Strategic Management in Nursing Test Preparation
Course Introduction
Strategic Management in Nursing explores the principles and practices necessary for effective leadership and organizational success within healthcare settings. This course emphasizes the development and implementation of strategic plans, the analysis of internal and external environments, and the use of evidence-based decision-making to advance patient care. Students will learn to assess healthcare trends, manage resources efficiently, foster interprofessional collaboration, and respond proactively to challenges and opportunities in a rapidly evolving healthcare landscape. Through case studies and practical applications, the course prepares nursing professionals to lead teams, drive organizational change, and achieve long-term goals in various healthcare environments.
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
Source URL: https://quizplus.com/study-set/2090
Page 2
Chapter 1: Communications
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/41654
Sample Questions
Q1) The client complains to the nurse about the noise at the nurse's station at night.The nurse's best response is:
A)"I appreciate your reporting this to me."
B)"Thank you for contributing this information."
C)"What do you want me to do about this?"
D)"Are you saying that you are unable to rest at night because of the noise?"
Answer: D
Q2) Which of the following is indicative of trashing other nurses?
A)Nurses working together as a team
B)Nurses committing themselves to actions that they do not complete
C)Nurses identifying with their male colleagues
D)Nurses talking about other nurses behind their backs
Answer: D
Q3) In assessment of cross-cultural communication,which nonverbal behavior is the most important?
A)Placement of hands
B)Facial expression
C)Use of words
D)Eye contact
Answer: B
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Chapter 2: Stress Management
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The house supervisor is attempting to maximize his managerial time.Which of the following techniques can he use to maximize his time?
A)Delegation
B)Abdominal breathing
C)Compartmentalization
D)Anchoring
Answer: A
Q2) A staff nurse was promoted to unit manager.Which technique can the staff nurse use to manage the stress associated with this change?
A)Become more authoritative
B)Request a pay raise
C)Set aside time to observe respected leaders or managers
D)Set aside time to inventory the unit's weaknesses
Answer: C
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Chapter 3: Decision-Making Process and Tools
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) After a brainstorming session on how to implement a new staffing policy,the nurse manager decided to have the staff rank the suggestions in order of most preferred solution after considering whether each suggestion is practical,cost effective,efficient,and effective.Next,the staff prioritized the list,eliminated items,and added others.This is a form of:
A)Visual identification of relationships
B)Checklist method
C)Modeling
D)Self-interrogation checklist
Answer: B
Q2) An ad hoc committee was formed to collect data about the increase in absenteeism throughout the hospital.To ensure that this ad hoc committee functioned efficiently,the hospital limited the number of committee members to:
A)8
B)3
C)20
D)18
Answer: A
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Page 5
Chapter 4: Motivation and Morale
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25 Flashcards
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Sample Questions
Q1) The nurse manager compared the male and female registered nurses (RNs)on the unit.The nurse manager found that which of the following had the greatest influence on job satisfaction for male RNs?
A)Social aspects of the job
B)Interpersonal relationships
C)Company management and policies
D)Working conditions
Q2) The staff nurses enjoyed meeting in the break room to share lunches and have some down time.The nurse manager had the staff break room converted to a family waiting room.The nurse manager was interfering with which staff need,according to Maslow's hierarchy of needs?
A)Physiologic
B)Safety/security
C)Social/belonging
D)Self-actualization
Q3) Which of the following is an example of high organizational morale?
A)A staff nurse enjoys the quality of her work.
B)A staff nurse shows decreased quality of work.
C)A staff nurse is loyal to the profession.
D)A staff nurse has a high rate of absenteeism.
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Chapter 5: Power, Politics, and Labor Relations
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) 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.
Q2) A school nurse is following the legislative path of a bill that supports human papillomavirus immunization of high school girls.The school nurse's most effective political strategy is to:
A)Become emotionally involved
B)Educate area nurses about the immunization bill
C)Refrain from attending town hall meetings
D)Discourage neighborhood petitions
Q3) A staff nurse volunteered to serve on a newly formed task force charged with developing evidence-based practice protocols.This participation gave the staff nurse:
A)Referent power
B)Interpersonal power
C)Reward power
D)Coercive power
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Chapter 6: Conflict Management and Negotiation
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A rural hospital was switching to computerized charting.Many of the senior nurses were feeling anxious about the changes because of the new technology involved.In what stage of conflict were the senior nurses?
A)Latent
B)Perceived
C)Felt
D)Manifest
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) Which of the following is the most effective way to manage conflict?
A)Avoiding
B)Compromising
C)Collaborating
D)Competing
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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) The chief nursing officer (CNO)scheduled performance evaluations for one male nurse manager and one female nurse manager.Which leadership skill would the CNO expect to find in the leadership styles of both genders?
A)Autocratic management style
B)Aggressive communication skills
C)Skills in networking outside the organization
D)Nondirective management style
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) What might one find in Likert's consultative system that would be less likely in participative management systems?
A)Staff members' ideas are sought.
