussion.
B) Inform the staff of the budget cuts in a series of small group meetings, and accept their ideas in writing only.
C) Provide the staff with handouts about the budget cuts, and let them make recommendations in writing.
D) Hold a series of mandatory meetings on the budget cuts, asking staff for ideas on the cuts.
Q2) Tomas,a new RN,is finding it difficult to practice because he is encountering,on a daily basis,differences between his learned ideals and what he is witnessing as nursing practice on the unit.This situation is an example of
A) the theory-to-practice gap.
B) transition shock.
C) an inadequately prepared nurse.
D) ethical distress.
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Page 13
Chapter 12: Caring,Communicating and Managing With Technology
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Q1) For a nurse manager,one challenge is to orient new staff to the agency's policies and procedures,as well as to provide training across various shifts.Which of the following would be a cost-effective and effective learning strategy?
A) Development of new learning modules and software to support document retrieval
B) E-mail distribution to staff home e-mail addresses regarding important policies
C) Preparation of digital video disks (DVDs) that can be viewed on computers at the nursing station during "down times"
D) Linking policies and procedures to the network for access when required at the point of care
Q2) In an intensive care unit,you order new devices to measure heart rhythm and rate,respiratory rate,oxygen levels,and intracranial pressure.Which of the following do these devices involve?
A) Biomedical technology
B) Telecommunications
C) Retrieval of patient history information
D) The Internet
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Page 14
Chapter 13: Managing Costs and Budgets
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Sample Questions
Q1) In preparing a budget,the nurse manager needs to anticipate the cost of benefits (e.g.,health,life insurance,pension,and retirement plans).On the basis of the usual cost of benefits,how much should a nurse manager include for a total full-time salary cost of $312,000?
A) $71,760 to $84,240
B) $62,400 to $78,000
C) $46,820 to $62,400
D) $31,200 to $46,800
Q2) The chief nursing office continues to seek ways to improve health care services to patients and to save the hospital money.However,with most physicians paid on a fee-for-service contract,the chief nursing office faces a challenge.Fee-for-service can provide incentive for
A) offering fewer services to fewer patients.
B) using fewer services per patient.
C) increasing utilization of diagnostic procedures.
D) requiring second opinions.
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15
Chapter 14: Care Delivery Strategies
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Sample Questions
Q1) A conflict develops between an associate nurse and a primary nurse over the assessment of a patient with pulmonary edema.On the basis of her assessment of the patient,the associate nurse insists that it is her role to change the care plan because she is the one who has made the assessment.As the nurse manager,you clarify that A) it is the role of the primary nurse to make alterations on the basis of assessment data and input.
B) the associate nurse is accountable and responsible while the primary nurse is off duty and therefore is able to alter the care plan.
C) neither the primary nurse nor the associate nurse should make changes without first consulting you as the manager.
D) it really does not matter who alters the nursing care plan because it depends on situation and time to do so.
Q2) The functional nursing model might be particularly effective in which of the following?
A) Promoting communication among diverse team members
B) Facilitating multiple perspectives on the total care of a patient
C) Avoiding patient-provider conflict
D) Developing competence and confidence in unlicensed workers
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Page 16
Chapter 15: Staffing and Scheduling
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Sample Questions
Q1) Factor evaluation systems involve classification systems in which:
A) financial data are used to determine staff-to-patient ratios.
B) diagnosis-related groups are used to determine the numbers of acutely ill patients on a unit.
C) interventions and time required for interventions are combined to determine levels of are required.
D) financial resources and nursing interventions are combined to determine patient contact hours.
Q2) The number of adverse events such as falls and pressure ulcers on your unit is increasing.An ideal staffing plan to address this issue would include which of the following?
A) Increasing the total number of staff on the unit
B) Increasing the staff and registered nurse (RN) hours per patient
C) Increasing the total number of staff and implementing 12-hour shifts
D) Increasing the number of RNs and number of RNs with experience on the unit
Q3) A strategy to increase RN staff retention at Valley Hospital includes
A) better compensation and benefits.
B) clearer position descriptions.
C) layoffs of nursing assistants.
D) adequate staffing to care for increasing numbers of acutely ill patients.
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Chapter 16: Selecting, developing, and Evaluating Staff
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Q1) A survey of staff satisfaction is conducted.The results indicate that staff members are satisfied,are loyal to the organization,and believe that they have reasonable control in their individual responsibilities.The findings best exemplify
A) clarity in roles and valuing of contributions.
B) satisfaction but not empowerment.
C) effective coaching of new staff.
D) role attachment.
Q2) During the performance appraisal session,what should the manager do?
A) Maintain a relaxed and professional manner.
B) Inquire about the employee's personal life and how it is affecting performance.
C) Allow the employee to express opinions orally and in writing.
D) Plan to give specific examples only for poor performance.
Q3) The validity of comments and ratings related to performance is enhanced by which of the following?
A) Maintenance of anecdotal notes over the entire evaluation period
B) Quantity of information gathered for appraisal purposes
C) Agreement of the employee with the ratings and comments
D) Whether other individuals have contributed to the observations
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Chapter 17: Strategic Planning and Goal Setting
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Q1) From your observation of planning activities in the organization,you have noticed that planning and decision making occur at various levels of the organization.The nurse manager has overall responsibility for which of the following?
A) Sending out postcards
B) Organizing a telephone follow-up
C) Monitoring ongoing activities and projects
D) Listing the patient population
Q2) The strategic planning process shares many similarities with which of the following?
A) The mission statement
B) The nursing process
C) The goal-setting process
D) The writing of objectives
Q3) The nurse manager is conducting an organizational "SWOT" analysis.When the final step is completed,which of the following would the nurse manager be assessing?
A) Time
B) Threats
C) Technology
D) Team relationships
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Chapter 18: Leading Change
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Q1) Which of the following are examples of application of the Leadership Rounding Tool (Studer,2009)?
A) "What is working well for you during bedside reporting?"
B) "What has not worked for you today?"
C) "Is there someone on your team who deserves special recognition for her efforts in the implementation?"
D) "Did you have a good vacation?"
Q2) Which of the following would be the most effective response to Elizabeth?
A) "I understand how you feel, but you are going to have to change."
B) "It is unfortunate that you feel this way. Others seem quite excited about the new information."
C) "It is difficult sometimes to change what we know very well. Sometimes it can be frightening."
D) "Perhaps I can arrange some more information sessions for you, so you can see just how important this change is to patient safety."
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20
Chapter 19: Building Teams Through Communication and Partnerships
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Sample Questions
Q1) A mediator suggested that the nurse manager and staff members decide on a method to resolve conflicts.Why is it important to have agreements about how team members will work together?
A) If there are no agreements, each member will make up his or her own procedures without consensus.
B) People are naturally difficult and will not work well together without such agreements.
C) People will naturally ask for agreements about how to be together.
D) A way to eliminate nonproductive team members must be available.
Q2) The Situation-Background-Assessment-Recommendation (SBAR)system of communications is one of the most widely used communication systems in health care because
A) it deals with all aspects of communications in patient care except communication with the physician.
B) the nurse is on the same communication level as administration.
C) it focuses on how information is provided and gleaned in an honourable way.
D) it honours an unstructured transfer of information.
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21
Chapter 20: Collective Nursing Advocacy
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Q1) In an inner-city area,a group of nurses meet and develop a plan to negotiate with local businesses to support a breakfast program for young elementary school-age children.This is an example of
A) community development.
B) collective bargaining.
C) collective action.
D) shared governance.
Q2) The emergency department staff decides to use a collective bargaining model for negotiation.This model is characterized by
A) an adversarial relationship.
B) management decision-making.
C) a spirit of trust to negotiate in good faith.
D) an inability to resolve complaints.
Q3) Evidence-informed practices (EIPs)are a key strategy for enhancing learning and increasing nurse capacity,as well as for contributing to A) morale on the unit.
B) a decline in participatory decision-making.
C) professional autonomy.
D) ethical practice.
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Page 22
Chapter 21: Managing Quality and Risk
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Q1) The nurse educator of the pediatric unit determines that vital signs are frequently not being documented when children return from surgery.According to QI,to correct the problem,the educator,in consultation with the patient care manager,would initially do which of the following?
A) Talk to the staff individually to determine why this is occurring.
B) Call a meeting of all staff to discuss this issue.