B)Sometimes an informal organization resists the formal goals.
C)Staff members feel free to discuss their jobs with the manager.
D)Decision making is integrated throughout the organization.
Page 9
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Chapter 8: Strategic and Operational Planning
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) 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
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) Nurse managers are more likely to be involved in what type of planning?
A)Long-range planning
B)Strategic planning
C)Operational planning
D)Short-term planning
Q4) The nurse manager of a unit uses strategic planning when the manager:
A)Decreases staffing
B)Increases duplication of efforts
C)Sets unrealistic goals
D)Gives direction to the unit
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Chapter 9: Financial Management, Cost Containment, and Marketing
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25 Flashcards
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Sample Questions
Q1) 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
Q2) The nurse manager wanted to implement a new indirect cost savings strategy on the unit.An example of an indirect cost savings strategy is:
A)Instituting a new 15-minute break policy
B)Holding staff meetings on company time
C)Charging for the coffee served to employees
D)Eliminating the nurses' lounge area
Q3) The hospital's board of directors sent letters to wealthy community leaders seeking donations to help build an extension to the hospital.This target group is an example of:
A)An exchange public
B)An internal public
C)A sought public
D)An unwelcome public
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Chapter 10: Organizational Concepts and Structure
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) An advanced practice nurse was hired to help establish a trauma unit.While working on the project,he found that he had to report to the chief nursing officer and the newly hired medical director of the trauma unit.This organizational design is known as:
A)A functional line
B)A matrix
C)A project line
D)An adhocracy
Q2) The dean of the school of nursing decided to implement a shared governance model.The principal foundation of this model is:
A)Self-governance
B)Autocratic leadership
C)Participatory management
D)European-style management
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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Chapter 11: Organizational Culture, Change, and Innovation
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Sample Questions
Q1) The hospital was experiencing low staff morale and decreased productivity after it merged with another corporation.The staff from the hospital became territorial when staff members from the other corporation were scheduled to work with hospital staff.This is an indication that the change induced by the merger has been influenced by:
A)Counterculture
B)Internal forces
C)External forces
D)Microsystems
Q2) With the new career ladder in place,the hospital expects nurse managers to attend budget meetings,prepare staffing schedules,and enroll in a health management systems graduate program.One nurse manager with three small children is at high risk for:
A)Role theory
B)Role structure
C)Role learning
D)Role stress
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13
Chapter 12: Selection and Development of Personnel
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25 Flashcards
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Sample Questions
Q1) The leader's responsibility with regard to recruitment and retention of personnel is to:
A)Help establish criteria for selection of personnel
B)Assess the learning deficits of staff
C)Help structure interviews
D)Monitor orientation
Q2) The Americans with Disabilities Act of 1990 protects individuals with which of the following disorders?
A)Depression
B)Gender identity disorder
C)Dyslexia
D)Psychoactive substance abuse
Q3) Which of the following is used when the nurse manager is making a hiring decision?
A)Salary scale
B)Fringe benefits list
C)Cover letter
D)Résumé
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Chapter 13: Staffing and Scheduling
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Sample Questions
Q1) Between 2010 and 2020,over 40% of the registered nurse workforce will be over 50 years of age and is expected to retire or withdraw from the workforce.The Institute of Medicine has recommended that organizations retain these nurses by:
A)Implementing 12-hour shifts
B)Assigning older nurses to critical care settings
C)Implementing ergonomic principles in the design of the unit
D)Increasing patient-nurse ratio
Q2) The Joint Commission calls on hospitals to use which strategy to help address the nursing shortage?
A)Increase patient-nurse ratio
B)Increase mandatory overtime hours
C)Provide management training
D)Provide informal orientation
Q3) 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.
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Chapter 14: Evaluation and Discipline of Personnel
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25 Flashcards
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Sample Questions
Q1) All of the following are purposes of the performance appraisal except:
A)Determining job competence
B)Improving communication between managers and physicians
C)Identifying unsatisfactory employees
D)Inventorying talent within the organization
Q2) The counselor listens to the employee's problem and decides how to solve it.Then the counselor tells the employee what to do to fix the problem.This is what kind of counseling?
A)Nondirective counseling
B)Reassurance
C)Catharsis
D)Directive counseling
Q3) There are steps that nurse managers can take when dealing with problem employees.One of these steps is to:
A)Provide on-the-job training
B)Identify symptoms of the problem
C)Send the employee to the human resources department
D)Request a drug screen
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16
Chapter 15: Continuous Quality Improvement, Risk
Management, and Program Evaluation
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Sample Questions
Q1) The evaluator should structure the evaluation using an appropriate research design.When utilizing an instrument to collect data,the evaluator may need to select the time and the individuals on whom observations will be made.For which research design is it best if the design is repeated by several researchers in separate situations?
A)Time series
B)Factorial design
C)Counterbalanced design
D)Pretest-posttest control design
Q2) 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
Q3) The most common law affecting nursing practice is:
A)Public law
B)Private law
C)Tort law
D)Civic law
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