C) Have a group of staff nurses review the established standards of care for postoperative patients.
D) Document which staff members are not recording vital signs, and write them up.
Q2) At Hospital Ajax,staff members are reluctant to admit to medication errors because of previous litigation and a culture that seeks to assign blame.This culture demonstrates
A) QM principles that emphasize customer safety.
B) a deep concern with improvement of quality and processes.
C) effective employee orientation and development in relation to QM.
D) goals that are inconsistent with QM.
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Chapter 22: Translating Research Into Practice
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Q1) Which of the following is a meta-analysis?
A) Review of 35 studies to determine the significance of research in contributing to nurse work satisfaction
B) Review of multiple chart audits to determine which errors are being reduced through implementation of evidence-based guidelines
C) RCT comparing the effectiveness of a local anaesthetic in reducing the pain of venipuncture in young children
D) Analysis of factors contributing to nurse burnout and dissatisfaction at emergency room sites
Q2) Before implementation of the new policy and procedure on central-line catheter care,the nurse manager uses an appraisal system to evaluate the evidence.What is important in using an appraisal system to evaluate the evidence gathered in preparation for development of a new protocol?
A) Limiting the search to randomized clinical trials
B) Matching the appraisal tool to the type of evidence
C) Eliminating qualitative research studies
D) Using only preprocessed evidence
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Chapter 23: Understanding and Resolving Conflict
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Q1) Tina is a nurse manager in a surgical unit.She is concerned about an ongoing conflict between Lucy,a staff nurse,and one of the maintenance personnel.She explains to Lucy that unsatisfactory resolution of the conflict is typically destructive and will result in
A) decreased frustration between the maintenance worker and her.
B) a good relationship with the maintenance department.
C) eventual resolution of the problem without further intervention.
D) decreased productivity on her part.
Q2) Nurses entering into the workforce today are faced with which of the following relationships that could create organizational conflict?
A) Nurse-physician relationship
B) Nurse-nurse relationship
C) Nurse-patient relationship
D) Nurse-chief nursing officer relationship
E) Nurse-auxiliary personnel relationships
Q3) Successful resolution of conflict yields constructive outcomes and leads to A) inhibition of movement.
B) improved team functioning.
C) diminished resolutions.
D) lower employee satisfaction levels.
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Chapter 24: Managing Personalpersonnel Problems
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Q1) A nurse manager understands that the typical first step in handling an employee with a disciplinary problem is to
A) provide a verbal reprimand.
B) prepare a written reprimand.
C) counsel the employee regarding the problem.
D) give the employee the day off without pay.
Q2) The nursing director calls a meeting with one of the new unit managers.She is very concerned about a report of substance abuse on the manager's unit,and she reviews the procedures involved in dealing with chemically dependent staff.Which of the following statements would not be included in the discussion?
A) "As a manager, you need to be aware of professional regulatory reporting requirements."
B) "As a manager, you should check with the human resources department regarding chemically dependent employees and employment practices."
C) "As a manager, you check the nurse practice acts for the province in which the nurse resides."
D) "As a manager, you should realize that the nurse is a professional embarrassment and should be kept out of sight of other staff."
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26
Chapter 25: Workplace Violence and Incivility
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Q1) In the emergency department waiting room,you notice a patient sitting,with his head in his hands,who has been waiting for about 5 hours for relief of his headache.When you approach him to ask him how he is doing,he says,"I can't believe that I have to wait this long for help! Do you know what it is like to be in pain for 10 hours?" Your response to him would be
A) "It is frustrating to wait when you are in pain and when you are expecting to receive relief right away."
B) "Don't talk to me. If you are going to be rude, then you will not receive treatment here."
C) "We are very busy and don't have enough staff to deal with problems such as yours."
D) "Perhaps you should go elsewhere. We do not have time for you here, as many more sick patients are waiting."
Q2) Many inaccurately believe workplace violence to be related specifically to A) verbal abuse.
B) physical injury.
C) incivility.
D) harassment.
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Chapter 26: Practising and Leading in Interdisciplinary Settings
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Q1) During a fire drill,the nurse manager becomes very assertive and directive in her communications with staff.This type of situational leadership depends on
A) supportive behaviour by the leader and immature followers.
B) the relationship with the followers and the type of behaviour of the leader.
C) well-trained followers, combined with a strong leader who acts quickly.
D) the leader's ability to evaluate personnel and communicate that evaluation.
Q2) The nurse manager is setting up the room assignments for the unit.One patient on the unit is in critical condition and is going to require more care than the others.Before delegating a task,a nurse manager should
A) delegate the admission assessment to the licenced practical nurse.
B) review the employee's performance assessment for the most recent period.
C) assess the amount of guidance and support needed in a particular situation.
D) create a task analysis of critical behaviours for the patient.
Q3) Which of the following is a benefit of the controlled acts model over the licensure model?
A) Decreased flexibility in allowing patients choice in their care provider
B) Limited range of professional responsibility
C) No firm boundaries
D) Recognition that scope of practice is static
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Chapter 27: Role Transition
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Q1) In assisting new graduates to make the role transition to graduate nurse,Teo,the unit manager,initiates which of the following?
A) Self-checklist to assess competencies that have been strengthened
B) Discussions that focus on what the new graduates have yet to learn
C) Fixed target dates for acquisition of competency and transition to RN role
D) Frequent formal meetings to provide feedback on performance and areas to be strengthened
Q2) Oscar,a new nurse manager,complains to his colleague that he feels very uncomfortable with the conflict between what he thinks he should be doing as the manager and what his supervisor thinks he should be doing.According to Hardy's (1978)role theory,Oscar is experiencing
A) stress.
B) role stress.
C) role strain.
D) role exploration.
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Chapter 28: Self-Management: Stress and Time
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Q1) Which of the following statements is true?
A) "Recent research has demonstrated that women do not have a unique physiologic response to stress."
B) "Both men and women interpret the same stressor in the same manner without regard to past experiences."
C) "Stress influences the immune system in one complex manner."
D) "Stressors that are identical do not have the same effect on each individual."
Q2) A hospice nurse has been feeling very stressed at work because of both the physical strain and the emotional drain of working with patients with acquired immune deficiency syndrome (AIDS).She tries to walk 1 to 2 miles three times a week and to talk regularly with her husband about her work-related feelings.Another reasonable stress management strategy would be to
A) start taking yoga lessons.
B) make an appointment to meet with a psychiatrist.
C) start jogging 5 to 6 miles every day.
D) plan to go out for a drink with fellow nurses after work every day.
To view all questions and flashcards with answers, click on the resource link above. Page 30
Chapter 29: Managing Your Career
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/44774
Sample Questions
Q1) On your CV,which of the following is the recommended approach for listing employment and educational history information?
A) 1979 RN Diploma
1985 BScN
2002 MN
B) 2002 Mount Rush Health Centre Staff Nurse
1997 Cedar Falls Clinic Staff Nurse
2007 Killarney Rehab Centre Case Manager
C) 2007 MN
2005 BScN
D) 1997 Sturgeon Falls Hospital Head Nurse
2002 Sturgeon Falls Supervisor
2007 Sturgeon Falls Director
Q2) A unit manager recently graduated as a clinical nurse specialist with a focus in gerontology.She applied to take a certification examination.Certification is designed to recognize
A) basic knowledge in a specified area.
B) advanced practice in functional roles.
C) special knowledge beyond basic licensure.
D) continued competence as a registered nurse.
To view all questions and flashcards with answers, click on the resource link above.
Page 31
Chapter 30: Thriving for the Future
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/44775
Sample Questions
Q1) A necessary leadership strength for nurses of the future is
A) the ability to involve health care teams in common interests to achieve outcomes that meet their needs.
B) enhanced skills and knowledge in advanced clinical techniques.
C) understanding of the nuances of fundraising to make up funding shortfalls.
D) the ability to manage a workforce that lacks loyalty to one organization.
Q2) Nursing professionals in the twenty-first century will accomplish most of their work
A) through teams of internationally prepared professionals.
B) in teams and through group work.
C) through long-term, secure jobs.
D) in competitive environments and work groups.
Q3) The phenomenon experienced by the staff in question 18 is termed A) eustress.
B) care process.
C) stereotypical thinking.
D) complexity compression.
To view all questions and flashcards with answers, click on the resource link above.